Sr Clinical Data Engineer (ITS Architect III)

Sr Clinical Data Engineer (ITS Architect III) is a remote full-time role at CalOptima, posted 9 Oct 2026.

Sr Clinical Data Engineer (ITS Architect III)CalOptimaJoin Us in this Amazing OpportunityThe Team You'll JoinWe are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all.More About The OpportunityWe are hoping you will join us as a Sr Clinical Data Engineer (ITS Architect III) and help shape the future of healthcare where you'll be an integral part of our Applications Management team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. This position has been approved to be Partial Telework. If telework is approved, you are required to work within the State of California only and if Partial Telework, also come in to the Main Office in Orange, CA, at least two (2) days per week minimum. The ITS Architect III (Clinical Data Engineer Sr) will be responsible for designing, building, and supporting the clinical reporting data foundation that enables CalOptima Health's operational reporting, regulatory reporting, Power BI dashboards, self-service analytics, and future AI-enabled analytics. You will develop scalable pipelines, clinical reporting marts, and data quality controls on the enterprise data platform, contributing clinical domain expertise and source-to-target specifications to the conformed data models. You will operate with significant independence while partnering closely with clinical stakeholders, business operations, the enterprise data warehouse team, analysts, and BI developers to ensure clinical reporting data is accurate, governed, reusable, and trusted. Together, we are building a stronger, more equitable health system.Your Contributions To The Team 85% - Data Engineering, Reporting & Analytics DevelopmentParticipates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.Contributes source-system expertise, source-to-target mappings, and validation logic to silver-layer conformed clinical models; designs, builds and maintains gold-layer clinical reporting marts sourced from the enterprise conformed silver models. Partners with the Enterprise Data Warehouse and platform teams to co-develop clinical analytics solutions on Snowflake/modern data platforms (e.g., Databricks, Microsoft Fabric), embedding data quality, lineage, audit, and compliance requirements into engineering workflows, in accordance with enterprise Data Governance policies and standards. Analyzes source-system data from MySQL databases, flattened tables, vendor extracts, APIs, and other clinical platforms; translates source structures into scalable models and reporting-ready data products. Defines and implements data quality, reconciliation, validation, lineage, exception management, and production-support processes for clinical reporting assets. Develops and documents clinical metric definitions, semantic-layer requirements, and reporting logic for Power BI, Snowflake, and AI-ready analytics use cases, contributing definitions to the enterprise business glossary maintained by Data Governance.Participates in the development of business and functional requirements for reports.Designs, develops, tests and implements reports/dashboards and extraction, transformation and loading (ETL) to fulfill business requirements. Assists users with reporting and analysis activities and tools. Creates and maintains technical and business-facing documentation, including data dictionaries, source-to-target mappings, entity and metric definitions, transformation logic, and lineage. 10% - Reporting Stakeholder Collaboration & Program SupportMaintains effective working relationships and collaborates with clinical stakeholders, business operations, analysts, data warehouse, BI developers and other Information Technology (IT) teams to validate outputs, resolve reporting discrepancies, and ensure reports & dashboards align with operational and regulatory needs. Supports user training, testing, documentation and the roll-out of reports and end-user reporting tools. Maintains effective working relationships with the Data Warehouse and IT teams and other business departments within CalOptima Health. Maintains knowledge of business processes and application design and understands cross-functional business relationships and their use of information. 5% - OtherCompletes other duties as assigned.Do You Have What the Role Requires?Bachelor's degree in computer science, information systems, data engineering, healthcare informatics, or a related field PLUS 8 years of professional experience in data engineering, analytics engineering, data architecture, business intelligence engineering, or clinical reporting; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.5 years of experience working with healthcare payer data.5 years of experience developing SQL-based transformations, reporting datasets, stored procedures or equivalent data models, and reports using enterprise BI tools such as Power BI, Tableau, SSRS, or comparable platforms.7 years of hands-on experience with designing and building data models, pipelines, SQL transformations, data quality controls, and reporting-ready datasets; experience supporting enterprise reporting, operational dashboards, regulatory reporting, or clinical analytics required.7 years of experience with utilization management, prior authorization, inpatient/outpatient authorization, care management, appeals, delegated network reporting, or regulated healthcare payer data and reporting required.You'll Stand Out More If You Possess The FollowingExperience with Snowflake, modern ELT/ETL architecture, and data pipeline and orchestration tools such as dbt, Python, GitHub, Control-M, or SSIS.Experience with Power BI, semantic models, DAX, canonical data models, dimensional models, data marts, data dictionaries, and source-to-target mappings.Experience with Medicare, Medicaid/Medi-Cal, commercial lines of business, healthcare interoperability standards (FHIR, HL7, X12), CMS interoperability requirements, data governance, metadata, lineage, and audit-ready reporting.What the Regulatory Agencies Need You to Possess?n/aYour Knowledge & Abilities To Bring To This RoleDevelop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment.Communicate clearly and concisely, both orally and in writing.Work a flexible schedule; available to participate in evening and weekend events.Organize, be analytical, problem-solve and possess project management skills.Work in a fast-paced environment and in an efficient manner.Manage multiple projects and identify opportunities for internal and external collaboration.Motivate and lead multi-program teams and external committees/coalitions.Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.Your Physical Requirements (With Or Without Accommodations)Ability to visually read information from computer screens, forms and other printed materials and information.Ability to speak (enunciate) clearly in conversation and general communicatio