Senior Data Quality Engineer

Humana

. Understand end-to-end data processes and flows and implement and execute operations for critical, data-centric processes .

Posted 11/11/2026full-timeRemote • United StatesSenior💰 $89,000 - $121,400 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in data-centric processes, particularly in healthcare and lab data, with a strong focus on SQL, PowerBI, and data quality practices. Proven ability to engage providers and communicate effectively while managing data acquisition and quality control for HEDIS initiatives.

Highest-signal resume keywords

SQL ExpertisePowerBI ProficiencyData Quality PracticesProvider Engagement ExperienceHEDIS Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisData ManipulationBusiness IntelligenceData ReportingClinical Data ProcessingData Strategy DevelopmentQuality Control ProcessesData Acquisition DevelopmentSupplemental Data AuditsData Processing

Soft Skills

Exceptional Communication SkillsPresentation SkillsFacilitation SkillsOral CommunicationWritten Communication

Tools & Technologies

PowerBISQLAzure DevOpsFTP RequestsUAT Validation

Certifications & Qualifications

Bachelor's DegreeMaster's Degree (Preferred)

Industry Keywords

HealthcareLab DataHEDISMRAProvider EngagementNCQADTS AuditorsHCPCS CodesCPT CodesPHI / HIPAA Compliance

Tech Stack

Tools & technologies

AzureSQL

About the role

Key responsibilities & impact

Understand end-to-end data processes and flows and implement and execute operations for critical, data-centric processes
Develop and execute a supplemental and lab data strategy
Analyze, identify, and engage valuable Provider data connections to procure data driving HEDIS gap closures
Mature relationships with STARs and market teams
Establish and mature quality control processes and mechanisms for supplemental and lab data connections
Engage market and Provider offices to establish high-value data connections and 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 STARs data feeds and maximize procured data quality
Establish and mature data quality practices supporting annual HEDIS season and Humana strategy
Support the STARs Clinical Team in gathering data for pilots and Humana acquisitions
Submit FTP requests, approve UAT and post-production validation, and partner on data acquisition development and deployment of data-focused enhancements and functionality
Support annual standard and nonstandard supplemental data audits with NCQA and DTS auditors

Requirements

What you’ll need

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: Master’s degree
Preferred: 5 years of experience specifically in clinical/lab data processing or HEDIS with demonstratable data manipulation and analysis skills
Preferred: Experience in provider engagement, MRA or Stars
Preferred: Familiarity with HEDIS measures
Preferred: 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
Minimum 25 Mbps download and 10 Mbps upload internet speed for Home or Hybrid Home/Office employees
Ability to work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Benefits

Comp & perks

Bonus incentive plan based upon company and/or individual performance
Medical, dental and vision benefits
401(k) retirement savings plan
Paid time off
Company and personal holidays
Paid parental and caregiver leave
Short-term and long-term disability
Life insurance
Internet expense payment for employees working from home in California, Illinois, Montana, or South Dakota
Telephone equipment appropriate to business requirements for Home or Hybrid Home/Office employees