EDI Data Engineer / Claims and X12 / Hybrid
Job ID: 315146 Posted 11/12/2025
Location: New York, New York
Job Type: Direct Hire
Work Site: Hybrid
Category: HIM
Skills:
Salary Low: $125000 - Salary High: $135000
Duration: 2 Weeks
Shift:
Position: 315146
Job Description
Data Engineer – EDI & Claims
Hybrid: 2 days in NYC office, 3 days remote
Salary: Up to $135,000 + generous benefits (including pension plan)
Key Requirement: EDI X12 Experience
About This Role and Why It Matters
You’ll be the go-to expert for EDI and claims data—helping ensure compliance, accuracy, and efficiency across health plan operations. Your contributions will shape how we deliver care and meet regulatory standards, making a real difference in people’s lives.
About Us
For over 30 years, we’ve been a mission-driven healthcare organization dedicated to improving the lives of New Yorkers.
What’s In It For You?
- Make an Impact: Your work will directly improve healthcare for thousands of New Yorkers.
- Flexibility: Enjoy a hybrid schedule that balances collaboration and remote work.
- Growth & Stability: Join a mission-driven organization with over 30 years of success and a strong commitment to employee development.
- Competitive Package: Up to $135,000 salary, comprehensive benefits, and a pension plan.
What You’ll Do
- Own and optimize encounter data submissions to state and federal agencies.
- Troubleshoot and resolve EDI mapping issues to keep data flowing smoothly.
- Build and maintain SQL queries, stored procedures, and SSIS jobs for automation.
- Collaborate with internal teams and vendors to solve complex data challenges.
- Support compliance teams with timely, accurate data insights.
- Document workflows and implement data quality checks for continuous improvement.
- Contribute to MMCOR reporting and create KPI dashboards to track performance.
What You Bring
- 5+ years of SQL Server experience (stored procedures, SSIS, SSRS).
- 3+ years working with healthcare data (claims, enrollment, provider).
- Strong knowledge of EDI X12 standards and file mapping.
- Experience with BI tools (Tableau, Power BI, BusinessObjects).
- Bonus: Familiarity with Visual Studio, .NET, XML, BizTalk.
- Bachelor’s degree in Information Systems, Computer Science, or related field.
- Must be legally authorized to work in the U.S. (no sponsorship available).
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Why Us?
At RCM Health Care Services, we redefine healthcare staffing, creating an environment where your career thrives and flourishes. Our commitment to your success is woven into the fabric of our culture, offering diverse opportunities for both seasoned professionals seeking challenges and newcomers ready to make their mark. As a part of the RCM family, you'll experience more than just a job – you'll find a platform for continuous growth and fulfillment.
We have cultivated an ecosystem where healthcare professionals not only find rewarding career opportunities but also a community that values their skills and dedication. Your success is our priority, and our collaborative environment ensures you're never alone on your professional journey. Competitive salaries and comprehensive benefits reflect our dedication to your well-being, allowing you to focus on what matters most – delivering exceptional care. Join RCM Health Care Services, a trusted partner with a proven track record since 1975 and embark on a journey where your path to a fulfilling healthcare career truly begins.