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Skills: HIPAA X12 EDI, Databricks, PySpark, Delta Lake, SQL Server
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Full-time
bachelor degree
Posted 15d ago
~40 hrs/week
Responsibilities
Design and maintain enterprise-scale healthcare data pipelines focused on HIPAA X12 EDI transactions and CMS compliance. Manage Medicaid encounter submissions and ensure secure integration with healthcare clearinghouses.
Requirements
Requires 5-8+ years of experience in data engineering with deep expertise in HIPAA X12 standards and Medicaid encounter processing. Proficiency in Databricks, PySpark, and SQL Server is essential.
Full job description
NationsBenefits is recognized as one of the fastest-growing companies in America and a Healthcare Fintech provider of supplemental benefits, flex cards, and member engagement solutions. We partner with managed care organizations to provide innovative healthcare solutions that drive growth, improve outcomes, reduce costs, and bring value to their members.Through our comprehensive suite of innovative supplemental benefits, fintech payment platforms, and member engagement solutions, we help health plans deliver high-quality benefits to their members that address the social determinants of health and improve member health outcomes and satisfaction.Our compliance-focused infrastructure, proprietary technology systems, and premier service delivery model allow our health plan partners to deliver high-quality, value-based care to millions of members.We offer a fulfilling work environment that attracts top talent and encourages all associates to contribute to delivering premier service to internal and external customers alike. Our goal is to transform the healthcare industry for the better! We provide career advancement opportunities from within the organization across multiple locations in the US, South America, and India.
Location: Plantation, FL (On-site)
Senior Data Engineer
About the Role
We are seeking an experienced Senior Data Engineer – EDI Claims Processing to join our growing Data Engineering team. This role is responsible for designing, developing, and maintaining enterprise-scale healthcare data integration solutions focused on HIPAA X12 EDI transactions, Medicaid encounters, and CMS compliance.
The ideal candidate has extensive experience building high-volume data pipelines using Databricks and SQL Server, a deep understanding of HIPAA X12 transaction standards, and hands-on experience supporting healthcare claims processing, clearinghouse integrations, and regulatory compliance.
This is an excellent opportunity for a healthcare data engineering professional who enjoys solving complex integration challenges while delivering reliable, scalable, and compliant data solutions.
Key Responsibilities
EDI Data Pipeline Engineering
Design, develop, and optimize enterprise-grade ingestion, parsing, validation, transformation, and delivery pipelines for HIPAA X12 transactions, including:
837 (Professional, Institutional, Dental Claims)
277CA (Claims Acknowledgment)
999 (Implementation Acknowledgment)
834 (Member Eligibility)
835 (Remittance Advice)
Build scalable, high-performance ETL/ELT workflows using Databricks, PySpark, Delta Lake, and SQL Server.
Claims & Encounter Processing
Manage Medicaid encounter submissions, reconciliation, and error remediation with state Medicaid agencies.
Support CMS encounter processing by implementing regulatory updates, schema changes, and compliance requirements.
Collaborate with internal teams to ensure accurate and timely claims submissions.
Data Integration & Validation
Develop automated validation frameworks to ensure HIPAA compliance, SNIP validation, and business rule enforcement.
Maintain secure and reliable integrations with healthcare clearinghouses and trading partners.
Analyze and troubleshoot complex EDI processing issues across multiple systems.
Operational Excellence
Build monitoring, alerting, logging, and SLA reporting for production EDI workflows.
Continuously improve pipeline performance, scalability, and reliability.
Maintain technical documentation, mapping specifications, companion guide implementations, and data dictionaries.
Cross-Functional Collaboration
Partner with Claims Operations, Compliance, Product, IT Security, and external healthcare partners to support enterprise data integration initiatives.
Participate in architecture discussions and recommend best practices for healthcare data engineering.
Required Qualifications
Bachelor's degree in Computer Science, Information Technology, Engineering, or a related field (or equivalent experience).
5–8+ years of experience as a Data Engineer, Integration Engineer, or Healthcare Data Engineer.
Strong expertise with HIPAA X12 EDI transaction standards, including:
837 (Professional, Institutional, Dental)
277CA
999
834
835
Hands-on experience with Medicaid encounter processing and state Medicaid submissions.
Experience implementing CMS encounter regulations, schema updates, and compliance changes.
Strong experience with Databricks, PySpark, Delta Lake, and SQL Server.
Experience with healthcare claims validation platforms such as HIPAA Suite or similar EDI processing tools.
Strong understanding of:
HIPAA regulations
PHI security and data privacy
SNIP validation levels
EDI mapping, loops, segments, and companion guides
Experience integrating with healthcare clearinghouses such as Availity, Change Healthcare, or similar platforms.
Excellent troubleshooting, analytical, and problem-solving skills.
Preferred Qualifications
Experience with Azure Databricks or other cloud-based data engineering platforms.
Knowledge of healthcare interoperability standards such as FHIR and HL7.
Experience with encounter error remediation and state-specific Medicaid edit codes.
Background supporting Medicaid Managed Care, Medicare Advantage, or Accountable Care Organization (ACO) environments.
Experience building automated reconciliation, validation, and quality assurance frameworks for healthcare EDI transactions.
Familiarity with CI/CD pipelines and DevOps practices for data engineering.
Technical Skills
Databricks
PySpark
Delta Lake
SQL Server
T-SQL
Azure Databricks (Preferred)
HIPAA X12 EDI
Medicaid Encounters
CMS Encounter Processing
HIPAA Suite (or equivalent)
ETL / ELT Development
Data Validation & Reconciliation
Healthcare Claims Processing
Azure (Preferred)
What You'll Bring
Strong ownership mindset with the ability to work independently on complex technical initiatives.
Excellent communication and collaboration skills across technical and business teams.
Passion for building scalable, reliable, and compliant healthcare data solutions.
Commitment to delivering high-quality data engineering solutions in a fast-paced healthcare environment.
Why Join Us?
Join a collaborative team where you'll help build mission-critical healthcare data platforms that support millions of healthcare transactions. You'll work with modern data technologies, contribute to large-scale integration initiatives, and play a key role in ensuring secure, compliant, and high-quality healthcare data processing.
NationsBenefits is recognized as one of the fastest-growing companies in America and a Healthcare Fintech provider of supplemental benefits, flex cards, and member engagement solutions. We partner with managed care organizations to provide innovative healthcare solutions that drive growth, improve outcomes, reduce costs, and bring value to their members.
Through our comprehensive suite of innovative supplemental benefits, fintech payment platforms, and member engagement solutions, we help health plans deliver high-quality benefits to their members that address the social determinants of health and improve member health outcomes and satisfaction.
Our compliance-focused infrastructure, proprietary technology systems, and premier service delivery model allow our health plan partners to deliver high-quality, value-based care to millions of members.
We offer a fulfilling work environment that attracts top talent and encourages all associates to contribute to delivering premier service to internal and external customers alike. Our goal is to transform the healthcare industry for the better! We provide career advancement opportunities from within the organization across multiple locations in the US, South America, and India.
Offices: 1700 N University Dr, Plantation, Florida 33322, US · 1540 Scenic Avenue, Suite 150, Costa Mesa, CA 92626, US · Mariner C Block, C4, The V, Plot No. 17, Software Units Layout, Madhapur, Hyderabad 500081, IN · 2291 Sweeney Dr, Clinton, Pennsylvania 15026, US · 3380 Davie Road, Suite 701, Davie , Florida 33314, US
Based on 3187 listings with disclosed salaries, most engineering jobs in Florida pay between $74k–$184k per year. Individual offers vary with seniority, company size, and specialization.
How many Engineering jobs are open in Florida right now?
There are currently 12,096 open engineering positions in Florida listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Engineering roles in Florida?
Companies currently hiring include Northrop Grumman, Northrop Grumman Mission Systems, Inc., Blue Origin, Kimley-Horn, L3Harris Technologies, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Engineering jobs in Florida?
Yes — 1979 of the 12096 open engineering positions offer remote or hybrid work (636 remote, 1343 hybrid).
How do I apply for Engineering jobs in Florida?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.