Data Modeler Lead

We are seeking an experienced Data Modeler / Lead with deep expertise in health plan data models and enterprise data warehousing to drive our healthcare analytics and reporting initiatives. The candidate should have hands-on experience with modern data platforms and a strong understanding of healthcare industry data standards.

About the Role

The candidate will be responsible for leading data modeling initiatives and ensuring compliance with healthcare regulations while collaborating with various stakeholders to translate business requirements into technical solutions.

Responsibilities :

Data Architecture & Modeling

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

Technical Leadership

Healthcare Domain Expertise

Data Governance & Quality

Required Qualifications :

Technical Skills

Healthcare Industry Knowledge

Leadership & Communication

Preferred Qualifications