Data Modeler Lead - Healthcare Domain

Position Overview :

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 ideal candidate will have hands-on experience with modern data platforms and a strong understanding of healthcare industry data standards.

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.

Technical Leadership

Healthcare Domain Expertise

Data Governance & Quality

Required Qualifications

Technical Skills

Healthcare Industry Knowledge

Leadership & Communication

Preferred Qualifications

Skills Required

Data Modeling