Join Martin’s Point Health Care – an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of “people caring for people,” Martin’s Point employees are on a mission to transform our health care system while creating a healthier community. Martin’s Point employees enjoy an organizational culture of trust and respect, where our values – taking care of ourselves and others, continuous learning, helping each other, and having fun – are brought to life every day. Join us and find out for yourself why Martin’s Point has been certified as a “Great Place to Work” since 2015. Position Summary The Healthcare Data Architect is responsible for building and maintaining robust data infrastructure for Health Plan Risk Adjustment, HEDIS, Quality, and Clinical to support strategic analytics and reporting used to drive business decisions. This position is responsible for the development, execution, and maintenance of specific data infrastructure to support these areas with accurate, complete, and timely data. The result is efficient and optimized reporting and analytics, data submissions, and operations that lead to improved member outcomes and Health Plan performance. Job Description Key Outcomes: Responsible for architecture, design, and development of key data infrastructure to support Health Plan wide activities including analytics and reporting, internal applications, data submissions, and operations related to risk score and revenue projections, CMS submissions, HEDIS data submissions, population health, etc. Reviews database architectures and designs to ensure data integrity, quality, performance, and scalability; enforces data management best practices. Collaborates with colleagues in the Health Plan and IT to jointly develop innovative data infrastructures that meets the evolving needs of the business. Partners with the IT department to implement reliable solutions that are aligned with industry and MPHC standards. Collaborates with key stakeholders to prioritize immediate ad-hoc tasks and future development efforts to ensure mature, reliable, and flexible infrastructure. Collaborates with subject matter experts and end users in the design and development of appropriate solutions; translates end user or vendor requirements into practical data models. Creates and maintains documentation of data processes, procedures, and definitions; upholds data governance standards and educates users of data. Responsible for data integrity, maintenance, and troubleshooting of Risk Adjustment and HEDIS data. Provides input on current and potential Risk Adjustment, HEDIS, and vendor activities as they relate to data, including extracts, transfers, submissions, and operational/reporting outputs. Accountable for collaborating with vendor key technical contacts on internal or external solutions. Education/Experience: Bachelor’s degree or equivalent combination of relevant education and experience. 3 years of experience in data warehousing, including experience working with ETL processes, OLAP structures, SQL coding and dimensional modeling writing T-SQL code and procedures. Experience with metadata management concepts, change management/version control concepts. Experience with Healthcare and health insurance claims data required. Experience with Risk Adjustment and HEDIS analytics highly preferred. We are an equal opportunity/affirmative action employer. Do you have a question about careers at Martin’s Point Health Care? Contact us at: Martin’s Point Health Care is a progressive, not-for-profit organization providing care and coverage to the people of Maine and beyond. The organization operates six primary care health care centers in Maine and New Hampshire, accepting most major insurance plans. Martin’s Point also administers two health plans: Generations Advantage (Medicare Advantage plans available throughout Maine and New Hampshire), and the US Family Health Plan (TRICARE Prime® plan for active-duty and retired military families in northern New England, upstate New York, and western Pennsylvania). For more information, visit .
change-management data-integrity data-management Quality Assurance (QA) performance T-SQL scalability Writing reports and proposals data governance SQL Analytics ETL Healthcare industry Claims Data Insurance industry