Position: Claims Transaction Data Steward
Location: Remote
USC & GC Only
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).
Role Summary:
The Claims Transaction Data Steward is a key member of a cross-functional Data Governance team responsible for ensuring the documentation and implementation of Claims Transactions data standards. This role involves leading complex conversations with business, technical, and regulatory stakeholders to ensure Claims Transaction data quality and governance. The ideal candidate will have a strong background in data management, data quality practices, and a deep understanding of healthcare payer claims operations.
Responsibilities:
- Serve as Data Steward within an Agile team dedicated to Claims Transaction data operations and initiatives.
- Lead Data Governance collaborations with Payer stakeholders to document, define, maintain, and manage Claims Transaction data standards and assets.
- Assess and monitor data quality metrics, analyze trends, and proactively promote remediation and preventive action efforts.
- Partner with IT and business teams to ensure the use of best practices and compliance with data standards.
- Provide consultative stewardship services to delivery and issue resolution teams, serving as subject matter expert as needed.
- Offer guidance on development, usage, and inventory of technical assets.
- Represent GBS Data Governance in enterprise workgroups and data steward communities of practice.
Qualifications:
- Bachelor’s degree or higher.
- 5+ years of 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 with the ability to function with minimal direction.
- Ability to engage business and data stakeholders to resolve questions or issues.
- Strong analytical and problem-solving capabilities.
- 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.).
Rishabh Kumar
Talent Advisor, Cybotic Systems
(254) 452-0118 | www.cyboticsystems.com
rishabh@cyboticsystems.com
Job Type: Full-time
Pay: Up to $50.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible schedule
- Health insurance
- Paid time off
- Vision insurance
Schedule:
Application Question(s):
Are you Open for W2 ?
Work Location: Remote