Establish canonical data models (e.g., Patient, Encounter, Claim, Revenue)
Reverse engineer and document the Avatar NX data model, including
Table structures, relationships, and data flows
Enterprise ERDs and logical models
Mapping vendor-specific schemas to normalized structures
Interpreting and modeling data from a non-traditional database architecture (InterSystems Caché/IRIS), where the SQL layer represents an abstraction over a non-relational core, resulting in limited schema transparency, minimal documentation, and increased complexity in reverse engineering
Integration Strategy
Define integration patterns across
Avatar NX (EHR and billing logic)
Salesforce (CRM and engagement)
Financial systems (GL and revenue recognition)
Standardize data contracts and exchange patterns (batch, API, event-driven)
Data Governance & Standards
Establish standards for naming, definitions, and data quality
Implement governance for billing rules and derived logic
Lead development of a data catalog, business glossary, and lineage framework
Ensure reverse-engineered models are documented and version-controlled
Ensure data models, pipelines, and architectural artifacts are managed using enterprise source control practices (e.g., Git) to support auditability and traceability
Rule & Revenue Transparency
Define architecture for rule outcome (inferred) tracking within Azure
Enable reconciliation between NX and downstream financial systems
Ensure billing logic is auditable, traceable, and explainable
Collaboration
Partner with Finance, RCM, Operations, IT, and Analytics leadership
Provide architectural guidance to Data Modelers, Developers, and DBAs
Education Qualifications
Bachelor’s degree in computer science, Information Systems, Data Engineering, or a related technical field
Professional Qualifications
7+ years in data architecture, data modeling, or enterprise data engineering
Hands-on experience designing data platforms in Azure (ADF, Synapse, Data Lake, SQL)
Demonstrated experience integrating EHR, CRM, and financial systems
Proven experience working with EHR vendor databases (e.g., Netsmart Avatar NX, Epic, Cerner, or similar)
Hands-on experience reverse engineering undocumented or poorly documented schemas, including:
Identifying table relationships and key linkages
Reconstructing data models from source systems
Building ERDs from live databases rather than vendor documentation
Experience translating complex clinical and billing data structures into usable enterprise models
Ability to work with stakeholders to validate inferred logic (e.g., encounter flows, billing rules, documentation timing)
Strong expertise in relational and dimensional data modeling
Experience establishing canonical data models across domains (clinical, financial, operational)
Experience implementing data governance frameworks, lineage, and data quality controls
Advanced SQL Server expertise (querying, schema analysis, performance tuning)
Experience with large, complex, highly normalized transactional systems
Proficiency with source control and version management tools (e.g., Git), including branching strategies, pull requests, and versioning of data models, pipelines, and schema definitions
Preferred Experience
Experience in the Healthcare industry, data domains (clinical workflows, RCM, compliance)
Experience supporting finance and revenue cycle reporting (AR, billing, reconciliation)
Familiarity with Power BI, SSRS, or other reporting platforms
Experience working in environments with limited vendor transparency or documentation
Workplace Environment
Requires long periods of sitting (95% sitting, 5% standing)
Extensive computer use
Competencies
Technical Architecture
Data Governance & Quality
Business & Strategy Alignment
Leadership & Influence
Accanto’s Commitment to Equal Opportunity: Accanto is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, genetic factors, military/veteran status
What we offer
Employee Benefits: We understand the importance of a well-rounded benefits package. That’s why we’re dedicated to providing a range of plans to meet your needs.
For full-time employees, we offer
HSA and PPO insurance with HSA or FSA options (Blue Cross Blue Shield)
Dental insurance (Delta Dental)
Vision insurance (EyeMed)
Short-term and long-term disability insurance
Company-paid life insurance
401(k) plan available two months after start date
Company 401(k) matching for up to 50% of your contribution, up to 6% of your compensation
Paid time off is a crucial part of maintaining work and life balance. Our generous PTO plan accrues annually and begins with your first whole pay period. Eligible employees enjoy seven paid holidays and one floating holiday in addition to their regular PTO.
