Collect and Maintain Source Data: Identify new data sources and opportunities for automation to ensure all information remains accurate and current
Analyze Data Quality: Execute ongoing quality improvement plan to refine matching process and reduce unmapped data
Establish Governance Standards: Define and maintain standards, documentation, and stewardship models for the payer data domain
Stay Current on the Payer Landscape: Track market trends, including mergers, acquisitions, and rebranding, to assess their impact on our data products
Collaborate on Platform Improvements: Partner with product managers, engineers, and analysts to build scalable, automated processes that ensure trusted data delivery
Requirements
4+ years working with healthcare data, with 2+ years focused on payer data (e.g., payers on claims, payment systems, formulary data)
Deep understanding of the US insurance market, including the nuanced relationships between PBMs and payers across different types of insurance coverage (e.g., Medicare, Medicaid, Commercial, Assistance Programs)
Proficient in SQL for querying, analyzing, and validating large data sets
Proven ability to identify new data sources, establish extraction best practices, and merge them into existing sets
Demonstrated experience in data governance, including the ability to create and enforce data standards and naming conventions across a pipeline
Collaborative mindset, with the ability to define data requirements across cross-functional teams