Role OverviewNTT DATA's Client is seeking a professional who acts as the primary bridge between business strategy and technical execution. You will design, validate, and implement healthcare data exchange solutions for our health plan. This role collaborates heavily with Databricks development teams to transform complex EDI data into actionable analytics assets while ensuring regulatory compliance.
Core Responsibilities- Requirement Engineering:
- Requirement Gathering: Identify contractual requirements, obligations, service-level agreements (SLAs), compliance requirements, and business rules.
- Functional Specs: Map contractual and business requirements into detailed functional specifications.
- Databricks Collaboration: Partner with data engineers to translate business logic into optimized PySpark or SQL transformation pipelines.
- Standards Enforcement: Serve as the subject matter expert for healthcare data exchange compliance across all internal platforms.
- Testing & Validation: Define comprehensive test scenarios, validate complex payloads, and coordinate End-to-End user acceptance testing.
Technical Qualifications- Payer Operations: Direct experience working within a health plan environment, including strong grasp of authorization workflows.
- Databricks Ecosystem: Strong familiarity with Delta Lake concepts, Medallion Architecture (Bronze/Silver/Gold), and Unity Catalog governance.
- Data Querying: Exceptional SQL skills to analyze multi-million row datasets, write complex joins, and audit pipeline data quality.
- Interoperability Standards: Deep working knowledge of CMS Interoperability rules.
- EDI X12 Expertise: Advanced proficiency in processing and translating 837 (Claims), 834 (Enrollment), 835 (Remittance), and 270/271 (Eligibility) files.
Soft Skills & Professional Experience- Experience: Minimum 7 years of IT Business Analysis experience, with at least 4 years dedicated to healthcare interoperability.
- Agile Delivery: Proven success operating in fast-paced Scrum or Kanban environments, owning Jira epics and story decomposition.
- Bridging the Gap: Ability to explain highly complex X12 looping structures to developers, and technical Databricks limitations to business stakeholders.
Compensation and BenefitsNTT DATA provides a reasonable range of compensation for U.S.-based positions. The starting pay range for this remote role is $50/hr to $55/hr. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on a number of factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications. This position is eligible for company benefits including participation in medical, dental, and vision insurance, flexible spending or health savings account, and AD&D insurance, employee assistance, participation in a 401k program, and additional voluntary or legally-required benefits.
