For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.
Role Overview
Amerihealth Caritas is seeking a Data QA Lead with strong experience in the healthcare Payer domain to lead data quality assurance initiatives. The ideal candidate will have expertise in HEDIS, CMS Interoperability (FHIR), payer data standards, and hands-on experience with Azure Data Platform (Databricks, ADF pipelines). The focus is on ensuring data accuracy, reliability, and compliance while collaborating with data engineers, architects, and business stakeholders.
Work Arrangement
This is a 100% Remote position but you must live in EST time zone
Responsibilities
Leadership & Strategy
Define and own the Data QA strategy for enterprise data platforms
Lead and mentor a team of data QA analysts/testers across multiple projects
Establish data quality SLAs, metrics, and dashboards for business-critical datasets
Data Testing & Validation
Design and implement test plans, test cases, and test automation for data pipelines (ELT/ETL)
Validate payer data, including claims, membership, provider, and clinical datasets
Conduct FHIR-based API testing for CMS Interoperability compliance
Validate HEDIS measure calculations and quality reporting data
Automation Strategy & Framework
Define QA automation strategy for Databricks (Delta Live Tables, Delta constraints) and ADF pipelines
Implement reusable testing suites and integrate with CI/CD workflows
Pipeline Quality Automation
Embed DLT expectations and enforce Delta table constraints for schema and business rule validation
Automate ADF pre/post-copy checks, schema drift detection, and reconciliation logic
CI/CD Integration
Develop Azure DevOps pipelines with QA gates for Databricks Jobs/DLT and ADF deployments
Technical Delivery
Collaborate with Azure Data Factory (ADF), Databricks, and Snowflake engineering teams to ensure end-to-end data quality
Build and maintain data quality automation frameworks leveraging PySpark, SQL, and Python
Work with data governance and business teams to resolve data quality issues
Performance & Scalability
Design automated load and stress tests for large-scale data pipelines
Compliance & Best Practices
Ensure data QA practices adhere to HIPAA, CMS, and payer industry standards
Partner with data governance teams to validate data lineage and traceability
Document QA processes, test results, and provide audit-ready evidence
Education and Experience
Bachelor’s or Master’s degree in Computer Science, Data Engineering, or related field
At least ten (10)+ years in data QA/testing, with at least 5 years in a lead role
Strong expertise in Azure Databricks (Delta Lake, Delta Live Tables, Unity Catalog)
Hands-on experience with Azure Data Factory (pipelines, monitoring, CI/CD)
Proficiency in Python, PySpark, SQL for test automation
Familiarity with Great Expectations, Azure DevOps, and/or Collibra
Knowledge of data governance, PII compliance, and data quality frameworks
Experience in CI/CD pipelines, DevOps practices, and cloud data platforms
Strong communication and leadership abilities for cross-functional teamwork
Other Skills Preferred
Experience with HL7/FHIR data models beyond payer use cases
Experience with Lakehouse architecture and medallion design patterns
Familiarity with BI tools (Power BI, Tableau) to validate reporting layer data
Understanding of data governance platforms (e.g., Collibra)
Knowledge of automation frameworks for data QA and pipeline regression testing
Certifications: Microsoft Certified: Azure Data Engineer Associate, Databricks Certified Data Engineer
Your career starts now. We're looking for the next generation of health care leaders. At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we'd like to hear from you. Headquartered in Newtown Square, PA, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at www.amerihealthcaritas.com.
Our Comprehensive Benefits Package Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more. For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.