Medicare Data Platform Lead

CVS Health Corporation; Lincoln (NE); On-site; USD 83,000 - 183,000; Full time

Benefits offered by this job

Bonus eligibility

Comprehensive benefits

Equity awards

Job summary

CVS Health Corporation in Lincoln, Nebraska is seeking a data engineer to own the Medicare revenue data foundation, bringing expertise in claims, encounters, eligibility, and CMS files with Databricks/Spark, Python, and SQL.

You will design, build, and operate data pipelines and analytic tables feeding the Medicare revenue projection model, ensure data quality and lineage, and collaborate with Modeling, Finance, and Actuarial teams.

Qualifications

• 8+ years in data engineering and healthcare data domains.
• 4+ years with Databricks / Spark (PySpark), Python, SQL.
• 4+ years supporting risk-adjustment, actuarial, or finance workloads.
• Strong PHI, HIPAA controls experience.

Responsibilities

• Design, build, and operate data pipelines and analytic tables for Medicare revenue projection.
• Ingest, normalize, and reconcile claims/encounters, eligibility, and CMS artifacts.
• Own data quality, lineage, and snapshot processes for accruals and audits.
• Lead data engineers and set engineering practices in a regulated environment.
• Provide trusted datasets to Modeling, Finance, and Actuarial teams.

Skills

Data engineering

Healthcare data

Databricks / Spark

Python

SQL

PySpark

Airflow

Data quality

HIPAA

Education

Bachelor's in CS/Engineering

Tools

Airflow

Spark

Databricks

CI/CD

Job description

CVS Health Corporation in Lincoln, Nebraska is seeking a data engineer to own the Medicare revenue data foundation, bringing expertise in claims, encounters, eligibility, and CMS files with Databricks/Spark, Python, and SQL.

You will design, build, and operate data pipelines and analytic tables feeding the Medicare revenue projection model, ensure data quality and lineage, and collaborate with Modeling, Finance, and Actuarial teams.