Senior Data Quality/Integrity Engineer

The Senior Data Quality/Integrity Engineer understands end-to-end data processes and flows and uses that knowledge to implement and execute best-in-class operations for critical, data-centric processes.

In this key role on the Quality Systems Integration (QSI) team, the QSI Senior Data Quality / Integrity Engineer will leverage their 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.

Primary 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.

Required Qualifications

• Bachelor's Degree
• Minimum 5 years’ experience working in the healthcare field and/or lab data
• Minimum 3 years of experience in a data focused role utilizing analytics, reporting and business intelligence platforms such as SQL and others
• Expertise with SQL, PowerBI, and Azure Devops
• Exceptional communication skills; presentation, facilitation, oral and written

Preferred Qualifications

• Master’s degree
• 5 years of experience specifically in clinical/lab data processing or HEDIS with demonstratable data manipulation and analysis skills
• Experience in provider engagement, MRA or Stars
• 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.
• Louisville Kentucky, Indiana area candidates highly preferred for occasional in person meetings

Additional Information

• The compensation range for this role is $89,000 - $121,400 per year.
• This role is eligible for a bonus incentive plan.
• Humana offers competitive benefits that support whole-person well-being, including medical, dental and vision benefits, 401(k) retirement savings plan, time off, and many other opportunities.