Principal Data ArchitectMicrosoft Fabric & Insurance Claims Modernization

Educational Qualification*

Any Bachelor's Degree

Experience Range

12 16 years

Tagline/Tech Stack Snapshot -

Platform Architecture | Microsoft Fabric | AI-Accelerated Delivery | Insurance Claims Modernization

Role Summary - (To be filled by Practice /DO)

We are looking for a seasoned Technical Architect to own end-to-end solution architecture for a specialty medical stop loss insurance enterprise's CEO-prioritized claims data platform modernization. You will design and govern a production-ready Microsoft Fabric lakehouse covering the full medallion stack from ingestion through curated Gold layer views while serving as the primary technical authority in direct engagement with client leadership. This is a hands-on architecture role embedded in the delivery team, with a hard production deadline and real commercial stakes on every design decision.

Primary (Must have skills)* - To be Screened by TA Team

12+ years in data engineering and analytics; 3+ years as a Technical or Solution Architect on enterprise-scale, multi-workstream data programs
Hands-on expertise in Microsoft Fabric OneLake, Fabric Data Factory, Lakehouses, Delta Lake, medallion architecture, and point-in-time reconstruction patterns
Proven experience designing data quality and intake control frameworks schema validation, SLA checks, reconciliation, exception triage queues, and quarantine/reject workflows
Deep experience designing canonical data models for complex transactional domains insurance claims, healthcare, or financial services strongly preferred
Hands-on experience with Azure AI Services Azure Document Intelligence (Form Recognizer) or equivalent for unstructured/semi-structured document extraction integrated into pipelines
Strong Python and SQL you review and write production-grade code, not just diagrams
Demonstrated experience leading customer-facing technical engagements with full delivery accountability you own the outcome, not just the architecture review

Why This Role Matters - New addition (To be filled by Practice /DO)

The customer processes 50,000+ claims annually across 250+ Third-Party Administrators using a fragmented, manual intake stack. The platform you architect will eliminate that friction, automate eligibility workflows, and become the data foundation on which all future AI/ML, BI, and operational capabilities are built. Phase 1 establishes a production-proven foundation on five priority TPAs the architecture you get right here sets the pattern for the full TPA network in subsequent phases.

What You'll Do/
Job Description of Role* (RNR) - To be Evaluated by Technical Panel (Define it to give more clarity)

Architecture & Solution Design
Design and govern the OneLake medallion architecture (Bronze / Silver / Gold) for claims, eligibility, and policy/contract data across five Phase 1 TPAs
Define the AI-assisted schema registry versioned alias handling for ~10 TPA format variants each, with drift detection and forward-compatible schema evolution
Data Platform & AI Integration
Govern the Fabric Data Factory pipeline architecture for batch file intake (xlsx, csv, txt) with SLA monitoring, control totals, duplicate detection, and quarantine/reject workflows
Architect the Azure Document Intelligence integration for eligibility PDF and screenshot extraction, including human-in-the-loop validation workflow design
Governance, Security & Compliance
Design PHI access controls and data masking patterns enabling offshore development while meeting US-only PHI requirements
Establish the four-role RBAC model (Admin, IT Support, Regular User, Read-Only) across the eligibility portal and all operational UIs
Technical Leadership
Lead sprint zero discovery backlog definition, TPA file layout review, RACI, tooling access, and delivery cadence establishment
Conduct architecture decision reviews and set engineering standards across all workstreams and the full offshore team
Client Engagement
Serve as the primary technical voice in stakeholder meetings with client technology and business leadership translating platform decisions into clear, decision-ready recommendations
Partner with the client's internal team to define Gold layer consumption spec and integration handoff criteria for the downstream claim creation platform

Soft skills/other skills - To be Evaluated by Hiring Manager (To define how this will be evaluated)

Communication Skills
Communicate effectively with stakeholders.
Use clear verbal, written (emails, documentation), and instant messaging approaches to ensure alignment.
Interpersonal Skills
Build and maintain productive relationships across cross-functional teams.
Provide constructive feedback during requirement workshops and be open to stakeholder input.
Problem-Solving & Analytical Thinking
Strong analytical mindset to evaluate process flows.
Ability to troubleshoot requirement gaps, compliance risks, and process inefficiencies.
Task / Work Updates
Prior experience working in Agile/Scrum projects with tools like Jira or Azure DevOps.
Provide regular updates, demonstrate proactivity, and show due diligence in carrying out responsibilities.
Stakeholder Management
Skilled in facilitating workshops, UAT sessions, and requirement walkthroughs.
Act as liaison between business and technical teams, ensuring clarity and consensus.

What Success Looks Like (6 12 Months) -
Expected Outcome

A successful implementation of Phase I and II of Claims Management Platform

Secondary Skills (Good to have)

Why Join Us - New Addition