Remote Senior Data Quality Engineer - Healthcare/HEDIS

Humana; Lincoln (NE); Remote; USD 89,000 - 121,000; Full time

Benefits offered by this job

Bonus incentive plan

Job summary

Humana, Inc. seeks a Senior Data Quality/Integrity Engineer to own end-to-end data processes and drive high-value data connections for HEDIS data strategies.

You will engage markets, validate data through UAT, and collaborate with MRA and vendors to improve data quality across provider data streams. The role focuses on establishing best-in-class data quality practices, supporting annual data audits with NCQA, and maturing data integration with STARs and market teams.

Qualifications

• Bachelor's degree in a relevant field.
• Minimum 5 years’ experience in the healthcare field and/or lab data.
• Minimum 3 years in a data-focused role using analytics, reporting and BI platforms.
• Expertise with SQL, PowerBI, and Azure DevOps.
• Exceptional communication skills; presentation, facilitation, oral and written

Responsibilities

• Engage market and Provider offices to establish high value data connections and to educate them on data intake processes and procedures.
• Communicate data processing status and improvement opportunities to markets and Providers.
• Partner with Medicare Risk Adjustment (MRA) and vendors to establish data feeds for STARs data and maximize the quality of the data procured digitally and manually.
• Establish and mature best in class data quality practices that support annual HEDIS season and Humana strategy.
• Support STARs Clinical Team to gather data for pilots and Humana acquisitions.
• Submit FTP requests, approve UAT and post production validation, and partner on most aspects of data acquisition development and deployment of data focused enhancements and functionality.
• Support annual standard and nonstandard supplemental data audit with NCQA and DTS auditor.

Skills

SQL

PowerBI

Azure DevOps

Education

Bachelor's Degree

Job description

Humana, Inc. seeks a Senior Data Quality/Integrity Engineer to own end-to-end data processes and drive high-value data connections for HEDIS data strategies.

You will engage markets, validate data through UAT, and collaborate with MRA and vendors to improve data quality across provider data streams. The role focuses on establishing best-in-class data quality practices, supporting annual data audits with NCQA, and maturing data integration with STARs and market teams.