Director, Data Quality & Integrity (Provider Network Operations)
New
J
JobgetherHealthcare data
Based in the United StatesFull-TimeDirector
SalaryAnnual base salary ranging from $156,600 to $215,400
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Job Details
- Experience
- At least 8 years of leadership experience in provider data management, provider directory operations, data governance, data quality, network operations, or related healthcare functions.
- Required Skills
- Process improvement
Requirements
- Bachelor's degree in Business, Healthcare Administration, Information Systems, Data Analytics, or a related field.
- At least 8 years of leadership experience in provider data management, provider directory operations, data governance, data quality, network operations, or related healthcare functions.
- In-depth understanding of provider data domains, including directory information, demographics, affiliations, specialties, credentialing, and contracting.
- Experience designing and implementing enterprise data governance frameworks, data stewardship models, quality controls, auditing programs, and master data management practices.
- Ability to lead large-scale, cross-functional transformation initiatives involving business and technology teams.
- Knowledge of provider directory accuracy programs, regulatory audits, accreditation requirements, and provider network operations is preferred.
- Familiarity with data governance platforms, master data management solutions, data quality tools, automated monitoring, and performance reporting is desirable.
- Ability to communicate strategic recommendations to executives and translate complex data challenges into actionable business priorities.
- Lean, Six Sigma, Data Governance, or Data Management certifications are preferred.
- Ability to work remotely from a dedicated, secure workspace that protects confidential member information and complies with HIPAA privacy requirements.
- Reliable internet connection with at least 25 Mbps download and 10 Mbps upload speeds is required; wired cable or DSL is suggested.
Responsibilities
- Develop and execute a multi-year enterprise strategy for provider data quality and integrity.
- Establish data standards, policies, operating models, and continuous improvement initiatives.
- Lead governance programs defining data ownership, accountability, stewardship, business rules, and quality standards.
- Oversee master data management initiatives and consistency across critical enterprise data assets.
- Design auditing programs, monitoring frameworks, reconciliation processes, and validation controls.
- Oversee provider directory data quality, timely updates, audit readiness, and compliance with applicable CMS requirements.
- Assess business processes, address root causes, and implement improvements to reduce rework and improve operational performance.
- Develop executive dashboards, performance metrics, and reporting on data quality trends, risks, and strategic progress.
- Evaluate data quality technologies and lead vendor assessments, RFPs, and business case development.
- Partner across operations, technology, analytics, compliance, provider services, market leadership, and vendors to lead change initiatives.
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