Job Description

Clinical Data Governance/Informatics Lead - Cigna Healthcare - Hybrid Join to apply for the Clinical Data Governance/Informatics Lead - Cigna Healthcare - Hybrid role at Cigna Healthcare Get AI-powered advice on this job and more exclusive features. Role Summary Effective execution of good data governance principles and practices minimizes risk and ensures the data is available and fit for purpose. As part of The Cigna Group’s Enterprise Clinical & Health Organization (ECHO), the Clinical Data Governance Lead is responsible for overseeing the integrity, quality, and governance of clinical data critical to ECHO operations, programs, and strategies. The ideal candidate should have a strong healthcare payer, clinical operations, and/or clinical program background, with expertise in clinical informatics and healthcare data standards. A proven track record of leading clinical data governance initiatives that enable business strategy and clinical data acquisition. Experience should include demonstrable outcomes in applying informatics and data management principles within the healthcare ecosystem. Responsibilities Implement data ownership / data stewardship practices and serve as the primary clinical business contact for data-related decisions and accountability to ensure appropriate data use, access, standards, quality, controls, and metadata / knowledge management for clinical data and data assets. Lead Clinical Data Governance initiatives and collaborate with Clinical business and IT operational stakeholders to: Set data governance priorities based on business operational needs and regulatory / market demands Work closely with business and technology partners to implement data governance priorities / requirements Continuously improve and enhance data governance best practices for the organization Implement Operational Data Governance, controls, and risk management as 1st Line of Defense Partner with Enterprise Data Governance and Data Stewards to align / implement enterprise data standards and data governance best practices, supporting 2nd Line of Defense oversight, standards, and monitoring at the enterprise level, as well as 3rd Line of Defense activities with internal and external audit parties as required. Qualifications Bachelor’s degree or higher 7+ years of professional experience in: Data Governance, Data Management, Data Quality, or Process Improvement practices Healthcare payer data products and processes Clinical data standards and operations, including: 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 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.) Clinical operational source systems (e.g., TruCare, Evicore, MDLive, etc.) and related operational / analytic reporting systems Healthcare Interoperability, HIE / EDI data exchange, and EMR standards and solutions (e.g., HL7, FHIR, OHDSI / OMOP, Epic, Arcadia, etc.) Strong communication 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 stakeholders to resolve questions or issues; demonstrate ability to create professional relationships and influence cross-functional teams Ability to manage multiple priorities in a fast-paced environment; organize and develop project plans supporting near and long-term goals; strategize across complex projects Strong analytical and problem-solving skills Creative thinking, innovation, adaptability; quick learner and team player Self-motivated with minimal supervision Proficiency in data analysis and governance tools (e.g., SQL, SAS, Python, Tableau, Collibra, etc.) Project management and Six Sigma skills are a plus Experience with Agile methodologies and tools (e.g., Jira, Rally) Preferred Qualifications Clinical licensure (e.g., RN, MD, PA, NP) Advanced education or certification in clinical informatics or data management Note: For remote work, internet must be broadband with at least 10Mbps download/5Mbps upload speeds. Salary range: $111,800 - $186,400 annually, commensurate with experience and location. Eligible for annual bonus. Benefits include health coverage, 401(k), paid time off, and more. About Cigna Healthcare Cigna Healthcare, part of The Cigna Group, advocates for better health at every life stage, guiding customers through the healthcare system with information and support to improve health and vitality. Qualified applicants are considered without regard to race, color, age, disability, sex, or other protected characteristics. Reasonable accommodations available upon request. #J-18808-Ljbffr Cigna Healthcare

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