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Data Steward Consultant - Healthcare Claim Transaction Data || remote at Steward, Illinois, USA
Email: [email protected]
http://bit.ly/4ey8w48
https://jobs.nvoids.com/job_details.jsp?id=1324886&uid=

From:

Atul Pal,

vyze Inc

[email protected]

Reply to:   [email protected]

Hi,

Hope you are doing well today!

My name is Atul Pal and I am a Technical Recruiter working with Vyze Inc. I have an exciting opportunity with one of our client. Below are the job details for your review. If interested send me your updated resume with contact details, expected pay rate along with below information.

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Data Steward (Claims/Governance Analyst) - Healthcare Claim Transaction Data

Remote (Client wants candidates in one of the listed areas)-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. 

Visa - USC ,GC,GC EAD, H4 EAD

LINKEDIN MUST

Healthcare Provider

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. No Business Analysts Data Analysts, PMs, etc.  

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.

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.

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.)

Best Regards

Atul Pal

Vyze Inc.

Call
:+1 571-463-1048 |E-Mail: 

[email protected]

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Data Steward Consultant - Healthcare Claim Transaction Data || remote
[email protected]
http://bit.ly/4ey8w48
https://jobs.nvoids.com/job_details.jsp?id=1324886&uid=
[email protected]
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04:33 AM 19-Apr-24


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