Senior Enterprise Data Architect - Healthcare Analytics & AI

Alignment Healthcare USA, LLC; 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 across operations, cloud, and analytics for Medicare Advantage. You will model data for risk adjustment, HEDIS, and CMS submissions, while upholding HIPAA and SOC 2 standards.

Lead cross-functional teams and drive real-time analytics initiatives. The role emphasizes scalable data platforms, data governance, and collaboration with clinical operations, actuarial, and IT teams to enable AI/ML capabilities and

Qualifications

• 10+ years in data architecture and integration.
• Experience with health plan data, claims, EHRs, HEDIS, CMS reporting.
• Cloud platforms and modern patterns (lakehouse, real-time streaming).
• Ability to influence senior stakeholders and lead cross-functional work.

Responsibilities

• Design and govern data architecture across operational systems, cloud, and analytics.
• Build data models enabling risk adjustment, HEDIS, Star ratings, CMS submissions.
• Establish data governance, PHI/PII classification, and audit readiness.
• Integrate structured/unstructured data from claims, EHRs, and third parties.
• Define secure architecture compliant with HIPAA, CMS, and SOC 2.

Skills

Data Architecture

Data Modeling

Cloud Data Platforms

Data Integration

Data Governance

Security & HIPAA

SQL

Python/Scala

AI/ML Enablement

DataOps/Agile

FHIR/Healthcare Data

Education

Bachelor's degree in Computer Science / Information Systems / Data Science

Master's degree (preferred)

TOGAF / CDMP (certifications)

Tools

Snowflake

Databricks

BigQuery

Redshift

Informatica

Talend

dbt

Airflow

MLflow

Frictionless data platforms

Job description

Alignment Health is seeking an Enterprise Data Architect to design and govern data across operations, cloud, and analytics for Medicare Advantage. You will model data for risk adjustment, HEDIS, and CMS submissions, while upholding HIPAA and SOC 2 standards.

Lead cross-functional teams and drive real-time analytics initiatives. The role emphasizes scalable data platforms, data governance, and collaboration with clinical operations, actuarial, and IT teams to enable AI/ML capabilities and