Senior Data Engineer

Remote

What is the purpose of this role?

As a Senior Data Engineer, you will be instrumental in unlocking the power of our data to drive operational efficiency, inform strategic decisions, and improve patient outcomes.

What is the role?

As a Senior Data Engineer, you will be responsible for designing, developing, and maintaining robust data pipelines and analytic solutions within our Azure environment. You will leverage your expertise in Snowflake, dbt, ADF, Microsoft Fabric, and Power BI to support our VBC initiatives and empower our team with actionable insights. Your deep understanding of healthcare data and regulations is essential for success in this role.

Who is Nest Health?

As the first value-based care provider built for families, Nest is on a mission to make comprehensive medical, behavioral, and social care radically accessible to America’s highest risk families. Nest’s first-of-its-kind family-based, in-home, and virtual care model includes primary adult and pediatric care, mental health and nutrition support, vaccinations and labs, same-and-next-day acute visits, chronic condition and transitions of care management, social services and navigation, and more. In Louisiana, Nest’s headquarters and first market, Nest’s innovative model has resulted in partnerships with two of the state’s leading health plans, unlocking care for thousands of families across the state. Nest’s early success has led to national traction across states and payers, laying the groundwork for future expansion.

Nest and its leaders have won multiple awards including Rock Health’s Next-Gen Pediatric Innovations, New York Times Top Five Who Spread Hope, New Orleans City Business Power 50, and CB Insights Digital 150. Just this March Nest was rated one of the Most Innovative Healthcare Companies of 2025 by Fast Company. Additionally, Nest has become a prominent thought and brand leader garnering national attention from outlets such as 60 Minutes, Business Insider, NYTimes, Fierce Healthcare, Axios and others. More recently they were recognized on Inc.'s Female Founder 500 List for 2025.

Founded in 2022 by former Secretary of Health of Louisiana and practicing OB-GYN, Dr. Rebekah Gee, and Rebecca Kavoussi, former President at Landmark Health, Nest has raised a historical Seed round of over $20M from top healthcare and industry investors including 8VC, Blue Venture Fund, SpringTide Health, Alumni Ventures, Gaingels, MVP, Health 2047, Ochsner Louisiana Investment Fund, Tulane Ventures, and others.

Learn more about us at https://www.nesthealth.com/.

What will you do?

- This position will be a 6-months Contract or Contract-to-hire position, requiring 20-30 hours per week with possible evolvement to 40/week

- Data integration & ETL/ELT: Design, develop, and maintain scalable and efficient ETL/ELT pipelines using Azure Data Factory (ADF) and dbt.

- Data Warehousing: Architect and manage our Snowflake data warehouse, ensuring optimal performance and data integrity

- Analytics & Reporting: Develop interactive dashboards and reports using Power BI and/or Microsoft Fabric to provide key performance indicators and insights to stakeholders

- Azure Environment Management: Manage and optimize our Azure data infrastructure, including storage, compute, permissions, and networking resources

- Data Scripting: Maintain and update an Azure Function App to manage complex custom reporting tasks

- Data Transfer: Manage and integrate discrete sources, including Salesforce and SFTP, to coordinate data transfer between Nest and its vendor and partners

- CI/CD: Manage Azure DevOps releases and pipelines to ensure stable promotion of code and database resources

- Web APP Dev: Create and maintain SharePoint Web Parts and Azure Static Web Apps for both internal- and external- facing documentation

- Healthcare Data Expertise: Apply your understanding of healthcare data (e.g., claims, EHR, clinical data) and regulations (e.g., HIPPA) to ensure data accuracy and compliance

- Value- Based Care (VBC) Support: Build data solutions that support our VBC programs, including patient risk stratification, quality measurement, and cost analysis.

- Startup Environment: Contribute to various IT initiatives and adapt to the dynamic needs of a fast-paced startup

- Collaboration: Work closely with data scientists, analysts, and business stakeholders to understand their data requirements and deliver effective solutions

- Data Governance: Implement and maintain data governance best practices to ensure data quality, security, and compliance

- Troubleshooting and Optimization: Identify and resolve performance bottlenecks and data quality issues

What do you bring to the Nest?

- Bachelor's degree in Computer Science, Data Science, or a related field

- Minimum of 3 years of hands-on experience with Snowflake or other SQL/NoSQL cloud-based engines

- Minimum of 2 years of hands- on experience with dbt or other SQL source control solutions

- Minimum of 2 years of hands-on experience with Azure Data Factory (ADF) or other ETL/ELT solutions

- Minimum of 2 years of hands- on experience with Power BI or other BI tools

- Strong proficiency in SQL and JavaScript

- Extensive experience with Azure cloud services

- Deep understanding of healthcare data and regulations

- Excelling problem- solving and communication skills

- Must be based in the United States

- SnowPro certifications preferred

- Power BI certifications preferred

- Experience with data modeling and data warehousing principles preferred

- Experience with healthcare data interoperability standards (e.g., FHIR) preferred

- Experience with other Azure services preferred

- Experience with data security and compliance preferred

Nest understands that job requirements sometimes exclude people who identify with historically marginalized groups from applying to jobs for which they are qualified. Even if you don't meet 100% of the requirements listed, or if you achieved these requirements through unconventional channels, we encourage you to apply.

What is required (travel & physical requirements)?

- Prolonged periods sitting at a desk and working on a computer

What does it mean to be a part of a startup?

Working at a healthcare startup can be a unique experience with a fast-paced, ever-changing environment that can involve varied workloads, quick changes, and high expectations. Taking a position at a Healthcare startup allows for the opportunity to be high impact in disrupting the US healthcare system. You will have the chance to be creative, solution oriented, and have your voice heard! You will need to be flexible, accountable, and self-sufficient, and you might take on multiple roles. Here are some things you can expect:

- Your role may be less defined than in other settings, with the need to wear multiple hats & juggle various responsibilities

- Learning opportunities- you will have the opportunity, at times, to function outside of your standard position and learn

about new roles & areas

- Fast Paced- Startups often must move faster than traditional large companies. This means you may be asked to cope with

or advise on quick changes regarding systems or processes

- Autonomy- You will need to be highly autonomous, as there is less structure and learning and development than at large

orgs. This requires you to be able to learn asynchronously, as well as raise your hand when help is needed, or gaps are

identified

Nest Health celebrates the diversity of our patient population and seeks diversity on our team. We are an equal opportunity employer, indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.

Senior Data Engineer

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