Specific Tasks:
Develop and modify ETLs for inbound and outbound payer/Healthcare Effectiveness Data and Information Set (HEDIS)/Gap-in-Care/procedure files.
Review incoming files for data and format integrity.
Develop and document standard processes for ingesting payor files.
Make recommendations on industry best practices.
Required Skills & Abilities:
Working knowledge of payor files (eligibility, claims, labs).
ETL development using best practice industry standards.
Strong Microsoft SSIS experience.
Strong Microsoft SQL experience.
Certifications:
Epic Clarity Certification(s).