Key Responsibilities: Data Architecture & Design Design and maintain enterprise data architecture for structured and semi-structured healthcare data. Define logical, conceptual, and physical data models. Establish data standards, naming conventions, and metadata management practices. Support event-driven and API-based data architectures. Align data architecture with CMS interoperability mandates (FHIR, HL7). Data Analysis & Insights Analyze large healthcare datasets to identify patterns, trends, and anomalies. Support fraud, waste, and abuse (FWA) detection efforts through data analysis. Develop analytical datasets and data marts for reporting and investigations. Partner with business stakeholders to translate requirements into data solutions. API & Streaming Integration Support data design for API Gateway integrations (MuleSoft or similar). Ensure data consistency across Kafka streaming pipelines and batch sources. Define data contracts and schemas for real-time data exchange. Validate data transformations and mappings across source and target systems. Data Governance & Quality Implement data governance, lineage, and stewardship practices. Monitor and improve data quality, accuracy, and completeness. Support data audits, validations, and remediation efforts. Ensure compliance with HIPAA, CMS, FISMA, and NIST standards. Reporting & Visualization Design and support reports, dashboards, and analytics for program integrity and operations. Support ad-hoc data requests from investigators and oversight teams. Collaboration & Documentation Work closely with architects, developers, QA, and security teams. Participate in Agile ceremonies and data design reviews. Maintain comprehensive documentation of data models, mappings, and architecture decisions.
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Job Type
Full-time
Career Level
Mid Level