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Senior Data Engineer (Healthcare Data & Value-Based Care Systems)

karoo health • United State
Remote
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Lead the design and optimization of scalable, secure healthcare data architectures at Karoo Health, transforming cardiovascular care through value-based models. Own core data models, pipelines, and EMR integrations while ensuring HIPAA/HITRUST compliance. Join a mission-driven startup to redefine healthcare technology and improve patient outcomes at scale.

Key Highlights
Mission-driven role transforming cardiovascular care via value-based models
Ownership of healthcare data architecture, pipelines, and EMR integrations
Hands-on experience with healthcare data standards (TUVA, OMOP, FHIR) and compliance
Key Responsibilities
Design, build, and optimize scalable, secure data architectures for healthcare value-based care systems
Develop and maintain core healthcare data models (TUVA, OMOP, FHIR) from the ground up
Build and manage production-grade data pipelines for ingesting, processing, and normalizing large healthcare datasets
Ensure data quality, governance, and compliance with HIPAA/HITRUST standards
Develop bi-directional integrations with EMR/EHR platforms (e.g., Epic, AthenaOne)
Optimize data performance through query tuning, indexing, and cloud infrastructure design
Collaborate with cross-functional teams to translate clinical, operational, and reporting needs into scalable data solutions
Technical Skills Required
SQL Python Data Warehousing (Snowflake/BigQuery/Redshift)
Benefits & Perks
Competitive salary and equity in an early-stage startup
Possibly fully remote work environment with flexible hours
Health benefits, learning stipends, and professional development support
Nice to Have
Experience with Apache Spark or Dask for big data processing
Familiarity with AWS Step Functions or Airflow for workflow orchestration
Knowledge of Delta Lake or other data lake technologies
Experience with Epic, eClinicalWorks, or AthenaOne EMR integrations

Job Description

Cardiovascular care is often the #1 cost for health plans and employers, with the current fee for service model incentivizing providers to maximize volume and throughput at the expense of clinical outcomes and patient satisfaction. Karoo’s mission is to improve the lives of every cardiac patient in America by transforming the current care model to improve patient outcomes at significantly lower cost. Karoo deploys a value-based approach which combines a blend of traditional, guideline-based medicine and state of the art digital tools to accomplish this important mission by enabling the conversion to, and success in, value-based care arrangements for cardiovascular networks, health systems and payers. Karoo is backed by leading venture capitalists, including First Trust Capital Partners and BIP Ventures, and has near and medium-term plans for further rounds.
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