Data Modeler with Payer Domain Experience

job
  • Abode Techzone LLC
Job Summary
Location
Philadelphia ,PA
Job Type
Contract
Visa
Any Valid Visa
Salary
PayRate
Qualification
BCA
Experience
2Years - 10Years
Posted
19 Dec 2024
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Job Description
Data Modeler with Payer Domain Experience
Remote with Occasional Travel to Clients Office at Philadelphia PA
12 Months Contract OR Full Time
Must Have skills
  • Erwin Data Modelers
  • Experience in processing claim files, Payment Schedules for Medicare, Medicaid, Fee schedules, Eligibility files, RX files from multiple states
  • Very strong knowledge in SQL / Advance SQL
  • Familiarity with a good reporting tool e.g. Power BI
  • Payer Experience and Government Programs - Medicare and Medicaid
Requirements:
  • Demonstrate lead-level capabilities in conceptual analysis, problem-solving, and data analysis.
  • Take ownership of initiatives or projects with the ability to lead and facilitate business requirements and data analysis and modeling sessions.
  • Lead data model review sessions; Develop, adopt and mature the data modeling standards and guidelines aligning to industry best practices.
  • Collaborate with subject matter experts, business analysts, data analysts, and other data modelers to create data modeling deliverables.
  • Provide support in the use of enterprise data, including guidance in understanding and exploitation of the underlying data and business models, and identifying optimal data sourcing and mapping.
  • ssist in developing and publishing data management standards, policies, and procedures, including the management and maintenance of related tools and environments.
  • Create fully attributed and documented conceptual, logical, and physical models.
  • Create, validate, and update the data dictionary by coordinating with data governance team and business users. Capture business rules for logical and physical mapping in the models; Work closely with the data governance team to define data classification, PHI/sensitive information, and enterprise reference data in Collibra and modeling tool.
  • Generate physical model DDL and SQL for views for data engineering implementation.
Qualifications:
  • Requires a bachelor's degree or equivalent experience.
  • Requires at least 8 years of prior relevant experience.
  • Requires at least 8 years of experience responsible for the analysis and design of data models at the conceptual, logical, and physical levels and for the development and maintenance of existing enterprise models.
  • Requires at least 6 years of experience in building business semantic layer and canonical models.
  • Demonstrated ability to understand, produce, and extend large and complex data models for operational and dimensional reporting data stores.
  • Experience coordinating information requirements of multiple departments, including assessment of usefulness, reliability, and cleanliness of data from several sources.
  • bility to effectively present complex technical information to non-technical audiences and to senior decision-makers
  • Experience with ERWIN or ER/Studio as modeling tool is required, with additional Model Mart management experience preferred.
  • Experience with Data Vault 2.0
  • Strong SDLC knowledge, with excellent process and Strong SDLC knowledge, with excellent process and application system documentation skills
  • Solid understanding of Data Management and Metadata Management processes and principles, with the ability to effectively communicate and sell those ideas to others.
  • Demonstrated success working in a team-based environment.
  • Requires strong decision-making, organizational, planning, and problem-solving skills.
  • Excellent analytical skills are required.
  • Strong facilitation and negotiation skills are required.
  • Strong communication skills are required; technical and business writing skills are required.
  • Strong interpersonal skills, with competence in interfacing with business users required.
  • bility to summarize and present design alternatives.
  • bility to influence and sell soundness of design and deliverables.

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