Claims Data Steward

This is a contract to hire role through Magnit for a leading healthcare insurance company in the US. This role is fully remote in the US ONLY.

Client DetailsJob Position : Enterprise Data Governance – Claims Data StewardClient : CignaDuration : 8 Months (Possibilities of Extensions)

Only US Citizens and Green Card Holders can work only on W2

The pay range that Magnit reasonably expects to pay for this position is: $60 - $63/hour W-2.

Job SummaryThe Claims Data Steward is a member of a cross-functional EDG team who partners with business, technical, and regulatory stakeholders to ensure the implementation of industry and business data standards and its documentation is accomplished. The Data Steward leads complex, cross-organizational efforts to ensure data is fit for organizational use – including but not limited to: risk assessment, metadata management, data quality monitoring, issue management, and knowledge management. Candidates should have a strong data management background and understanding of how data may be organized and of relationships maintained between/among data domains across multiple enterprise systems with a strong drive towards improving data quality and governance. Responsibilities (related to Claims Data Domain)Serves as Data Steward dedicated to health care payer Claims data operations & initiativesWorks 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 practiceLeads 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 rulesEnsure the implementation of the data governance program, tools, best practices and compliance with data standardsAssesses and monitors data quality metrics, analyzes trends, and proactively promotes remediation and preventive action effortsIn conjunction with the business owners:Defines and communicates metrics to gauge the health and quality of data across enterprise systemsIdentifies and presents recommendations on business process improvements and efficiencies, including business case and implementation optionsProvides consultative stewardship services to delivery and issue resolution teams, as needed, to ensure efficient and accurate flow of data.5+ years professional work experience in:Data Governance, Data Management and Data Quality practicesHealthcare payer data products and processesClaims 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 repositoriesClaim / 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 groupsStrong 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 teamsMust 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 initiativesMust have strong analytical and problem-solving capabilitiesMust be able to think creatively, innovate and flex where needed - quick/adaptive learner and collaborator/team playerSelf-motivated and able to function with minimal directionIntermediate 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 plusExperience in Agile Methodology and tools (e.g., Jira, Rally, etc.)