Associate Data Architect II

Data Conversion Lead

 

Who We Are:

UST HealthProof is a trusted partner for health plans, offering an integrated ecosystem for health plan operations. Our BPaaS solutions manage complex admin tasks, allowing our customers to prioritize members’ well-being. With our commitment to simplicity, honesty, and leadership, we navigate challenges with our customers to achieve affordable health care for all.

We have a strong global presence and a dedicated workforce of over 4000 people spread across the world.

Our brand is built on the strong foundation of simplicity, integrity, people-centricity, and leadership. We stay inspired in our goal to unburden healthcare and ensure it reaches all, equitably and effectively.

 

You Are:

UST HealthProof is searching for a highly skilled and experienced Data Conversion Lead to join our growing team. The Conversion Lead will help in identifying the data requirement needs to continue to run the Core Business as usual while implementing the UST HealthProof’s core-admin ecosystem for our Health plan customers. The conversion lead will work with the Health Plan Customers, internal teams and SMEs to define the scope of business data conversion need and identify the conversion rules for the gaps between the Legacy and New CAPS platform and support technical system implementations. You should be an excellent problem solver who’s able to grasp customer needs and brainstorm ways to fulfill them.

The Opportunity:

As a Software Solutions Architect at UST HealthProof, this is your opportunity to:

•        Lead/Manage data conversion of Healthcare payer data between 2 healthcare platforms

•        Subject matter expert in Healthcare payer domain especially Medical Claims adjudication systems

•        Deep knowledge of Healthcare payer entities like Claims; Enrollment and Provider and their data structures and relationships

•        Ability to analyze Healthcare payer data and define transformation and mapping rules required to migrate data from one platform to another

•        Ability to analyze data patterns; perform data profiling and data validations

•        Design and execute a conversion plan that sets realistic expectations.

•        Establish and maintain consistent communication with the client regarding progress of conversion

•        Lead Workflow / Gap process and analysis as we go through the process.

•        Handle and lead Mock and Parallel conversion activity.

•        Lead static data set up and testing process

•        Demonstrate ability to flow and interact with company’s senior management Analytical and problem-solving skills

•        Participate in and/or Lead data conversion design and accuracy review

•        Develop data conversion routines for multiple projects supporting several divisional/project initiatives

•        Directs in writing and maintaining data conversion code from documented logic and instructions of limited to moderate complexity

•        Performs code and unit testing for moderate to complex-scope data conversion routines

•        Responsible for post-installation testing correction of any conversion problems

•        Assists in the planning and conducting of client/user review of conversion results (reports and implementation of corrections

•        Responsible for supporting implementation of moderate scope to major data conversions

•        Develops comprehensive documentation for all data conversions

•        Assists in writing and maintaining data conversion code from documented logic and instructions of limited to moderate complexity

This position description identifies the responsibilities and tasks typically associated with the performance of the position.

Other relevant essential functions may be required.

 

What You Need:

You bring:

•        Bachelor’s degree or higher in business or technical field

•        12+ years of relevant work experience in technology integrations

•        7+ years of work experience in technical leadership roles

•        Experience in architecting software solutions and understanding of architecture governance

•        Experience on Healthcare around Provider; Claims; Enrolment and Auth is a must

•        Experience with Healthcare Payor data domains – Provider/provider entities, enrollment entities, claims, accumulator, and authorization data entities

•        Experience with ETL tool and/or dB Visualizer a plus Experience with a BI tool such as MicroStrategy also a plus Outstanding planning and time management skills

•        Experience working in an onshore/offshore model is a must

•        Experience working HealthEdge applications like HealthRules Payor or GuidingCare is a plus

•        Strong ETL experience/expertise is highly preferred

•        Solid experience of the healthcare industry is preferred

•        Experience with Medicare and Medicaid is preferred Skills & Competencies:

•        Analyzing data using SQL (MySQL experience a plus but not required)

•        Communication skills with peers, customers, and partners including the ability to convey information effectively

Compensation can differ depending on factors including but not limited to the specific office location, role, skill set, education, and level of experience. UST HealthProof provides a reasonable range of compensation for roles that may be hired in various U.S. markets as set forth below.

Role Location: Remote

Compensation Range:  $130,000 -$150,000 per year

 

Benefits

Full-time, regular employees accrue up to 16 days of paid vacation per year, receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year), 10 paid holidays, and are eligible for paid bereavement leave. They are eligible to participate in the Company’s 401(k) Retirement Plan with employer matching. They and their dependents residing in the US are eligible for medical, dental, and vision insurance, as well as the following Company-paid benefits: basic life insurance, accidental death and disability insurance, and short- and long-term disability benefits. Regular employees may purchase additional voluntary short-term disability benefits, and participate in a Health Savings Account (HSA) as well as a Flexible Spending Account (FSA) for healthcare, dependent child care, and/or commuting expenses. Certain regular employees may have the potential for quarterly incentive-based bonuses and or commissions depending on role. Benefits offerings vary in Puerto Rico.

Part-time employees receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year) and are eligible to participate in the Company’s 401(k) Retirement Plan with employer matching.

Full-time temporary employees receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year) and are eligible to participate in the Company’s 401(k) program with employer matching. They and their dependents residing in the US are eligible for medical, dental, and vision insurance.

Part-time temporary employees receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year).

All US employees who work in a state or locality with more generous paid sick leave benefits than specified here will receive the benefit of those sick leave laws.

What We Believe

At UST HealthProof, we envision a bold future for American healthcare. Our values are the bedrock beliefs our organization holds dear. They not only define what our brand stands for but also serve as a compass guiding every action and decision.

 

Guiding Principles

These principles illuminate the path of ‘how’ we operate. They detail actions and behaviors we much embody to honor our values and achieve our goals.

Simplicity

Simplifying complexity underlines everything we do—this approach is what makes us unique. We come with an open mind and straightforward approach, cutting our way to the core with measurable and actionable insights.

Integrity

Integrity is our currency to build relationships. We believe in being open and honest. It is only natural when we have nothing to hide. It demonstrates that we are here to do the right thing, no matter who is watching.

People-Centricity

Everything that we do reflects our deep bonds with peers and customers. These aren't mere transactions, but transformational ties. They shape our culture and decisions, affirming that our true value lies in the lives we touch and impact.

Leadership

Taking ownership is about taking initiative, being in-charge and driving things to completion. It’s a brave choice to ‘own’ all aspects of our work, ensuring we take full responsibility for everything we handle.

Mission

A future possible only when health plans are free from administrative burdens so they can truly focus on what matters more – their members’ well-being.

Equal Employment Opportunity Statement

UST HealthProof is an Equal Opportunity Employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other applicable characteristics protected by law. We will consider qualified applicants with arrest or conviction records in accordance with state and local laws and “fair chance” ordinances.

UST HealthProof reserves the right to periodically redefine your roles and responsibilities based on the requirements of the organization and/or your performance.

 

 

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