Director, Data Engineering

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee comprehensive data requirements and stakeholder analysis from start to finish.

• Enhance data quality across claims, membership, member, and provider data.

• Manage triage, analysis, and resolution of Data Ops issues impacting production environments and customer-facing deliverables.

• Act as a subject matter expert for EDI and healthcare data standards, including X12 834/837 transactions.

• Assess internal and external data sources for quality, coverage, and suitability for analytical, operational, and regulatory applications.

• Utilize knowledge of cloud data platforms, streaming architectures, automation, and data quality as a service.

• Collaborate with data engineering to facilitate scalable, modern analytics infrastructure.

• Develop team capabilities through mentorship, coaching, and transformational leadership.

• Conduct interviews, hire, train, assign, direct, and evaluate employees; reward and discipline staff; address complaints and resolve issues.

⛳️ Requirements

• 8–10 years of progressive experience in data analysis, data operations, or data management roles, including at least 3 years in a leadership or senior individual contributor position.

• Background in a healthcare payer, managed care, or Medicare Advantage environment, with direct experience in health plan data domains.

• Proven experience in leading data requirements gathering and quality enhancement across intricate, multi-domain data settings.

• History of resolving production and operational data challenges in regulated, time-sensitive contexts.

• Bachelor's degree in Computer Science, Information Systems, Data Science, Health Informatics, Statistics, or a related discipline.

• An equivalent combination of education and relevant professional experience will also be considered.

• Proficiency in SQL and at least one BI/reporting tool (e.g., Power BI, Tableau, SSRS) through work experience or equivalent training.

• Familiarity with healthcare data file formats and standards (EDI, HL7, X12, custom file formats), evidenced by direct experience.

• Extensive knowledge of X12 EDI (834/837), HL7, FHIR, and healthcare data domains, including claims, membership, member, and provider data.

• Expertise in evaluating data sources for completeness, accuracy, and suitability; designing and operationalizing data quality rules, monitoring, and remediation workflows.

• Advanced SQL capabilities.

• Proficiency in Power BI, Tableau, or similar platforms.

• Familiarity with cloud data ecosystems (Azure, AWS, or equivalent), streaming architectures, and data quality automation capabilities.

• Proven ability to gather intricate analytical and operational requirements and convert them into clear, actionable data specifications.

• Working knowledge of Medicare Advantage plan operations, CMS regulatory requirements, and data flows across health plan functions.

• Required licensure: None.

🏝️ Benefits

• Comprehensive health insurance package.

• Retirement savings plan with company matching.

• Opportunities for professional development and training.

• Flexible work arrangements and work-life balance initiatives.

• Collaborative and inclusive work environment.