Full-Time

Senior Data Modeler

Posted on 7/10/2025

Abacus Insights

Abacus Insights

201-500 employees

Cloud-based payer data integration platform

No salary listed

Pune, Maharashtra, India

In Person

Category
Data & Analytics (1)
Requirements
  • 8+ years of experience in data modeling, enterprise data architecture, and cloud-based data engineering
  • 4+ years leading data modeling teams in enterprise environments.
  • Expertise in enterprise data modeling tools (Erwin, ER/Studio, DBSchema, or similar).
  • Strong hands-on experience with cloud data platforms (Databricks, Snowflake) and data lakehouse architectures.
  • Deep understanding of healthcare data models across Core Payer (Claims, Membership, Enrollment, Provider, Billing, Premium) and Clinical Interoperability (FHIR, HL7, ADT, CCDA, etc.) domains.
  • Experience with NoSql modeling, schema evolution, lossless data modeling, and data versioning strategies.
  • Strong background in SQL, performance tuning, and query optimization for large-scale datasets.
  • Hands-on experience with data engineering workflows, including data pipeline integration, ELT/ETL optimizations, and data transformation frameworks.
  • Ability to mentor junior modelers, enforce modeling best practices, and drive adoption of enterprise data standards.
  • Excellent collaboration skills to work with data architects, engineers, analysts, and client implementation teams.
Responsibilities
  • Lead a global team of data modelers to build scalable, high-performance conceptual, logical and physical data models aligned with enterprise architecture and industry standards.
  • Define and enforce data modeling best practices, including schema evolution, lossless data modeling, metadata management, and data versioning.
  • Convert conceptual and logical data models into optimized physical ERDs using enterprise data modeling tools (Erwin, ER/Studio, DBT, or similar).
  • Ensure models support analytical (data science, actuarial, reporting) and operational (Claims, Care Management) use cases.
  • Maintain metadata, business glossary, and data dictionaries to support data lineage and governance.
  • Own data modeling workflows, including version control, schema deployment, and upgrade automation.
  • Work with engineering teams to implement data models in Databricks, Snowflake, and modern cloud architectures.
  • Optimize data models for update performance, query performance, indexing, partitioning, and storage efficiency as appropriate.
  • Ensure data enrichment (standardization, transformations, algorithms, and grouping) is seamlessly integrated into the data models.
  • Collaborate with Director of Data Modeling and client implementation teams to understand client needs, assess data model impact, and enhance models for efficient implementations.
Desired Qualifications
  • Healthcare reporting experience.
  • Experience with OBT, data lakehouse, and metadata management frameworks.
  • Familiarity with business intelligence (BI) and reporting solutions on modern cloud data warehouses.
  • Knowledge of APIs, SDKs, and data distribution frameworks for enabling real-time and batch data access.
  • Experience with data governance, security, and regulatory compliance in healthcare data management.

Abacus Insights provides a cloud-based data transformation platform for health plans that ingests data from claims, clinical records, and member eligibility and consolidates it into a unified, usable data set. It creates a 360-degree view of the patient and serves as a data layer that decouples data from analytics tools, delivering secure, HIPAA-compliant data feeds tailored to specific business uses. The company differentiates itself with payer-specific data workflows, a focus on cleaning and unifying siloed data, and leadership with deep payer and clinical expertise, enabling health plans to use their preferred analytics tools. Its goal is to help health plans improve clinical outcomes, reduce costs, and enhance member experiences by providing high-quality, accessible data for decision making.

Company Size

201-500

Company Stage

Series D

Total Funding

$132.5M

Headquarters

Boston, Massachusetts

Founded

2017

Simplify Jobs

Simplify's Take

What believers are saying

  • Databricks partnership accelerates proprietary generative AI products for payer outcome improvements.
  • Tech Mahindra and ZS partnerships de-risk implementations and expand market reach at scale.
  • Stars Performance Data Solution directly addresses Medicare quality metrics driving payer ROI.

What critics are saying

  • CMS TEFCA mandate effective January 2026 commoditizes proprietary data transformation via QHIN networks.
  • Komodo Health's 330M-life Healthcare Map undercuts Abacus' 23M scale with price compression.
  • Optum's Change Healthcare acquisition captures Blue Cross partnerships through bundled claims dominance.

What makes Abacus Insights unique

  • Purpose-built cloud platform exclusively designed for health plan payer data transformation needs.
  • Manages data for 23 million U.S. health insurance members with 15-minute data delivery velocity.
  • Physician-founded by Dr. Minal Patel with deep payer operations and McKinsey consulting expertise.

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Benefits

Flexible Work Hours

Growth & Insights and Company News

Headcount

6 month growth

0%

1 year growth

-4%

2 year growth

-7%
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EVANSTON, Ill. & BOSTON--(BUSINESS WIRE)--As ZS continues to help health plans evolve and transform, the firm announced today an investment in and partnership with Abacus Insights, a healthcare technology leader with a groundbreaking offering in data usability that rapidly accelerates the achievement of key health plan goals including efficiency, equity, health services and member outcomes. “At ZS, we believe the future of healthcare is connected, with providers, health plans, pharma companies and other stakeholders working together,” said ZS CEO Pratap Khedkar. “Usable data from Abacus Insights is a key enabler and connecter, and we take seriously our role in helping health plans innovate and excel. Partnerships like this one between ZS and Abacus Insights will be increasingly important in a connected health ecosystem.”

INACTIVE