Job Summaryย
The Data Architect / Analyst is responsible for designing enterprise data architectures, defining data models, and performing advanced data analysis to support API-driven integrations, analytics, and fraud detection. The role ensures data consistency, scalability, and compliance with CMS, HIPAA, and federal data standards.ย
Key Responsibilities:ย
Data Architecture & Designย
- Design and maintainย enterprise data architectureย for structured and semi-structured healthcare data.ย
- Defineย logical, conceptual, and physical data models.ย
- Establish data standards, naming conventions, and metadata management practices.ย
- Supportย event-driven and API-based data architectures.ย
- Align data architecture withย CMS interoperability mandatesย (FHIR, HL7).ย
Data Analysis & Insightsย
- Analyze large healthcare datasets to identify patterns, trends, and anomalies.ย
- Support fraud, waste, and abuse (FWA) detection efforts through data analysis.ย
- Develop analytical datasets and data marts for reporting and investigations.ย
- Partner with business stakeholders to translate requirements into data solutions.ย
API & Streaming Integrationย
- Support data design for API Gateway integrations (MuleSoft or similar).ย
- Ensure data consistency across Kafka streaming pipelines and batch sources.ย
- Define data contracts and schemas for real-time data exchange.ย
- Validate data transformations and mappings across source and target systems.ย
Data Governance & Qualityย
- Implement data governance, lineage, and stewardship practices.ย
- Monitor and improve data quality, accuracy, and completeness.ย
- Support data audits, validations, and remediation efforts.ย
- Ensure compliance with HIPAA, CMS, FISMA, and NIST standards.ย
Reporting & Visualizationย
- Design and support reports, dashboards, and analytics for program integrity and operations.ย
- Support ad-hoc data requests from investigators and oversight teams.ย
Collaboration & Documentationย
- Work closely with architects, developers, QA, and security teams.ย
- Participate in Agile ceremonies and data design reviews.ย
- Maintain comprehensive documentation of data models, mappings, and architecture decisions.ย
Required Qualifications:ย
- Bachelorโs degree in Computer Science, Data Science, Information Systems, or related field.ย
- 5+ years of experience in data architecture and/or data analysis.ย
- Strong experience with data modeling (ER, dimensional, normalized models).ย
- Proficiency in SQL and data analysis techniques.ย
- Experience working with large enterprise data environments.ย
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Preferred Qualifications:ย
- Experience supporting CMS, Medicaid, or federal healthcare programs.ย
- Knowledge of HL7 FHIR and healthcare data standards.ย
- Knowledge of CMS CPI systems like PECOS; APS.ย
- Understanding of CMS Medicare Program Integrity Manual.ย
- Experience with API-driven data integration (MuleSoft preferred).ย
- Familiarity with Kafka or streaming data platforms.ย
- Experience with cloud data platformsย likeย AWS.ย
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Key Skills:ย
- Data Architecture & Modelingย
- Healthcare Data & Interoperabilityย
- Fraud Analytics & Data Validationย
- API & Streaming Integrationย
- Data Governance & Qualityย
- Federal Compliance Standardsย
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Residencyย Requirement:ย
Candidate must be able to obtain Public Trust clearance and must have lived in the United States for at least three (3) out of the last five (5) years.ย ย
Salary & Benefits Information:ย
- The actual salary offer will carefully consider a wide range of factors, including your skills, qualifications, experience, and location.ย
- C-HIT offers Healthcare Benefits, Remote Working Options, Paid Time Off, PTO cash-out, Training/Certification opportunities, Healthcare Savings Account & Flexible Savings Account, Paid Life Insurance, Short-term & Long-term Disability, 401K Match, Employee Assistance Program, Paid Holidays, and much more perks and Voluntary benefits!ย ย ย
- Employees of C-HIT shall, as an enduring obligation throughout their term of employment, adhere to allย information securityย requirements as documented in company policies and procedures.ย
C-HIT, a CMMI Maturity Level 5 company, focuses on delivering information technology and professional services to Federal and State agencies.ย
"C-HIT is an EOE, including disability and veteransโย