Senior Healthcare Data Architect

3 days ago

Hyderabad Secunderabad Telangana, India beBeeDataModeler Full time ₹ 1,04,000 - ₹ 1,30,878

Data Modeler Lead

Job Description

We are seeking an experienced professional to lead our data modeling initiatives. The ideal candidate will have deep expertise in health plan data models and enterprise data warehousing to drive our healthcare analytics and reporting strategies.

Key Responsibilities
  • Data Architecture & Modeling
  • Design and implement 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.
Required Skills and 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).
Benefits
  • 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.
Others
  • 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.

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