Enterprise Data Modeler – Healthcare Payer

Cognizant; Orange (CA); Remote; USD 130,000 - 150,000; Full time

Benefits offered by this job

Medical/Dental/Vision/Life Insurance

401(k) plan and contributions

Paid holidays plus Paid Time Off

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 for a large healthcare data transformation. You will collaborate with governance, analytics, and domain stakeholders to create scalable, business-aligned data structures that enable analytics, reporting, AI, and operational excellence.

The role is remote within the United States, offering flexibility and opportunities to work with modern cloud-based platforms and Databricks as part of a

Qualifications

• Experience in enterprise data modeling across multiple domains.
• Strong data governance, metadata, and MDM concepts.
• Ability to translate business concepts into enterprise data models.

Responsibilities

• Develop and maintain enterprise data models aligning with strategy.
• Create conceptual to physical data models for Medicare Advantage domains.
• Facilitate workshops to establish data definitions and relationships.
• Align models with governance, analytics, and AI initiatives.
• Translate models into scalable technical solutions on cloud platforms.

Skills

Enterprise data modeling

Data architecture

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.

We're excited to meet people who share our mission and can make an impact in a variety of ways.

Think about your transferable experiences and unique skills that make you stand out as someone who can bring new and exciting things to this role.

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

Salary and Other Compensation

Applications will be accepted until October 04, 2026.

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:

Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:

• 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.