Senior Healthcare Data Modeler

About Us Abacus Insights is transforming how data works for health plans. Our mission is simple: make healthcare data usable, so the people responsible for care and cost decisions can act faster, with confidence. We help health plans break down data silos to create a single, trusted data foundation. That foundation powers better decisions—so plans can improve outcomes, reduce waste, and deliver better experiences for members and providers alike. Backed by $100M from top investors, we’re tackling big challenges in an industry that’s ready for change. Our platform enables GenAI use cases by delivering clean, connected, and reliable healthcare data to support automation, prioritization, and decision workflows—and it’s why we are leading the way. Our innovation begins with people. We are bold, curious, and collaborative—because the best ideas come from working together. We embrace the thoughtful use of AI and automation to drive innovation and efficiency, and we look for individuals who are curious and adaptable—those excited to leverage emerging technologies to enhance how we work—while keeping human insight, connection, and our clients at the center of every decision. Ready to make an impact? Join us and let’s build the future together. About The Role We are looking for a highly technical and hands‑on Senior Healthcare Data Modeler to lead a global data modeling team responsible for transforming conceptual and logical data models into optimized physical models. This role requires a deep understanding of healthcare data domains (Claims, Pharmacy, Membership, Enrollment, Provider, Billing, Interoperability - FHIR, HL7, ADT, CCDA, etc.) and expertise in enterprise data modeling best practices. The Senior Healthcare Data Modeler will work closely with the Director of Data Modeling to define data modeling standards, metadata governance, and data architecture strategies that align with business and technical needs. They will also collaborate with engineering, client implementation teams, and data governance teams to ensure models support operational and analytical use cases, high performance, and data integrity. This is an exciting opportunity for a technical leader with expertise in Databricks, Snowflake, schema evolution, and modern data engineering practices to shape the future of healthcare data platforms. Your day to day Data Modeling Leadership & Best Practices Lead a global team of data modelers to build scalable, high-performance physical data models aligned with enterprise architecture and industry standards. Define and enforce data modeling best practices, including schema evolution, lossless data modeling, metadata management, and data versioning. Convert conceptual and logical data models into optimized physical models using enterprise data modeling tools (Erwin, ER/Studio, DBT, or similar). Ensure models support analytical (data science, actuarial, reporting) and operational (Claims, Care Management) use cases. Maintain metadata, business glossary, and data dictionaries to support data lineage and governance. Implement data quality rules and validation frameworks to meet industry SLAs and compliance requirements (HIPAA, HITRUST, CMS regulations). Technical Data Modeling Engineering Own data modeling workflows, including version control, schema deployment, and upgrade automation. Own metadata tagging and data quality rules implementation for healthcare data domains. Work with engineering teams to implement data models in Databricks, Snowflake, and modern cloud architectures. Optimize data models for query performance, indexing, partitioning, and storage efficiency. Ensure data enrichment (standardization, transformations, algorithms, and grouping) is seamlessly integrated into the data models. Design and document data delivery patterns using complex events or business rules to enable real‑time and batch processing. Implement data federation strategies, ensuring interoperability between enterprise data lakes, cloud data warehouses, and transactional systems. Collaboration & Client Engagement Collaborate with Director of Data Modeling and client implementation teams to understand client needs, assess data model impact, and enhance models for efficient implementations. Partner with engineering and product teams to define and prioritize data model features in the product roadmap. Work with client management teams to provide support and technical expertise during client engagements. What You Bring To The Team 8+ years of experience in data modeling, enterprise data architecture, and cloud‑based data engineering. 4+ years leading data modeling teams in enterprise environments. Expertise in enterprise data modeling tools (Erwin, ER/Studio, DBSchema, or similar). Strong hands‑on experience with cloud data platforms (Databricks, Snowflake) and data lakehouse architectures. Deep understanding of healthcare data models across Core Payer (Claims, Pharmacy, Membership, Enrollment, Provider, Billing, Premium) and Clinical Interoperability (FHIR, HL7, ADT, CCDA, etc.) domains. Experience with schema evolution, lossless data modeling, and data versioning strategies. Strong background in SQL, performance tuning, and query optimization for large‑scale datasets. Hands‑on experience with data engineering workflows, including data pipeline integration, ELT/ETL optimizations, and data transformation frameworks. Ability to mentor junior modelers, enforce modeling best practices, and drive adoption of enterprise data standards. Excellent collaboration skills to work with data architects, engineers, and client implementation teams. What We Would Like To See, But Not Required Experience with OBT, data Lakehouse, and metadata management frameworks. Familiarity with business intelligence (BI) and reporting solutions on modern cloud data warehouses. Knowledge of APIs, SDKs, and data distribution frameworks for enabling real‑time and batch data access. Experience with data governance, security, and regulatory compliance in healthcare data management. Compensation Compensation for this role is based on experience, skills, and location, and includes base salary plus eligibility for performance bonuses and equity grants. What You’ll Get In Return Unlimited paid time off – recharge when you need it Work from anywhere – flexibility to fit your life Comprehensive health coverage – multiple plan options to choose from Equity for every employee – share in our success Growth‑focused environment – your development matters here Home office setup allowance – one‑time support to get you started Monthly cell phone allowance – stay connected with ease Our Commitment as an Equal Opportunity Employer As a mission‑led technology company 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. Therefore, we dedicate resources to building diverse teams and providing equal employment opportunities to all applicants. Abacus prohibits discrimination and harassment regarding 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. At the heart of who we are is a commitment to continuously and intentionally building an inclusive culture—one that empowers every team member across the globe to do their best work and bring their authentic selves. We carry that same commitment into our hiring process, aiming to create an interview experience where you feel comfortable and confident showcasing your strengths. If there’s anything we can do to support that—big or small—please let us know. #J-18808-Ljbffr Abacus Insights