The Role
Design, build, and maintain conceptual, logical, and physical data models for healthcare payer/provider systems. Drive data governance, ensure data quality and compliance (HIPAA), translate business requirements into scalable models, document metadata and data flows, and collaborate with stakeholders to optimize data structures for claims, eligibility, and provider workflows.
Summary Generated by Built In
Project Role : Custom Software Engineer
Project Role Description : Develop custom software solutions to design, code, and enhance components across systems or applications. Use modern frameworks and agile practices to deliver scalable, high-performing solutions tailored to specific business needs.
Must have skills : Oracle Procedural Language Extensions to SQL (PLSQL)
Good to have skills : NA
Minimum 3 year(s) of experience is required
Educational Qualification : 15 years full time education
Role Summary
The resource will drive data governance activities to ensure data assets are well-defined, discoverable, high-quality, and compliant. The role supports definition management, stewardship workflows, and quality monitoring. crucial role in designing and implementing data structures that enable organizations to efficiently store, retrieve, and manage information. The primary responsibility is to translate business requirements into logical, conceptual, and physical data models, ensuring data integrity, scalability, and alignment with organizational goals.
Data Modeler specializing in healthcare payer and provider environments plays a crucial role in designing data solutions that support demand fulfillment requests. These professional leverages experience with healthcare data standards, regulatory requirements (such as HIPAA), and payer-provider workflows to deliver robust and compliant data models. The Data Modeler ensures that data structures facilitate accurate claims processing, eligibility determination, and provider network management, enabling efficient and effective demand fulfillment in healthcare operations.
Key Responsibilities
Analyze business requirements and translate them into data modeling solutions.
Design, develop, and maintain conceptual, logical, and physical data models for databases and data warehouses.
Collaborate with stakeholders, including business analysts, data architects, and developers, to ensure data models meet organizational needs.
Establish and maintain data standards, naming conventions, and data definitions.
Optimize data models for performance, scalability, and reliability.
Support data governance initiatives by ensuring data quality and consistency.
Document data models, metadata, and data flows for technical and non-technical audiences.
Identify and resolve data modeling issues, such as redundancy, inconsistency, or outdated structures.
Stay current with industry trends, best practices, and emerging technologies in data modeling.
Establish and monitor data quality rules investigate and resolve issues.
Coordinate stewardship processes with business owners and IT custodians.
Support data access standards and compliance documentation.
Required Skills
Experience with healthcare payer and provider data structures, including claims, eligibility, and provider data.
Familiarity with healthcare data standards such as HL7, FHIR.
Knowledge of regulatory requirements like HIPAA and data privacy best practices.
Strong data modeling skills—conceptual, logical, and physical—with proficiency in data modeling tools and relational database management systems (RDBMS).
Ability to translate complex healthcare business needs into scalable, compliant data models.
Collaboration and communication skills for working with cross-functional teams, including clinical, business, and IT stakeholders.
Analytical mindset for assessing current data architectures and identifying improvements for demand fulfillment processes.
15 years full time education
Project Role Description : Develop custom software solutions to design, code, and enhance components across systems or applications. Use modern frameworks and agile practices to deliver scalable, high-performing solutions tailored to specific business needs.
Must have skills : Oracle Procedural Language Extensions to SQL (PLSQL)
Good to have skills : NA
Minimum 3 year(s) of experience is required
Educational Qualification : 15 years full time education
Role Summary
The resource will drive data governance activities to ensure data assets are well-defined, discoverable, high-quality, and compliant. The role supports definition management, stewardship workflows, and quality monitoring. crucial role in designing and implementing data structures that enable organizations to efficiently store, retrieve, and manage information. The primary responsibility is to translate business requirements into logical, conceptual, and physical data models, ensuring data integrity, scalability, and alignment with organizational goals.
Data Modeler specializing in healthcare payer and provider environments plays a crucial role in designing data solutions that support demand fulfillment requests. These professional leverages experience with healthcare data standards, regulatory requirements (such as HIPAA), and payer-provider workflows to deliver robust and compliant data models. The Data Modeler ensures that data structures facilitate accurate claims processing, eligibility determination, and provider network management, enabling efficient and effective demand fulfillment in healthcare operations.
Key Responsibilities
Analyze business requirements and translate them into data modeling solutions.
Design, develop, and maintain conceptual, logical, and physical data models for databases and data warehouses.
Collaborate with stakeholders, including business analysts, data architects, and developers, to ensure data models meet organizational needs.
Establish and maintain data standards, naming conventions, and data definitions.
Optimize data models for performance, scalability, and reliability.
Support data governance initiatives by ensuring data quality and consistency.
Document data models, metadata, and data flows for technical and non-technical audiences.
Identify and resolve data modeling issues, such as redundancy, inconsistency, or outdated structures.
Stay current with industry trends, best practices, and emerging technologies in data modeling.
Establish and monitor data quality rules investigate and resolve issues.
Coordinate stewardship processes with business owners and IT custodians.
Support data access standards and compliance documentation.
Required Skills
Experience with healthcare payer and provider data structures, including claims, eligibility, and provider data.
Familiarity with healthcare data standards such as HL7, FHIR.
Knowledge of regulatory requirements like HIPAA and data privacy best practices.
Strong data modeling skills—conceptual, logical, and physical—with proficiency in data modeling tools and relational database management systems (RDBMS).
Ability to translate complex healthcare business needs into scalable, compliant data models.
Collaboration and communication skills for working with cross-functional teams, including clinical, business, and IT stakeholders.
Analytical mindset for assessing current data architectures and identifying improvements for demand fulfillment processes.
15 years full time education
About Accenture
Accenture is a leading global professional services company that helps the world’s leading businesses, governments and other organizations build their digital core, optimize their operations, accelerate revenue growth and enhance citizen services—creating tangible value at speed and scale. We are a talent- and innovation-led company with approximately 791,000 people serving clients in more than 120 countries. Technology is at the core of change today, and we are one of the world’s leaders in helping drive that change, with strong ecosystem relationships. We combine our strength in technology and leadership in cloud, data and AI with unmatched industry experience, functional expertise and global delivery capability. Our broad range of services, solutions and assets across Strategy & Consulting, Technology, Operations, Industry X and Song, together with our culture of shared success and commitment to creating 360° value, enable us to help our clients reinvent and build trusted, lasting relationships. We measure our success by the 360° value we create for our clients, each other, our shareholders, partners and communities.Visit us at www.accenture.com
Equal Employment Opportunity Statement
We believe that no one should be discriminated against because of their differences. All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, military veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by applicable law. Our rich diversity makes us more innovative, more competitive, and more creative, which helps us better serve our clients and our communities.
Skills Required
- Oracle Procedural Language Extensions to SQL (PLSQL)
- Minimum 3 years of relevant experience
- 15 years full time education
- Experience with healthcare payer and provider data structures (claims, eligibility, provider data)
- Familiarity with healthcare data standards (HL7)
- Familiarity with healthcare data standards (FHIR)
- Knowledge of regulatory requirements and data privacy best practices (HIPAA)
- Strong data modeling skills (conceptual, logical, physical)
- Proficiency with data modeling tools
- Proficiency with relational database management systems (RDBMS)
- Ability to translate complex business needs into scalable, compliant data models
- Collaboration and communication skills for cross-functional teams
- Analytical mindset to assess and improve data architectures
Accenture Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Accenture and has not been reviewed or approved by Accenture.
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Healthcare Strength — Pay is considered competitive when paired with robust insurance options and other perks that compare well with large consulting and IT services peers. Multiple national medical plan options plus dental and vision are positioned as a core strength of the overall package.
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Retirement Support — Retirement support is positioned as a standout feature through a 401(k) dollar-for-dollar match up to a set percentage after eligibility. The package is reinforced by additional financial programs such as savings tools and related resources.
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Parental & Family Support — Parental and caregiving supports are presented as a meaningful benefit differentiator through substantial paid parental leave and multiple caregiver-oriented programs. Backup care and fertility/adoption/surrogacy navigation and reimbursements add breadth to family support beyond leave alone.
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The Company
What We Do
Accenture is a global professional services company with leading capabilities in digital, cloud and security. Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Interactive, Technology and Operations services—all powered by the world’s largest network of Advanced Technology and Intelligent Operations centers. Our 500,000+ people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We embrace the power of change to create value and shared success for our clients, people, shareholders, partners and communities. Visit us at www.accenture.com.
