Job Description

Employment type Contract

Job Title Engineering Manager Healthcare PBM Data Specialist

Job Location Louisville Preferred

Duration 6+ months

Experience level -10+

Mandatory Skills data mapping, transformation, and integration for PBM data, SQL, Python, or Spark for data analysis, data warehouse and cloud platforms (Snowflake, Redshift, BigQuery, Databricks), ETL frameworks, data pipelines, and workflow automation, data visualization tools (Tableau, Power BI, Looker), healthcare interoperability standards (FHIR, HL7, X12 EDI, NCPDP).

Job Description



Must be from recent strong Pharmacy background.

We are seeking a technically strong Engineering Manager with expertise in Healthcare PBM (Pharmacy Benefit Management) Data to lead data-driven projects, architecture reviews, and end-to-end delivery of key initiatives. This role requires a blend of technical acumen, project execution, and strategic leadership , ensuring data integrity, scalability, and alignment with business objectives.

The ideal candidate will be responsible for data mapping, data analysis, architecture reviews, and managing cross-functional teams to drive efficient data pipelines, ETL processes, and integration strategies . This role requires someone who can bridge the gap between business requirements and technical execution while ensuring seamless project planning and delivery.

Key Responsibilities

1. Project Planning, Execution & Delivery

• Develop comprehensive project roadmaps for PBM data initiatives, aligning technical execution with business goals .
• Define project scope, timelines, key milestones, and success metrics , ensuring structured execution.
• Oversee end-to-end project delivery , ensuring all components, from data ingestion to reporting, are completed on time.
• Track project progress, identify risks, and implement mitigation strategies for successful execution.

2. Data Mapping & Data Analysis

• Lead data mapping exercises to ensure accurate transformation and standardization of PBM datasets.
• Analyze large-scale healthcare data , identifying trends, inconsistencies, and optimization opportunities.
• Work closely with business analysts, data engineers, and product teams to validate data integrity.
• Ensure data compliance with HIPAA, CMS, and industry data governance standards .

3. Technical Oversight & Architecture Reviews

• Conduct technical design and architecture reviews for data solutions, ensuring scalability and efficiency .
• Guide teams on data modeling, ETL design, and system integrations , ensuring adherence to best practices.
• Optimize data pipelines and workflows , leveraging cloud technologies (AWS, Azure, GCP) where applicable.
• Collaborate with engineering teams to improve system performance, reliability, and data accuracy .

4. Cross-Functional Collaboration

• Act as the liaison between business, data engineering, and product teams , ensuring technical and business alignment.
• Partner with data scientists, analysts, and developers to drive innovation in PBM data analytics and reporting .
• Ensure seamless integration between PBM systems, claims processing platforms, and external data sources .
• Work closely with compliance teams to ensure data security and regulatory adherence .

5. Risk & Issue Management

• Identify potential project risks related to data integrity, security, and scalability , implementing proactive solutions .
• Ensure technical roadblocks are addressed efficiently, preventing project delays.
• Escalate critical issues with recommended solutions to leadership when necessary.

6. Process Improvement & Best Practices

• Continuously evaluate and refine data workflows, architecture, and execution strategies .
• Establish best practices for data quality management, governance, and reporting .
• Promote automation and process efficiency to reduce manual interventions in data pipelines.

Qualifications & Requirements

Education & Experience

• Bachelor's or Master's degree in Computer Science, Data Engineering, Healthcare Informatics, or a related field .
• 7+ years of experience in technical project management, data strategy, or engineering leadership roles within healthcare or PBM domains .
• Proven track record in data architecture, data mapping, and analytics-driven project execution .
• Experience with PBM workflows, claims processing, eligibility data, and regulatory compliance (HIPAA, CMS, FHIR, HL7, NCPDP) .

Technical Skills

• Strong expertise in data mapping, transformation, and integration for PBM data.
• Experience with SQL, Python, or Spark for data analysis.
• Understanding of data warehouse and cloud platforms (Snowflake, Redshift, BigQuery, Databricks) .
• Experience with ETL frameworks, data pipelines, and workflow automation .
• Familiarity with data visualization tools (Tableau, Power BI, Looker) .
• Knowledge of healthcare interoperability standards (FHIR, HL7, X12 EDI, NCPDP) .

Soft Skills

• Strong problem-solving and analytical skills with an ability to interpret complex data landscapes .
• Excellent communication skills to interact with both technical and non-technical stakeholders .
• Proven ability to lead cross-functional teams and drive technical execution while managing business expectations.
• Ability to manage multiple priorities in a fast-paced, evolving healthcare environment .

Preferred Qualifications

• Experience with AI/ML-driven data analytics in healthcare.
• Certification in Cloud Data Engineering, Healthcare Informatics, or Agile methodologies .
• Familiarity with Agile, Scrum, or SAFe methodologies for project management.

Tekshapers is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

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