The Cigna Group · 7 hours ago
Medicare Provider Data Quality & Accuracy-Directory Data Steward
United States
Full-time
Remote
Mid, Senior Level
$95K/yr - $159K/yr
5+ years exp
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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.
Qualification
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Preferred
Bachelor’s degree
At least 5 years of relevant experience, i.e. data governance, data management.
The ideal candidate will have experience building their own SQL (Teradata preferred) queries, or willing to learn SQL in the first 6 months.
Proficiency in data governance tools and technologies is a plus.
Certification in data management (e.g. CDMP, DGSP) is a plus.
Preference given to a candidate with experience in working with credentialing data/operations.
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
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
The Cigna Group
The Cigna Group is a healthcare firm that focuses on providing hospital services and innovative solutions for better health.
10,001+ employees
Funding
Current Stage
Late StageLeadership Team
David Cordani
Chairman and Chief Executive Officer
Recent News
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