Healthcare Data Integration Specialist

OVERVIEW

Healthcare Data Integration Specialist

Location: Remote

About Alera Group

Founded in 2017, Alera Group is one of the nation's leading independent insurance and financial services firms. We combine the strength of a national organization with the personalized service of local experts to help clients succeed across Employee Benefits, Property & Casualty Insurance, Retirement Plan Services, Wealth Services, and Human Capital Solutions.

Why Join Alera Group?

• Collaborate with purpose - Work alongside colleagues who believe the best results come from strong partnerships, shared expertise, and supporting one another.
• Build your career - Expand your expertise through meaningful work, continuous learning, and opportunities to grow across a national organization.
• Make an impact - Help clients navigate complex challenges while contributing to solutions that make a difference for their businesses, employees, and communities.

The Opportunity

The Integration Specialist is an exempt highly skilled individual contributor responsible for executing and optimizing complex healthcare data integrations. This role partners closely with the Director of Data Integration, Integration Team Lead, and cross-functional teams to ensure the accurate, timely, and complete integration of healthcare data.

This position requires deep familiarity with healthcare data (including medical and Rx claims), strong analytical capabilities, and the ability to independently manage integration workflows, resolve data issues, and drive process improvements. The ideal candidate brings both technical expertise and operational ownership to support high-quality data delivery across the organization.

RESPONSIBILITIES

Healthcare Data Integration

• Lead execution of complex healthcare data integrations, including intake, analysis, mapping support, and validation
• Evaluate incoming data formats (standard and non-standard) and identify requirements for successful integration
• Perform detailed file analytics to assess data completeness, structure, and usability
• Support mapping efforts and ensure alignment with reporting and downstream data needs

Data Quality & Issue Resolution

• Identify, investigate, and resolve data anomalies, gaps, and inconsistencies in healthcare datasets
• Perform control comparisons and validation checks to ensure data accuracy and integrity
• Collaborate with internal teams and external data providers to resolve complex data issues
• Escalate critical risks or issues appropriately while driving toward resolution

Ongoing Data Feed Management

• Support the monitoring and maintenance of recurring data feeds and associated data quality issues
• Identify breakdowns or inefficiencies in file transmission process and recommend improvements.
• Analyze trends in data issues and recommend solutions to improve consistency and completeness
• Ensure timely resolution of data discrepancies impacting reporting and analytics

Process Improvement & Documentation

• Identify opportunities to improve integration workflows, data quality processes, and operational efficiency
• Contribute to the development and maintenance of integration documentation, standards, and best practices
• Support enhancements to tracking, ticketing, and communication processes

Cross-Functional Collaboration

• Partner with Data, Technology, and Strategy teams to ensure alignment on integration requirements and outcomes
• Communicate integration progress, risks, and dependencies clearly to stakeholders
• Build effective working relationships with external data providers to facilitate data acquisition and issue resolution

QUALIFICATIONS

Education

• Bachelor's degree in Healthcare, Data Analytics, Computer Science, Information Systems, or a related field (or equivalent experience)

Experience

• Required: Minimum 4 years of hands-on experience working with healthcare data, including claims, eligibility, pharmacy, clinical, or related healthcare datasets

• Experience within the healthcare payer, third-party administrator (TPA), pharmacy benefit manager (PBM), or healthcare analytics industry strongly preferred

• Proven ability to analyze and interpret complex healthcare datasets and quickly apply business and data domain knowledge in a healthcare environment

• Hands-on experience with data integration, data validation, data operations, or data quality management

• Experience working with external data sources, vendors, or data partners

Technical Skills

• Strong Excel skills (data manipulation, validation, and analysis)

• Strong SQL and data analysis skills

• Familiarity with healthcare data structures, file layouts, data mapping, and integration concepts

• Familiarity with industry-standard healthcare data formats and transactions (e.g., HIPAA X12, HL7)

• Experience leveraging AI-enabled tools or technologies is a plus

Core Competencies

• Strong analytical and problem-solving skills

• High attention to detail and commitment to data quality

• Excellent organizational skills with the ability to manage multiple priorities

• Effective communicator across technical and non-technical audiences

• Self-motivated with the ability to work independently and adapt quickly in a fast-paced environment

Compensation

• Salary Range: $80,000-$90,000 annually

Benefits

Eligible colleagues enjoy a comprehensive benefits package that includes:

• Medical, dental, and vision insurance
• Life and disability coverage
• 401(k)
• Generous paid time off
• Professional development opportunities

ADDITIONAL INFORMATION

We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status, or any other protected class.

Alera Group is committed to protecting your privacy. Please review our Privacy Policy to understand what personal information we may collect and use as part of your application process.

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Location Type

Remote