Medicare Provider Data Quality Specialist
21 hours ago
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.
- 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.
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.
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