Clinical Data Governance Lead - Enterprise Quality Accreditation - Hybrid
Clinical Data Governance Lead - Enterprise Quality Accreditation - Hybrid
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1 Vacancy
Job Description
Role Summary:
Effective of good data governance principles and practices minimizes risk and ensures the data is available and fit for purpose. As part of The Cigna Groups Enterprise Clinical & Health Organization (ECHO) the Clinical Data Governance Lead is responsible for overseeing the integrity quality and governance of data critical to ECHO operations programs and strategies. Ideal candidates should have strong background on health care payer Clinical operations / programs and related clinical data standards with drive towards business enablement and quality improvement.
Responsibilities:
Implements data ownership / data stewardship practices and serves as the primary business contact for datarelated decisions and accountability to ensure appropriate data use access standards quality controls and metadata / knowledge management for Clinical data and data assets.
Leads Data Governance initiatives and collaborations with Clinical business and IT operational stakeholders to:
Set data governance priorities based on business operational needs and regulatory / market demands
Work closely with business and technology partners to implement data governance priorities / requirements
Continuously improves and enhances data governance best practices for the organization
Implements Operational Data Governance controls and risk management as 1st Line of Defense
Partners closely with Enterprise Data Governance and Data Stewards to align / implement enterprise data standards and data governance best practices and support 2nd Line of Defense data governance oversight standards and monitoring at the enterprise level as well as 3rd Line of Defense activities with Internal and External Audit parties as required.
Qualifications:
Bachelors degree or higher
7 years professional work experience in:
Data Governance Data Management Data Quality or Process Improvement practices
Healthcare payer data products and processes
Clinical data standards and operations including:
Clinical terminology concepts business processes and data management lifecycle related to Health Services Care Management and Health / Wellness programs (e.g. utilization management case management demand management medical review care plans health care coaching incentives etc.
Health Profiles / History (e.g. health assessments electronic medical records etc.
Health Measurement (population health evidencebased medicine episodes of care gaps in care health risk scores next best actions HEDIS NCQA performance guarantees etc.
Clinical operational source systems (e.g. TruCare Evicore MDLive etc. and related operational / analytic reporting systems
Healthcare Interoperability HIE / EDI data exchange and EMR standards and solutions (e.g. HL7 FHIR OHDSI / OMOP Epic Arcadia 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 crossfunctional teams
Must have the ability to manage multiple and sometimes competing priorities in a fastpaced environment; ability to organize and develop project plans supporting near and longrange goals and actions; able to strategize across complex crossfunctional projects and initiatives
Must have strong analytical and problemsolving capabilities
Must be able to think creatively innovate and flex where needed quick/adaptive learner and collaborator/team player
Selfmotivated and able to function with minimal direction
Intermediate to Advanced proficiency in the implementation and management of data analysis and data governance tools / solutions (e.g. SQL SAS TOAD Python Hadoop Teradata Databricks Snowflake Tableau Collibra Infosphere Alation etc.
Project management and Six Sigma skills are a plus
Experience in Agile Methodology and tools (e.g. Jira Rally etc.
If you will be working at home occasionally or permanently the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position we anticipate offering an annual salary ofUSD / yearly depending on relevant factors including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy balanced and feel secure. Thats why youll enjoy a comprehensive range of benefits with a focus on supporting your whole health. Starting on day one of your employment youll be offered several healthrelated benefits including medical vision dental and wellbeing and behavioral health programs. We also offer 401(k) with company match company paid life insurance tuition reimbursement a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs visit Life at Cigna Group.
About Cigna Healthcare
Cigna Healthcare a division of The Cigna Group is an advocate for better health through every stage of life. We guide our customers through the health care system empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.Qualified applicants will be considered without regard to race color age disability sex childbirth (including pregnancy) or related medical conditions including but not limited to lactation sexual orientation gender identity or expression veteran or military status religion national origin ancestry marital or familial status genetic information status with regard to public assistance citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process please email: for support. Do not email for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobaccofree policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama Alaska Arizona Arkansas Delaware Florida Georgia Hawaii Idaho Iowa Kansas Maryland Massachusetts Michigan Nebraska Ohio Pennsylvania Texas Utah Vermont and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal state and local ordinances.
Employment Type
Full-Time
