Lead Data Engineer – Medicare Revenue Platform

CVS Health Corporation; Oklahoma City (OK); Presencial; USD 83.000 - 183.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Comprehensive benefits package

Bonus program eligible

Equity awards

Descripción de la vacante

CVS Health Corporation in the United States seeks a senior data engineer to own the data foundation for the Medicare revenue engine. The role requires expertise in healthcare data—claims, encounters, eligibility, and CMS files—with production-grade Databricks/Spark platforms.

You will design and operate data pipelines to ensure timely, complete, auditable member-month and diagnosis data for forecasting. You will lead data engineers, ensure data quality, and collaborate with Modeling, Finance,

Formación

• 8+ years in data engineering.
• 4+ years healthcare data: claims, encounters, eligibility, and CMS sources.
• 4+ years production experience with Databricks / Spark (PySpark), Python, and SQL.
• 4+ years supporting risk-adjustment, actuarial, or finance workloads.
• Strong PHI, HIPAA knowledge and controls.

Responsabilidades

• Design, build, and operate data pipelines and analytic tables for Medicare revenue projection.
• Ingest, normalize, and reconcile claims/encounters, eligibility and CMS artifacts.
• Implement HCC/ICD-10 mapping and model-year versioning.
• Own data quality, reconciliation, lineage, and snapshot processes.
• Partner with enterprise data/IT on Databricks lakehouse standards (Spark/PySpark, CI/CD).
• Provide trusted datasets to Modeling, Finance, Actuarial, Revenue Integrity.
• Define SLAs for freshness and monitor source-system changes.
• Lead and mentor data engineers; establish engineering practices in a regulated environment.
• Support modular outputs for revenue, membership/mix, etc.

Conocimientos

Data engineering

Healthcare data expertise

Databricks / Spark (PySpark)

Python

SQL

Orchestration (Airflow)

Data quality frameworks

Educación

Bachelor's in CS/Engineering or related field

Herramientas

Databricks

Spark

Airflow

CI/CD

Descripción del empleo

CVS Health Corporation in the United States seeks a senior data engineer to own the data foundation for the Medicare revenue engine. The role requires expertise in healthcare data—claims, encounters, eligibility, and CMS files—with production-grade Databricks/Spark platforms.

You will design and operate data pipelines to ensure timely, complete, auditable member-month and diagnosis data for forecasting. You will lead data engineers, ensure data quality, and collaborate with Modeling, Finance,