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# Senior Healthcare Data Integration Engineer

- **Company:** Insight Global
- **Location:** Newtown, PA, United States
- **Experience:** Expert
- **Contract:** Permanent contract
- **Skills:** Data Analysis, C Sharp (Programming Language), Extract Transform Load (ETL), UN Electronic Data Interchange for Administration Commerce and Transport, SQL Server Integration Services, Sql Optimization, Data Lakes, Integration Frameworks, Databricks
- **Published:** July 26, 2026
- **Apply:** https://www.juju.com/job/00000000gjgj1h

## About the Role

Strong experience with SSIS, ETL, and C#

-Healthcare background, specifically with CMS/Medicare/Medicaid

-Strong understanding of healthcare payer data, including:

o Claims

o Encounters

o Enrollment

o Diagnosis data

 * Advanced SQL skills for data analysis, validation, and troubleshooting

 * Experience with healthcare EDI transactions

 * Experience with healthcare integration platforms such as:

o Edifecs

o IBM ITX (Transformation Extender)

o Similar healthcare EDI/integration tools

 * Proven ability to troubleshoot complex healthcare data pipelines and submission issues * HHS-HCC Risk Adjustment experience

 * Direct experience supporting ACA Exchange Risk

Adjustment

 * Hands-on experience with CMS EDGE Server

submissions, reconciliation, validation, and error remediation

 * Encounter acceptance/rejection analysis

 * CMS audit support

 * Data quality improvement initiatives

 * Healthcare data warehouse or data lake environments

 * Databricks or cloud-based healthcare data platforms

 * Technical leadership or mentoring experience

 * Vendor management experience

## Description

We are seeking a Senior Healthcare Data Integration Engineer to work on the Exchange Encounter & Risk Adjustment team. This person will support healthcare payer operations focused on ACA Exchange Risk Adjustment, CMS EDGE submissions, encounter data quality, and healthcare data integration. This is a hands-on technical leadership role responsible for troubleshooting complex healthcare data issues, improving encounter data quality, supporting CMS EDGE processes, and partnering across business, IT, data, and vendor teams. This is not a project management role.

 * Lead technical troubleshooting of encounter and risk adjustment data issues

 * Analyze CMS EDGE submission errors and drive resolution

 * Support encounter reconciliation, validation, and error remediation activities

 * Partner with business, operations, data, IT, and vendor teams

 * Improve encounter acceptance rates and overall data quality


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