Software Guidance & Assistance, Inc., (SGA), is searching for a Senior Data Systems Analyst for a remote opportunity with one of our premier clients in the Healthcare industry.
The Senior Data Systems Analyst leads the integration of healthcare payer data and internal enterprise systems into Client's enterprise data platforms. This role is responsible for analyzing, mapping, validating, and standardizing complex payer data feeds-including eligibility, claims, quality, and risk adjustment data-alongside data from internal systems such as EMR, CRM, HR, and other enterprise applications.
The Senior Data Systems Analyst plays a key role in establishing and maintaining a reliable, standardized single source of truth that supports value-based care, analytics, operational reporting, and enterprise decision-making. The ideal candidate combines strong healthcare data knowledge and technical expertise with the ability to take ownership of complex payer and enterprise system integrations. This individual will independently manage multiple concurrent data initiatives, coordinate across business and technical teams, and drive data integration efforts from analysis and mapping through validation, implementation, and ongoing support.
Job Description
- Lead 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
- Own and 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 drive normalization within the data warehouse
- Validate data ingestion and transformations through profiling, reconciliation, and exception analysis
- Partner closely with data engineering to ensure scalable, accurate, and well documented 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
- Translate 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 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
- 6+ years of experience in data warehousing, data integration, or analytics roles
- Strong experience working with Medicare Advantage payer data, including 834, 837, HEDIS, and RAF datasets
- Advanced SQL skills and strong understanding of relational database concepts
- Deep knowledge of enterprise data warehouse and data mart architectures
- Experience with data governance frameworks and tools (e.g., Catalog, Atlan, Collibra, Alation) and data quality frameworks.
- Working knowledge of cloud-based data platforms like snowflake/redshift etc.
- Familiarity with scrum/agile methodologies and Jira
- Proven ability to lead cross-functional teams and drive agile delivery
- Excellent communication and stakeholder management skills
- Excellent problem-solving, interpersonal, and stakeholder management skills
- 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.
Work Environment
Travel may be required up to 15% locally or nationally
Remote or Hybrid
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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 . #LI-SH1
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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