Find & Apply For Risk Analyst Jobs in Newtown, Pennsylvania

Post Date Jun 08, 2026 Location Newtown, Pennsylvania ZIP/Postal Code 19073 Job Type Contract-to-perm Category Programmer / Developer Req # PHL-c29042a6-e3eb-41ef-af7f-f1da102f91fb Pay Rate $53

• $66 (hourly estimate)

JOB DESCRIPTION

We are seeking a Senior Healthcare Data Integration Engineer to work on the Exchange Encounter & Risk Adjustment team. This person will support healthcare payer operations focused on ACA Exchange Risk Adjustment, CMS EDGE submissions, encounter data quality, and healthcare data integration. This is a hands-on technical leadership role responsible for troubleshooting complex healthcare data issues, improving encounter data quality, supporting

CMS EDGE

processes, and partnering across business, IT, data, and vendor teams. This is not a project management role.

• Lead technical troubleshooting of encounter and risk adjustment data issues
• Analyze

CMS EDGE

submission errors and drive resolution

• Support encounter reconciliation, validation, and error remediation activities
• Partner with business, operations, data, IT, and vendor teams
• Improve encounter acceptance rates and overall data quality
• Translate CMS and business requirements into technical solutions
• Provide technical guidance to developers and analysts We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day.

We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.

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https://insightglobal.com/workforce-privacy-policy/.

REQUIRED SKILLS & EXPERIENCE

• Strong experience with SSIS, ETL, and C#
• Healthcare background, specifically with CMS/Medicare/Medicaid
• Strong understanding of healthcare payer data, including: o Claims o Encounters o Enrollment o Diagnosis data
• Advanced SQL skills for data analysis, validation, and troubleshooting
• Experience with healthcare EDI transactions
• Experience with healthcare integration platforms such as: o Edifecs o IBM ITX (Transformation Extender) o Similar healthcare EDI/integration tools
• Proven ability to troubleshoot complex healthcare data pipelines and submission issues

NICE TO HAVE SKILLS & EXPERIENCE

• HHS-HCC Risk Adjustment experience
• Direct experience supporting ACA Exchange Risk Adjustment
• Hands-on experience with

CMS EDGE

Server submissions, reconciliation, validation, and error remediation

• Encounter acceptance/rejection analysis
• CMS audit support
• Data quality improvement initiatives
• Healthcare data warehouse or data lake environments
• Databricks or cloud-based healthcare data platforms
• Technical leadership or mentoring experience
• Vendor management experience Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching.

Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law. Print Save Share APPLY Services All Services Staffing Services Executive Recruiting Evergreen Professional Services Compass Culture Consulting Hire Someone Industries & Functions All Industries & Functions Administrative Automotive Clerical Construction Creative Customer Service Education Energy Engineering Financial Services Government Healthcare Hospitality Human Resources Industrial Information Technology (IT) Insurance Legal Life Sciences Logistics Manufacturing Marketing Media & Entertainment Nonprofit Real Estate Sales Semiconductor Resources Consultants Find a Job Time & Expense Approval Timesheet Printout Employment Verification In-House Team Shop IG Join Our In-House Team Be The Light Tour Job Index Information About ESG Veterans Blog Contact Office Locations Complete Guides Videos & Events News Press Releases Resources Privacy Policy Workforce Privacy Policy Ontario AODA/Accessibility Policy Do Not Sell or Share My Personal Info Consumer Rights Request Transparency in Coverage Terms of Use Sitemap Corporate Ethics Hotline Anti Racism Statement Compliance Program Policies Consumer Alerts Questions?

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