Data Engineering Architect

Amerihealth Caritas•,

10h•Remote

About The Position

The EA Data Engineering Architect position will serve as a subject matter expert and manage all levels of supplemental clinical data for purposes of quality measurement including Healthcare Effectiveness Data and Information Set (HEDIS), STARS, CMS Adult and Child Core Set, and state-required measure sets or custom measures. This position is responsible for delivering business intelligence solutions by building data models, writing ETL processes, and administering systems to facilitate business intelligence tools. This individual works closely with end users and IT development staff to ensure that new and existing data models and databases are consistent with approved data architecture standards.

Requirements

Bachelor’s Degree in Computer Science or related field
Minimum of 3 years of working with data mapping, scrubbing, quality assurance, and submission of clinical supplemental data
Minimum of 3 years in interpreting, analyzing, and providing recommendations regarding data accuracy and data collection needs and processes
Minimum of 3 years with SQL, Azure, Python, Tableau, Power BI or similar
Minimum of 3 years with quality measure (HEDIS, CMS, STARS, NQF, and/or AHRQ) technical specifications
Minimum of 3 years working with HEDIS platform software or similar preferred, DQM a plus
Minimum of 3 years in health plan or major group/facility in similar data role
Experience in an automation of reporting environment; agile environment, report automation engineering
Experience working with clinical data specific to CCD, EMR/EHR/HIE data sources.
Experience with process improvement, workflow, benchmarking and / or evaluation of business processes
Experience with provider relations
Working knowledge of National Interoperability and Clinical Data Exchange standards including HL7, CCD/CCD-A, FHIR and traditional EDI
Familiarity with HEDIS and other quality measure technical specifications
Background in clinical quality management
Excellent verbal and written communication skills; outstanding interpersonal skills; the ability to relate positively with individuals at all levels both internally and externally
Proven ability to effectively communicate complex data and performance metrics to various audiences, including senior leadership

Nice To Haves

HEDIS platform software or similar preferred, DQM a plus

Responsibilities

Design, develop, and test enhancements to ETL and BI solutions focusing on clinical supplemental data.
Act as key point of contact with internal and external stakeholders for supplemental data aggregators, health information exchanges, vendors, and provider-direct sources.
Partner with Information Services (IS) and key business stakeholders to align and manage an active Data Governance agenda where data is manipulated to yield actionable information for the purpose of evidence-based decision making.
Lead data acquisition efforts across the organization with the main focus of aligning Provider Network Management, Business Sourcing, and IS business functions to ensure contracts and data are accurately aligned.
Work with complex Data modeling and design patterns for BI/Analytics reporting requirements.
Lead ETL design and development initiatives including data analysis, source-target mapping, data profiling, change data capture, ETL coding, QA testing, and performance tuning.
Support technical development in designing, testing and implementing databases and data lake changes.
Collaborate with organization and department leadership in defining and modifying the supplemental data strategy through analysis of existing and potential sources to determine true impact, ROI, and areas of opportunity.
Participate in automation script code reviews and provide guidance on their compliance with automation best practices
Demonstrate skills using code repositories.
Identify interdependencies, ambiguities or omissions and make suggestions to improve requirements and ensure usability/testability
Learn rapidly and enthusiastically, focusing on understanding the application/product/area in detail.
Perform other duties as assigned by Management.