Sr. Healthcare Analytics Engineer- Hybrid- MD

Overview

Join MD Live by Evernorth, a leader in virtual healthcare and technology innovation. As a Sr. Healthcare Analytics Engineer, you will help architect and scale our next-generation analytics platform that will power our reporting, advanced analytics, and real-time data insights. You will own and maintain the enterprise analytics data model, ensuring scalability, accuracy, and alignment with business requirements.

• Analytics Architecture:
  Design and implement robust cloud-native data architectures and models that serve as the single source of truth for clinical and operational data.
• Pipeline Engineering:
  Implement and maintain logic that transforms raw healthcare data (claims, EHR) utilized in reporting and advanced analytics models.
• API & Integration Strategy:
  Lead the engineering of high-throughput data exchanges using modern standards and APIs for internal and external partners.
• Validation & Governance:
  Work closely with data advisors to test and validate pipelines and enforce rigorous data quality standards.

• Bachelor’s degree in Actuarial Science, Data Science, Computer Science, Engineering, or related field required. Master’s degree preferred.
• 7+ years of experience in data engineering, analytics engineering, or a related field.
• 5+ years of hands-on experience with cloud platforms and modern data stacks.
• 5+ years of functional leadership experience, including mentoring junior engineers and driving technical strategy.

You will use many of the following tools, frameworks, and platforms daily with high proficiency:

• Cloud & Data Platforms: AWS or Azure;
  Databricks.
• Data Modeling:
  Relational, Dimension, Entity, Graph, Semantic.
• Data Analytics: SQL (Window functions, CTEs, Stored Procedures) & Python (Pandas, Num Py, Sci Py, Duck DB).
• Data Integration: FHIR, HL7, Kafka.
• Transformation & Orchestration: dbt (Data Build Tool);
  Prefect or Airflow.
• Workflow & Dev Ops:
  Git Hub, Azure Dev Ops, and Jira.

• Data Sources:
  Medical Claims, Rx/Pharmacy Claims, EHR/Clinical Data, ADT Feeds, Eligibility, Premium.
• Coding Standards: ICD-10, CPT, DRG, HCPCS, Revenue Codes, APC, NDC, RxNorm, POS, NPI, TIN, Taxonomy, RVU.
• Reimbursement Models: MPFS, OPPS, and IPPS.
• Key Metrics:
  Member Months, PMPM, U/K, MLR, RAF, LOS, Churn, and Attribution.
• Risk & Quality: HEDIS, MIPS, eCQM, HCC.

• Analyst DNA:
  You have worked as an analyst, so you understand the frustration of messy data and build clean, reliable tables.
• Collaborative Core:
  You view cross-functional partnerships (data engineering, product, and reporting) as key to success, ensuring infrastructure works seamlessly between groups.
• Resilient Design:
  You create robust and adaptable data models that are flexible enough to evolve quickly with the business yet stable enough for enterprise reporting.
• Documentation:
  You understand that analytics without documentation is incomplete, maintaining pristine data lineage and metric definitions.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10

Mbps download/5

Mbps upload.

This position anticipates an annual salary of 131, USD / yearly, depending on relevant factors, including experience and geographic location.

This role is anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.

For more details on our employee benefits programs, please review the benefits page.

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly…