Verisk Health’s Payment Accuracy Division drives performance in the business of healthcare by providing claims editing, fraud prevention and clinical validation solutions to both payers and providers. Our real-time analytics platform delivers solutions in sub-second time to improve auto-adjudication rates, claims processing efficiency, operations insight and cost containment. Our next-generation prepayment fraud solution, Nucleus, identifies suspect claims and billing patterns using predictive analytics, robust databases and link analysis in a unique, productivity driven user-experience. Through a comprehensive model of real-time editing, in-depth fraud analytics and clinical review, we deliver customers unequaled savings. Verisk Health is an equal opportunity employer.
The Verisk Health Payment Accuracy Division, in Raleigh/Durham is looking for a strong Data Architect to shape the technical direction of the team as we tackle some of the most complex challenges in the healthcare industry. This is an opportunity to be hands-on technically, and make a huge impact on the quality of Verisk Health products. The Data Architect will serve as a domain expert in data modeling, conceptual and logical design, data governance and change management.
Principal Responsibilities and
Lead architecture and design of Verisk Health data processing, warehouse and analytics initiatives
Responsible for design, planning, execution,monitoring, and improvement of data processing and analytics, including the
tool selection, processes and approach, management, scheduling, and infrastructure.
Responsible for defining standards, governance and metadata management of Verisk Health’s data assets
Responsible for the architecture of Verisk Health’s data warehouse, including modeling, data extract and load processes,
optimization, and change management
Collaborate with product management, operations, sales, customers, and external partners to understand target market segments and business use cases
Design, document, and evangelize architecture standards and policies which enables business agility through the sharing of data sets & software intellectual property
Create white papers, technical documentation, wiki entries, and make presentations to colleagues throughout Verisk Health. Promote the leverage and reuse of proprietary technologies and architectural frameworks across Verisk Health.
Delivered at least one system to production using a Lean or Agile SDLC (Scrum, Kanban, XP…)
Familiar with contemporary engineering practices and willingness to help teams transition to those practices: Test
Driven Development, Continuous Integration, Refactoring, big data analytics
Experience with architecture, implementation and maintenance of large scale, data-centric enterprise projects
Good understanding of healthcare industry, both on clinical and financial aspects.
Knowledge of conceptual, logical and physical database design and modeling
Experience with Data Integration solutions involving ETL, metadata management, data governance, data profiling and quality reporting
Experience with architecting commercial software solutions with the following characteristics strongly preferred:
software-as-a-service, multi-tenancy, high volume analytics (batch and/or realtime), decision support, business intelligence reporting.
Excellent written and verbal communication skills, with an ability to translate complex technical facts for
appropriate understanding by both technical and non technical audiences.
Ability to work independently or as part of a multidisciplinary team - experience working with global, geographically disperse teams within an Agile/Scrum methodology is preferred.
BS Degree in Computer Science (MS desirable) or technically related field with a
minimum of 8 years relevant industry experience or equivalent
Verisk Analytics - 14 months ago