CrawlJobs Logo

Data Architect with Health Care Payer Domain

techmahindra.com Logo

Tech Mahindra

Location Icon

Location:
United States , Philadelphia, PA

Category Icon

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

140000.00 - 145000.00 USD / Year

Job Description:

The Data Architect is responsible for designing, building, and maintaining the data infrastructure and solutions that enable efficient and secure collection, storage, and analysis of healthcare data in different data platforms (Data Warehouse & Data Lake). This role involves in working range of stakeholders including business and IT teams to ensure data architecture support business needs while adhering to compliance and security standards. The ideal candidate will have experience in HEDIS, CMS Interoperability (FHIR).

Job Responsibility:

  • Design and implement Integrated, scalable, efficient, and secure data systems for storing, processing, to support healthcare analytics and data driven decision making
  • Design and implement scalable, flexible, and secure interoperability solutions aligned to USCDI-US Core compliant
  • Develop and maintain data models (logical, physical and conceptual) that support healthcare-specific requirements (Clinical, Claims, Member, Provider, EHR etc.) and other data architecture artifacts
  • Evaluate and recommend data management technologies, platforms, frameworks, and methodologies that optimize data collection and integration for healthcare applications
  • Oversee the implementation of data governance policies to ensure data integrity, quality, security, and compliance and other relevant healthcare regulations to protect sensitive patient information with HIPAA standards
  • Ensure data architecture complies with healthcare regulations such as HIPAA, GDPR, and other privacy laws
  • Collaborate with Business data analysts, data scientists, IT Professionals and business leaders to understand their data needs and ensure architecture supports organizational goals
  • Optimize data storage solutions, reducing latency and ensuring quick access to real-time and historical data
  • Help to establish and enforce data governance frameworks, ensuing data consistency, quality, and standardization across systems
  • Stay updated on emerging technologies in healthcare data management
  • Propose innovative solutions to enhance data-driven decision-making
  • Provide training and guidance to other team members

Requirements:

  • Bachelor’s or Higher Degree
  • 8.00 to 10.00 Years total experience
  • Expertise in Data Architecture, databases, and cloud platforms (Azure, GCP, AWS etc.)
  • In-depth knowledge of healthcare interoperability standards (HL7, FHIR, CCDs, HIE, USCDI-US Core etc.)
  • Proficiency in SQL and NoSQL databases, PySpark and Python
  • Experience with data modeling tools like Erwin
  • Experience with integration tools like Azure Data Factory, Databricks, Kafka, IBM Datastage, Informatica etc.
  • Understanding of business intelligence (BI) and analytics platforms
  • Strong analytical and problem-solving skills
  • Excellent communication and interpersonal skills
  • Ability to work independently and manage multiple priorities
  • 10+ years of experience in Data Architecture, preferably in healthcare
  • 5+ years of experience with managing large-scale data systems in healthcare
  • 5+ years of experience in designing and implementing interoperability solutions in healthcare
  • 5+ years of experience in solutioning cloud data platforms (Azure, AWS, GCP, Databricks, Snowflake etc.)
  • Experience with major EHR systems like Epic, Cerner etc. is plus

Nice to have:

Experience with major EHR systems like Epic, Cerner etc.

What we offer:
  • medical
  • vision
  • dental
  • life
  • disability insurance
  • paid time off (including holidays, parental leave, and sick leave, as required by law)

Additional Information:

Job Posted:
March 26, 2026

Expiration:
May 31, 2026

Employment Type:
Fulltime
Work Type:
Hybrid work
Job Link Share:

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Data Architect with Health Care Payer Domain

Data Architect

Serve as the Data Architect for the Health Care Payer domain, responsible for de...
Location
Location
United States , King of Prussia
Salary
Salary:
145000.00 - 155000.00 USD / Year
bhsg.com Logo
Beacon Hill
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Healthcare experience is a must
  • Deep expertise in data architecture, database technologies, and cloud platforms (Azure, AWS, GCP)
  • Strong understanding of healthcare interoperability standards such as HL7, FHIR, CCDs, HIE, and USCDI/US Core
  • Proficiency with SQL and NoSQL databases, Python, and PySpark
  • Experience using data modeling tools (e.g., Erwin)
  • Hands-on experience with integration and data engineering tools such as Azure Data Factory, Databricks, Kafka, IBM DataStage, and Informatica
  • Familiarity with business intelligence and analytics platforms
  • Strong analytical and problem-solving abilities
  • Excellent communication and collaboration skills for working with cross-functional teams
Job Responsibility
Job Responsibility
  • Serve as the Data Architect for the Health Care Payer domain, responsible for designing, developing, and maintaining data platforms-including data warehouses and data lakes-to support secure, efficient collection, storage, and analysis of healthcare data
  • Partner with business and IT stakeholders to ensure the data architecture aligns with organizational needs while meeting compliance and security requirements
  • Lead the design and implementation of scalable, secure data systems and interoperability solutions compliant with USCDI/US Core standards
  • Build and maintain conceptual, logical, and physical data models across healthcare domains such as clinical, claims, member, provider, and EHR data
  • Assess and recommend data management technologies, frameworks, and methodologies to improve data integration and analytics capabilities
  • Enforce data governance practices to ensure data quality, integrity, security, and regulatory compliance, including HIPAA, GDPR, and other privacy laws
  • Act as an independent thought leader capable of self-direction and driving architectural decisions
  • Apply strong data management principles and hands-on experience with end-to-end data processing
  • Collaborate with analysts, data scientists, IT teams, and business leaders to understand data needs and ensure architectural alignment
  • Optimize data storage and retrieval to minimize latency and support real-time and historical analytics
  • Fulltime
Read More
Arrow Right

Data Architect

Serve as the Data Architect for the Health Care Payer domain, responsible for de...
Location
Location
United States , King of Prussia
Salary
Salary:
145000.00 - 155000.00 USD / Year
bhsg.com Logo
Beacon Hill
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Healthcare experience is a must
  • Deep expertise in data architecture, database technologies, and cloud platforms (Azure, AWS, GCP)
  • Strong understanding of healthcare interoperability standards such as HL7, FHIR, CCDs, HIE, and USCDI/US Core
  • Proficiency with SQL and NoSQL databases, Python, and PySpark
  • Experience using data modeling tools (e.g., Erwin)
  • Hands-on experience with integration and data engineering tools such as Azure Data Factory, Databricks, Kafka, IBM DataStage, and Informatica
  • Familiarity with business intelligence and analytics platforms
  • Strong analytical and problem-solving abilities
  • Excellent communication and collaboration skills for working with cross-functional teams
Job Responsibility
Job Responsibility
  • Serve as the Data Architect for the Health Care Payer domain, responsible for designing, developing, and maintaining data platforms-including data warehouses and data lakes-to support secure, efficient collection, storage, and analysis of healthcare data
  • Partner with business and IT stakeholders to ensure the data architecture aligns with organizational needs while meeting compliance and security requirements
  • Lead the design and implementation of scalable, secure data systems and interoperability solutions compliant with USCDI/US Core standards
  • Build and maintain conceptual, logical, and physical data models across healthcare domains such as clinical, claims, member, provider, and EHR data
  • Assess and recommend data management technologies, frameworks, and methodologies to improve data integration and analytics capabilities
  • Enforce data governance practices to ensure data quality, integrity, security, and regulatory compliance, including HIPAA, GDPR, and other privacy laws
  • Act as an independent thought leader capable of self-direction and driving architectural decisions
  • Apply strong data management principles and hands-on experience with end-to-end data processing
  • Collaborate with analysts, data scientists, IT teams, and business leaders to understand data needs and ensure architectural alignment
  • Optimize data storage and retrieval to minimize latency and support real-time and historical analytics
  • Fulltime
Read More
Arrow Right

Revenue Cycle Management (RCM) Domain Architect

The Senior Director, Digital Solutions Architect will lead the design and implem...
Location
Location
United States , Plano
Salary
Salary:
Not provided
nttdata.com Logo
NTT DATA
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 10+ years of experience in healthcare revenue cycle, consulting, or RCM operations
  • Deep understanding of provider RCM processes across patient access, coding, billing, denials, payment posting, and collections
  • Experience designing RCM architectures, target operating models, or digital transformation roadmaps for provider organizations
  • Strong knowledge of payer rules, CMS policies, coding standards (ICD-10, CPT, HCPCS), and compliance requirements
  • Familiarity with AI/ML workflows, LLM-driven automation, and digital RCM solutions (even if not hands-on technical)
  • Strong storytelling and client engagement skills, especially with executive healthcare stakeholders
  • Ability to partner with engineering and product teams to translate domain requirements into platform features
Job Responsibility
Job Responsibility
  • Lead architecture and design for end-to-end provider RCM, including: Patient access & scheduling, Eligibility & prior authorization, Charge capture & clinical documentation integrity, Coding (pro-fee, facility, specialty), Billing, claims processing, and submission, Denials prevention and denials management, Payment posting & reconciliation, Patient financial engagement & collections
  • Translate compliance, regulatory, and payer requirements (HIPAA, CMS guidelines, coding standards) into scalable AI-driven workflows
  • Develop reusable domain models and frameworks for provider, ASC, specialty care, and hospital revenue cycle operations
  • Architect modular, agentic RCM solutions using LLM-based co-pilots, autonomous denial agents, and decision-support services
  • Collaborate with ML, engineering, and ontology teams to define RCM ontologies, data structures, and decision models (e.g., coding logic, payer rule libraries, denial taxonomies)
  • Design closed-loop systems for continuous optimization across claims, payments, and workflow routing
  • Lead discovery sessions with provider organizations, health systems, and RCM leadership to map current-state operations and identify inefficiencies
  • Present AI-native RCM architectures and transformation roadmaps to CFOs, Revenue Cycle VPs, HIM leaders, and clinical operations stakeholders
  • Own the translation of RCM domain requirements into platform capabilities and implementation plans
  • Build multi-year modernization strategies that connect operational KPIs—DNFB, clean claim rate, A/R days, denial rate, cost-to-collect—to automation roadmaps
  • Fulltime
Read More
Arrow Right
New

Store Associate

We’re building a world of health around every individual — shaping a more connec...
Location
Location
United States , Chicago
Salary
Salary:
16.60 - 23.60 USD / Hour
https://www.cvshealth.com/ Logo
CVS Health
Expiration Date
June 19, 2026
Flip Icon
Requirements
Requirements
  • At least 16 years of age
  • Remaining upright on the feet, particularly for sustained periods of time
  • Lifting and exerting up to 35 lbs of force occasionally, up to 10 lbs of force frequently, and a negligible amount of force regularly to move objects to and from, including overhead lifting
  • Visual Acuity - Having close visual acuity to perform activities such as: viewing a computer terminal, reading, visual inspection involving small parts/details
Job Responsibility
Job Responsibility
  • Providing differentiated customer service by anticipating customer needs, demonstrating compassion and care in all interactions, and actively identifying and resolving potential service issues
  • Focusing on the customer by giving a warm and friendly greeting, maintaining eye contact and offering help locating additional items, when needed
  • Accurately perform cashier duties - handling cash, checks and credit card transactions with precision while following company policies and procedures
  • Maintaining the sales floor by restocking shelves, checking in vendors, updating pricing information and completing inventory management tasks as directed by store manager
  • Supporting opening and closing store activities, when needed
  • Providing customer support to all departments, including photo and beauty, ensuring departments are fully stocked and operational while remaining current with all updated services and tools
  • Assisting pharmacy personnel when needed, including working regular shifts in the pharmacy as part of opportunities for growth and career development
  • Embracing and advocating for new CVS services and loyalty programs that support our purpose of helping people on their path to better health
What we offer
What we offer
  • Dental
  • Vision
  • Wellness resources
  • Employee discounts
  • Access to certain voluntary benefits
  • Other programs
  • Parttime
Read More
Arrow Right
New

Front Desk Receptionist

As a Front Desk Receptionist, you will be the first and last point of contact fo...
Location
Location
United Kingdom , London
Salary
Salary:
37800.00 GBP / Year
fourseasons.com Logo
Four Seasons
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Previous Front Desk or guest facing experience in a hotel environment
  • Strong communication skills and confident guest interaction
  • Excellent attention to detail and organisational ability
  • Ability to multitask and remain calm under pressure
  • Experience using Opera PMS or similar systems is preferred
  • Positive attitude and genuine passion for hospitality
  • Flexibility to work a range of shifts including evenings, weekends, and public holidays
  • Right to Work in the UK
Job Responsibility
Job Responsibility
  • Welcome guests warmly and manage all aspects of arrival and departure
  • Handle check in and check out procedures accurately using Opera PMS
  • Respond to guest enquiries and requests promptly and professionally
  • Coordinate with Housekeeping, Concierge, and Food and Beverage teams to deliver a seamless guest experience
  • Manage billing and payments accurately and securely
  • Provide local knowledge and personalised recommendations
  • Identify opportunities to enhance the guest experience, including upselling where appropriate
  • Maintain high standards of presentation, professionalism, and service at all times
What we offer
What we offer
  • £37,800 annual package inclusive of base salary and service charge
  • Structured 40 hour working week
  • Excellent training and clearly defined career development pathways
  • Strong internal progression opportunities across London and the global Four Seasons portfolio
  • Holiday entitlement increasing with service up to 33 days
  • Up to two paid Wellness Days per year
  • Company Sick Pay, increasing with service
  • Life insurance while on duty
  • Up to 20 complimentary nights at Four Seasons Hotels and Resorts worldwide, increasing with service, as well as heavily discounted rates at all properties
  • 50% discount across UK Four Seasons food and beverage outlets from day one for up to four guests
  • Fulltime
Read More
Arrow Right
New

Automation Engineer

We are looking for a Test Automation Engineer to join our Quality Engineering te...
Location
Location
Australia , Melbourne
Salary
Salary:
Not provided
lgt.com Logo
LGT Gruppe Holding AG
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Minimum of 5 years in software quality assurance, with any further experience in the software development industry is highly regarded
  • Demonstrable experience in testing across financial services platforms, with a strong understanding of end-to-end testing dynamics
  • Automation testing (User Interface or Web) experience highly desirable
  • Experience with JIRA, Confluence, and extensive knowledge of test automation tools (i.e. Selenium, Playwright, Testmaster)
  • Exposure to CI/CD environments is advantageous
  • Experience with the Avaloq (or any other wealth) platform is highly regarded, along with a good understanding of wealth management processes and products
  • Solid experience with Agile SDLC methodologies, capable of adapting quickly to evolving project requirements
  • Degree in Computer Science or related fields preferred
  • Solid experience within the financial services industry, particularly in wealth management, is highly beneficial
  • Strong attention to detail with a logical and methodical approach to problem-solving
Job Responsibility
Job Responsibility
  • Ensure that all Avaloq and other platform release deliveries meet the quality standards expected by business users and are ready for production
  • Carry out end‑to‑end sprint testing
  • Support the Test Lead in overseeing the UAT and PVT test cycles
  • Write test plans and test cases
  • Execute test cases
  • Support business users
  • Prioritise defects
  • Provide status reporting to stakeholders
  • Develop test plans and cases for new functionalities across multiple platforms
  • Collaborate with business SMEs and management to define and sign off on testing approaches
  • Fulltime
Read More
Arrow Right
New

Pharmacy Technician

At CVS Health, we are focused on transforming health care for our customers and ...
Location
Location
United States , Encinitas
Salary
Salary:
18.90 - 28.90 USD / Hour
https://www.cvshealth.com/ Logo
CVS Health
Expiration Date
July 07, 2026
Flip Icon
Requirements
Requirements
  • Must comply with any state board of pharmacy requirements or laws governing the practice of pharmacy, which includes but is not limited to, age, education, and licensure/certification
  • If the state board of pharmacy does not address or mandate a minimum age requirement, must be at least 16 years of age
  • If the state board of pharmacy does not address or mandate a minimum educational requirement, must have a high school diploma or equivalent, or be actively enrolled in high school or high school equivalency program
  • State-level licensure and national certification requirements vary by state
Job Responsibility
Job Responsibility
  • Following all company SOPs at each workstation to help our Pharmacists manage and improve patient health
  • Following pharmacy workflow procedures at each pharmacy workstation for safe and accurate prescription fulfillment
  • Contributing to positive patient experiences by showing empathy and genuine care
  • Completing basic inventory activities, as permitted by law
  • Contributing to a high-performing team, embracing a growth mindset, and being receptive to feedback
  • Remaining flexible for both scheduling and business needs, while contributing to a safe, inclusive, and engaging team dynamic
  • Understanding and complying with all relevant federal, state, and local laws, regulations, professional standards, and ethical principles
  • Delivering additional patient health care services, where allowable by law and supported by required training and certification
What we offer
What we offer
  • medical coverage
  • dental coverage
  • vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
  • Fulltime
Read More
Arrow Right
New

Guest Services Supervisor

We’re seeking an experienced and proactive Guest Services Supervisor to join our...
Location
Location
United Kingdom , Hook, Hampshire
Salary
Salary:
Not provided
fourseasons.com Logo
Four Seasons
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Previous experience in a Front Office or Guest Services role, ideally within a luxury hospitality environment
  • Supervisory or leadership experience with the ability to motivate and develop a team
  • Excellent communication and interpersonal skills
  • Strong organisational skills and attention to detail
  • A passion for delivering exceptional guest experiences
  • Confidence in problem-solving and handling guest concerns
  • Flexibility to work shifts, including weekends and holidays
  • Knowledge of Opera or similar PMS systems is preferred
  • A positive, professional, and hands-on approach to leadership
Job Responsibility
Job Responsibility
  • Supervise and coordinate the daily activities of the Guest Services team to ensure smooth front desk operations
  • Lead shifts, allocating tasks and supporting team members throughout the day
  • Act as a key point of contact for guests, handling enquiries, requests, and concerns with professionalism and care
  • Deliver a seamless check-in and check-out experience, maintaining efficiency and a warm welcome at all times
  • Ensure all guest interactions reflect the highest standards of service and brand expectations
  • Support VIP arrivals, special requests, and personalised guest experiences
  • Liaise closely with Housekeeping, Concierge, and other departments to ensure guest needs are met
  • Monitor service quality and provide coaching, feedback, and development support to team members
  • Handle guest feedback and resolve issues promptly to ensure complete guest satisfaction
  • Ensure compliance with hotel policies, procedures, and health & safety standards
What we offer
What we offer
  • Free Shuttle Bus transport from local towns/stations to the hotel (Fleet, Church Crookham and Elvetham Heath)
  • Employee travel programme
  • BUPA dental health care
  • Excellent training and career development opportunities
  • 28 days holiday per annum including bank holidays (increasing based on length of service)
  • Group Personal Pension Plan upon completion of three months’ service
  • Opportunities to build a successful career with global potential
  • Access to Wagestream – a salary advance benefit
  • WeCare Employee Well Being Platform
  • Uniform and free meals on duty
  • Fulltime
Read More
Arrow Right