Lead Director, Provider Data Governance (Medicaid)

$100,000 - $231,540/Yr

CVS Health - Hartford, CT

Full-time - Senior

Hartford, CT

Health and Personal Care Retailers

About the position

The Lead Director, Provider Data Governance at CVS Health is responsible for developing and refining the provider data strategy for Aetna's government programs. This role ensures the integrity and accuracy of provider data, which is essential for seamless healthcare access for members. The position involves creating governance processes, aligning policies with organizational goals, and collaborating with various stakeholders to achieve desired business outcomes.

Responsibilities

• Collaborate with cross-functional teams to understand data requirements and workflows.
• Establish and enforce policies for the collection and maintenance of provider data.
• Develop and implement data quality standards to maintain accuracy and integrity.
• Execute strategies for continuous improvement in data quality and automation.
• Align data governance practices with organizational goals and objectives.
• Identify and mitigate risks related to provider data accuracy.
• Define KPIs for provider data governance and report on effectiveness.
• Utilize data-driven insights to improve governance processes.
• Partner with leaders on new products and strategies to ensure proper data considerations.

Requirements

• 10+ years of experience in managed care or health insurance, specifically in Medicaid.
• Demonstrated experience in driving change in complex organizations.
• Strong relationship management skills at the senior level.
• Experience with large-scale initiatives and project management.
• Strong quantitative skills for data analysis and interpretation.
• Ability to create processes in ambiguous situations.

Nice-to-haves

• Experience in large scale core platform migrations/integrations.
• Knowledge of QXNT.

Benefits

• Store discount
• Employee stock purchase plan
• Paid holidays
• Disability insurance
• Health insurance
• Dental insurance
• 401(k)
• Tuition reimbursement
• Paid time off
• Vision insurance
• Life insurance