Data Modeler Lead
- Genzeon Corporation
- 10 - 20 years
- Hyderabad
- 7 days ago
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Job Description
Data Modeler / Lead - Healthcare Data Systems
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 candidate should 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 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
Lead data warehousing initiatives using modern platforms like Databricks or
traditional ETL tools like Informatica
Architect scalable data solutions that handle large volumes of healthcare
transactional data
Collaborate with data engineers to optimize data pipelines and ensure data quality
Healthcare Domain Expertise
Apply deep knowledge of health plan operations, medical coding (ICD-10, CPT,
HCPCS), and healthcare data standards (HL7, FHIR, X12 EDI)
Design data models that support analytical, reporting and AI/ML needs
Ensure compliance with healthcare regulations including HIPAA/PHI, and state
insurance regulations
Partner with business stakeholders to translate healthcare business requirements
into technical data solutions
Data Governance & Quality
Implement data governance frameworks specic to healthcare data privacy and
security requirements
Establish data quality monitoring and validation processes for critical health plan
metrics
Lead eorts to standardize healthcare data denitions across multiple systems and
data sources
Required Qualications
Technical Skills
10+ years of experience in data modeling with at least 4 years focused on
healthcare/health plan data
Expert-level prociency in dimensional modeling, data vault methodology, or other
enterprise data modeling approaches
Hands-on experience with Informatica PowerCenter/IICS or Databricks platform for
large-scale data processing
Strong SQL skills and experience with Oracle Exadata and cloud data warehouses
(Databricks)
Prociency with data modeling tools (Hackolade, ERwin, or similar)
Healthcare Industry Knowledge
Deep understanding of health plan data structures including claims, eligibility,
provider data, and pharmacy data
Experience with healthcare data standards and medical coding systems
Knowledge of regulatory reporting requirements (HEDIS, Medicare Stars, MLR
reporting, risk adjustment)
Familiarity with healthcare interoperability standards (HL7 FHIR, X12 EDI)
Leadership & Communication
Proven track record of leading data modeling projects in complex healthcare
environments
Strong analytical and problem-solving skills with ability to work with ambiguous
requirements
Excellent communication skills with ability to explain technical concepts to
business stakeholders
Experience mentoring team members and establishing technical standards
Preferred Qualications
Experience with Medicare Advantage, Medicaid, or Commercial health plan
operations
Cloud platform certications (AWS, Azure, or GCP)
Experience with real-time data streaming and modern data lake architectures
Knowledge of machine learning applications in healthcare analytics
Previous experience in a lead or architect role within healthcare organizations
Job Classification
Industry: IT Services & ConsultingFunctional Area / Department: OtherRole Category: OtherRole: OtherEmployement Type: Full timeContact Details:
Company: Genzeon CorporationLocation(s): Hyderabad
Keyskills: Healthcare Domain Relational Databases Dimensional Modeling Data Modeling Data Architecture Data Warehousing Informatica Oracle Data Bricks
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Genzeon Corporation
About Genzeon Genzeon is a premier technology services and solutions provider, specializing in healthcare and retail industries, renowned for expertise in digital engineering, intelligent automation, security, compliance, cloud, and managed services. As a frontrunner in next-generation technology s...
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