[Hiring] Senior EDI Engineer and Data Architect @Intellivo

Role Description

Everything we do starts with claims data arriving correctly. This role owns that front door and everything immediately behind it. It is two jobs that belong together:

• The intake half is about movement and fidelity: onboarding trading partners, interpreting companion guides and file specs, and parsing and validating incoming data — X12 EDI transactions, flat files, and other structured or unstructured data files.
• The data architecture half is about shaping raw transactions and files into member, provider, claim, and payment models that the rest of the business can query with confidence.

You will live in SQL and you will be fluent in it, not just functional. You will work in the Microsoft Fabric and Azure data stack. We expect you to use AI tools as part of how you work, whether that is:

• Accelerating a new partner mapping
• Pulling structure out of an unstructured attachment
• Flagging anomalies in a file that looks fine until it is not

This is a remote position; candidates in or around Memphis, TN are preferred.

Qualifications

• 8+ years in data engineering, EDI engineering, or data architecture, with substantial time spent on healthcare claims data.
• Deep hands-on experience with HIPAA X12 5010 transactions, particularly 837 and 835, including acknowledgment and error handling.
• Experience with an EDI translation or integration platform, or with maintaining custom parsers and mapping logic.
• Hands-on experience onboarding data partners and working the clearinghouse side of the pipe.
• Expert SQL skills, including complex joins, window functions, stored procedures, and performance tuning on large tables.
• Strong data modeling background, including dimensional modeling and modern lakehouse or medallion layering.
• Experience with Microsoft Fabric and the Azure data stack, such as Data Factory, Synapse, Data Lake, and Delta or Parquet formats.
• Working knowledge of healthcare code sets and claims reference data.
• Practical, day-to-day use of AI tools in engineering work, with judgment about where they help and where they should not be trusted.
• Proficiency in Python or a comparable language for data work.
• Knowledge of healthcare and insurance data is strongly preferred.

Requirements

• Own the intake, parsing, translation, and validation of incoming data files, including X12 healthcare transactions and flat files.
• Onboard and maintain data partners and clearinghouses end to end.
• Design and maintain the claims data architecture from raw landing through curated, query-ready models.
• Model claims, member, provider, and payment data, including standard code sets.
• Write and tune complex, high-performance SQL against large claims data sets.
• Build and operate data pipelines in Microsoft Fabric and the Azure data stack.
• Establish data quality and reconciliation controls.
• Handle inputs that are not neatly formatted and bring them into the same governed model.
• Apply AI tools where they genuinely shorten the work.
• Spot opportunities in the data while organizing chaos and cutting through noise.
• Define data contracts, lineage, retention, and documentation.
• Protect PHI throughout.
• Set data engineering standards and raise the technical bar for how data work gets done here.

Benefits

• Comprehensive medical, dental, and vision insurance
• 401(k) retirement savings plan with employer match
• Paid time off and paid holidays
• Company-paid life insurance and short-term and long-term disability coverage
• Employee Assistance Program with counseling, financial coaching, legal resources, career coaching, and wellness support
• Health Savings Account with company contributions for eligible employees
• Wellness, healthcare advocacy, and pet benefits
• A high-performing, collaborative culture built on ownership, accountability, continuous improvement, and meaningful impact

Company Description

As an industry market leader in subrogation, Intellivo empowers health plans and insurers to maximize financial outcomes by identifying and pursuing more reimbursement opportunities from alternative third-party liability (TPL) payers. Through innovative technology, Intellivo accelerates the identification of reimbursement opportunities while eliminating burdensome outreach to plan members. With a 26-year history of excellence, Intellivo proudly represents more than 200 of the country’s largest health plans.

We are Intellivators – forward-thinking pioneers building the technologies that Fortune 500 employers, health plans, TPAs, providers, and billing organizations rely on to ensure responsible claim payments. Fueled by our experience and innovative startup mentality, we are growing fast.