3 Payers Jobs

Position Overview We are seeking an experienced Data Catalog Lead to lead the implementation and ongoing development of enterprise data catalog using Collibra. This role focuses specifically on healthcare payer industry requirements, including complex regulatory compliance, member data privacy, and multi-system data integration challenges unique to health plan operations. Key Responsibilities Data Catalog Implementation & Development Configure and customize Collibra workflows, data models, and governance processes to support health plan business requirements Develop automated data discovery and cataloging processes for healthcare data assets including claims, eligibility, provider networks, and member information Design and implement data lineage tracking across complex healthcare data ecosystems spanning core administration systems, data warehouses, and analytics platforms Healthcare-Specific Data Governance Build specialized data catalog structures for healthcare data domains including medical coding systems (ICD-10, CPT, HCPCS), pharmacy data (NDC codes), and provider taxonomies Configure data classification and sensitivity tagging for PHI (Protected Health Information) and PII data elements in compliance with HIPAA requirements Implement data retention and privacy policies within Collibra that align with healthcare regulatory requirements and member consent management Develop metadata management processes for regulatory reporting datasets (HEDIS, Medicare Stars, MLR reporting, risk adjustment) Technical Integration & Automation Integrate Collibra with healthcare payer core systems including claims processing platforms, eligibility systems, provider directories, and clinical data repositories Implement automated data quality monitoring and profiling processes that populate the data catalog with technical and business metadata Configure Collibra's REST APIs to enable integration with existing data governance tools and business intelligence platforms Required Qualifications Collibra Platform Expertise 8+ years of hands-on experience with Collibra Data Intelligence Cloud platform implementation and administration Expert knowledge of Collibra's data catalog, data lineage, and data governance capabilities Proficiency in Collibra workflow configuration, custom attribute development, and role-based access control setup Experience with Collibra Connect for automated metadata harvesting and system integration Strong understanding of Collibra's REST APIs and custom development capabilities Healthcare Payer Industry Knowledge 4+ years of experience working with healthcare payer/health plan data environments Deep understanding of healthcare data types including claims (professional, institutional, pharmacy), eligibility, provider data, and member demographics Knowledge of healthcare industry standards including HL7, X12 EDI transactions, and FHIR specifications Familiarity with healthcare regulatory requirements (HIPAA, ACA, Medicare Advantage, Medicaid managed care) Understanding of healthcare coding systems (ICD-10-CM/PCS, CPT, HCPCS, NDC, SNOMED CT) Technical Skills Strong SQL skills and experience with healthcare databases (claims databases, clinical data repositories, member systems) Knowledge of cloud platforms (AWS, Azure, GCP) and their integration with Collibra cloud services Understanding of data modeling principles and healthcare data warehouse design patterns Data Governance & Compliance Experience implementing data governance frameworks in regulated healthcare environments Knowledge of data privacy regulations (HIPAA, state privacy laws) and their implementation in data catalog tools Understanding of data classification, data quality management, and master data management principles Experience with audit trail requirements and compliance reporting in healthcare organizations Preferred Qualifications Advanced Healthcare Experience Experience with specific health plan core systems (such as HealthEdge, Facets, QNXT, or similar platforms) Knowledge of Medicare Advantage, Medicaid managed care, or commercial health plan operations Understanding of value-based care arrangements and their data requirements Experience with clinical data integration and population health analytics Technical Certifications & Skills Collibra certification (Data Citizen, Data Steward, or Technical User) Experience with additional data catalog tools (Alation, Apache Atlas, IBM Watson Knowledge Catalog) Knowledge of data virtualization tools and their integration with data catalog platforms Experience with healthcare interoperability standards and API management Location: Remote- Bengaluru,Hyderabad,Delhi / NCR,Chennai,Pune,Kolkata,Ahmedabad,Mumbai

WHO WILL YOU WORK WITH This position is for a Healthcare Project Leader (PL) to lead a team of analysts within the Private Equity Center of Excellence. BCN's Private Equity CoE works on live due diligences and IP/CD with Bain case teams across the globe. The work spans a breadth of analysis including target screening, market sizing, market & competitive intelligence, consumer surveys, workforce analytics, digital analytics, and disruption assessments. this position is to lead a case team focused on the Healthcare (HC) industry. The role of the HC PL will be to serve on cases across Healthcare domains such as Pharmaceuticals, MedTech, Providers, Payers, Global Health and Digital Health. The PEG HC teams will be primarily focused on collaborating with practice/ case teams on the development and deployment of industry-specific analytical products and topic expertise to answer strategic questions of Bain's HC clients. A Project Lead (PL) is responsible for building strong client relationships through high quality delivery of projects, while providing day to day coaching and mentoring to team members. The Project Lead works with his team to build direction and work-plan, approach to problem solving, hypothesis generation and leveraging the research toolkit. The PL is also participating in office initiatives such as recruiting, training, business strategy. The CoE is witnessing huge demand from the Bain System, and as such, there are immense opportunities for a PL to grow within the BCN PE CoE. WHAT YOU'LL DO We are looking for a candidate who is a self-starter, result oriented, with hands on consulting/research experience, having exposure to two or more core Healthcare domain areas. Any exposure to data analytics as a part of delivering strategy engagements will be an added advantage. The role would require candidate to hit the ground running in a fast growth environment. The role would require a willingness and ability to take initiative and learn independently Engage with case team/ Practice leadership on ongoing cases/ CD/ IP/existing products; and ideate in developing deliver case work/ develop new products/IP for Healthcare clients Build a strong understanding of Pharma/HC IPs and concepts within the team Help ideate and share commercial ideas for development and deployment of IP Products for various Healthcare case teams Help case teams in supporting active cases/proposals with domain specific insights Take responsibility for assigning work streams; monitor and balance workload Ensure timely, high quality, zero-defect research, analysis and output produced by the analysts Provide direct, day-to-day management to a group of 3-4 people Ability to lead a group of Associates, Senior & Junior Analysts to execute cases with limited guidance from the Team Manager Ensures timely, high quality delivery to clients through effective team management; creating hypothesis; defining deliverables and envisaged outputs; drawing the structure and plan; prioritizing and setting daily timelines; reviewing the team's output, providing feedback and ensuring quality control Identifies and proactively engages on critical issues on projects and with clients; Proactively resolve problems, remove roadblocks, escalate issues as needed Is proficient at identifying and using the relevant analytical tools and ensure zero-defect in all work streams and ensures quality work delivery Wherever needed, leverages advanced tools (Tableau, Alteryx, Python, R, SPSS) to improve team efficiency Own and maintain client relationships Understand client needs and situations and adapt to case expectations. Show ability to resolve complex issues across work streams. Communicate data, knowledge, and clearly explain insights and implications for the client to the entire team. Generate and screen realistic answers based on sound reality checks and recommend actionable solutions Effectively manages client and team meetings and deliver clear and professional presentations to the team, team leaders and managers/partners across the Bain system. Exerts strong positive influence over developing and retaining top talent Develop professional development plans, provide coaching/training, recognize accomplishments of direct reports Provides day-to-day coaching on work-planning, problem solving, hypothesis generation and research toolkit Ability to build connect with the team members through a trust-based relationship at all levels is a must. Acts as a role model and brand ambassador of the Bain culture Constructively engages in mutual feedback process with supervisor and direct reportees; provides concrete, regular and actionable feedback Deliver performance reviews, recommends ratings ABOUT YOU: B.Pharm/BDS/BE (BioTech or other disciplines)/ BS (Sciences)/ + MBA from a top-tier Institute/University Minimum of 5 years of relevant experience in a professional services context Strong academic credentials, analytical ability and leadership skills Experience in providing internal/external strategic consulting to HC clients, with exposure to HC topics Should possess excellent analytical, Microsoft Excel, PowerPoint and strong communication and team skills Experienced at managing teams, and adept at multi-tasking. A strong team player and demonstrated ability to motivate team members Ability to deal with ambiguity, and develop approaches to tackle diligence questions Excellent communication skills, can drive senior client/stakeholder level discussions Maturity to lead by example, willingness to get into detail as required while also balancing delegation effectively Hands-on experience with tools such as Alteryx and Tableau, as well as languages such as R/Python is a plus

Strong understanding of SQL and dimensional data modeling concepts. Experience in Payer Domain Data Models Proficiency in data modeling tools Experience in designing and implementing database structures. Experience in migration of DW from legacy to Snowflake Ability to create and maintain conceptual, logical, and physical data models.