$70K - 110K a year
Support and develop healthcare data operations, create APIs, perform data analysis, and maintain compliance with HIPAA and company policies.
5+ years healthcare data experience, strong knowledge of CMS data and EDI claims, Python programming, SQL querying, AWS tools, HIPAA compliance, and strong communication skills.
Description: • Responsible for contributing to data analytics, data operations, and software product development across the organization. • Support existing data operations such as data refresh ETL, data structure development, and troubleshooting of data issues. • Contribute to development of new products through data analysis to inform requirements and creation of APIs to support software development. • Work across a variety of products and projects as needed and engage with a variety of data types. • Research customer data related questions and provide mapping between requirements and data points, including customer data releases, data packaging, validation, and documentation. • Develop predictive and other classification methods thorough understanding of healthcare specific data sets such as CMS LDS files, 837 and 835 EDI specifications. • Develop APIs to allow for interaction with data sets from customer facing tools. • Perform data updates on a routine basis to keep product data sets current. • Work and communicate in a cross-functional geographically dispersed team environment comprised of software engineers and product managers. • Maintain compliance with ComplexCare Solutions (CCS)’s policies, procedures and mission statement. • Adhere to all confidentiality and HIPAA requirements in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position. • Fulfill those responsibilities and/or duties that may be reasonably provided by CCS for the purpose of achieving operational and financial success of the Company. Requirements: • Minimum of 5 years healthcare industry experience with and strong knowledge of healthcare data formats such as CMS LDS files and/or X12/EDI claims processing (specifically 837I/837P). • Strong working knowledge of Centers for Medicare & Medicaid Services (CMS) data. • Comfortable writing SQL queries for data analysis. • Comfortable working with Python to create APIs. • Experience with AWS database tools. • Ability to learn quickly and independently. • Experience with HIPPA and PHI. • Ability to effectively communicate with internal and external customers. • Excellent verbal and written communication skills. • Excellent computer proficiency (MS Office – Word, Excel and Outlook). • Must be able to work under pressure and meet deadlines. • Ability to work independently and to carry out tasks to completion following standard accepted practices. • BS degree in Computer Science or Computer Engineering, Business, or equivalent experience. Benefits: • In addition to the base compensation, this position may be eligible for performance-based incentives. • benefits package with a wide range of choices to meet associate needs, which may include health insurance, life insurance, company-paid disability, 401k, 18+ days of paid time off, and more.
This job posting was last updated on 9/23/2025