Software Guidance & Assistance, Inc., (SGA), is searching for a Data Systems Analyst for a remote opportunity with one of our premier clients in the Healthcare industry.
The Data Systems Analyst leads the integration of healthcare payer and internal enterprise data into the organization's enterprise data platforms. This role is responsible for analyzing, mapping, validating, and standardizing payer data-including eligibility, claims, quality, and risk adjustment feeds-as well as data from internal systems such as EMR, CRM, and HR platforms.
The Data Systems Analyst will help establish and maintain a reliable, standardized single source of truth to support value-based care initiatives and enterprise decision-making. The ideal candidate combines strong healthcare data knowledge with technical expertise in data mapping, integration, validation, and data quality, along with a collaborative mindset and the ability to work effectively in a complex, mission-driven data environment.
Key Responsibilities:
Onboarding and integration of various payer feeds, including eligibility (834 or flat files), medical and institutional claims (837 or flatfiles), HEDIS quality data, HIE, and risk
adjustment and RAF related datasets
Analyze and map data from external payer sources and internal systems such as EMR, CRM, and operational platforms into the enterprise data model
Maintain source to target mappings, transformation logic, and standardized data definitions across payer and internal feeds
Identify payer specific variations, data quality issues, and structural differences, and support normalization within the data warehouse
Validate data ingestion and transformations through profiling, reconciliation, and exception analysis
Partner closely with data engineering and senior analysts to ensure scalable, accurate, and well documented scenario documents and ingestion pipelines
Serve as a subject matter expert for integrated payer and internal data, supporting analytics, reporting, and operational use cases
Lead discovery sessions with customers to document technical specifications, data elements, and business requirements
Support translation of clinical, operational, and business requirements into clear data and system specifications
Define and implement data quality rules and monitoring frameworks for all critical data pipelines
Develop and enforce data governance policies, including metadata management, lineage tracking, and compliance standards.
Ensure assigned integration stories are delivered on time and are fully prepared for engineering implementation
Job Requirements
- Bachelor's degree in Computer Science, Information Systems, or a related field, or equivalent experience
- 4-5 years of experience in data warehousing, data integration, or business
intelligence roles - Experience working with healthcare payer data, including experience working with 834, 837, HEDIS, pharmacy, census and RAF datasets Advanced SQL skills and
strong understanding of relational database concepts - Deep working knowledge of enterprise data warehouse and data mart architecture
- 1+ years of working experience with data governance frameworks and tools (e.g., Catalog, Atlan, Collibra, Alation) and data quality frameworks.
- 2+ years of experience of cloud-based data platforms like snowflake
- Solid SQL skills and understanding of relational database concepts
- Familiarity with scrum/agile methodologies and tools such as Jira
- Proven ability to support integration projects and drive agile delivery
- Strong communication skills with the ability to collaborate across technical and non-technical teams
- Strong problem-solving skills, attention to detail, and a proactive approach to ownership
- High level of ownership, initiative, and attention to detail
Physical and Mental Requirements
Ability to stand/sit for extended periods.
Visual acuity and fine motor skills.
Ability to travel as needed.
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SGA is a technology and resource solutions provider driven to stand out. We are a women-owned business. Our mission: to solve big IT problems with a more personal, boutique approach. Each year, we match consultants like you to more than 1,000 engagements. When we say let's work better together, we mean it. You'll join a diverse team built on these core values: customer service, employee development, and quality and integrity in everything we do. Be yourself, love what you do and find your passion at work. Please find us at .
SGA is an Equal Opportunity Employer and does not discriminate on the basis of Race, Color, Sex, Sexual Orientation, Gender Identity, Religion, National Origin, Disability, Veteran Status, Age, Marital Status, Pregnancy, Genetic Information, or Other Legally Protected Status. We are committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, and our services, programs, and activities. Please visit our company to request an accommodation or assistance regarding our policy.
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