Senior Data Quality / Integrity Engineer
About The Position
The Senior Data Quality / Integrity Engineer understands end-to-end data processes and flows and applies that knowledge to implement and execute high-quality operations for critical data-centric processes. The role addresses moderately complex to complex issues that require in-depth evaluation of variable factors. As a key member of the Quality Systems Integration (QSI) team, this engineer uses Humana, clinical data, market, and healthcare expertise to develop and execute a supplemental and lab data strategy. The strategy enables the Data team to identify and engage valuable provider data connections that support HEDIS gap closures and Humana’s strategy to become a health-centered company. The role also matures relationships with STARs and market teams and establishes quality control processes for supplemental and lab data connections. This is a remote position with occasional travel to Humana offices for training or meetings. The position is scheduled for 40 hours per week. Home or hybrid home/office employees must maintain qualifying internet service and work from a dedicated space that protects member PHI/HIPAA information.
Requirements
- Bachelor’s degree.
- At least 5 years of experience working in healthcare and/or with lab data.
- At least 3 years of experience in a data-focused role using analytics, reporting, and business intelligence platforms such as SQL.
- Expertise with SQL, Power BI, and Azure DevOps.
- Exceptional presentation, facilitation, oral, and written communication skills.
Nice To Haves
- Master’s degree.
- Five years of experience specifically in clinical/lab data processing or HEDIS, with demonstrable data manipulation and analysis skills.
- Experience in provider engagement, MRA, or STARs.
- Familiarity with HEDIS measures.
- Knowledge and experience with HCPCS and CPT codes.
- Ability to assign and complete priorities in a fast-paced, changing environment.
- Candidates in the Louisville, Kentucky or Indiana area are highly preferred for occasional in-person meetings.
Responsibilities
- Engage markets and provider offices to establish high-value data connections and explain data intake processes and procedures.
- Communicate data-processing status and opportunities for improvement to markets and providers.
- Partner with Medicare Risk Adjustment (MRA) and vendors to establish STARs data feeds and maximize the quality of digitally and manually procured data.
- Establish and mature data quality practices that support the annual HEDIS season and Humana’s strategy.
- Support the STARs Clinical Team in gathering data for pilots and Humana acquisitions.
- Submit FTP requests, approve UAT and post-production validation, and partner on data acquisition development and deployment of data-focused enhancements and functionality.
- Support the annual standard and nonstandard supplemental data audit with NCQA and the DTS auditor.
Benefits
- Medical benefits
- Dental benefits
- Vision benefits
- 401(k) retirement savings plan
- Paid time off
- Company and personal holidays
- Paid parental and caregiver leave
- Short-term disability
- Long-term disability
- Life insurance
- Bonus incentive plan
- Telephone equipment appropriate to the job’s business requirements for home or hybrid home/office employees
- Bi-weekly internet expense payment for employees who live and work from home in California, Illinois, Montana, or South Dakota
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What This Job Offers
Job Type
Full-time
Career Level
Senior
