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Job Description
Job Summary 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.
Key Responsibilities:
Data Architecture & Design Design and maintain enterprise data architecture for structured and semi-structured healthcare data. Define logical, conceptual, and physical data models . Establish data standards, naming conventions, and metadata management practices. Support event-driven and API-based data architectures . Align data architecture with CMS interoperability mandates (FHIR, HL7). Data Analysis & Insights Analyze large healthcare datasets to identify patterns, trends, and anomalies. Support fraud, waste, and abuse (FWA) detection efforts through data analysis. Develop analytical datasets and data marts for reporting and investigations. Partner with business stakeholders to translate requirements into data solutions. API & Streaming Integration Support data design for API Gateway integrations (MuleSoft or similar). Ensure data consistency across Kafka streaming pipelines and batch sources. Define data contracts and schemas for real-time data exchange. Validate data transformations and mappings across source and target systems. Data Governance & Quality Implement data governance, lineage, and stewardship practices. Monitor and improve data quality, accuracy, and completeness. Support data audits, validations, and remediation efforts. Ensure compliance with HIPAA, CMS, FISMA, and NIST standards. Reporting & Visualization Design and support reports, dashboards, and analytics for program integrity and operations. Support ad-hoc data requests from investigators and oversight teams. Collaboration & Documentation Work closely with architects, developers, QA, and security teams. Participate in Agile ceremonies and data design reviews. Maintain comprehensive documentation of data models, mappings, and architecture decisions.
Required Qualifications:
Bachelor s degree in Computer Science, Data Science, Information Systems, or related field. 5+ years of experience in data architecture and/or data analysis. Strong experience with data modeling (ER, dimensional, normalized models). Proficiency in SQL and data analysis techniques. Experience working with large enterprise data environments.
Preferred Qualifications:
Experience supporting CMS, Medicaid, or federal healthcare programs. Knowledge of HL7 FHIR and healthcare data standards. Knowledge of CMS CPI systems like PECOS; APS. Understanding of CMS Medicare Program Integrity Manual. Experience with API-driven data integration (MuleSoft preferred). Familiarity with Kafka or streaming data platforms. Experience with cloud data platforms like AWS.
Key Skills:
Data Architecture & Modeling Healthcare Data & Interoperability Fraud Analytics & Data Validation API & Streaming Integration Data Governance & Quality Federal Compliance Standards Residency Requirement:
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.
Salary & Benefits Information:
The actual salary offer will carefully consider a wide range of factors, including your skills, qualifications, experience, and location. 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! Employees of C-HIT shall, as an enduring obligation throughout their term of employment, adhere to all information security requirements as documented in company policies and procedures. C-HIT, a CMMI Maturity Level 5 company, focuses on delivering information technology and professional services to Federal and State agencies. "C-HIT is an EOE, including disability and veterans
