Enterprise Data Modeler

Position Summary

We are seeking a highly experienced Enterprise Data Modeler to lead the development of enterprise and domain data models that will serve as the foundation of a strategic enterprise data transformation program. 

This role will be responsible for creating and maintaining:

Enterprise Business Data Models

Canonical Data Models

Logical Data Models

Physical Data Models

Domain Data Models across prioritized business domains 

Critical Success Factors

Strong Business Domain Knowledge is Essential

This is not a traditional data modeling role focused solely on technical modeling.

The successful candidate must possess deep business domain expertise and be capable of translating complex business concepts into resilient enterprise data models.

The ability to facilitate discussions with business stakeholders and establish common business definitions is as important as technical modeling skills. 

Medicare Advantage Experience is Mandatory

Candidates must demonstrate significant experience modeling data within the Medicare Advantage healthcare domain, including:

Members and Enrollment

Providers and Networks

Claims and Encounters

Authorizations and Referrals

Care Management

HEDIS and STARS

Risk Adjustment (RAF/HCC)

CMS Reporting

Delegated and IPA Models

Value-Based Care and Capitation

Candidates without Medicare Advantage data modeling experience will not be considered. 

Skills:

Data Modeling

Enterprise Data Modeling

Conceptual Data Modeling

Canonical Data Modeling

Logical Data Modeling

Physical Data Modeling

Domain-Driven Data Modeling

Data Architecture Principles 

Business & Facilitation

Business Process Analysis

Requirements Discovery

Workshop Facilitation

Business Glossary Development

Data Stewardship Collaboration

Cross-Functional Stakeholder Engagement 

Data Management

Master Data Management (MDM)

Metadata Management

Data Governance

Data Quality Concepts

Data Lineage Concepts 

Modern Data Platforms

Cloud Data Platforms

Data Lakehouse Architectures

Databricks or similar modern analytics platforms

Data Product Concepts 

Key Responsibilities

Develop and maintain the Enterprise Business Data Model.

Develop phased Domain Data Models aligned to enterprise standards.

Collaborate with business and technical stakeholders to define core business entities and relationships.

Establish canonical data structures across business domains.

Align models with governance, metadata, MDM, analytics, AI, and reporting initiatives.

Support implementation teams in translating business models into technical data solutions. 

Ideal Candidate

A senior data modeler who combines:

Strong enterprise data modeling expertise

Deep Medicare Advantage business knowledge

Excellent facilitation and stakeholder management skills

Experience supporting large-scale enterprise data transformation initiatives 

The ideal candidate understands that durable data models are built from a deep understanding of the business domain, not simply from source system structures.