Director, Data Quality – Integrity

🔥 14 hours ago

🇺🇸 United States – Remote

💵 $156.6k - $215.4k / year

⏰ Full Time

🔴 Lead

👔 Director

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• Develop and execute a multi-year data quality and integrity strategy aligned with organizational priorities • Establish enterprise standards, policies, and operating models for sustainable data quality practices • Lead strategic initiatives improving data accuracy, completeness, consistency, and timeliness • Serve as a thought leader in data quality management, governance, and stewardship • Lead data governance programs defining ownership, accountability, business rules, and quality standards • Establish data stewardship responsibilities and governance processes with business and technology leaders • Oversee data mastering initiatives and management of key enterprise data assets • Align stakeholders on data definitions, standards, and quality expectations • Design and implement data-driven auditing programs to identify anomalies, risks, and process weaknesses • Establish monitoring frameworks and controls for data quality performance • Lead reconciliation and validation across multiple data sources • Develop feedback mechanisms and continuous improvement processes addressing root causes • Assess business processes affecting data quality and integrity end to end • Lead provider directory data quality efforts for CMS compliance, timely updates, and audit readiness • Identify rework drivers, inefficiencies, and recurring quality issues and implement sustainable solutions • Lead continuous improvement initiatives reducing data-related defects • Develop executive dashboards and reporting with actionable quality insights • Evaluate data quality technologies and governance solutions • Lead vendor assessments, RFP processes, and business case development • Partner with Technology teams to implement automation, monitoring, and governance tools • Assess market practices and improve quality management capabilities • Build relationships with operations, technology, analytics, and external vendors • Facilitate cross-functional alignment on priorities and governance decisions • Present findings, recommendations, and strategic roadmaps to executive leadership • Lead organizational change promoting enterprise ownership of data quality • Report to the VP of Provider Network Operations

🎯 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 with the ability to influence stakeholders and translate complex data issues into business outcomes • 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 • Not eligible for work visa sponsorship • Home internet with minimum 25 Mbps download and 10 Mbps upload speeds • Ability to work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information • Preferred: Master's degree in a related field • Preferred: Lean, Six Sigma, Data Governance, or Data Management certifications

🏖️ Benefits

• Bonus incentive plan based on company and/or individual performance • Medical benefits • Dental benefits • Vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • Personal wellness support • Smart healthcare decision support • Dedicated home workspace requirement to protect member PHI/HIPAA information • Remote work arrangement • Occasional travel to Humana offices for training or meetings