[Hiring] Data Conversion Lead @HealthEdge

Role Description

Lead and manage end-to-end data conversion of healthcare payer data between platforms (e.g., legacy system to HealthRules Payer / GuidingCare).

• Serve as subject matter expert for payer data domains — Claims, Enrollment, Provider, and Authorizations — including data structures, relationships, and business rules.
• Analyze healthcare payer data patterns, perform data profiling, and define transformation and mapping rules required to migrate data from source to target platform.
• Design and execute a phased conversion plan covering mock runs, parallel runs, and full-volume loads, setting realistic timelines and client expectations.
• Lead workflow and gap analysis sessions; identify data discrepancies and define resolution strategies.
• Write, maintain, and unit-test data conversion code (Python, SQL) based on documented transformation logic of limited to moderate complexity.
• Design ETL processes including data extracts, load logic, stored procedures, workflows, and data mappings.
• Enforce naming standards and maintain data dictionaries and documentation for all conversion data models.
• Handle post-installation testing; identify and correct any conversion defects prior to go-live.
• Plan and conduct client and user review sessions on conversion results; implement corrections based on feedback.
• Maintain consistent communication with the client on conversion progress, risks, and issue resolution.
• Develop comprehensive documentation for all data conversions — transformation rules, mapping specs, profiling findings, and validation reports.
• Collaborate with project managers, business teams, and cross-functional stakeholders across onshore and offshore teams.
• Mentor and guide junior team members on conversion processes, best practices, and technical standards.
• Develop and contribute to reusable conversion assets, accelerators, and knowledge repositories.

Qualifications

• 4+ years of working experience with Healthcare Payer data domains: Claims, Enrollment or Provider.
• Bachelor's degree or higher in a Business or Technical field.
• 12+ years of working experience in technology integrations, with 7+ years in technical leadership roles.
• Hands-on experience leading data conversion or data migration projects — including mock, parallel, and full-volume execution phases.
• Working experience with ETL design and implementation experience across extract, transform, and load phases.
• Experience with SQL for data extraction, validation, transformation, and profiling (SQL Server or equivalent).
• Experience working in an onshore/offshore delivery model.
• Working experience with Python to extract data and automation of conversion routines.
• Bulk data loading experience.
• Excellent communication skills to present conversion status, risks, and results clearly to clients and senior management.
• Working experience in a team environment (onshore/offshore technical resources).

Requirements

• Experience architecting software or data solutions and applying architecture governance principles.
• Experience with HealthRules Payer (HRP) or similar platforms.
• Medicare and/or Medicaid program experience, including CMS data structures and compliance requirements.
• Experience with EDI transaction processing — 837P, 837I (claims), and 834 (enrollment).
• Experience with ETL tools such as Informatica, Talend, or equivalent platforms.
• Experience with BI or reporting tools such as MicroStrategy, Power BI, or equivalent.
• Cloud platform exposure — AWS, Azure, or GCP; Architect or Big Data certification.
• Knowledge of data visualization tools and dashboard design.
• Familiarity with backup, archival, and data recovery specifications.

Benefits

• Remote, US.
• Full-time, permanent.
• Exempt (FLSA Classification - USA Only).
• Potential travel dependent on company needs.