EXL—Healthcare Data Engineer - HEDIS & Quality (India)

Job description

Description: Required Skills - Minimum 3+ years of Healthcare Data Engineering, Healthcare Analytics, Quality Measurement, or Healthcare Reporting experience - Strong SQL development and data analysis skills - Python development experience - Experience with GCP, Big Query, or other cloud platforms - Understanding of healthcare data including claims, membership, provider, and clinical data - Experience with data validation, reconciliation, testing, and troubleshooting - Strong analytical, problem-solving, and communication skills Preferred Skills - HEDIS or healthcare quality measures experience - Exposure to HL7 FHIR concepts and healthcare interoperability - Exposure to Clinical Quality Language (CQL) - Experience supporting data quality and testing initiatives - Experience working in Agile delivery environments Requirements: Responsibilities - Support HEDIS, Supplemental CQL, and quality measure analysis activities. - Perform data validation, reconciliation, testing, and root cause analysis - Analyze measure outputs and supporting evidence - Develop SQL and Python solutions to automate data processing, validation, and reporting activities - Support FHIR mapping and healthcare data transformation initiatives - Document findings, issues, data flows, and business requirements - Support modernization efforts related to quality measurement and healthcare reporting Nice-to-Have Certifications - Google Cloud Associate Cloud Engineer - Healthcare Informatics Certification - HL7 FHIR Fundamentals Training Ideal Candidate A motivated healthcare data professional with strong SQL and Python skills who can quickly learn HEDIS, CQL, FHIR, and DQME concepts while supporting measure development, testing, and modernization initiatives. Responsibilities: Responsibilities - Support HEDIS, Supplemental CQL, and quality measure analysis activities. - Perform data validation, reconciliation, testing, and root cause analysis - Analyze measure outputs and supporting evidence - Develop SQL and Python solutions to automate data processing, validation, and reporting activities - Support FHIR mapping and healthcare data transformation initiatives - Document findings, issues, data flows, and business requirements - Support modernization efforts related to quality measurement and healthcare reporting Nice-to-Have Certifications - Google Cloud Associate Cloud Engineer - Healthcare Informatics Certification - HL7 FHIR Fundamentals Training