Point C

Architect

• Design and implement scalable data platforms using Databricks, Apache Spark, Delta Lake, and SQL, producing solution architecture and technical design documentation
• Develop Medallion Architecture (Bronze, Silver, Gold) for enterprise data workloads from multiple claim systems
• Build and optimize production-grade ETL/ELT pipelines using Databricks Workflows, PySpark, and SQL
• Work with ADF+ADLS ingest and existing kill-and-fill dimension patterns
• Design and maintain data models and Delta tables, implementing schema evolution, time travel, partitioning, and optimization
• Design solutions on Azure, integrating cloud storage and databases
• Implement Unity Catalog, access controls, data governance, lineage, and security
• Translate claim-system data dictionaries into Unity Catalog tables for reporting and APIs
• Define and execute performance and cost-optimization strategies across the platform
• Work with data engineers, analysts, and business stakeholders to translate requirements into technical designs
• Establish CI/CD practices for Databricks notebooks, jobs, and infrastructure
• Troubleshoot production data pipelines and support platform reliability

Databricks Architect

Customer Support

• Create a welcoming experience by authentically engaging every caller, every time
• Make a connection with customers through friendly and genuine conversation throughout each call
• Interact with team and co-workers in a supportive and purpose-driven environment
• Answer questions about customers’ healthcare accounts thoroughly and accurately
• Listen to callers’ needs and provide appropriate solutions
• Demonstrate ethical conduct, safety, and compliance
• Handle 35–50+ inbound and outbound phone calls per day
• Work closely with claim staff to make warranted adjustments to claims
• Perform other duties based on business needs

Customer Service Representative

Claims Specialist

• Adjudicate new claims and process adjustments, including denials upon receipt of additional information
• Review and resolve appeals and subrogation/third-party liability cases
• Manage individual inventory to ensure timely turnaround and production goals are met
• Ensure claims are processed in accordance with stop loss contract terms
• Respond to internal and external inquiries via email and other channels within established timeframes
• Follow up on missing or incomplete information to ensure claims can be accurately processed
• Maintain minimum production, financial, and procedural accuracy standards on a monthly basis

Databricks Architect

Customer Service Representative

Claims Examiner