Sr. EDI Engineer & Data Architect

• 8+ years in data engineering, EDI engineering, or data architecture, with substantial time spent on healthcare claims data.
• Deep hands-on experience with HIPAA X12 5010 transactions, particularly 837 and 835, including acknowledgment and error handling.
• Experience with an EDI translation or integration platform, or with maintaining custom parsers and mapping logic.
• Hands-on experience onboarding data partners and working the clearinghouse side of the pipe.
• Expert SQL skills, including complex joins, window functions, stored procedures, and performance tuning on large tables.
• Strong data modeling background, including dimensional modeling and modern lakehouse or medallion layering.
• Experience with Microsoft Fabric and the Azure data stack, such as Data Factory, Synapse, Data Lake, and Delta or Parquet formats.
• Working knowledge of healthcare code sets and claims reference data.
• Practical, day-to-day use of AI tools in engineering work, with judgment about where they help and where they should not be trusted.
• Proficiency in Python or a comparable language for data work.
• Knowledge of healthcare and insurance data is strongly preferred.

• Precision. In this domain a quiet mapping error becomes a revenue problem months later.
• Ability to hold both views at once: the transaction-level detail and the architecture it rolls up into.
• Solid engineering habits: version control, testing, code review, reproducibility, and documentation.
• Comfort working with imperfect, inconsistent, real-world data from many different senders.
• Clear communication of data issues, tradeoffs, and root cause for both technical and business audiences.
• Self-starter with a track record of achievement who will roll up sleeves to tackle hard projects.

• B.S./B.A. required in Computer Science, Information Systems, Statistics, a related technical field, or equivalent experience.

• Microsoft Fabric or Azure data certification (e.g., DP-600 or DP-203) preferred.
• Healthcare data or HIPAA-related certification a plus.

• Experience with subrogation, third-party liability, coordination of benefits, or payment integrity data.
• Experience with member and provider matching, entity resolution, or master data management.
• Experience building semantic models and supporting business intelligence consumers.
• Experience in a SOC 2, HITRUST, or similarly audited environment.
• Experience with NCPDP pharmacy transactions.
• Located in or around Memphis, TN.

Who is Intellivo?

As an industry market leader in subrogation, Intellivo empowers health plans and insurers to maximize financial outcomes by identifying and pursuing more reimbursement opportunities from alternative third-party liability (TPL) payers.

Through innovative technology, Intellivo accelerates the identification of reimbursement opportunities while eliminating burdensome outreach to plan members.

With a 26-year history of excellence, Intellivo proudly represents more than 200 of the country’s largest health plans.

We are Intellivators – forward-thinking pioneers building the technologies that Fortune 500 employers, health plans, TPAs, providers, and billing organizations rely on to ensure responsible claim payments.

Fueled by our experience and innovative startup mentality, we are growing fast.

That Support You Inside and Outside of Work

• Comprehensive medical, dental, and vision insurance
• 401(k) retirement savings plan with employer match
• Paid time off and paid holidays
• Company-paid life insurance and short-term and long-term disability coverage
• Employee Assistance Program with counseling, financial coaching, legal resources, career coaching, and wellness support
• Health Savings Account with company contributions for eligible employees
• Wellness, healthcare advocacy, and pet benefits
• A high-performing, collaborative culture built on ownership, accountability, continuous improvement, and meaningful impact

Intellivo is an Equal Opportunity Employer and does not discriminate based on race, color, religion, sex, national origin, age, disability, or any other protected status.

Employment decisions are based on qualifications, merit, and business need.