Clinical Data Steward

3 weeks ago


Boston, United States W3R Consulting Full time

The Claims Transaction Data, Data Steward is a member of a cross-functional Data Governance team who partners with business, technical, and regulatory partners to ensure the documentation and implementation of Claims Transactions data standards. The Data Steward leads complex, cross-organizational conversations – including risk assessment, data quality auditing, issue management, and knowledge management – to ensure Claims Transaction data is fit for organization use. Candidates should have a strong data management background understanding how data is organized and relationships maintained between data domains across multiple enterprise system with a strong drive towards improving data quality and governance.


Responsibilities

  • Serves as Data Steward as part of an Agile team dedicated to Claims Transaction data operations & initiatives.
  • Leads Data Governance collaborations with Payer stakeholders to document, define, maintain, and manage Claims Transaction data standards and assets.
  • Assesses and monitors data quality metrics, analyzing trends and proactively promoting remediation and preventive action efforts.
  • Partners with IT and business teams to ensure the use of best practices and compliance with data standards.
  • Provides consultative stewardship services to delivery and issue resolution teams, serving as subject matter expert as needed.
  • Provides guidance on development, usage, and inventory of technical assets.
  • Represents GBS Data Governance in enterprise workgroups and data steward communities of practice.


Qualifications

  • Bachelor’s degree or higher
  • 5+ years professional work experience in:
  • Data Stewardship, Data Governance, Data Management and Data Quality practices
  • Healthcare Payer Claims Transactions and Revenue Cycle operations
  • Claims Transaction data standards and operations, including:
  • Patient check-in and registration
  • Eligibility verification
  • Medical coding – ICD-10, CPT, HCPCS, SNOMED CT - ASC X12N Implementation Guides
  • Claim submission
  • Claim processing
  • Claim payment
  • Claim reconciliation
  • Coordination of Benefits
  • Strong communications skills; written, verbal and presentation
  • Self-driven and able to function with minimal direction
  • Has the ability to engage business and data stakeholders to resolve questions or issues
  • Must have the ability to handle multiple and sometimes competing priorities in a fast-paced environment
  • Must be able to think creatively, innovate and flex where needed - quick/adaptive learner and collaborator/team player
  • Must have strong analytical and problem-solving capabilities
  • Able to strategize across complex, cross-functional projects and initiatives
  • Experience in Agile Methodology and tools (e.g., Jira, Rally, etc.)
  • Intermediate to Advanced data analysis skills and tools (e.g., SQL, SAS, Python, Hadoop, Teradata, Snowflake, Tableau, Collibra, Infosphere, Alation, etc.)



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