Healthcare Data Modeling Specialist

3 days ago


Remote, India beBeeDataModeling Full time ₹ 1,04,000 - ₹ 1,30,878
Healthcare Data Modeler Lead

We are seeking an accomplished Healthcare Data Modeler to drive our healthcare analytics and reporting initiatives. This key role requires a deep understanding of health plan data models, enterprise data warehousing, and strong technical leadership skills.

Key Responsibilities
  • Design comprehensive data models supporting health plan operations, including member enrollment, claims processing, provider networks, and medical management.
  • Develop logical and physical data models that meet analytical and regulatory reporting requirements such as HEDIS, Stars, MLR, and risk adjustment.
  • Create and maintain data lineage documentation and data dictionaries for healthcare datasets.
  • Establish and enforce data modeling standards and best practices across the organization.

Technical Leadership

  • Lead data warehousing initiatives using platforms such as Databricks or ETL tools like Informatica.
  • Architect scalable data solutions capable of handling large volumes of healthcare transactional data.
  • Collaborate closely with data engineers to optimize data pipelines and ensure data quality.

Healthcare Domain Expertise

  • Apply extensive knowledge of health plan operations, medical coding systems (ICD-10, CPT, HCPCS), and healthcare data standards (HL7, FHIR, X12 EDI).
  • Design data models that support analytics, reporting, and AI/ML applications.
  • Ensure compliance with healthcare regulations including HIPAA and state insurance requirements.
  • Partner with business stakeholders to translate healthcare requirements into technical solutions.
Required Qualifications

Technical Skills

  • 10+ years of data modeling experience, with at least 4 years focused on healthcare/health plan data.
  • Expertise in dimensional modeling, data vault methodology, or similar enterprise data modeling techniques.
  • Hands-on experience with Informatica PowerCenter/IICS or Databricks platform for large-scale data processing.
  • Strong SQL proficiency and experience with Oracle Exadata and cloud data warehouses (e.g., Databricks).
  • Proficient with data modeling tools such as Hackolade, ERwin, or equivalents.

Healthcare Industry Knowledge

  • Deep understanding of health plan data structures: claims, eligibility, provider, and pharmacy data.
  • Experience with healthcare data standards and medical coding systems.
  • Familiarity with regulatory reporting requirements (HEDIS, Medicare Stars, MLR, risk adjustment).
  • Knowledge of healthcare interoperability standards (HL7 FHIR, X12 EDI).

Leadership & Communication

  • Proven track record leading data modeling projects in complex healthcare environments.
  • Strong analytical and problem-solving skills with the ability to handle ambiguous requirements.
  • Excellent communication skills to effectively convey technical concepts to business stakeholders.
  • Experience mentoring team members and establishing technical standards.

Preferred Qualifications

  • Experience with Medicare Advantage, Medicaid, or Commercial health plan operations.
  • Cloud platform certifications (AWS, Azure, or GCP).
  • Experience with real-time data streaming and modern data lake architectures.
  • Knowledge of machine learning applications in healthcare analytics.
  • Prior experience in a lead or architect role within a healthcare organization.


  • Remote, India beBeeDataModeling Full time ₹ 1,04,000 - ₹ 1,30,878

    Job Title: Data Modeling SpecialistWe are seeking a skilled Data Modeling Specialist to join our team. The ideal candidate will have expertise in data warehouse design, database schema development, and data transformation using tools like DBT.Data Warehouse Experience: Must have experience in designing and implementing data warehouses using Snowflake...


  • Remote, India AABM Cloud Data Solutions Full time

    We are hiring a **Data Modeler** with 6-8 years of IT experience, specializing in the Financial Services/Banking domain. This role requires expertise in building data models for banking systems, creating business, physical, and logical data models, and direct collaboration with business stakeholders. Proficiency in data modeling tools, ER diagrams, and LUCID...

  • Data Scientist

    1 week ago


    Remote, India Rohini IT Consulting LLP Full time

    **Role: Data Scientist** **Location: Bangalore (Remote)** **Experience: 2 - 10 years** **Skills Required - Image processing, visual images, classical model, LLM multi model** **JOB DESCRIPTION** We are seeking an experienced Data Scientist with a proven track record in Machine Learning, Deep Learning, and a demonstrated focus on Large Language Models...

  • Data Modelling

    7 days ago


    Remote, India Millennium Infotech Full time

    Location - Remote Contract - 3-6 months **Experience**: - Overall, 8-10 Year experience - 5-7 years of hands-on experience with physical and dimensional data modelling. - Expert knowledge of metadata management tools and data modelling tools. Skills Required: - Experience in developing conceptual data models and data flows. - Design, Build &...

  • Data Modeler

    1 week ago


    Remote, India Luxoft Full time

    **Project** Description**: Luxoft DXC Technology Company is an established company focusing on consulting and implementation of complex projects in the financial industry. At the interface between technology and business, we convince with our know-how, well-founded methodology and pleasure in success. As a reliable partner to our renowned customers, we...

  • Data Modeler

    1 day ago


    Remote, India Platinus Technologies Full time

    We are looking for a Data Modeler for a contract-based Job Position. Data Modeling with retail or manufacturing experience is preferred. They are using Synapse Studio. they are in the process of evaluating other tools like ERWin, ERStudio, Hackolade, and SQL DBM. Responsibility, **Analysing and translating business needs into long-term solution data...

  • Data Modeler

    1 day ago


    Remote, India Tech Next Full time

    **Data Modeler (PF Mandatory)** **Experience**:7+ Years **Tenure**: 6 Months **Job Type**: contractual **Location**: Remote **Notice Period**:Immediate joiner's **Salary**:80K-100K Monthly **1. Skillset**:Data Modeler **2. Tech stack**: Azure Data Lake, Databricks **Job Types**: Full-time, Temporary Contract length: 6 months Pay: ₹80,000.00 -...

  • Data Modeler

    6 days ago


    Remote, India CARE INFOTECH Full time

    **Job Title: Senior MongoDB Developer/Data Modeler (Remote Contract)** **Duration**: 12 Months **Location**: Fully Remote **Experience Required**: 5+ Years **Rate**: Competitive (Open to Discussion Based on Expertise) **Opportunity Overview** **Key Responsibilities** - Assess whether **MongoDB is the right fit** for the client’s specific use case,...

  • Data Scientist

    5 days ago


    Remote, India NewPage Digital Healthcare Solutions Full time

    We are seeking a Data Scientist with 5-7 years of experience in R development and working with Observational Medical Outcomes Partnership (OMOP), Common Data Model (CDM), and Observational Health Data Sciences & Informatics (OHDSI) toolkits. The id **Benefits**: Flexible and remote work Employee-centric culture Supportive peers Work-life balance Generous...


  • Remote, India Healthcare Hiring Firm Full time

    **Job Summary**: We are looking for a Compliance Officer who can support us part-time for conducting scheduled and unscheduled patient and professional audits and projects related to billing and payment integrity, workflow, and duties in order to ensure accurate and timely responses. Oversees, coordinates, and conducts audits on documentation, abstraction,...