Enterprise Data Architect – Medicare Advantage & AI

Alignment Healthcare USA, LLC in; Orange (CA); On-site; USD 130,000 - 195,000; Full time

Job summary

Alignment Health is seeking an Enterprise Data Architect to design and govern data architecture across operations, cloud platforms, and analytics for our Medicare Advantage lines of business.

You will build data models, ensure data quality and privacy, and enable advanced analytics, risk adjustment, and CMS reporting for informed decision making across clinical operations, finance, and product teams.

Qualifications

• 10+ years in data architecture, enterprise data integration, and database design.
• 2+ years in a health plan or payer with claims data, HEDIS, and CMS reporting.
• Cloud data platforms experience (AWS/Azure/GCP) and modern architecture (lakes/lakehouses, real‑time).
• Experience designing data platforms in regulated environments with PHI/PII controls.

Responsibilities

• Design and govern data architecture across operational systems, cloud, and analytics for Medicare Advantage lines.
• Build and maintain conceptual to physical data models supporting risk adjustment, HEDIS, and CMS submissions.
• Establish data governance frameworks with compliance and privacy teams for data quality and audit readiness.
• Integrate structured and unstructured data from claims systems, EHRs, and third parties into unified pipelines.
• Define security architecture meeting HIPAA, CMS, and SOC 2 requirements for analytics access.
• Evaluate data platforms and vendors aligning with strategy and roadmap priorities.
• Partner with cross‑functional leaders to translate architecture decisions to business context.
• Advance data-enabled innovation with AI/ML capabilities and real‑time interoperability.

Skills

Data architecture

Cloud platforms

ETL/Orchestration

Regulatory knowledge

Governance & security

SQL & Python

AI/ML infrastructure

Education

Bachelor's degree in CS/related field

Master's degree preferred

Tools

Snowflake

Databricks

BigQuery

Redshift

Informatica

Talend

dbt

Airflow

Job description

Alignment Health is seeking an Enterprise Data Architect to design and govern data architecture across operations, cloud platforms, and analytics for our Medicare Advantage lines of business.

You will build data models, ensure data quality and privacy, and enable advanced analytics, risk adjustment, and CMS reporting for informed decision making across clinical operations, finance, and product teams.