Senior Developer – Exchange Encounters & Risk Adjustment (SQL / EDM)
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Insight Global
📍 Newtown, PA, United States
Job Description
Job Description
Insight Global is seeking a Senior Developer – Exchange Encounters & Risk Adjustment (SQL / EDM) for a top healthcare client. This candidate will play a critical role in bringing encounter data processing in-house, transitioning away from a third-party vendor. They will work on building and managing ETL pipelines that transform SQL-based healthcare data into submission-ready formats using EDM tools. The ideal candidate brings strong SQL and SSIS experience, understands healthcare data structures (especially Medicare/Medicaid encounters), and thrives in a collaborative, cross-functional environment. This is a highly visible role focused on delivering a proof-of-concept implementation in one exchange market, with expansion planned across additional markets.
Day-to-Day:
Build and manage encounter submission files using EDM tools
Perform ETL processes to move data from SQL systems to required file formats
Collaborate with business analysts and product t...
Insight Global is seeking a Senior Developer – Exchange Encounters & Risk Adjustment (SQL / EDM) for a top healthcare client. This candidate will play a critical role in bringing encounter data processing in-house, transitioning away from a third-party vendor. They will work on building and managing ETL pipelines that transform SQL-based healthcare data into submission-ready formats using EDM tools. The ideal candidate brings strong SQL and SSIS experience, understands healthcare data structures (especially Medicare/Medicaid encounters), and thrives in a collaborative, cross-functional environment. This is a highly visible role focused on delivering a proof-of-concept implementation in one exchange market, with expansion planned across additional markets.
Day-to-Day:
Build and manage encounter submission files using EDM tools
Perform ETL processes to move data from SQL systems to required file formats
Collaborate with business analysts and product t...