[Hiring] Senior Data Engineer @CareFirst

Role Description

The Senior Data Engineer is responsible for designing, developing, and optimizing enterprise-scale data solutions that support Risk Adjustment operations, regulatory reporting, and healthcare analytics. This role leads the implementation of complex data pipelines, data integration frameworks, and cloud-based data products using technologies such as Snowflake, Azure Data Factory (ADF), Microsoft Fabric, and Informatica IDMC/IICS, while ensuring data quality, governance, and operational reliability. The Senior Data Engineer serves as a technical leader and subject matter expert, partnering with business and technology stakeholders to support:

• Risk Adjustment programs
• EDGE submissions
• RADV audit readiness
• Diagnosis and coding accuracy initiatives
• HCC processing
• Delivery of trusted data products that drive risk score accuracy and financial performance

Qualifications

• Bachelor's Degree in Computer Science, Information Technology or Engineering or related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.
• 5 years of experience with database design and developing modeling tools.
• Experience developing and updating ETL/ELT scripts.
• Hands-on experience with application development, relational database layout, development, data modeling.

Requirements

• Expert knowledge of data engineering development using SQL and Python.
• Extensive experience designing, building, and optimizing enterprise data solutions using Snowflake, Azure Data Factory (ADF), Microsoft Fabric, and Informatica Intelligent Data Management Cloud (IDMC/IICS).
• Expert understanding of data architecture, data modeling, database design, and implementation concepts across cloud-based, analytical, relational, and large-scale healthcare data environments.
• Expert knowledge of data integration and interoperability concepts, including ETL/ELT frameworks, APIs, event-driven architectures, messaging technologies, and scalable data ingestion patterns.
• Expert knowledge of data movement, orchestration, automation, CI/CD, Infrastructure as Code, DataOps, and operational support practices required to deliver highly reliable enterprise data platforms.
• Expert knowledge of healthcare payer data domains, including claims, enrollment, provider, diagnosis, procedure, pharmacy, and clinical data.
• Expert knowledge of Risk Adjustment methodologies and business processes, including HCC models, diagnosis capture, coding accuracy, risk score generation, chart review programs, prospective and retrospective workflows.
• Advanced knowledge of healthcare regulatory reporting and submission processes, including EDGE Server submissions, Risk Adjustment reporting, RADV audits, CMS requirements.
• Expert understanding of data quality, reconciliation, validation, metadata management, data lineage, observability, and governance practices.
• Expert technical, analytical, and problem-solving skills with the ability to lead root-cause analysis and resolve complex data, integration, platform, and production support issues.
• Advanced knowledge of Agile software development methodologies, DevOps/DataOps practices, and product-oriented delivery models.
• Advanced ability to develop and maintain technical documentation, data specifications, source-to-target mappings, system designs, operational runbooks, and data quality controls.
• Advanced written and verbal communication skills with the ability to explain technical concepts, influence technical direction, communicate risks and recommendations.
• Advanced ability to mentor engineers, perform code reviews, establish engineering standards, and drive adoption of best practices.
• Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers.

Benefits

• Comprehensive benefits package
• Various incentive programs/plans
• 401k contribution programs/plans

Company Description

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.