at Humana in Peoria, Illinois, United States
The Delaware Valley ACO (DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services’ Medicare Shared Savings Program (MSSP). DVACO is a joint venture among three stakeholders: Humana, Main Line Health System, and Jefferson Health System. Humana takes the lead in providing administrative support in various areas including HR.
DVACO’s MSSP participation accounts for the region’s largest Medicare ACO grouping, with more than 2,000 physicians and approximately 70,000 Medicare fee-for-service beneficiaries. Additionally, DVACO currently holds performance-based contracts with private payers and manages population health initiatives for the employees and dependents of Jefferson Health and Main Line Health, enhancing DVACO’s total number of beneficiaries to over 200,000.
DVACO’ s primary focus is outlined by the three-part aim:
- Improve the Health of our Patient Population
- Improve our Patients’ Experiences
- Reduce the per-capita Cost of Care delivered to our Population
These goals are achieved through enhanced coordination of patient care and by dedication to quality improvement initiatives that increase the efficiency of care delivery within the outpatient setting.
The Senior Data Engineer will be responsible for validating and interpreting data to support population health management analytical tools and applications. Works directly with other DVACO and Cloud Service Provider (CSP) staff to support engineering operations within the Azure Cloud.
Designs, builds, and maintains data processing architectures and solutions enabling the efficient conversion of structured and unstructured data to insights at enterprise scale. Ingests data from internal and external sources utilizing cloud native platforms and software development best practices and patterns. Develops software tools and solutions that leverage artificial intelligence, machine learning, and big-data techniques to cleanse, organize, and transform data into insights and actions that enables Humana to better serve our members.
+ Develops a deep understanding of the DVACO population health applications to consult and strategize on complex issues and implement solutions
+ Responsible for payer data integration and implementation; data acquisition and data management, SQL programming, quantitative and qualitative data analysis
+ Works in conjunction with external Cloud Service Provider (CSP) and other DVACO staff to build and manage Azure pipelines, data lakes, data warehouses, etc. to support DVACO’s goals and objectives
+ Responsible for the coordination of claims and roster load activity between Microsoft Azure and the DVACO population health applications
+ Coordinates population health application interfaces and extracts in accordance with user workflows for DVACO stakeholders
+ Maintains and supports connectivity with DVACO payer partners and vendors
In addition to being a great place to work, Humana also offers industry leading benefits for all employees, starting your FIRST day of employment. Benefits include:
+ Medical Benefits
+ Dental Benefits
+ Vision Benefits
+ Health Savings Accounts
+ Flex Spending Accounts
+ Life Insurance
+ PTO including 8 paid holidays, one personal holiday, one day of volunteer time off, 23 days of annual PTO, parental leave, caregiving leave, and weekly well-being time
+ And more
+ Bachelor’s Degree
+ Experience using MS Azure Data Factory (ADF), Databricks, or Azure Synapse Analytics (ASA)
+ Development experience with MS SQL databases, data lakes and lakehouse architecture
+ Development experience using database tables, stored procedures and views
+ ETL experience leveraging Python or other similar tools
+ Willingness and ability to learn new skills and adapt to a fast paced environment
+ Bachelor’s Degree in Computer Science or Information Technology
+ Experience working with FHIR or other HL7 integration options
+ Knowledge of healthcare coding structures and payment methodologies
+ Understanding of clinical or payer operational processes and ability to evaluate impacts on data compilation and reporting
+ Effective verbal and written communication and presentation skills with both internal and external stakeholders
Work at Home/Remote Requirements
+ To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support Humana applications, per associate.
+ Wireless, Wired Cable or DSL connection is suggested.
+ Satellite, cellular and microwave connection can be used only if they provide an optimal connection for associates. The use of these methods must be approved by leadership. (See Wireless, Wired Cable or DSL Connection in Exceptions, Section 7.0 in this policy.)
+ Humana will not pay for or reimburse Home or Hybrid Home/Office associates for any portion of the cost of their self-provided internet service, with the exception of associates who live or work from Home in the state of California, Illinois, Montana, or South Dakota. Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Our Hiring Process
As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called Modern Hire. Modern Hire Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you.
If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews
If you have additional questions regarding this role posting and are an Internal Candidate, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.
Humana is more than an equal opportunity employer, Humana’s dedication to promoting diversity, multiculturalism, and inclusion is at the heart of what we do in all of our Humana roles. Diversity is more than a commitment to us, it is the foundation of what we do. We are fully focused on diversity of race, gender, sexual orientation, religion, ethnicity, national origin and all of the other fascinating characteristics that make us each uniquely wonderful.
This is a remote position.
Scheduled Weekly Hours
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay decisions will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$104,800 – $144,300 per year
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, ‘Humana’) offers competitive benefits that support whole-person well-b