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Health Rules Payer Data Integration Specialist

Sioux Falls, SD 57108

Posted: 01/15/2024 Employment Type: Contract Category: Information Technology Job Number: 26210

Job Description

Do you have advanced critical thinking and problem-solving skills? Dahl Consulting is currently partnering with a leading health insurance company. We work one-on-one with great candidates to help connect them with local employment opportunities. This company is hiring a Health Rules Payor Data Integration Specialist for a contract position! Interested? Get more details below.
  • Worksite Location: Sioux Falls, SD
  • Contract Duration: 6-9 months
Health Rules Payor Data Integration Specialist Job Description:
As a Health Rules Payor Data Integration Specialist, you will be responsible for designing, implementing, and managing the integration of payor data within the Health Rules Information Exchange platform. You will collaborate with cross-functional teams, analyze business requirements, and ensure the seamless exchange of data between our systems and external payors. The successful candidate will have a deep understanding of Health Rules, and EDI standards, and proven expertise in data integration within the healthcare industry.

What you’ll do as the Health Rules Payor Data Integration Specialist:
  • Collaborate with business analysts and stakeholders to gather and understand requirements for payor data integration
  • Design and implement data integration solutions within the Health Rules Information Exchange platform
  • Develop and maintain EDI maps, ensuring accurate and secure data transmission
  • Conduct testing and debugging to identify and resolve integration issues
  • Ensure compliance with industry standards, regulations, and security protocols
  • Work closely with payors and internal teams to address integration challenges and optimize data exchange processes
  • Provide technical expertise and support to troubleshoot and resolve integration-related issues
  • Stay updated on industry trends and advancements in Health Rules and EDI standards
What you’ll bring to the Health Rules Payor Data Integration Specialist role:
  • In-depth knowledge of Health Rules, EDI standards, and healthcare data exchange protocols
  • Experience in languages such as SQL, .Net, Java, Python, or similar
  • Familiarity with relevant healthcare regulations and compliance requirements
  • Excellent problem-solving and analytical skills
  • Effective communication and collaboration abilities
  • Detail-oriented with a focus on data accuracy and security
  • Experience with Edifecs is a plus
Take the first step on your new career path! To submit yourself for consideration for this role, simply click the apply button and complete our mobile-friendly online application. Once we’ve reviewed your application details, a recruiter will reach out to you with the next steps! For questions or more information about this role, please call our office at (651) 772-9225.

As an equal-opportunity employer, Dahl Consulting welcomes candidates of all backgrounds and experiences to apply. If this position sounds like the right opportunity for you, we encourage you to take the next step and connect with us. We look forward to meeting you!
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