Healthcare Enterprise Data Architect for AI-Driven Analytics

E2E Alignment Healthcare USA, LLC; California (MO); Hybrid; USD 130,000 - 195,000; Full time

Job summary

Alignment Health is seeking an Enterprise Data Architect to shape data strategy across Medicare Advantage platforms. You will partner with clinical ops, actuarial, compliance, IT, and BI teams to ensure scalable, compliant data solutions that enable risk adjustment, STAR ratings, and regulatory reporting.

You will govern data models, ensure data quality, implement cloud platforms, and support AI/ML initiatives while maintaining HIPAA and SOC 2 controls.

Qualifications

• 10+ years of progressive data architecture and integration experience.
• 2+ years in a health plan, payer, or healthcare delivery setting with claims data.
• Experience designing data platforms in regulated environments with PHI/PII.
• Proven cloud data platform expertise (AWS, Azure, or GCP) and modern architectures.
• Proven ability to lead cross-functional initiatives and influence senior stakeholders.
• Experience with Agile delivery.
• Preferred: Medicare Advantage data programs knowledge (risk adjustment, Star ratings).
• Preferred: AI/ML capabilities in healthcare data platforms.
• Preferred: TOGAF/CDMP and cloud certifications.
• Education: Bachelor's in CS/IS/Data Science/Engineering; Master's preferred.
• Training: hands-on Azure Databricks, Snowflake, BigQuery, or Redshift.
• Preferred: Cloud certification (AWS/Azure/GCP)

Responsibilities

• Design and govern data architecture across systems, cloud, and analytics for Medicare Advantage.
• Build and maintain data models to enable risk adjustment, HEDIS reporting, and CMS submissions.
• Establish and enforce data governance including PHI/PII and audit readiness.
• Integrate data from claims, EHRs, and pharmacy sources into unified pipelines.
• Define and uphold security architecture meeting HIPAA, CMS, and SOC 2.
• Evaluate data platforms and vendors aligned with strategy and roadmap.
• Serve as primary data partner to cross-functional leaders translating architecture into business context.
• Advance data-enabled innovation including generative AI and real-time streaming.

Job description

Alignment Health is seeking an Enterprise Data Architect to shape data strategy across Medicare Advantage platforms. You will partner with clinical ops, actuarial, compliance, IT, and BI teams to ensure scalable, compliant data solutions that enable risk adjustment, STAR ratings, and regulatory reporting.

You will govern data models, ensure data quality, implement cloud platforms, and support AI/ML initiatives while maintaining HIPAA and SOC 2 controls.