• Design, build, and maintain scalable data pipelines using Microsoft Fabric and Apache Airflow • Ingest, transform, and integrate data from a variety of sources, including relational systems, APIs, and MongoDB • Implement and manage data solutions aligned to Medallion architecture principles (Bronze, Silver, Gold) • Design and maintain analytical data models, including fact and dimension tables, to support reporting and analytics • Optimize data storage, performance, and reliability across lakehouse and warehouse environments • Ensure data quality, observability, and lineage through validation, monitoring, and documentation • Collaborate with data analysts and BI developers to enable performant, well-modeled datasets for Power BI • Partner with clinical, operational, and technical stakeholders to understand data requirements and constraints • Support data governance, security, and compliance efforts, including HIPAA-related controls • Mentor junior data engineers and contribute to engineering standards and best practices