Senior Claims Integration Specialist

A company is looking for a Senior Claims Integration Specialist who will manage complex healthcare claims data integrations across multiple platforms.

Key Responsibilities

Lead carrier partnerships and maintain data exchange relationships while enforcing data specifications

Manage data ingestion and troubleshoot validation or data quality issues using SQL

Optimize integration workflows and ensure claims data accuracy across internal systems

Required Qualifications

Bachelor's or Master's degree in Health Informatics, Information Systems, or related field

3+ years of experience in healthcare data integration or claims processing

Strong understanding of healthcare claims formats and coding standards

Proficient in SQL with experience in managing external partnerships

Familiarity with data warehousing, ETL tools, and cloud-based data platforms is a plus