Quality Payment Program Engineer Jobs

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1d ago

Sr. Clinical Informatics Data Engineer

Mingle Health Remote 🌍 Remote

Remote

1d ago

Full time Senior Claims Data Pipelines Clinical Data

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Job Description

Mingle Health seeks a Senior Clinical Informatics Data Engineer to translate CMS specifications into robust database structures for analysis and quality measures. The role involves building data pipelines, ensuring data quality, and supporting CMS submissions and Medicare reporting for healthcare clients. This position is remote and collaborative within a distributed team.

Responsibilities

Understand, interpret, and codify CMS specifications for the Quality Payment Program (QPP)
Analyze accuracy and performance of claims and clinical data using MS SQL and related tools
Utilize internal web based applications to provide data mapping for claims and clinical datasets
Translate measure specifications into database objects used to calculate quality measures
Provide consultative support to assigned clients, including health practices and hospital systems, to facilitate successful CMS submissions
Develop ad hoc SQL reports to support client consulting engagements
Validate data load processes into clinical data repositories
Collaborate with colleagues to document data needs and metric definitions
Perform quality assurance on data integration processes and repository metrics
Operate effectively within a distributed, remote team environment and contribute to both client facing and internal development projects

Requirements

Minimum 5 years of experience in healthcare or clinical informatics
Experience with medical or clinical information systems used by clients, such as EHR or Practice Management systems
Familiarity with medical processes and terminology, physician office workflows, or billing including Medicare and other payers
Experience with Quality Reporting and related programs
Understanding of MIPS and APP programs
Ability to review, interpret, compare, and edit clinical documentation, such as CMS Measure Specifications Manual for Claims and Registry Reporting
Capacity to listen to client requirements and translate them into actionable solutions
Guidance for clients to construct queries, extract data, assess quality, and continually improve data quality, flow, and metrics
Strong programming skills with proficiency in SQL
Ability to develop, execute, and evaluate Microsoft SQL queries
Experience building and optimizing data pipelines
Develop pipelines to transform raw data into reliable information for analysis
Build data migration scripts and procedures using SSIS and/or Python
Facilitate importing third party data into data structures using database, programming, and ETL tools to maintain efficient loading processes
Investigate exceptions in data migrations
Contribute to planning, analysis, design, and development of data management, data integration, data warehouse, and BI solutions
Ability to analyze large datasets in detail to resolve issues, including reading error logs, executing stored procedures, and understanding data structures
Basic understanding of best practices for effective database design and maintenance
Comfort with a rapidly changing environment, incomplete documentation, and fluid roles
Strict adherence to HIPAA privacy and security policies

Technologies

SQL, SQL Server, SSIS, Python

Location

Remote

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