[Hiring] Data Engineering Architect @Amerihealth Caritas

Role Description

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
• 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.

Work Arrangement: Remote role, Monday through Friday, 8:30 AM EST to 5:00 PM EST

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.
• Lead data acquisition efforts across the organization with a focus on aligning Provider Network Management, Business Sourcing, and IS business functions.
• 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.
• Participate in automation script code reviews and provide guidance on compliance with automation best practices.
• Demonstrate skills using code repositories.
• Identify interdependencies, ambiguities, or omissions and make suggestions to improve requirements.
• Learn rapidly and enthusiastically, focusing on understanding the application/product/area in detail.
• Perform other duties as assigned by Management.

Qualifications

• 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.

Other Skills

• 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.
• Proven ability to effectively communicate complex data and performance metrics to various audiences, including senior leadership.

Benefits

• Flexible work solutions including remote options, hybrid work schedules.
• Competitive pay.
• Paid time off including holidays and volunteer events.
• Health insurance coverage for you and your dependents on Day 1.
• 401(k).
• Tuition reimbursement and more.