EA Engineering Architect Clinical Data

Amerihealth Caritas•,

8d•Remote

About The Position

The EA Data Engineering Architect serves as a subject matter expert managing supplemental clinical data used for quality measurement, including HEDIS, STARS, CMS Adult and Child Core Set, state-required measure sets, and custom measures. The role delivers business intelligence solutions by building data models, developing ETL processes, and administering systems that support business intelligence tools. The architect works with end users and IT development staff to ensure new and existing data models and databases follow approved data architecture standards. This is a remote role with scheduled hours Monday through Friday, 8:30 AM to 5:00 PM EST. Remote associates must have reliable high-speed internet with at least 50 Mbps download and 5 Mbps upload. Fully remote associates residing in states where service is required by contract, law, or regulation may submit for reimbursement.

Requirements

Bachelor’s degree in Computer Science or a related field.
At least 3 years of experience with data mapping, scrubbing, quality assurance, and submission of clinical supplemental data.
At least 3 years of experience interpreting and analyzing data accuracy and data collection needs and processes, and providing recommendations.
At least 3 years of experience with SQL, Azure, Python, Tableau, Power BI, or similar tools.
At least 3 years of experience with technical specifications for quality measures such as HEDIS, CMS, STARS, NQF, and/or AHRQ.
At least 3 years of experience in a health plan or major group/facility in a similar data role.
Experience in an automation-of-reporting environment, agile environment, and report automation engineering.
Experience working with clinical data from CCD, EMR/EHR, and HIE 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 and interpersonal skills, including the ability to relate positively to individuals at all organizational levels, internally and externally.
Ability to communicate complex data and performance metrics effectively to varied audiences, including senior leadership.

Nice To Haves

At least 3 years of experience working with HEDIS platform software or similar; DQM is a plus.

Responsibilities

Design, develop, and test enhancements to ETL and BI solutions focused on clinical supplemental data.
Serve as a key contact for internal and external stakeholders, including supplemental data aggregators, health information exchanges, vendors, and provider-direct sources.
Partner with Information Services and business stakeholders to align and manage the Data Governance agenda for producing actionable information and supporting evidence-based decisions.
Lead organization-wide data acquisition efforts, aligning Provider Network Management, Business Sourcing, and Information Services to ensure contracts and data are accurately aligned.
Apply complex data modeling and design patterns to BI and analytics reporting requirements.
Lead ETL design and development, including data analysis, source-target mapping, data profiling, change data capture, ETL coding, QA testing, and performance tuning.
Support technical development for designing, testing, and implementing database and data lake changes.
Collaborate with organization and department leadership to define and modify supplemental data strategy by analyzing current and potential sources, impact, ROI, and opportunities.
Participate in automation script code reviews and advise on compliance with automation best practices.
Demonstrate skills using code repositories.
Identify interdependencies, ambiguities, or omissions; suggest improvements to requirements and ensure usability and testability.
Learn rapidly and enthusiastically, developing detailed understanding of the application, product, or area.
Perform other duties as assigned by Management.