Senior Data Science Engineer I, Claims

This is a fully remote role within the United States.

We’re looking for an experienced data engineering professional to join us in our mission to eliminate the financial complexity of healthcare. You'll join our Data Science Engineering team to own the data lifecycle of healthcare claims data including ELT/ETL, de-identification, PHI/PII reduction, data quality, observability, and integrations (e.g., APIs, web-optimized data stores).

RESPONSIBILITIES

• Build and maintain reliable data pipelines that process raw claims data from diverse sources to enriched, standardized formats using tools including Python, SQL, PostgreSQL, Trino, ClickHouse, Airflow, Datadog, and AWS cloud services
• Build automated observability and monitoring into data quality
• Produce privacy-preserving datasets and protect PHI, implementing de-identification and PII-reduction specifications set with Security, Infrastructure, and Product
• Draft technical design and documentation
• Seek and prioritize technical and product feedback from internal customers
• Iterate quickly with an eye towards value

WHAT YOU’LL BRING TO THE ROLE

• Bachelor's degree or equivalent experience. Non-traditional backgrounds welcome.
• 4+ years developing data models, pipelines, and end-to-end analytical solutions.
• Programming experience in Python and SQL
• Experience with healthcare claims data, such as EDI 837/835 files, researcher datasets (CMS VRDC, CMS Limited Data Set), commercial claims (Komodo, MarketScan), or equivalents
• Advanced SQL including window functions, subqueries, CTEs, performance tuning and indexes
• Data modeling experience in support of diverse OLAP and OLTP workflows. Whether it’s Kimball or One Big Table, you recognize the tradeoffs and know the rules well enough to break them when it matters.
• Comfortable with object-oriented and functional programming patterns, code organization beyond scripts, and debugging workflows
• Experience with ETL/ELT workflows, orchestration(e.g., Airflow), and data engineering patterns (e.g., append-only vs inplace, medallion lakehouse)
• Ability to design data systems with scalability, performance, and cost efficiency in mind, particularly for compute and data-intensive workloads
• Software engineering rigor including automated testing, version control, software and data quality
• Thoughtful use of AI coding agents and LLMs in development workflows
• Comfortable working remotely in a collaborative, technical team

BONUS POINTS

• Revenue cycle and healthcare payments
• Payer-provider contracting
• Experience handling sensitive data in a regulated environment (healthcare, finance, or similar), including practical privacy and de-identification tradeoffs.
• Leadership. Act as both a player and a coach to onboard new contributors.
• Experience with cloud services (AWS S3, EC2, RDS) and cloud fundamentals (object storage, compute, managed services). Alternative providers are okay too (Azure, GCP).

BENEFITS

• Competitive pay with equity options
• Stellar health care plan options (Medical, Dental & Vision), with FSA, DCFSA, & HSA options
• Company-sponsored disability & life insurance
• Unlimited PTO
• 401(k) + 4% matching
• Fully remote work + flexible working hours
• $750 work-from-home setup budget
• Paid bi-annual in-person company gatherings
• Quarterly $150 co-hanging stipend to meet up with coworkers
• Monthly $100 health and wellness benefit
• Generous paid family leave
• Annual $1,200 learning & development stipend

ABOUT TURQUOISE HEALTH

Turquoise Health is a Series C price transparency platform for finance leaders across healthcare. Backed by a16z, Oak HC/FT, Adams Street, Yosemite, Bessemer Venture Partners, and others, we power price transparency for 300+ enterprise organizations and are building the infrastructure for a more open, efficient healthcare marketplace. We're a remote-first, US-based team that values transparency, empathy, inclusivity, creativity, and ownership.

We operate on US business hours and work with clients entirely based in the US. For this role, we are seeking US-based candidates.

We strongly encourage BIPOC, people with disabilities, and LGBTQIA+ folks to apply for any open roles of interest. Healthcare affects all people differently, but it significantly affects those in underserved communities. With a robust, diverse team, we are stronger and better equipped to change the future of healthcare for all.

DISABILITY ACCOMMODATION EMAIL

Turquoise is committed to providing reasonable accommodations to applicants and employees with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment. If you require assistance