[Hiring] Director of Enterprise Data Modeling @Abacus Insights
Feb 16, 2025 - Abacus Insights is hiring a remote Director of Enterprise Data Modeling. 💸 Salary: unspecified. 📍Location: USA.
Role Description
We are seeking a Director of Enterprise Data Modeling to lead the strategy, governance, and implementation of a comprehensive healthcare data model that powers our next-generation cloud-based data platform.
- Focus on building a productized unified enterprise data model that supports all client implementations, ensuring scalability, reusability, and efficiency.
- Develop an enterprise foundational data model that can integrate data from disparate sources while supporting both operational and analytical needs.
- Design and implement standard Subject Area Marts to power various data products and solutions such as HEDIS, Risk Adjustment, Provider Data Management, CMS InterOp, and more.
This role will serve as a business-facing healthcare data expert, engaging with client executives, business and technical leads, product teams, and engineering leaders to define and communicate data model constructs across:
- Core Administrative Data – Claims, Membership, Enrollment, Provider
- Clinical & Interoperability Data – FHIR, HL7, ADT, CCDA
- Financial & Operational Data – Billing, Premiums, Actuarial & Risk Adjustment
- Regulatory & Compliance Data – T-MSIS, HEDIS, CMS Reporting
As a trusted advisor to client executives and stakeholders, you will translate complex payer, provider, and interoperability data structures into a business-friendly framework that supports analytics, operational workflows, and regulatory compliance.
This role will also lead a global data modeling team, ensuring the development of logical and physical data models aligned with modern cloud technologies like Databricks and Snowflake.
- Act as the healthcare data subject matter expert (SME), advising client executives, business and technical leads, and internal teams on data architecture, interoperability, and business-driven data use cases.
- Define and evangelize a unified data model strategy for payer, provider, and regulatory datasets, ensuring alignment with FHIR, HL7, claims, billing, HEDIS and risk adjustment standards.
- Engage with healthcare business and technical leaders to identify data needs, key metrics, and business rules that drive better decision-making and operational efficiency.
- Develop and present executive-level roadmaps, whitepapers, and solution overviews that communicate our data model framework and business impact.
- Collaborate with client implementation teams to understand client-specific requirements, address issues/concerns, and assess the overall data model impact, ensuring it evolves to meet client and industry demands for a more efficient client implementation process.
- Oversee the design, governance, and optimization of data models across payer, provider, financial, and clinical domains.
- Lead an offshore data modeling team, ensuring high-quality ERD development, metadata management, and data transformation strategies.
- Define data attributes, relationships, cardinality, and quality rules to support data ingestion, analytics, and operational reporting.
- Continuously enhance the data model to support evolving client needs and industry trends, ensuring a scalable and adaptable healthcare data platform.
- Work closely with product management to translate business needs into technical specifications, including epics, user stories, and acceptance criteria.
- Drive data governance and security best practices to ensure compliance with HIPAA, CMS, and NCQA regulations.
Qualifications
- 12+ years of experience in healthcare data strategy, architecture, or data modeling, with expertise in payer, provider, and regulatory data domains.
- 7+ years of experience engaging with client executives, business and technical leads, and healthcare stakeholders in data strategy discussions.
- Proven expertise in claims, membership, provider, billing, enrollment, and interoperability data models (FHIR, HL7, CCDA, ADT).
- Strong data modeling and governance skills, with experience using ER/Studio, DBSchema, Erwin, or similar tools.
- Hands-on experience with modern cloud data platforms (Databricks, Snowflake,) and ETL/ELT pipeline design.
- Experience working with client implementation teams to assess data model impact, address challenges, and evolve data models for improved implementation efficiency.
- Exceptional ability to translate business needs into data models that support analytics, actuarial analysis, care management, and regulatory reporting.
- Outstanding communication skills, with the ability to present complex data models.
Equal Opportunity Employer
As a mission-led technology company that is helping to drive better healthcare outcomes, Abacus Insights believes that the best innovation and value we can bring to our customers comes from diverse ideas, thoughts, experiences, and perspectives. We are dedicated to building diverse teams and providing equal employment opportunities to all applicants. Abacus prohibits discrimination and harassment of any type in regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
Similar Remote Jobs
More jobs at Abacus Insights
-
Project Management unspecified USAMar 07, 2025
-
Marketing unspecified USAFeb 16, 2025
More Data Analysis jobs
-
Data Analysis $130,000 to $182,000 USAMar 26, 2025
More jobs in USA
-
Software Development 90,000-130,000 USAMar 26, 2025
Kickstart Your Job Search
Unlock 53,406 additional remote jobs, advanced search & email notifications
Too many emails? Declutter your inbox with Meco
Your home for reading newsletters
| 📍 | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
|
Salary
💸
unspecified
|
Remote
Location
USA
|
|
Job Type
unspecified
|
Posted
Feb 16, 2025
|
| 📍 | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
