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About the Role

Harbor Health is rebuilding the operating system of healthcare. The HDS team contributes to this by building "HarborOS", the central nervous system of our clinical operations, tying together information from different clinical sources to drive optimal outcomes for our members. Data is our product. We are looking for a Healthcare Data Architect & Manager to lead the design of foundational data structures and ontologies that will help us transform healthcare. You will not just move data; you will define how our business understands it. You will take raw chaos (claims, ADT, disparate EMR feeds) and architect the trusted data models and master indexes that power our patient care, risk adjustment, and financial decisions.

Responsibilities

Architect the Healthcare Data Model: Design core schemas and data models defining the business, including complex concepts like "Attribution," "Risk," and "Claims Adjudication" for historical accuracy, scalability, and query performance.
Define the Technology Standards & Strategy: Set the overarching strategy for the data stack (Snowflake, realtime streams etc) and dbt environments, dictating approaches to data schema, reporting schema, and stream/transactional data use.
Data Usability and Access: Design and implement deterministic and probabilistic matching logic to assign unique identifiers to patients from fragmented external sources.
Bridge Engineering and Clinical Operations: Act as the primary strategic interface between Clinical/Business Operations and Engineering, translating business needs into architectural specifications.
Domain Leadership & Mentorship: Act as a subject matter expert on healthcare data, mentoring engineers on domain nuances and raising the collective technical bar for system design.
Technical Ownership & Execution: Drive complex initiatives from inception to delivery, interpreting stakeholder asks and designing optimal data architecture with the engineering team.

Requirements

Healthcare “Payvider” Domain Mastery: Deep subject matter expertise in healthcare data domains (provider and payer sides), fluent in EDI, FHIR, ADT and other healthcare standards.
Data Architecture Fundamentals: Proven experience designing highly scalable data platforms from scratch, with a deep understanding of column-oriented databases (Snowflake) and real-time processing.
dbt & Transformation Fluency: Experience structuring large-scale dbt projects, including macroarchitecture, incremental strategies, and dependency management.
Technical Influence: Ability to write performant SQL and review Python pipelines, and influence engineers through standards and architectural reviews.
Deep subject matter expertise in healthcare data domains.
Fluency in processing 837 files, modeling the claim lifecycle (Adjudication, Reversal, Denial), and handling provider data nuances (NPI vs. TIN).
Proven experience designing Dimensional Models (Kimball/Star Schema) from scratch.
Knowledge of when to denormalize for performance and when to normalize for integrity.

Skills

EDI
FHIR
ADT
Snowflake
dbt
SQL
Python
Dimensional Modeling (Kimball/Star Schema)
837 files
NPI
TIN

Location

Texas

Work Type

Full-time

Experience Level

Manager

Benefits

Competitive salary
Company equity
Robust benefits package
Professional development and growth opportunities

About the Company

Harbor Health is transforming healthcare in Texas through collaboration and innovation.
We are seeking passionate individuals to help us create a member-centered experience that connects comprehensive care with a modern payment model.
We are an organization made of people who are passionate about changing the healthcare landscape.
We offer a transparent and unique culture.

Equal Opportunity

Harbor Health is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law. We are committed to creating an inclusive environment for all clinicians and teammates and actively encourage applications from people of all backgrounds.