| Distance: | Resume alert | Resumes 111 - 120 of 88726 |
Data Quality Business Intelligence
Dallas, TX
... Built metadata-driven ETL frameworks in PySpark to standardize claim ingestion across multiple provider groups and states, enabling faster onboarding. Applied R and Python statistical tools for fraud detection and denial rate analysis. Integrated ... - Oct 15
... Built metadata-driven ETL frameworks in PySpark to standardize claim ingestion across multiple provider groups and states, enabling faster onboarding. Applied R and Python statistical tools for fraud detection and denial rate analysis. Integrated ... - Oct 15
Data Engineer Warehousing
High Point, FL, 33484
... Designed Snowflake/Redshift warehouses for cost-of-care and provider network analytics, improving query performance by 60% and cutting reporting cycles from 3 days to 8 hours. Automated ETL orchestration (Airflow, Glue, Step Functions) for ... - Oct 15
... Designed Snowflake/Redshift warehouses for cost-of-care and provider network analytics, improving query performance by 60% and cutting reporting cycles from 3 days to 8 hours. Automated ETL orchestration (Airflow, Glue, Step Functions) for ... - Oct 15
Data Engineer Azure
Jersey City, NJ
... ETL and ELT pipelines using Matillion, Apache NiFi, and Azure Data Factory (ADF) to integrate EHR datasets (HL7/FHIR), claims feeds, and external provider networks into a HIPAA-compliant Azure Data Lakehouse built on ADLS Gen2 and Snowflake. ... - Oct 15
... ETL and ELT pipelines using Matillion, Apache NiFi, and Azure Data Factory (ADF) to integrate EHR datasets (HL7/FHIR), claims feeds, and external provider networks into a HIPAA-compliant Azure Data Lakehouse built on ADLS Gen2 and Snowflake. ... - Oct 15
Data Engineer Fraud Detection
Jersey City, NJ
... • Designed fraud detection logic using rule-based models and temporal pattern mining to flag anomalies in provider billing, refill frequency, and duplicate NDC usage; surfaced $12.5M in potential overpayments to the SIU team. • Created secure, ... - Oct 15
... • Designed fraud detection logic using rule-based models and temporal pattern mining to flag anomalies in provider billing, refill frequency, and duplicate NDC usage; surfaced $12.5M in potential overpayments to the SIU team. • Created secure, ... - Oct 15
Data Engineer Big
Harrison, NJ
... • Delivered actionable insights on pharmaceutical distribution and provider performance through interactive dashboards and reports in Tableau and Power BI. WEBCRAFT-IT, India Jan 2020 – July 2023 Data Analyst • Designed and optimized ETL pipelines ... - Oct 15
... • Delivered actionable insights on pharmaceutical distribution and provider performance through interactive dashboards and reports in Tableau and Power BI. WEBCRAFT-IT, India Jan 2020 – July 2023 Data Analyst • Designed and optimized ETL pipelines ... - Oct 15
Customer Service Administrative Assistant
Houston, TX
... Ideal Care Inc.- Houston, TX 2018-2019 Provider Assisted with daily living activities Administer medication Provide emotional support Monitor Health Status Compliance and regulations Prior work history includes Caregiver and Home Health Aide ... - Oct 15
... Ideal Care Inc.- Houston, TX 2018-2019 Provider Assisted with daily living activities Administer medication Provide emotional support Monitor Health Status Compliance and regulations Prior work history includes Caregiver and Home Health Aide ... - Oct 15
Data Engineer Solutions
Lakewood Village, TX, 75068
... May 2024 - Current Medica Insurance Company, MN • Designed and implemented real-time ingestion pipelines in Snowflake leveraging Snowpipe to load claims, eligibility, and provider data, enabling near real-time analytics for healthcare operations. ... - Oct 15
... May 2024 - Current Medica Insurance Company, MN • Designed and implemented real-time ingestion pipelines in Snowflake leveraging Snowpipe to load claims, eligibility, and provider data, enabling near real-time analytics for healthcare operations. ... - Oct 15
Data Engineer Aws
Irving, TX
... ●Used Hive for interactive exploration, MapReduce for long-horizon backfills, and HBase for low-latency member and provider lookups that supported operational reporting. ●Ingested relational datasets with Sqoop and captured logs/events with Flume, ... - Oct 15
... ●Used Hive for interactive exploration, MapReduce for long-horizon backfills, and HBase for low-latency member and provider lookups that supported operational reporting. ●Ingested relational datasets with Sqoop and captured logs/events with Flume, ... - Oct 15
Data Engineer Senior
Dallas, TX
... BIG DATA ENGINEER Molina Health Care, Long Beach, CA Feb 2018 – Sep 2020 Developed and maintained scalable data pipelines to process claims, pharmacy billing, eligibility, and member/provider data using AWS Glue, PySpark, and Scala, ensuring high ... - Oct 15
... BIG DATA ENGINEER Molina Health Care, Long Beach, CA Feb 2018 – Sep 2020 Developed and maintained scalable data pipelines to process claims, pharmacy billing, eligibility, and member/provider data using AWS Glue, PySpark, and Scala, ensuring high ... - Oct 15
Data Engineer Real-Time
Farmington Hills, MI
... Cholamandalam Investment and Finance Company Hyderabad, IND Associate Data Engineer Jan 2019- Dec 2020 ●Developed custom web crawlers to extract provider data from license verification sites, reducing manual verification time by 40%. ●Orchestrated ... - Oct 15
... Cholamandalam Investment and Finance Company Hyderabad, IND Associate Data Engineer Jan 2019- Dec 2020 ●Developed custom web crawlers to extract provider data from license verification sites, reducing manual verification time by 40%. ●Orchestrated ... - Oct 15