Hi ,
Hope you are doing well
Please find the Job Description (JD) below.
Role : Senior Data Engineer
Location : Remote
HEDIS-Focused Data Engineering
We are looking for a Senior Data Engineer with hands-on HEDIS (Healthcare Effectiveness Data
and Information Set) experience. You will design, build, and maintain the pipelines and
platforms that power HEDIS measure calculation, quality reporting, and regulatory submissions
across the company. This role is for someone who understands the technical and clinical
nuances of HEDIS data - supplemental data, hybrid measures, NCQA specifications - and
can translate that into reliable, well-documented data pipelines.
What You'll Do
HEDIS measure calculation and reporting
-
Ingest and transform claims, encounter, lab, pharmacy, and supplemental data feeds
used in HEDIS measure logic
ensuring accurate translation of clinical logic into data transformations
calculation, and submission-ready extracts
specification and prior-year trends
requirements and NCQA/CMS updates each year
logic issues
-
Maintain clear documentation of data lineage, transformation logic, and measure
-
mappings for audit and NCQA review purposes
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Continuously improve pipeline architecture for scalability, performance, and data
integrity across HEDIS reporting workflows
What We're Looking For
HEDIS experience
-
Familiarity with healthcare data types relevant to HEDIS: claims, encounters, eligibility, pharmacy, lab, and supplemental data
(Snowflake, BigQuery, Redshift, or similar)
-
Proficiency in Python or Scala/Java for building production data pipelines
-
Experience with modern orchestration tools (Airflow, Dagster, Prefect, or similar)
-
Solid understanding of data modeling, dimensional design, and ETL/ELT best practices in a healthcare context
Cotiviti, MedInsight, or custom rules engines) is a plus
HEDIS Experience
calculation or rate reporting
over year
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