Note: The job is a remote job and is open to candidates in USA. Cityblock Health delivers value-based care to individuals with complex needs, particularly Medicaid beneficiaries and people who are dually eligible. The Staff Data Engineer will own major components of the data foundation, including ingestion, transformation, reverse-ETL, semantic and metrics layers, and quality measurement pipelines that support clinical care, analytics, and AI systems.
Responsibilities
- You'll improve the quality of member identity and eligibility data that determines who is an active member and gates every downstream clinical and financial workflow
- Build and maintain the ingest and transformation systems that turn raw partner data into something dependable, from correctness through freshness to reliability
- Own the reverse-ETL layer that feeds the operational data that directly impacts the efficiency and effectiveness of the execution of Cityblock's care model
- Support clinical performance evaluation and value-based contracts through a quality measurement pipeline that produces HEDIS and Stars metrics
- Define and maintain the semantic and metrics layer so each metric has one correct definition, applied consistently across every dashboard and every consumer
- Make metrics machine-readable and well-constrained, so an AI agent querying them gets a correct answer because the layer bounds what it can conclude
- Build self-serve analytics so stakeholders can answer their own questions against definitions they can trust
- Feed the Applied AI product work the grounded, trustworthy context its features depend on
- Partner with BI and clinical stakeholders so the definitions in the semantic layer match how the business actually reasons about itself
- Work with the platform team so agents query your data through governed, well-understood paths
Skills
- 6+ years of experience as an engineer who builds trustworthy systems
- Hands-on experience with dbt and SQL at production scale including orchestration with Dagster, Airflow, or equivalent
- Experience owning operational or reverse-ETL data systems that other applications depend on in production
- Experience designing or maintaining a semantic layer or a metrics layer
- An understanding of how LLMs consume structured context and fluent daily use of AI assistants tooling (Claude, Cursor, Codex, or equivalent) for engineering and within data analytics
- A demonstrated ability to scale AI adoption to accelerate collaborative work with your peers
- Drawn to mission-oriented work, and comfortable partnering with BI, clinical, and product stakeholders whose expertise differs from yours
- A CS degree or equivalent
- Prior work in a regulated or compliance-heavy environment (HIPAA, SOC 2, or similar)
- Direct experience in BigQuery
- Exposure to healthcare and clinical data, including ADT, HEDIS, CMS Stars
- Experience building self-serve analytics adopted by non-technical stakeholders
Benefits
- Health insurance
- Life insurance
- Retirement benefits
- Participation in the company’s equity program
- Paid time off, including vacation and sick leave
Company Overview
Company H1B Sponsorship