JOB SUMMARY
***CANDIDATE MUST BE US Citizen (due to contractual/access requirements)***
We are seeking a highly skilled and detail-oriented HEDIS Data Engineer to support data management, process, optimize and oversee quality controls for our HEDIS reporting engine and associated data processes. This critical role is responsible for the accurate and timely generation of HEDIS measures, directly impacting our organization's quality initiatives, regulatory compliance, and overall performance. The ideal candidate will possess deep expertise in HEDIS technical specifications, advanced SQL skills, and a strong understanding of healthcare data, coupled with a proven ability to troubleshoot complex data issues and collaborate effectively with cross-functional teams.
ESSENTIAL RESPONSIBILITIES
- Working closely with IT, architect and engineer solutions that provide views for the Analytic Data Warehouse. This would include the working with the proper teams, assisting with the design, building out the design, and providing upkeep for the solution.
- Assemble, test, process, and maintain the Analytic Discovery Platform for the analytics organizations. This will include working to maintain pipelines with key analytic platforms throughout the organization.
- Work with alternative analytic data systems to incorporate them into the operational data flow for the Analytics Teams. This may include products purchased by the organization that must be ingested or modeled/derived data maintained by analytic teams.
- Independently lead functional efforts for assigned projects with limited supervision. This includes the guidance and education of Intermediate contributors within this team. Meet individually with customers for specific projects and attend with Intermediates for support.
- Other duties as assigned.
EDUCATION
Required
- Bachelor's Degree in Computer Systems Analysis, Data Processing, Healthcare Informatics, Management Information Systems, or related field
Substitutions
- None
Preferred
- Master's Degree in Management Information Systems
EXPERIENCE
Required
- 3 - 5 years of Data Analytics experience
Preferred
- Advanced Problem Solving
- Advanced SQL Skills
- Health plan data experiance
- SAS
- HEDIS knowledge
LICENSES OR CERTIFICATIONS
Required
- None
Preferred
- None
SKILLS
- Microsoft Office
- SAS
Language Requirement (other than English)
None
Travel Requirement
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-Based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Occasionally
Lifting: 10 to 25 pounds
Rarely
Lifting: 25 to 50 pounds
Never
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Pay Range Minimum:
$94,200.00Pay Range Maximum:
$151,000.00Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
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