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SQL Developer with Claims - Remote / Telecommute

Job

Cynet Systems

Remote

$57,200 Salary, Full-Time

Posted 3 days ago (Updated 13 hours ago) • Actively hiring

Expires 7/26/2026

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Job Description

We are looking for SQL Developer with Claims•Remote / Telecommute for our client in Mason, OH .
Job Title:
SQL Developer with Claims•Remote /
Telecommute Job Location:
Mason, OH Job Type:
Contract Job Overview:
Pay Range:
$25hr•$30hr
Requirement/Must Have:
Strong SQL skills with experience querying large, complex datasets. Experience supporting healthcare claims processing systems (e.g., Facets or similar). Understanding of batch scheduling, automation tools, and production monitoring. Familiarity with ServiceNow incident management. Ability to work effectively in a 24x7 production support environment.
Responsibilities:
Monitor and support end-to-end claims batch processing, pre-adjudication, and related data transfers. Investigate and analyze pre-adjudicated and impacted claims; determine root cause and recovery actions. Execute batch job re-runs, backfills, and recoveries following approved runbooks. Perform claims reconciliation activities and validate claim counts, dollar amounts, and processing outcomes. Provide on-call SME support for claims processing incidents and high-volume seasonal events. Monitor batch jobs and Tidal automation schedules for in-scope claims applications. Respond to monitoring alerts, initiate incident tickets, and escalate per operational procedures. Perform PEGA dashboard monitoring, JVM health checks, and application availability checks. Participate in incident bridges and SWAT calls, providing technical analysis and status updates. Use complex SQL queries to analyze claims data, investigate processing failures, and validate reconciliations. Support incident troubleshooting through data analysis and ad-hoc reporting. Partner with application teams to understand database structures supporting claims workflows. Log, triage, track, and manage incidents in ServiceNow through resolution. Assist with Root Cause Analysis (RCA) efforts for recurring or high-impact incidents. Track corrective and preventive actions to closure. Contribute to operational, SLA, and KPI reporting. Maintain operational documentation, runbooks, and knowledge articles. Identify opportunities for process improvement and automation. Nice to
Have:
Knowledge of EDI 837 transactions and claims data flows. Experience in regulated healthcare or government programs. Prior production support or operations experience in a claims environment.