Description

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.

Responsibilities

The Manager, Data Engineering leads DVACO's Data Engineering team. Data engineering is responsible for ingesting and transforming data from internal and external sources utilizing cloud native platforms and software development best practices and patterns. Leads the utilization of software tools that leverage artificial intelligence, machine learning, and big-data techniques to cleanse, organize, and transform data into insights and actions that enables DVACO to better serve our members. Develops strategies to meet current and future business needs and resolves complex technical and operational problems working with the Cloud Service Provider (CSP) and strategic partners.

• Develops technical and operational strategies to meet current and future needs of the organization
• Manages a team of 3 Senior Data Engineers while working in partnership with Cloud Service Provider (CSP), members of the operations\analytics team, and strategic partners
• Develops strategies to meet current and future business needs and resolves complex technical and operational problems working with the Cloud Service Provider (CSP) and strategic partners
• 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 payer data integration and implementation; data acquisition and data management, SQL programming, quantitative and qualitative data analysis
• Works directly with VP of Operations, Director of Population Health IT and CSP to effectively manage the MS Azure cloud and balance budget, security, compliance, technical and operational requirements

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
• 401(k)
• 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

Required Qualifications

• Bachelor's Degree
• 1+ year management experience with direct reports
• Development and implementation of technical strategies using Microsoft Azure technologies
• Experience designing and developing Microsoft databases and data warehouses
• Development of pipelines using MS Azure Data Factory (ADF), Databricks or Azure Synapse Analytics (ASA)
• Development and implementation of ETL and auto scripting capabilities using Python or other similar tools
• Development and optimization of database tables, stored procedures and views
• Effective verbal and written communication skills appropriate for internal staff, leadership and external stakeholders
• Ability to work well within a matrixed environment
• Willingness and ability to learn new skills and adapt to a fast- paced environment

Preferred Qualifications

• Development and maintenance of star schema data warehouses
• Experience leveraging parquet files for reporting purposes
• 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

Additional Information

This position will be on EST.

Work-At-Home 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.

#LI-LM1

Scheduled Weekly Hours

40

Pay Range

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.

$115,300 - $158,600 per year

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.