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Data Governance

3 months ago

Nashville, Tennessee, United States The Cigna Group Full time
The job profile for this position is Data Management Strategy & Governance Senior Manager, which is a Band 4 Management Career Track Role.

Excited to grow your career?

We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply

Our people make all the difference in our success.

Summary

The Data Governance & Ownership (DG&O) Senior Manager will work with the Provider Data Quality & Accuracy (PDQA) Director to build and lead a team of data stewards responsible for maintaining data lineage, business rules around data elements and documentation and usage of each element, covering the following domains:

  • Credentialing
  • Directory
  • Reimbursement\Capitation
  • Configuration
  • Network

The PDQA DG&O team will work with multiple stakeholders across future state Medicare operations, as defined by the Dedicated Medicare Operating Model (DMOM) project. They will help to drive improvements in the provider data domain to ensure we meet specific goals and metrics, as defined by business and regulatory requirements.

Essential Functions and Responsibilities

  • Coordinate and partner with the key Medicare operations teams, including claims, enrollment, fulfillment, network operations, and technology, to ensure delivery of operational excellence.
  • Monitoring of provider data accuracy leading to CMS compliant provider directories as well as assisting with improved claims auto-adjudication.
  • Work within the Data Quality management process to champion incremental improvements and deployments that result in measurable improvements in data quality, understanding the business impacts and prioritizing the data quality remediation.
  • Partner with product/process owners to create and implement data governance frameworks, policies, and standards to ensure data quality and compliance and to eliminate non-value added effort, by reducing unnecessary data entry, sharing data across systems, and other methods.
  • Ensure the data stewards are effectively managing assets.
  • Ensure compliance with regulatory standards and stay up to date with changes in regulatory requirements.
  • Support the development of and oversee quality metrics and monitoring processes to ensure data integrity and accuracy. Implement data cleansing and validation procedures.
  • Identify and mitigate data-related risks. Implement and monitor controls to safeguard data assets and ensure their proper usage.
  • Establish and track KPIs to measure the effectiveness of data governance initiatives. Provide regular reports to senior management on data governance activities and progress.
  • Attract, recruit, hire, develop, mentor, coach and retain top talent to enable execution of the Medicare growth strategy.

Qualifications

Candidates should model our team's core values – Communicate Effectively and Instills Trust. As a people manager they should also model Manages Ambiguity and Drives Results. They should also have the following skillset and characteristics.

Preferred Qualifications:

  • Bachelor's degree
  • At least 5 years of relevant experience, i.e. data governance, data management.
  • Must have strong SQL skills (Teradata preferred) and experience developing complex queries.
  • Proficiency in data governance tools and technologies is a plus.
  • Certification in data management (e.g. CDMP, DGSP) is a plus.
  • Strong analytical, synthesizing, & problem-solving skills with emphasis on utilizing business processes & technology to solve business problems.
  • Demonstrated ability to work at both conceptual & detailed levels.
  • Willingness to share opinions and take risks.
  • Experience with client facing business units preferred.
  • Creative thinker with ability to think outside the box & translate strategies into actions.
  • Must possess strong organizational skills with ability to manage multiple priorities simultaneously.
  • Strong, clear, concise, and analytical written and oral communication skills.

Direct reports

This position will have multiple direct reports.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 127, ,300 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.