{"id":4223475,"url":"https://alion.io/job/veradigm-principal-architect-payer-data-platform","title":"Principal Architect, Payer Data Platform","company":{"id":3132,"name":"Veradigm","domain":"veradigm.com","url":"https://alion.io/company/allscripts","size_band":"1001-5000","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":{"grade":"A","score":91,"open_postings":8,"ghost_share":0,"stale_share":0.375,"repost_share":0,"time_to_fill_p50_days":48,"computed_at":"2026-11-12T10:38:37Z"}},"role":"Data Science","role_family":"Data Science","seniority":"lead","employment_type":"full_time","work_mode":"hybrid","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"explicit","locations":["Raleigh, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":null,"salary_estimate":null,"experience_years_min":10,"visa_sponsorship":true,"relocation_package":false,"has_equity":false,"technologies":[{"name":"AWS","optional":false},{"name":"C#","optional":false},{"name":"FHIR","optional":false},{"name":"HIPAA","optional":false},{"name":"HL7","optional":false},{"name":"Java","optional":false},{"name":"LLM Guardrails","optional":false},{"name":"Master Data Management","optional":false},{"name":"Python","optional":false},{"name":"Rest API","optional":false},{"name":"Snowflake","optional":false},{"name":"SOC 2","optional":false}],"status":"live","first_seen_at":"2026-11-12T00:00:00Z","employer_posted_date":"2026-11-12","last_verified_at":"2026-11-13T06:40:43Z","board_verified":true,"closed_at":null,"days_open":1,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":1},"description":"JOB SUMMARY\nVeradigm is building Health Network Architecture (HNA), an emerging platform at the center of the company that brings its clinical, payer, and Life Sciences businesses onto shared foundations. This role defines and delivers the clinical and payer data foundation for Veradigm's payer products on HNA: how data comes in, the shared definitions and contracts it is modeled with, and how products, analytics, AI features, and partners access it. It is equally instrumental in delivering the product and platform outcomes that depend on that data across risk adjustment, quality, care coordination, prior authorization, and CMS interoperability.\nThis role decides the shared clinical and payer data definitions, contracts, and API/big data access patterns for payer products. Product teams decide how they build on them, and HNA platform architecture owns the overall platform design. The role works inside delivery with those teams and sees the hardest data problems through to production. Veradigm's goal is for AI to be a first-class part of how it builds and what it delivers to clients. This role helps achieve this: it designs data that AI features can rely on and uses AI in its own engineering work. It is a hands-on individual contributor role, about 25% building reference implementations and shared primitives, with the rest spent on design, design review, and working alongside Product and engineering teams in the US and India.\nWHY THIS ROLE MATTERS\nPayers and providers each hold part of a member's story, and the gaps between them show up as delayed care, duplicated work, and decisions made on stale data. Veradigm's payer products close those gaps, giving health plans a complete, current view of every member and giving providers faster answers from the plans they work with. The data foundation this role designs is what that view is built on.\nESSENTIAL FUNCTIONS/MAJOR JOB RESPONSIBILITIES\nClinical and payer data ingestion\nDesign the ingestion framework for rapid ingestion of claims, remittance, enrollment, eligibility, pharmacy, lab, ADT, and clinical documents across X12, HL7, FHIR, and file feeds.\nEstablish standards for validation, reconciliation, provenance, observability, and safe reprocessing so data quality and delivery can be measured end to end.\nDefine the architecture and sequence for moving existing payer feeds onto HNA without disrupting customers.\nData modeling and access patterns\nDesign the shared clinical and payer data definitions and contracts that payer products on HNA build from.\nEnable payer products to reuse shared definitions, contracts, and services while supporting their distinct workflows.\nRun model governance: versioning, schema evolution, extension approvals, and data contracts with producing and consuming teams.\nDefine when products and partners use synchronous APIs, events, bulk exchange, or analytical access, including FHIR-based interfaces where appropriate.\nDesign access with Security and Privacy to meet HIPAA minimum-necessary, consent, and audit requirements, within performance and cost targets.\nDesign the data foundation for AI features: definitions, provenance, and access controls that let products use clinical and payer data in AI accurately and safely.\nArchitecture leadership and enablement\nBuild reference implementations and shared primitives, and publish the standards and examples teams need to adopt them without waiting on this role.\nUse AI in the engineering work itself (mapping feeds to shared definitions, generating and testing transformations, catching data quality issues) and set the patterns teams follow.\nReview data designs across payer product teams against the shared standards, and work with HNA platform architecture, which owns the overall platform design.\nWork with Product from problem definition, turn product direction into data architecture, and stay with the teams through delivery until the product and platform outcomes land.\nGrow data-modeling skill across engineering teams.\nJOB REQUIREMENTS\nEducation\nBachelor’s Degree or equivalent technical/business experience (Required)\nMaster’s Degree (Preferred)\nWork Experience\n10+ years of relevant work experience; 2-3 years at the Expert level or equivalent experience (Preferred)\n5+ years of practical experience designing and building enterprise or distributed software systems (Preferred)\n5+ years designing data platforms for healthcare clinical and/or payer data (claims, eligibility, clinical records) (Required)\nCertifications\nAWS Certified Solutions Architect - Professional, or equivalent cloud architecture certification (Preferred)\nKnowledge, Skills and Abilities\nExpert in data modeling: relational, dimensional, and FHIR resource modeling, plus canonical models and data contracts.\nHands-on with healthcare data standards (X12 EDI, NCPDP, HL7 v2, C-CDA, FHIR R4, and the major implementation guides) and code sets (ICD-10, CPT/HCPCS, LOINC, SNOMED CT, RxNorm, NDC).\nAPI and service design: REST and FHIR APIs, event-driven design, and caching. Writes and reviews production code in a major language such as Python, Java, or C#.\nWorking knowledge of the payer business: risk adjustment, quality, care management, utilization management and prior authorization, and CMS interoperability rules.\nUses AI tools as part of daily design and engineering work.\nHas designed data for AI features on healthcare data: grounding, structured extraction, evaluation, and PHI guardrails.\nUnderstands how clinical data from provider systems flows into payer use cases such as risk adjustment and quality.\nDesigns internal platforms that other teams adopt willingly: clear contracts, sensible defaults, documentation, and migration paths.\nStrong with cloud data platforms and ingestion: AWS, cloud data warehouses or lakehouses (such as Snowflake), relational databases (RDBMS), batch and streaming pipelines, and orchestration.\nMaster data management and identity resolution for members and providers.\nSecurity and compliance for PHI: HIPAA, audit, and the controls behind HITRUST and SOC 2.\nData quality, observability, and lineage practices.\nExplains data architecture clearly to engineers, product managers, and executives, both in writing and in person.\nTravel\nUp to 20% travel may be required\nCompensation for this job is subject to market conditions, geographic considerations, the candidate’s unique skills and experience, state and local laws, and budget. Our commitment to pay transparency is a testament to our dedication to creating a fair, equitable, and inclusive workplace. By continuously analyzing market trends, staying abreast of changes in state laws, and making budgetary adjustments accordingly, we strive to ensure that our compensation practices reflect the value we place on our associates’ unique contributions and support their professional growth.\nEnhancing Lives and Building Careers\nVeradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work and to further their professional development. Together, we are In the Network. Interested in learning more?\nTake a look at our Culture, Benefits, Early Talent Program, and Additional Openings.\nVisa Sponsorship is not offered for this position.\nAt Veradigm, our greatest strength comes from bringing together talented people with diverse perspectives to support the needs of healthcare providers, life science companies, health plans, and the patients they serve. The Veradigm Network is a dynamic, open community of solutions, external partners, and cutting-edge artificial intelligence technologies that provide advanced insights, technology, and data-driven solutions. Veradigm offers a comprehensive compensation and benefits package, including holidays, vacation, medical, dental, and vision insurance, company paid life insurance and retirement savings.\nVeradigm’s policy is to provide equal employment opportunity and affirmative action in all of its employment practices without regard to race, color, religion, sex, national origin, ancestry, marital status, protected veteran status, age, individuals with disabilities, sexual orientation or gender identity or expression or any other legally protected category. Applicants for North American based positions with Veradigm must be legally authorized to work in the United States or Canada. Verification of employment eligibility will be required as a condition of hire. Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce.\nFrom a \"VEVRAA Federal Contractor\" We request Priority Referral of Protected Veterans\nThis is an official Veradigm Job posting. To avoid identity theft, please only consider applying to jobs posted on our official corporate site.\nThank you for reviewing this Veradigm opportunity. Does this look like a great match for your skill set? If so, scroll on down and tell us more about yourself!","description_format":"text","description_chars":8945,"description_truncated":false,"requirements":{"experience_years_min":10,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"bachelor","optional":false},"security_clearance":false,"languages":[]},"benefits":["Life insurance","Professional development","Vision insurance"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"},{"name":"Canada","iso":"CA","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["EHR & Clinical Software","Practice Management Software","Revenue Cycle & Medical Billing","Health Data & Interoperability"],"lifecycle":[{"event":"open","at":"2026-11-13T06:40:43Z"}],"visa":[{"country":"US","licensed_sponsor":true,"adverts_offering_sponsorship_24m":0,"sanctioned_now":false,"evidence":"H-1B filings in 12 months: 15 · green card filings: 6","filings_12m":15,"filings_prev_12m":11,"green_card_filings_12m":6,"median_offered_wage_usd":128929,"route":null,"cap_exempt":false,"checked_at":"2026-11-12T07:36:15+00:00","sources":["US Department of Labor: LCA disclosure data (H-1B, H-1B1, E-3)","US Department of Labor: PERM disclosure data (green cards)"],"filings_for_role_12m":0}],"liveness":{"score":86,"band":"hot","label":"Hiring now","p_open":1,"p_active":0.86,"p_room":1,"age_days":1,"expected_fill_days":48,"reasons":["conf:1","win:early"],"computed_at":"2026-11-13T07:55:43Z"},"pay":null,"html_url":"https://alion.io/job/veradigm-principal-architect-payer-data-platform","json_url":"https://alion.io/job/veradigm-principal-architect-payer-data-platform.json","meta":{"generated_at":"2026-11-13T07:55:43Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":16426,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-11-14T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.1,"usd":0.01,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":3132},"rest":"https://alion.io/mcp/rest/get_company?id=3132"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fveradigm-principal-architect-payer-data-platform"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"free","price":{"credits":0,"usd":0},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fveradigm-principal-architect-payer-data-platform"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.1,"usd":0.01},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fveradigm-principal-architect-payer-data-platform"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/veradigm-principal-architect-payer-data-platform\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fveradigm-principal-architect-payer-data-platform"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":4223475}},{"tool":"search_jobs","arguments":{"company":"veradigm.com","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":4223475},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); https://alion.io/mcp with an Alion account has everything. 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