[Remote] Claims Data Steward (Business Analytics Senior Advisor)

Note: The job is a remote job and is open to candidates in USA. The Cigna Group is dedicated to improving the health and vitality of those they serve. The Claims Data Steward will lead cross-organizational efforts to ensure data quality and governance, collaborating with various stakeholders to implement data standards and monitor data quality metrics.

Responsibilities

• Serves as Data Steward dedicated to health care payer Claims data operations & initiatives
• Works collaboratively with other enterprise and business data stewards to align standards and share best practices; represents Claims data domain in enterprise workgroups and data steward communities of practice
• Leads Data Governance initiatives and collaborations with business and IT operational stakeholders to: Document, define, maintain, and manage data standards and assets, e.g., Critical Data Elements (CDEs), business terms, definitions, reference data, and business rules
• Ensure the implementation of the data governance program, tools, best practices and compliance with data standards
• Assesses and monitors data quality metrics, analyzes trends, and proactively promotes remediation and preventive action efforts
• In conjunction with the business owners: Defines and communicates metrics to gauge the health and quality of data across enterprise systems
• Identifies and presents recommendations on business process improvements and efficiencies, including business case and implementation options
• Provides consultative stewardship services to delivery and issue resolution teams, as needed, to ensure efficient and accurate flow of data

Skills

• Bachelor's degree or higher
• 5+ years professional work experience in: Data Governance, Data Management and Data Quality practices
• Healthcare payer data products and processes
• Claims data standards and operations, including: In depth subject matter knowledge of health care claim / encounter terminology, concepts and business processes within one or more data subdomains, e.g., medical, behavioral, vision, dental, pharmacy, etc
• Health care data claim / encounter transactions systems, e.g., Proclaim, Facets, EDI Gateway 837, HL7, FHIR, Arcadia or other claim / electronic medical record (EMR) data sources and data repositories
• Claim / encounter end-to-end lifecycle processes, e.g., submission, processing, payment, reconciliation, etc
• Claim / encounter reference data standards, groupers and classifications, e.g., ICD-10, CPT, HCPCS, DRG, APC, ASC, SNOMED CT, EDI implementation guides, etc
• Strong communications skills (verbal, listening, written, and presentation) with management teams and peer groups
• Strong leadership skills to motivate others to achieve goals and inspire change; ability to engage business and data stakeholders to resolve questions or issues; demonstrate ability to create professional relationships and effectively influence cross-functional teams
• Must have the ability to handle multiple and sometimes competing priorities in a fast-paced environment; ability to organize and develop project plans supporting near and long-range goals and actions; able to strategize across complex, cross-functional projects and initiatives
• Must have strong analytical and problem-solving capabilities
• Must be able to think creatively, innovate and flex where needed - quick/adaptive learner and collaborator/team player
• Self-motivated and able to function with minimal direction
• Intermediate to Advanced skills in data analysis and data governance tools (e.g., SQL, SAS, TOAD, Python, Hadoop, Teradata, Snowflake, Tableau, Collibra, Infosphere, Alation, etc.)
• Project management and Six Sigma skills are a plus
• Experience in Agile Methodology and tools (e.g., Jira, Rally, etc.)

Benefits

• Medical
• Vision
• Dental
• Well-being and behavioral health programs
• 401(k) with company match
• Company paid life insurance
• Tuition reimbursement
• A minimum of 18 days of paid time off per year
• Paid holidays

Company Overview

• The Cigna Group is a healthcare firm that focuses on providing hospital services and innovative solutions for better health. It was founded in 1981, and is headquartered in Bloomfield, Connecticut, USA, with a workforce of 10001+ employees. Its website is https://www.cigna.com/.

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