Remote Hcc Risk Adjustment Coding Jobs in Oregon

The Data Systems Analyst leads the integration of various healthcare payer data and internal enterprise systems data into WellBe's enterprise data platforms. This role is responsible for analyzing, mapping, validating, and standardizing various payer feeds including eligibility, claims, quality, and risk adjustment data, alongside internal systems such as EMR , CRM, HR etc. to maintain a reliable single source of truth supporting value-based care.The ideal candidate will combine strong healthcare data knowledge, technical expertise, a collaborative mindset, and a desire to grow within a complex and mission-driven data environment.

Key Responsibilities:

Onboarding and integration of various payer feeds, including eligibility (834 or flat files), medical and institutional claims (837 or flatfiles), HEDIS quality data, HIE, and riskadjustment and RAF related datasets Analyze and map data from external payer sources and internal systems such as EMR, CRM, and operational platforms into the enterprise data model Maintain source to target mappings, transformation logic, and standardized data definitions across payer and internal feeds Identify payer specific variations, data quality issues, and structural differences, and support normalization within the data warehouse Validate data ingestion and transformations through profiling, reconciliation, and exception analysis Partner closely with data engineering and senior analysts to ensure scalable, accurate, and well documented scenario documents and ingestion pipelines Serve as a subject matter expert for integrated payer and internal data, supporting analytics, reporting, and operational use cases Lead discovery sessions with customers to document technical specifications, data elements, and business requirements Support translation of clinical, operational, and business requirements into clear data and system specifications Define and implement data quality rules and monitoring frameworks for all critical data pipelines Develop and enforce data governance policies, including metadata management, lineage tracking, and compliance standards. Ensure assigned integration stories are delivered on time and are fully prepared for engineering implementation

• Bachelor's degree in Computer Science, Information Systems, or a related field, or equivalent experience
•  4-5 years of experience in data warehousing, data integration, or business intelligence roles
• Experience working with healthcare payer data, including experience working with 834, 837, HEDIS, pharmacy, census and RAF datasets Advanced SQL skills and strong understanding of relational database concepts
• Deep working knowledge of enterprise data warehouse and data mart architecture
• 1+ years of working experience with data governance frameworks and tools (e.g., Catalog, Atlan, Collibra, Alation) and data quality frameworks.
•  2+ years of experience of cloud-based data platforms like snowflake
•  Solid SQL skills and understanding of relational database concepts
•  Familiarity with scrum/agile methodologies and tools such as Jira
• Proven ability to support integration projects and drive agile delivery
• Strong communication skills with the ability to collaborate across technical and non-technical teams
• Strong problem-solving skills, attention to detail, and a proactive approach to ownership
• High level of ownership, initiative, and attention to detail

Physical and Mental Requirements Ability to stand/sit for extended periods. Visual acuity and fine motor skills. Ability to travel as needed.

Work Environment Remote Travel may be required up to 15% locally or nationally

Pay Transparency

$90,000 - $120,000 based on experience

Sponsorship StatementWellBe does not offer employment-based visa sponsorship for this position. Applicants must be legally authorized to work in the United States without the need for employersponsorship now or in the future.

Pay Transparency StatementCompensation for this position will be disclosed in accordance with applicable state and local pay transparency laws.

Drug Screening RequirementAs a condition of employment, WellBe Senior Medical requires all candidates to successfully complete a pre-employment drug screening. Ongoing employment may also be contingentupon compliance with the company's Drug-Free Workplace Policy, which includes random, post-accident, and reasonable suspicion drug testing. The company reserves the right to testfor substances that may impair an employee's ability to safely and effectively perform their job duties.

Background Check StatementEmployment is contingent upon successful completion of a background check, as permitted by law. As a healthcare organization, WellBe conducts monthly FACIS (Fraud and AbuseControl Information System) checks on all employees. Continued employment is contingent upon satisfactory results of these checks, in accordance with applicable laws andregulations.

Equal Employment Opportunity (EEO) StatementWellBe is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, genderidentity, national origin, disability, protected veteran status, or any other legally protected status.

Americans with Disabilities ActWellBe Senior Medical is committed to complying with the Americans with Disabilities Act (ADA) and applicable state and local laws. Reasonable accommodations may be made toenable qualified individuals with disabilities to perform the essential functions of the job. If you require an accommodation during the application, interview or employment process,please contact Human Resources at HRPeopleLine@wellbe.com

At-Will Employment StatementEmployment with WellBe is at-will unless otherwise specified by contract. This job description does not constitute an employment contract.

DisclaimerThis job description is intended to describe the general nature and level of work performed. It is not intended to be an exhaustive list of all responsibilities, duties, and skills required.Management reserves the right to modify, add, or remove duties as necessary.