Data Engineer

NationsBenefits
US - Indiana - Hyderabad
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  • Job Type: Full time
  • Yesterday

Job Description

Job Title: Data Engineer

Location: Hyderabad, India

Work Shift: EST (5 PM - 2 AM IST) Transportation will be provided

Employment Type: Full-time

**Role:**

Work collaboratively with the Provider Team, Call Center Specialists and other Nations Hearing employees. The person in this role will actively engage in day-to-day communications with Providers. This role requires excellent interpersonal skills to communicate effectively. They must be positive, energetic individuals with strong organizational skills, attention to detail and ability to multi-task. Basic to intermediate knowledge of Excel is required.

**Key Responsibilities:**

* Communicate frequently and effectively on both inbound and outbound calls to Providers. This includes fielding Provider questions, concerns or complaints related to the credentialing process.
* Effectively manage follow up calls and email.
* Maintain records for individual rendering Providers who have been credentialed and\\or have applied for credentialing.
* Process, record, and track Provider Credentialing documents and data in processing systems and shared spreadsheets.
* Monitor faxes, files and other sources of incoming Provider data notifications to ensure that Provider credentialing data is processed in a timely manner.
* Communicate with providers to obtain updated documents as needed during and after credentialing process.
* Maintain both electronic and hard copies of credentialing files and ensure they go into the appropriate storage spaces.
* Update provider records and review for completeness and accuracy.
* Synthesize and report on data related to credentialing status and attainment.
* Draft, send, track and update Provider credentialing approval letters.
* Review Provider applications prior to Credentialing Committee meetings to check for possible issues in applications so that they can be easily discussed at the meetings.
* Coordinate with Network Accuracy Specialist to reconcile gaps in information on providers between our system and the Credentialing Report.
* Take minutes at monthly Credentialing Committee meetings and distribute them for record keeping and approval.
* Create presentations as needed.
* Serve as a liaison with credentialing companies.
* Special Projects as needed
* Member overflow duties, as requested
* Other duties as may be assigned

**Requirements:**

* Bachelor's degree in computer science, Information Technology, or a related field or equivalent experience.
* Healthcare credentialing experience
* 3+ years of experience as a Data Engineer or Analytics Engineer or similar role.
* Proficiency in SQL, Python, or other relevant programming languages.
* Strong experience with data warehousing concepts and tools.
* Experience with ETL tools and processes.
* Familiarity with data visualization tools.
* Excellent problem-solving skills and attention to detail.
* Strong communication and teamwork abilities.
* Knowledge of data security and compliance standards is a plus.
* Creative mindset
* Basic to intermediate knowledge of Microsoft Applications
* Quick learner and self-motivated
* Ability to work as a team member or independently
* Calm under pressure
* Strong problem-solving skills
* Professional presentation and demeanor
* Availability of working after normal business hours including weekends and holidays, when needed




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