Data Modeler Lead, Moradabad

Role: Data Modeler Lead

Location: Remote

Experience: 10years+

Healthcare experience is Mandatory

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 specific to healthcare data privacy and

security requirements

 Establish data quality monitoring and validation processes for critical health plan

metrics

 Lead e Aorts to standardize healthcare data definitions across multiple systems and

data sources

Required Qualifications

Technical Skills

 10+ years of experience in data modeling with at least 4 years focused on

healthcare/health plan data

 Expert-level proficiency in dimensional modeling, data vault methodology, or other

enterprise data modeling approaches

 Hands-on experience with Informatica Power Center/IICS or Databricks platform for

large-scale data processing

 Strong SQL skills and experience with Oracle Exadata and cloud data warehouses

(Databricks)

 Proficiency 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 Qualifications

 Experience with Medicare Advantage, Medicaid, or Commercial health plan

operations

 Cloud platform certifications (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