EDI Data Engineer / Claims and X12 / Hybrid Job at RCM Healthcare Services, New York, NY

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  • RCM Healthcare Services
  • New York, NY

Job Description

Data Engineer – EDI & Claims
 
Hybrid: 2 days in NYC office, 3 days remote
Salary: Up to $135,000 + generous benefits (including pension plan)
Key Requirement: EDI X12 Experience
 
About This Role and Why It Matters
You’ll be the go-to expert for EDI and claims data—helping ensure compliance, accuracy, and efficiency across health plan operations. Your contributions will shape how we deliver care and meet regulatory standards, making a real difference in people’s lives.
 
About Us
For over 30 years, we’ve been a mission-driven healthcare organization dedicated to improving the lives of New Yorkers.
 
What’s In It For You?
  • Make an Impact: Your work will directly improve healthcare for thousands of New Yorkers.
  • Flexibility: Enjoy a hybrid schedule that balances collaboration and remote work.
  • Growth & Stability: Join a mission-driven organization with over 30 years of success and a strong commitment to employee development.
  • Competitive Package: Up to $135,000 salary, comprehensive benefits, and a pension plan.
 
What You’ll Do
  • Own and optimize encounter data submissions to state and federal agencies.
  • Troubleshoot and resolve EDI mapping issues to keep data flowing smoothly.
  • Build and maintain SQL queries, stored procedures, and SSIS jobs for automation.
  • Collaborate with internal teams and vendors to solve complex data challenges.
  • Support compliance teams with timely, accurate data insights.
  • Document workflows and implement data quality checks for continuous improvement.
  • Contribute to MMCOR reporting and create KPI dashboards to track performance.
 
What You Bring
  • 5+ years of SQL Server experience (stored procedures, SSIS, SSRS).
  • 3+ years working with healthcare data (claims, enrollment, provider).
  • Strong knowledge of EDI X12 standards and file mapping.
  • Experience with BI tools (Tableau, Power BI, BusinessObjects).
  • Bonus: Familiarity with Visual Studio, .NET, XML, BizTalk.
  • Bachelor’s degree in Information Systems, Computer Science, or related field.
  • Must be legally authorized to work in the U.S. (no sponsorship available).

#ACP

Job Tags

Work at office, Remote work,

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