Job Description

Targeted Years of Experience: 10+ years

JOB DUTIES:

• A minimum of five (5) years of experience as a database expert or equivalent designing, developing, performing data extractions, developing reports, and/or supporting federal or state-based marketplace systems or complex health and human services systems or applications.

• A minimum of five (5) years of experience with processing EDI transaction sets such as 834, 820, 999, etc.

• A minimum of four (4) years of experience working with 270/271 Health Care Eligibility Benefit Inquiry and Response transactions.

• A minimum of four (4) years of experience working with complex databases, systems, and applications hosted on Amazon Web Services (AWS).

• A minimum of four (4) years of experience in developing and implementing best practices, data fixes for database issues, and problems found during performance tuning of PostgreSQL DB and MongoDB.

• Experience with or strong knowledge of disaster recovery principles and practices, including planning and validating backup and restoring database backups in production and lower environments.

• A minimum of five (5) years of experience with Integrated Eligibility, Affordable Care Act, or similar large Health and Human Service enterprise level Applications.

• Strong knowledge of Corticon implementations catering to complex business rules.

• Experience optimizing large databases, including performance tuning through complex SQL queries and capacity planning.

• Experience in data modeling, ETL processes, and EDI transaction sets.

• Hands-on experience with PostgreSQL, MongoDB, and SQL complex queries designing, developing, and maintaining large-scale databases, developing complex reports or data extractions.

• Experience with NoSQL database or equivalent, as well as experience in analytics tools such as Tableau, QlikSense, or Power BI.

• Familiarity with the operations of a Health Insurance Exchange (HIX) marketplace, including knowledge of healthcare policies, benefits packages, plan design, eligibility, and enrollment processes and understanding the unique data requirements and challenges of this industry.

• Experience working closely with business stakeholders and other data professionals to establish governance policies and procedures, monitor compliance, and implement data quality checks and controls.

• Experience in developing and maintaining a data dictionary or metadata repository and data governance program to align with best practices and regulatory requirements.

• Experience working with the Project Management Office (PMO) processes, policies, and procedures.

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