Data Steward Jobs USA || Remote || Contract

Data Steward – Claims Transaction data

Location: Remote

Hire Mode: Contract

Visa: No H1B, CPT, OPT

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Top 3 Skills:

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

Previous and 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 Jobs 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

·        Bachelor’s 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 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.)

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