Senior Data Integrity Specialist

21 hours ago


Raleigh, North Carolina, United States Humana Full time
We're seeking a talented Senior Data Quality/Integrity Engineer to join our Quality Systems Integration team. In this role, you'll work closely with our Data team to develop and execute a comprehensive supplemental and lab data strategy. This strategy aims to drive HEDIS gap closures and support Humana's health-centered strategy. As a Senior Data Quality/Integrity Engineer, you'll have the opportunity to leverage your expertise in Humana, clinical data, market, and healthcare to deliver high-quality data solutions. You'll also partner with Medicare Risk Adjustment and vendors to establish data feeds for STARs data and ensure the quality of the data procured digitally and manually.

Your primary responsibilities will include developing and executing a comprehensive supplemental and lab data procurement and quality strategy, engaging market and provider offices to establish high-value data connections, communicating data processing status and improvement opportunities, and partnering with Quality Improvement Market Quality Operations to create policies, processes, and procedures in support of annual HEDIS roadmaps. Additionally, you'll support annual standard and nonstandard supplemental data audits with NCQA and DTS auditors. This role requires a minimum of 5 years' experience working with healthcare or lab data, with at least 3 years in a data-focused role utilizing analytics, reporting, and business intelligence platforms like SQL, Tableau, and PowerBI. Experience in clinical/lab data processing or HEDIS is preferred, along with exceptional communication skills and creative thinking abilities.

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