Data Steward

Client Cigna

Location: ***Remote but need someone in one of the areas (or able to relocate to one of the areas if / when it becomes required) where they have an office.

Atlanta GA; Bloomfield CT; Nashville TN; St. Louis MS; Denver CO; Dallas TX; Austin TX; Houston TX; Boston MA; Fairfax VA; Morris Plains NJ; Bloomington MN; Philadelphia PA; Scottsdale AZ; Birmingham AL.

Duration: 12/31/24

Interviews: Video

NOTE: Important. Please read first so that you are not wasting time on the wrong candidates. The client wants to see candidates with strong business operations experience and deep interaction with Healthcare Payer Claims Business Stakeholders. Please NO candidates that dont have heavy experience with claims transaction data experience. Looking for strong business side candidates not technical candidates. True Data Stewards over this transactional data no Business Analysts Data Analysts PMs etc.

Top 3 Skills:

Deep understanding of Healthcare Payer Claims Transactions and Business Operations 5 years of healthcare payer claims experience.

Previous Data Steward experience for a Healthcare Payer/Insurer with deep interaction with healthcare Payer Claims Business Stakeholders.

5 years of Data Stewardship enforcing operational Data Governance data policies standards and rules in realtime across different data systems and sources. (Have dealt with handling variety velocity and volume of data via a flexible dynamic and scalable approach.

Role Summary
The Claims Transaction Data Data Steward is a member of a crossfunctional Data Governance team who partners with business technical and regulatory partners to ensure the documentation and implementation of Claims Transactions data standards . The Data Steward leads complex crossorganizational conversations including risk assessment data quality auditing issue management and knowledge management to ensure Claims Transaction data is fit for organization use . Candidates should have a strong data management background understanding how data is organized and relationships maintained between data domains across multiple enterprise system with a strong drive towards improving data quality and governance.

Responsibilities

Serves as Data Steward as part of an Agile team dedicated to Claims Transaction data operations & initiatives .

Leads Data Governance collaborations with Payer stakeholders to document define maintain and manage Claims Transaction data standards and assets.

Assesses and monitors data quality metrics analyzing trends and proactively promoting remediation and preventive action efforts.

Partners with IT and business teams to ensure the use of best practices and compliance with data standards.

Provides consultative stewardship services to delivery and issue resolution teams serving as subject matter expert as needed.

Provides guidance on development usage and inventory of technical assets.

Represents GBS Data Governance in enterprise workgroups and data steward communities of practice.

Qualifications

Bachelors degree or higher

5 years professional work experience in:

o Data Stewardship Data Governance Data Management and Data Quality practices

o Healthcare Payer Claims Transactions and Revenue Cycle operations

o Claims Transaction data standards and operations including:

Patient checkin and registration

Eligibility verification

Medical coding ICD10 CPT HCPCS SNOMED CT ASC X12N Implementation Guides

Claim submission

Claim processing

Claim payment

Claim reconciliation

Coordination of Benefits

Strong communications skills; written verbal and presentation

Selfdriven and able to function with minimal direction

Has the ability to engage business and data stakeholders to resolve questions or issues

Must have the ability to handle multiple and sometimes competing priorities in a fastpaced environment

Must be able to think creatively innovate and flex where needed quick/adaptive learner and collaborator/team player

Must have strong analytical and problemsolving capabilities

Able to strategize across complex crossfunctional projects and initiatives

Experience in Agile Methodology and tools (e.g. Jira Rally etc.)

Intermediate to Advanced data analysis skills and tools (e.g. SQL SAS Python Hadoop Teradata Snowflake Tableau Collibra Infosphere Alation etc.)