Senior Data Architect

TWELVE10; Austin (TX); Remote; USD 120,000 - 160,000; Full time

Job summary

A leading medtech startup is seeking a Senior Data Architect / Data Team Lead to shape their healthcare data infrastructure. This role involves leading a team, designing data architectures, and ensuring compliance while working in a dynamic startup environment backed by a public company. You will have the opportunity to make a significant impact on clinical decision-making through data transformation and integration.

Benefits

World-class healthcare coverage

401(k) with matching

Parental leave

Generous PTO

Qualifications

• Experience with EMRs and understanding of HL7 and FHIR.
• Proven track record in designing data platforms for healthcare.
• Ability to lead and mentor teams while ensuring delivery.

Responsibilities

• Lead and manage an offshore team of data engineers.
• Design and maintain Snowflake-based data architecture.
• Oversee transformation of healthcare data into structured formats.

Skills

Healthcare data architecture

EMR systems

Data pipeline architecture

HIPAA compliance

Data quality assurance

Education

Bachelor's degree in Computer Science or related field

Tools

Snowflake

dbt

Job description

Senior Data Architect / Data Team Lead | Healthcare Data, Snowflake, and Sigma

Remote | MedTech Startup Backed by a Public Company

Hi reader. It is I, a human who wrote (most) of this. Do me a favor and at least read down to the "what's in it for you" section before you continue doom scrolling on whatever social media you find least aggravating.

Twelve10 (my recruitment company, not my end client, so please don't tell me how Twelve10's mission resonates with you using the AI template LinkedIn provides. I assure you, me trying to bootstrap a recruiting agency has nothing to do with your mission as a healthcare-focused data architect) has been retained by a private equity firm to build out the go-to-market (GTM) team for a groundbreaking medtech AI / ML startup.

This isn’t a “we’ll let you build things one day” job. The platform is already live in parts, and now they need someone to take it across the finish line. That someone could be you (didn't mean for this to sound as dramatic as it did).

Also, Twelve10 have been retained for the duration of this project. We've built out 80 percent of the team, which is north of 20 hires at this point. You're not dealing with a junior recruiter from a grad shop who is CTRL F'ing key words on your resume and submitting you into some portal hoping to hear back. One of the co-founders of this company, I've partnered with for over 8 years. I’m 16 years into recruitment at this point, which means I still don't fully understand what you do, but I kinda do. So I won't be totally blank-faced when you start walking me through your decision matrix on buy-versus-build or schema optimization or whatever architectural rabbit hole you want to walk me through if we meet. I get it. Kinda.

What’s in it for you?

Startup speed. Enterprise benefits.

The irony isn't lost on my client being a healthcare company and the optics of them not being able to offer best-in-class healthcare benefits. It’s a good thing they thought ahead and structured this in a way where you get world-class coverage.

You won’t be squinting at a vague HR doc hoping the deductible isn’t terrifying. This is a startup moving fast, but it’s backed by a public company with real infrastructure. That means legit medical, dental, and vision coverage. 401(k) with matching. Parental leave. PTO you can actually use. Basically, you get to move at startup velocity without sacrificing Little Timmy’s dental plan or wondering if your next paycheck depends on a Series A raise.

You’ll lead, but still build.

You’ll manage a small offshore team of data engineers, but this isn’t a hand-wavy manager role. Basically no free therapy sessions for subordinates masquerading as 1 : 1s.

You’ll be hands-on with Snowflake, Sigma, and the transformation layer built with dbt. You’ll shape pipelines that power real clinical decision-making, not vanity dashboards.

This isn’t a messy rescue mission. Redox is integrated. Core infrastructure is already shipping value. You’re here to build on a solid foundation and get the next version of the platform out the door.

This is not your friend’s “we log calories from wearables” startup. You’ll be transforming claims, clinical, and EMR data from systems that don’t like to cooperate. You’ll structure synthetic mappings, ensure accuracy, and push it into production platforms that real clinicians rely on.

A clear mission, with a real team.

You’ll work closely with product, engineering, and AI teams. But unlike the last guy, who got burned out acting as a PM and a tech lead and a human glue stick, you’ll actually have support. Product owns product. You own delivery.

Remote-first culture with the stability of public backing.

Live wherever you want in the U.S. while working on high-impact problems. You get startup ownership without the fear of being tomorrow’s budget cut.

What You’ll Be Doing

• Lead and manage an offshore team of four data engineers. You’ll focus on delivery, not politics.
• Design, refine, and maintain the Snowflake-based data architecture to support clinical and operational use cases.
• Oversee the transformation of healthcare data; including EMR integrations via Redox—into clean, structured formats, including synthetic mappings from unstructured MASH data.
• Architect the data flows that supply internal ML teams with training-ready datasets.
• Expand the data ecosystem by integrating new EMRs and improving overall interoperability.
• Maintain HIPAA compliance and ensure data quality, lineage, and reliability across the stack.

What My Client Is Looking For

Healthcare data architecture experience is a must. You’ve worked with EMRs, understand HL7 and FHIR, and know your way around CCDA data, even when it’s ugly. You understand the downstream chaos that happens when an encounter has no patient ID and Verato doesn’t catch it.

You’ve designed data platforms that handle messy, multi-source healthcare data and made it queryable, clean, and compliant. You’ve shaped schemas, architected pipelines, and probably argued with at least one compliance officer.

You think in systems, not just scripts. You’ve worked with Snowflake and dbt (or their precursors) and know how to choose the right tool for the job, even if it means offloading part of the stack to another service.

You’ve worked across data, product, and clinical teams before. You’re comfortable in a lead architect seat, mentoring, decision-making, and keeping delivery unblocked, without being precious about title.

Bonus Points If You Have

• Experience mapping unstructured or semi-structured patient data into structured clinical systems.
• Familiarity with Verato, EMPI tools, or identity resolution frameworks.
• A calm, delivery-first mindset. You like to ship good work, quietly.
• Previous startup or regulated data environment exposure, especially in health-tech or clinical analytics.

This role is ideal for someone who wants more than just a job (although yes, it’ll be nice to, you know, pay bills and put food on the table). My client won’t ever be arrogant enough to ask, "tell me why you want to work here" as though they’re doing the world a favor by having an open role. The founders are genuinely good humans.

It’s a chance to shape the data infrastructure of a growing startup with the stability that comes from being backed by a public company.

If you made it this far, you either (a) might actually be interested or (b) just enjoy reading job ads for fun. I do the same on Zillow looking at mansions I can’t afford yet. But if I place you, I’ll be one fee closer to a deposit on one.

In any case, fire over your CV and I’ll genuinely try to get something on the books with you. This one’s moving quickly.

I promise you I’m a delight to work with.

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