| Looking for, Data Steward (Claims - Governance Analyst) || Remote for approved states || Healthcare Claim Transaction Data at Steward, Illinois, USA |
| Email: [email protected] |
| From: Mayank Mer, Pivotal [email protected] Reply to: [email protected] Role : Data Steward (Claims/Governance Analyst) Visa : No H1/OPT Exp : 5+ years 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. Interviews: Video ***Please submit only quality candidates with valid resumes and LINKEDIN Profiles (REQUIRED)*** The client still does not have any candidates that they like for this position. They have all been on the Technical side and not on the business operation side. This has been open for a long time so you will run into many that have been submitted. Please do not submit random candidates to try to get some traction for someone on the bench. This role is very specific. Business side, dealing with the quality of the claims data through the process. Thank you. Please read all of the notes so you are not wasting your time on this one. This has opened back up and the client wants to see more candidates. She wants candidates with stronger claims data governance and business operations interaction/coordination. This is NOT a Data Analyst or a Business Analyst or a PM - titles to circle around Claims/Governance Analyst, etc . This is a Business side role. The client will not consider technical side candidates (architecture, ETL, UI, etc.,etc.) Feedback from my last interview: he looked to be more clinical data focused than claims data operations focused, and not from an end-to-end claims payment operations perspective (from the time claims are submitted to when they are processed and paid and/or serve as an input into downstream processes that are dependent on the quality of claims data). This is for Cigna. Please submit candidates that fit the following job description. NOTE: I need these full details with every submission. Please take the time to make sure they are giving you their direct, personal, established email that they have used the longest as well as their personal cell phone number (I cannot clear any candidates with disposable VoIP / Google phones ore marketing emails that are new and /or unused. Having to try to dig those details out wastes a large amount of my day and makes the resume review process drag out VERY slowly. Thank you so much for your assistance! Full Name (First, Middle, Last): Last 5 digits of SSN : Work authorization status in the US : Phone number (no disposable/VoIP numbers: (personal, well-established email, no marketing emails): Availability : Rate confirmation : LinkedIn address . 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 datano Business Analysts Data Analysts, PMs, etc. Top 3 Skills: Deep understanding of Healthcare Payer Claims Transactions / Claims Data , 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 real-time , 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 cross-functional 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, cross-organizational 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: Data Stewardship, Data Governance, Data Management and Data Quality practices Healthcare Payer Claims Transactions and Revenue Cycle operations Claims Transaction data standards and operations, including: Patient check-in and registration Eligibility verification Medical coding ICD-10, 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 Self-driven 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 fast-paced environment Must be able to think creatively, innovate and flex where needed - quick/adaptive learner and collaborator/team player Must have strong analytical and problem-solving capabilities Able to strategize across complex, cross-functional 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.) Thanks & Regards, Mayank Mer Technical Recruiter https://www.linkedin.com/in/mayank-mer-405972114/ Keywords: user interface information technology trade national microsoft Alabama Arizona Colorado Connecticut Georgia Massachusetts Minnesota New Jersey Pennsylvania Tennessee Texas Virginia Looking for, Data Steward (Claims - Governance Analyst) || Remote for approved states || Healthcare Claim Transaction Data [email protected] |
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| Wed May 01 01:53:00 UTC 2024 |