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Accanto Health is seeking a Data Architect to define and govern an Azure-based data platform integrating Avatar NX, Salesforce, and financial systems. You will reverse engineer the Avatar NX data model to enable accurate reporting, governance, and scalable data ecosystems across clinical, revenue, and operational domains.
The role emphasizes enterprise data modeling, cross-functional collaboration, and strong SQL/ETL design skills, with remote US-based work and a salary in the $140k–$160k range.
The Data Architect defines and governs the enterprise data architecture for a modern Azure-based platform integrating Avatar NX, Salesforce, and financial systems. This role establishes a scalable, consistent, and governed data ecosystem aligned with business and regulatory requirements. A critical responsibility is reverse engineering the Avatar NX EHR data model, due to limited vendor documentation, to enable accurate integration, reporting, and long-term data governance.
$140,000- $160,000 commensurate with experience
Remote- Must be US based, and able to work with no restrictions in the US in a remote home office.
Design end-to-end Azure data architecture (ingestion, staging, curated, reporting layers)
Define enterprise data domains (Clinical, RCM, CRM, Finance)
Establish canonical data models (e.g., Patient, Encounter, Claim, Revenue)
Reverse engineer and document the Avatar NX data model, including:
Define integration patterns across:
Standardize data contracts and exchange patterns (batch, API, event-driven)
7+ years in data architecture, data modeling, or enterprise data engineering
Hands-on experience designing data platforms in Azure (ADF, Synapse, Data Lake, SQL)
Demonstrated experience integrating EHR, CRM, and financial systems
Proven experience working with EHR vendor databases (e.g., Netsmart Avatar NX, Epic, Cerner, or similar)
Hands-on experience reverse engineering undocumented or poorly documented schemas, including:
Experience translating complex clinical and billing data structures into usable enterprise models
Ability to work with stakeholders to validate inferred logic (e.g., encounter flows, billing rules, documentation timing)
Strong expertise in relational and dimensional data modeling
Experience establishing canonical data models across domains (clinical, financial, operational)
Experience implementing data governance frameworks, lineage, and data quality controls
Advanced SQL Server expertise (querying, schema analysis, performance tuning)
Experience with large, complex, highly normalized transactional systems
Proficiency with source control and version management tools (e.g., Git), including branching strategies, pull requests, and versioning of data models, pipelines, and schema definitions
Accanto is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, genetic factors, military/veteran status
We understand the importance of a well-rounded benefits package. That's why we're dedicated to providing a range of plans to meet your needs.
For full-time employees, we offer:
Paid time off is a crucial part of maintaining work and