Senior Data Quality Engineer – Healthcare Data (Remote)

Humana; Dover (DE); Remote; USD 89,000 - 121,000; Full time

Job summary

Humana, Inc. seeks a Senior Data Quality/Integrity Engineer to lead end-to-end data quality initiatives within the QSI team.

You will design, implement, and mature data quality controls for supplemental and lab data, partnering with market teams to drive high-value data connections that support HEDIS and Humana's health-centered strategy. You'll collaborate with MRA, STARs and vendors to establish data feeds, perform audits with NCQA/DTS, and ensure data integrity across clinical and lab

Qualifications

• Bachelor's degree required.
• Minimum 5 years in healthcare field and/or lab data.
• Minimum 3 years in a data-focused role using analytics, reporting and BI platforms such as SQL and others.
• 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 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 data quality.
• 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 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

Communication skills

Education

Bachelor's Degree

Job description

Humana, Inc. seeks a Senior Data Quality/Integrity Engineer to lead end-to-end data quality initiatives within the QSI team.

You will design, implement, and mature data quality controls for supplemental and lab data, partnering with market teams to drive high-value data connections that support HEDIS and Humana's health-centered strategy. You'll collaborate with MRA, STARs and vendors to establish data feeds, perform audits with NCQA/DTS, and ensure data integrity across clinical and lab