- 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.
- Bachelor's 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.)
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Clinical Data Steward - Boston, United States - W3R Consulting
Description
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
Qualifications
