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Claims Data Steward (Business Analytics Senior Advisor) jobs in United States
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The Cigna Group · 1 month ago

Claims Data Steward (Business Analytics Senior Advisor)

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.
CommercialHealth CareHospitalInsuranceMedical

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

Qualification

Data GovernanceData ManagementData QualityHealthcare Payer DataClaims Data StandardsData AnalysisSQLAnalytical SkillsAgile MethodologyCommunication SkillsLeadership SkillsProblem-Solving SkillsProject Management

Required

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.)

Preferred

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

The Cigna Group

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The Cigna Group is a healthcare firm that focuses on providing hospital services and innovative solutions for better health.

Funding

Current Stage
Late Stage

Leadership Team

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David Cordani
Chairman and Chief Executive Officer
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Michele Berg
CEO Communications
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Company data provided by crunchbase