Senior Manager, Data Management Strategy & Governance – Clinical Quality

November 4

🏄 California – Remote

Although this job is listed in California, this company may be open to hiring remote in other states.

💵 $130.4k - $217.4k / year

⏰ Full Time

🟠 Senior

🎲 Risk

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The Cigna Group

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Healthcare Insurance • Pharmaceuticals

The Cigna Group is a global health company committed to improving the health and vitality of its clients, customers, and patients. With its two divisions, Cigna Healthcare and Evernorth Health Services, the company focuses on enhancing quality of life through healthcare services and pharmacy benefits management. The Cigna Group is dedicated to ethical practices in healthcare and artificial intelligence, and strives to create positive change in the healthcare system. It also emphasizes its Environmental, Social, and Governance (ESG) responsibilities, aiming to impact health equity and foster innovation in healthcare delivery.

10,000+ employees

Founded 1982

⚕️ Healthcare Insurance

💊 Pharmaceuticals

📋 Description

• This role is responsible for driving the Clinical Quality data acquisition strategy and data product support within the Enterprise Quality & Accreditation organization. • Overseeing the Clinical Quality data infrastructure, data quality, data acquisition, data expansion, pursuing the highest value use cases, and implementing in an organized, timely, and effective manner. • Function as the business product owner for the Clinical Quality data product. • Drive the adoption and transition of reporting and analysis to pull from new data product. • Evaluate existing vendor and provider agreements to assess if they support digital clinical data capture. • Establish a feedback loop with providers to close data gaps and improve compliance. • Align provider-facing data expectations with VBP quality metrics and scorecards. • Manage team consisting of data governance and data stewardship roles. • Provide development opportunities and drive upskilling plan.

🎯 Requirements

• Master’s degree preferred, or Bachelor’s degree with 10+ years’ experience in data project delivery • 7+ years professional work experience in: • - Driving the data strategy and data product development at a Fortune 50 or larger size company • - Driving multi-million dollar investments and navigating enterprise portfolio funding process • - Data Governance, Data Management, Data Quality, or Process Improvement practices • - Healthcare payer data products and processes • - Clinical data standards and operations • - Clinical terminology, concepts, business processes and data management lifecycle related to Health Services, Care Management, and Health / Wellness programs (e.g., utilization management, case management, demand management, medical review, care plans, health care coaching, incentives, etc.) • - Health Profiles / History (e.g., health assessments, electronic medical records, etc.) • - Health Measurement (population health, evidence-based medicine, episodes of care, gaps in care, health risk scores, next best actions, HEDIS, NCQA, performance guarantees, etc.) • - Healthcare Interoperability, HIE / EDI data exchange, and EMR standards and solutions (e.g., HL7, FHIR, OHDSI / OMOP, Epic, Arcadia, etc.) • Strong communications skills (verbal, listening, written, and presentation) with management teams and peer groups • Strong leadership skills to motivate others to achieve goals and inspire change; ability to engage business and data stakeholders to resolve questions or issues; demonstrate ability to create professional relationships and effectively influence cross-functional teams • Must have the ability to manage multiple and sometimes competing priorities in a fast-paced environment; ability to organize and develop project plans supporting near and long-range goals and actions; able to strategize across complex, cross-functional projects and initiatives • Must have strong analytical and problem-solving capabilities • Must be able to think creatively, innovate and flex where needed - quick/adaptive learner and collaborator/team player • Self-motivated and able to function with minimal direction • Intermediate to Advanced proficiency in the implementation and management of data analysis and data governance tools / solutions (e.g., SQL, SAS, TOAD, Python, Hadoop, Teradata, Databricks, Snowflake, Tableau, Collibra, Infosphere, Alation, etc.) • Project management and Six Sigma skills are a plus • Experience in Agile Methodology and tools (e.g., Jira, Rally, etc.)

🏖️ Benefits

• medical • vision • dental • well-being and behavioral health programs • 401(k) with company match • company paid life insurance • tuition reimbursement • a minimum of 18 days of paid time off per year • paid holidays