Azure Network Engineer

Data Engineer (MRF & Interoperability Focus) :

Location : Tulsa, OK (hybrid onsite)

Schedule : M-F, 8-5 (CST)

Type : long-term contract

Remote : Available

Equipment : Provided

Rate : DOE

Position Summary :

The Data Engineer is responsible for designing, building, and maintaining the data pipelines, data models, and data integration frameworks that support the Health Plan's operational, regulatory, and analytics needs. This role plays a critical part in ensuring compliance with CMS and state regulations, including Transparency in Coverage (TiC) Machine Readable Files and Interoperability Final Rule (Patient Access, Provider Access, Payer-to-Payer, and Prior Authorization APIs).

The ideal candidate has strong experience in healthcare data, particularly claims, eligibility, provider, and pricing data, as well as familiarity with FHIR standards and the creation of FHIR-ready data extracts. The Data Engineer will collaborate closely with IT, Informatics, Compliance, and vendor partners to ensure regulatory accuracy and timeliness.

Key Responsibilities :

Data Engineering & Pipeline Development :

• Design, build, and maintain scalable ETL / ELT pipelines for claims, enrollment, provider, pricing, clinical, and pharmacy datasets.
• Develop automated workflows to generate FHIR-ready extracts, including Patient, Member Attribution, Provider, Coverage, Encounter, EOB, and Prior Authorization data.
• Build and maintain processes to produce Machine Readable Files (MRFs) for Transparency in Coverage, including In-Network Rate, Allowed Amounts, and Prescription Drug files.
• Implement data validation, deduplication, and transformation logic to ensure high-quality extract files.
• Work with cloud platforms (Azure preferred) to optimize data pipelines.

Data Modeling & Architecture :

Regulatory & Compliance Data Support :

Cross-Team Collaboration :

Data Quality & Governance :

Required Qualifications :

Preferred Qualifications :

Key Competencies :

TULIT