Enterprise Data Modeler – Healthcare Payer

Cognizant; Lansing (MI); Remote; USD 130,000 - 150,000; Full time

Benefits offered by this job

Medical/Dental/Vision/Life Insurance

Paid holidays + PTO

401(k) plan

Long-term/Short-term Disability

Paid Parental Leave

Employee Stock Purchase Plan

Job summary

Cognizant is seeking an Enterprise Data Modeler - Healthcare Payer to design enterprise-wide data models supporting a large-scale healthcare data transformation. You will partner with business leaders, data architects and governance teams to create scalable data structures enabling analytics, reporting and AI-driven insights.

The role emphasizes drive across conceptual to physical modeling, collaboration workshops, data standards and alignment with data governance and MDM in a cloud-first

Qualifications

• Extensive experience in enterprise data modeling including conceptual, canonical, logical, physical, and domain-driven modeling.

Responsibilities

• Develop and maintain enterprise data models aligned with strategy and business objectives.
• Create models across Medicare Advantage domains (Members, Enrollment, Providers, Networks, Claims, Encounters, Authorizations, Referrals, Care Management, HEDIS/STARS, RAF/HCC, CMS Reporting, Delegated/IPA, Value-Based Care).
• Facilitate workshops to establish definitions, data standards, and relationships across stakeholders.
• Align models with governance, MDM, analytics, reporting, and AI initiatives.
• Collaborate with implementation teams to translate models into scalable cloud-based solutions.

Skills

Enterprise data modeling

Data architecture

Translate concepts to data models

Requirements discovery

Data governance & metadata management

MDM, data quality & data lineage

Cloud-based data platforms

Databricks familiarity/willingness

Education

Bachelor's degree or equivalent

Tools

Databricks

Job description

As an Enterprise Data Modeler - Healthcare Payer, you will make an impact by designing and establishing enterprise-wide data models that serve as the foundation for a large-scale healthcare data transformation program. You will be a valued member of the Data & Analytics team and work collaboratively with business leaders, data architects, governance teams, and healthcare domain stakeholders to create scalable, business-aligned data structures that enable analytics, reporting, AI, and operational excellence.

In this role, you will:

• Develop and maintain enterprise business data models that align with organizational data strategy and business objectives.
• Create conceptual, canonical, logical, physical, and domain data models across key Medicare Advantage business domains.
• Facilitate workshops and collaborate with business and technology stakeholders to establish common business definitions, data standards, and entity relationships.
• Align data models with data governance, metadata management, master data management (MDM), analytics, reporting, and AI initiatives.
• Partner with implementation teams to translate business-driven data models into scalable technical solutions on modern cloud-based data platforms.

Work model:

We strive to provide flexibility wherever possible. Based on this role's business requirements, this is a remote position open to qualified applicants in the United States. Regardless of your working arrangement, we are here to support a healthy work-life balance through our various wellbeing programs.

The working arrangements for this role are accurate as of the date of posting. This may change based on the project you're engaged in, as well as business and client requirements. Rest assured; we will always be clear about role expectations.

What you need to have to be considered:

• Extensive experience in enterprise data modeling, including conceptual, canonical, logical, physical, and domain-driven modeling methodologies.
• Strong data architecture experience within health plan/payer environments** - Medicare Advantage-specific experience is a plus, but not required for candidates with solid payer data experience (e.g., claims, enrollment, provider networks) and the willingness and aptitude to ramp up quickly on Medicare Advantage-specific domains (Members & Enrollment, Providers & Networks, Claims & Encounters, Authorizations & Referrals, Care Management, HEDIS/STARS, Risk Adjustment (RAF/HCC), CMS Reporting, Delegated/IPA Models, and Value-Based Care).
• Proven ability to translate complex business concepts into enterprise data models and establish consistent business definitions across multiple stakeholder groups.
• Experience facilitating requirements discovery sessions, business workshops, and cross-functional stakeholder engagements.
• Strong understanding of data governance, metadata management, master data management (MDM), data quality, and data lineage concepts.
• Experience working with modern cloud-based data platforms and data lakehouse architectures, with willingness and aptitude to ramp up on Databricks specifically (direct Databricks experience is a plus, not a requirement).
• Experience supporting enterprise-scale data transformation, modernization, or data architecture initiatives.
• Bachelor's degree or equivalent combination of education and relevant professional experience.

These will help you stand out:

• Hands-on experience with Databricks or similar unified analytics platforms.
• Demonstrated expertise within the Medicare Advantage healthcare domain specifically.
• Experience designing healthcare enterprise information models for payer organizations.
• Knowledge of healthcare regulatory reporting requirements and CMS data standards.
• Familiarity with data product frameworks and domain-oriented data architecture approaches.
• Experience collaborating with data stewardship and governance organizations to improve data quality and business alignment.
• Understanding of AI, advanced analytics, and reporting use cases supported by enterprise data models.

Please note, this role is not able to offer visa transfer or sponsorship now or in the future

Salary and Other Compensation

The annual salary for this position is between $ 130,000 - $ 150,000 depending on experience and other qualifications of the successful candidate.

This position is also eligible for Cognizant's discretionary annual incentive program, based on performance and subject to the terms of Cognizant's applicable plans.

Benefits

• Medical/Dental/Vision/Life Insurance
• Paid holidays plus Paid Time Off
• 401(k) plan and contributions
• Long-term/Short-term Disability
• Paid Parental Leave
• Employee Stock Purchase Plan

Disclaimer

The salary, other compensation, and benefits information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.

Cognizant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.