Director, Data Quality & Integrity (Provider Network Operations)
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Location: Remote nationwide in the United States; occasional travel to offices for training or meetings may be required. Dedicated workspace and internet service with at least 25 Mbps download and 10 Mbps upload are required for work involving member PHI/HIPAA information.
Salary: $156,600–$215,400 per year, plus eligibility for a bonus incentive plan.
Company
is a U.S. healthcare and health insurance company providing insurance and CenterWell healthcare services to Medicare, Medicaid, military, individual, family, and community members.
What you will do
- Develop and execute a multi-year enterprise strategy for provider data quality, integrity, governance, directory accuracy, and continuous improvement.
- Establish data ownership, accountability, business rules, stewardship models, standards, controls, and governance processes for critical provider data assets.
- Design auditing, monitoring, reconciliation, validation, and feedback programs to identify anomalies, risks, process weaknesses, and root causes.
- Lead provider directory data quality initiatives supporting CMS compliance, accuracy, completeness, timely updates, and audit readiness.
- Evaluate data quality technologies, governance platforms, vendors, RFPs, business cases, and automation opportunities with Technology teams.
- Build cross-functional alignment and present findings, recommendations, dashboards, and strategic roadmaps to executive leadership.
Requirements
- Bachelor’s degree in Business, Healthcare Administration, Information Systems, Data Analytics, or a related field.
- 8+ years of leadership experience in provider data management, provider directory operations, data governance, data quality, network operations, or related healthcare functions.
- Deep understanding of provider data domains, including directory data, demographics, affiliations, specialties, credentialing, contracting, and regulatory requirements.
- Experience designing and implementing enterprise data governance frameworks, stewardship models, quality controls, and auditing programs.
- Proven success leading large-scale cross-functional transformation initiatives across business and technology organizations.
- Strong executive presence and ability to influence stakeholders and translate complex data issues into business outcomes.
- Work authorization or visa sponsorship is not provided for this role.
Nice to have
- Master’s degree in a related field.
- Experience with provider directory accuracy programs, regulatory audits, accreditation requirements, and provider network operations.
- Experience with master data management, data governance platforms, and data quality tools.
- Lean, Six Sigma, Data Governance, or Data Management certifications.
Culture & Benefits
- Remote work with occasional travel to offices for training or meetings.
- Medical, dental, and vision benefits.
- 401(k) retirement savings plan, paid time off, company and personal holidays, and paid parental and caregiver leave.
- Short-term and long-term disability, life insurance, and additional wellness and healthcare benefits.
- 40 scheduled hours per week.
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