Medicare Provider Data Quality Specialist

21 hours ago

Nashville, Tennessee, United States Cigna Full time
Job Summary

The Data Governance & Ownership (DG&O) Senior Data Steward will provide analytical support of our data stewardship strategy. In addition to identifying root causes of quality and accuracy issues, they will provide technical support and coaching for our data stewards. The data stewards are responsible for maintaining data lineage, business rules around data elements and documentation and usage of each element.

Key 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.
  • 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.
  • Track KPIs to measure the effectiveness of data governance initiatives. Provide regular reports to senior management on data governance activities and progress.
Requirements
  • Candidates should model our team's core values - Communicate Effectively and Instills Trust.
  • At least 7 years of relevant experience, i.e. data governance, data management, data analysis.
  • Candidates must have experience building their own SQL (Teradata and Oracle preferred) 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.
Benefits

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.

  • Medicare Provider Data Quality Specialist

    4 weeks ago

    Nashville, Tennessee, United States The Cigna Group Full time

    About the RoleThe Audit, Controls & Compliance Advisor will support the Internal Monitoring function within the Provider Data Quality & Accuracy (PDQA) team.Key ResponsibilitiesSupport the development and implementation of a comprehensive internal audit plan.Conduct audits to assess the effectiveness of internal controls and regulatory compliance.Prepare...

  • Data Quality Specialist

    1 month ago

    Nashville, Tennessee, United States Metro Nashville Public Schools Full time

    Job SummaryWe are seeking a highly skilled Data Quality Specialist to join our team at Metro Nashville Public Schools. The successful candidate will be responsible for ensuring the accuracy and integrity of our school-level data, providing training and support to staff, and collaborating with internal and external stakeholders to meet data requirements.Key...

  • Data Quality Specialist

    4 days ago

    Nashville, Tennessee, United States Metro Nashville Public Schools Full time

    Job SummaryWe are seeking a highly skilled Data Quality Specialist to join our team at Metro Nashville Public Schools. The successful candidate will be responsible for ensuring the accuracy and integrity of our school-level data, providing expert guidance and support to our staff, and collaborating with internal and external stakeholders to drive data-driven...

  • Data Quality Specialist

    3 weeks ago

    Nashville, Tennessee, United States Metro Nashville Public Schools Full time

    Job SummaryWe are seeking a highly skilled Data Quality Specialist to join our team at Metro Nashville Public Schools. As a key member of our Information Management and Decision Support department, you will play a critical role in ensuring the accuracy and integrity of our school-level data.Key ResponsibilitiesEvaluate school compliance with established data...

  • Data Quality Specialist

    3 weeks ago

    Nashville, Tennessee, United States Metro Nashville Public Schools Full time

    Job SummaryWe are seeking a highly skilled Data Quality Specialist to join our team at Metro Nashville Public Schools. The successful candidate will be responsible for ensuring the accuracy and integrity of our school-level data, providing training and support to staff, and collaborating with internal and external stakeholders to meet data requirements.Key...

  • Data Quality Specialist

    2 weeks ago

    Nashville, Tennessee, United States Metro Nashville Public Schools Full time

    Job SummaryWe are seeking a highly skilled Data Quality Specialist to join our team at Metro Nashville Public Schools. The successful candidate will be responsible for ensuring the accuracy and integrity of our school-level data, providing on-site implementation and training, and collaborating with school staff to resolve data errors.Key...

  • Data Quality Specialist

    5 hours ago

    Nashville, Tennessee, United States Metro Nashville Public Schools Full time

    Job SummaryWe are seeking a highly skilled Data Quality Specialist to join our team at Metro Nashville Public Schools. The successful candidate will be responsible for ensuring the accuracy and integrity of school-level data, providing on-site implementation, troubleshooting, and training to internal and external stakeholders.Key ResponsibilitiesEvaluate...

  • Strategic Director of Quality Excellence

    3 days ago

    Nashville, Tennessee, United States Wellvana Full time

    About the RoleWellvana is revolutionizing the healthcare system by delivering life-changing care. As a key member of our team, you will play a crucial role in shaping the future of healthcare.Job SummaryThe Sr. Director, Quality Strategy will lead the development, implementation, and oversight of quality strategies in a company managing fully at-risk...

  • Data Governance Specialist

    4 weeks ago

    Nashville, Tennessee, United States Crescens Full time

    Job Title: Data Governance SpecialistCrescens is seeking a highly skilled Data Governance Specialist to join our team. As a key member of our data governance program, you will play a critical role in ensuring the effective management of our data assets.Job SummaryThe Data Governance Specialist will provide essential support in ensuring that our data...

  • Cancer Data Specialist

    3 weeks ago

    Nashville, Tennessee, United States Vanderbilt University Medical Center Full time

    Cancer Data Specialist Job DescriptionVanderbilt University Medical Center is seeking a skilled Cancer Data Specialist to join our team. As a key member of our cancer program, you will play a critical role in ensuring the integrity and quality of cancer clinical research data.Key Responsibilities:Collect and maintain accurate and timely cancer data in...

  • Data Entry Specialist

    45 minutes ago

    Nashville, Tennessee, United States The Reserves Network Full time

    Data Entry Specialist:Unlock the potential to provide indispensable support to our Dispute Resolution Department. Your meticulous data entry and organizational skills will be invaluable assets, enabling you to make a significant impact in our team.As a Data Entry Specialist, you will be responsible for accurately and efficiently processing data, ensuring the...

  • Data Specialist

    4 weeks ago

    Nashville, Tennessee, United States CATHOLIC CHARITIES, DIOCESE OF NASHVILLE Full time

    Job Title: Data SpecialistCatholic Charities of Tennessee is seeking a highly skilled Data Specialist to join our team. As a Data Specialist, you will be responsible for managing databases, maintaining data integrity, and providing technical support to stakeholders.Key Responsibilities:Oversee the administration of the Salesforce database platform.Ensure the...

  • Data Governance Specialist

    2 weeks ago

    Nashville, Tennessee, United States Crescens Full time

    Job Title: Data Governance SpecialistCrescens is seeking a highly skilled Data Governance Specialist to join our team. As a key member of our data governance program, you will play a critical role in ensuring the effective management and utilization of our data assets.Key Responsibilities:Support the Manager of Data Governance in coordinating with data...

  • Data Governance Specialist

    2 weeks ago

    Nashville, Tennessee, United States Crescens Full time

    Job Title: Data Governance SpecialistCrescens is seeking a highly skilled Data Governance Specialist to join our team. As a key member of our data governance program, you will play a critical role in ensuring the effective management and utilization of our data assets.Key Responsibilities:Support the Manager of Data Governance in coordinating with data...

  • Cancer Data Specialist

    4 weeks ago

    Nashville, Tennessee, United States Vanderbilt University Medical Center Full time

    Cancer Data Specialist Job DescriptionVanderbilt University Medical Center is seeking a skilled Cancer Data Specialist to join our team. As a key member of our cancer program, you will play a critical role in ensuring the integrity and quality of cancer clinical research data.Key Responsibilities:Collect and maintain accurate and timely cancer data in...

  • Provider Engagement Specialist

    4 weeks ago

    Nashville, Tennessee, United States Centene Corporation Full time

    Job Title: Provider Engagement AdministratorWe are seeking a highly skilled Provider Engagement Administrator to join our team at Centene Corporation. As a key member of our organization, you will play a critical role in driving provider performance improvement and ensuring the success of our healthcare initiatives.Key Responsibilities:Act as a liaison...

  • Data Governance Specialist

    3 days ago

    Nashville, Tennessee, United States Crescens Full time

    Data Governance SpecialistCrescens is seeking a highly skilled Data Governance Specialist to join our team. The ideal candidate will have a strong background in data governance principles, best practices, and data management standards.Key Responsibilities:Support the Manager of Data Governance in preparing and facilitating recurring meetings within the...

  • AI Data Annotation Specialist

    3 days ago

    Nashville, Tennessee, United States TRUCKING PEOPLE Full time

    Job OverviewWe are seeking a highly detail-oriented AI Data Annotation Specialist to join our team at TRUCKING PEOPLE. As an AI Data Annotation Specialist, you will play a critical role in training and improving AI models by accurately labeling and tagging data, including images and text.Key Responsibilities:Multimodal data annotation: Accurately label and...

  • Data Management Specialist

    3 days ago

    Nashville, Tennessee, United States HexaQuEST Global, Inc. Full time

    Job Title: Data Management SpecialistJob Summary:HexaQuEST Global, Inc. is seeking a highly skilled Data Management Specialist to oversee the implementation and support of Master Data Management (MDM) solutions. The ideal candidate will have experience in designing and developing robust MDM platforms, as well as working with MS SQL Server databases and...

  • Data Verification Specialist

    1 day ago

    Nashville, Tennessee, United States Aegis Sciences Corp Full time

    Job DescriptionThe Data Verification Specialist is responsible for ensuring the accuracy and completeness of data in various systems. This involves identifying and resolving discrepancies, implementing process improvements, and providing training and education to clients and internal stakeholders. The ideal candidate will have a strong analytical mindset,...