Data Architect / Analyst

Job Summary 
The Data Architect / Analyst is responsible for designing enterprise data architectures, defining data models, and performing advanced data analysis to support API-driven integrations, analytics, and fraud detection. The role ensures data consistency, scalability, and compliance with CMS, HIPAA, and federal data standards. 
 
Key Responsibilities: 

Data Architecture & Design 

• Design and maintain enterprise data architecture for structured and semi-structured healthcare data. 

• Define logical, conceptual, and physical data models. 

• Establish data standards, naming conventions, and metadata management practices. 

• Support event-driven and API-based data architectures. 

• Align data architecture with CMS interoperability mandates (FHIR, HL7). 

Data Analysis & Insights 

• Analyze large healthcare datasets to identify patterns, trends, and anomalies. 

• Support fraud, waste, and abuse (FWA) detection efforts through data analysis. 

• Develop analytical datasets and data marts for reporting and investigations. 

• Partner with business stakeholders to translate requirements into data solutions. 

API & Streaming Integration 

• Support data design for API Gateway integrations (MuleSoft or similar). 

• Ensure data consistency across Kafka streaming pipelines and batch sources. 

• Define data contracts and schemas for real-time data exchange. 

• Validate data transformations and mappings across source and target systems. 

Data Governance & Quality 

• Implement data governance, lineage, and stewardship practices. 

• Monitor and improve data quality, accuracy, and completeness. 

• Support data audits, validations, and remediation efforts. 

• Ensure compliance with HIPAA, CMS, FISMA, and NIST standards. 

Reporting & Visualization 

• Design and support reports, dashboards, and analytics for program integrity and operations. 

• Support ad-hoc data requests from investigators and oversight teams. 

Collaboration & Documentation 

• Work closely with architects, developers, QA, and security teams. 

• Participate in Agile ceremonies and data design reviews. 

• Maintain comprehensive documentation of data models, mappings, and architecture decisions. 

Required Qualifications: 

• Bachelor’s degree in Computer Science, Data Science, Information Systems, or related field. 

• 5+ years of experience in data architecture and/or data analysis. 

• Strong experience with data modeling (ER, dimensional, normalized models). 

• Proficiency in SQL and data analysis techniques. 

• Experience working with large enterprise data environments. 
   

Preferred Qualifications: 

• Experience supporting CMS, Medicaid, or federal healthcare programs. 

• Knowledge of HL7 FHIR and healthcare data standards. 

• Knowledge of CMS CPI systems like PECOS; APS. 

• Understanding of CMS Medicare Program Integrity Manual. 

• Experience with API-driven data integration (MuleSoft preferred). 

• Familiarity with Kafka or streaming data platforms. 

• Experience with cloud data platforms like AWS. 

 
Key Skills: 

• Data Architecture & Modeling 

• Healthcare Data & Interoperability 

• Fraud Analytics & Data Validation 

• API & Streaming Integration 

• Data Governance & Quality 

• Federal Compliance Standards 

 
Residency Requirement: 

Candidate must be able to obtain Public Trust clearance and must have lived in the United States for at least three (3) out of the last five (5) years.  

Salary & Benefits Information: 

• The actual salary offer will carefully consider a wide range of factors, including your skills, qualifications, experience, and location. 

• C-HIT offers Healthcare Benefits, Remote Working Options, Paid Time Off, PTO cash-out, Training/Certification opportunities, Healthcare Savings Account & Flexible Savings Account, Paid Life Insurance, Short-term & Long-term Disability, 401K Match, Employee Assistance Program, Paid Holidays, and much more perks and Voluntary benefits!   

• Employees of C-HIT shall, as an enduring obligation throughout their term of employment, adhere to all information security requirements as documented in company policies and procedures. 

C-HIT, a CMMI Maturity Level 5 company, focuses on delivering information technology and professional services to Federal and State agencies. 

"C-HIT is an EOE, including disability and veterans”