Description
The Senior Data Quality/Integrity Engineer understands end-to-end master data processes and flows and uses that knowledge to design and implement master data management solutions. The Senior Data Quality/Integrity Engineer work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
Responsibilities
In this key role on the Quality Systems Integration (QSI) team, the QSI Senior Data Quality / Integrity Engineer will leverage Humana, clinical data, market, and healthcare expertise to develop and execute a comprehensive supplemental and lab data strategy that enables the Data team to analyze, identify, and engage the most valuable Provider data connections to procure data driving HEDIS gap closures and enabling Humana’s strategy to become a health centered company. This role will work to mature existing relationships with STARs and market teams and establish and mature quality control processes and mechanisms for supplemental and lab data connections.
Primary Responsibilities:
- Develop and execute a comprehensive supplemental and lab data procurement and quality strategy in partnership with the data intake and extraction leaders and Associates
- 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 and procurement strategy and tactics 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, and partner on most aspects of data acquisition development and deployment of data focused enhancements and functionality.
- Partner with Quality Improvement Market Quality Operations (QOCA) on creation of policies, processes, and procedures in support of annual HEDIS roadmap.
- Support annual standard and nonstandard supplemental data audit with NCQA and DTS auditor.
Required Qualifications
- Bachelor’s degree or equivalent experience
- Minimum 3 years’ experience of data analytics and business intelligence platform to include but not limited to SQL, Tableau, PowerBI, and others.
- Minimum 5 years’ experience in data focused role utilizing reporting and analytics applications and tools.
- Minimum 5 years’ experience working with healthcare / lab data.
- Exceptional communication skills; presentation, facilitation, oral, written, listening and conflict resolution.
- Creative thinking focused on solving problems and identifying simple and innovative solutions.
Preferred Qualifications
- Master’s degree
- Experience in provider engagement, MRA or STAR
- Familiarity with HEDIS measures
- Knowledge and experience with HCPCS and CPT codes
- Ability to assign and complete priorities in a fast-paced and changing environment.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay decisions will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$86,600 – $119,200 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.