Lead, Data Quality – Clinical Abstraction Operations

This is a fully remote position, open to applicants in United States.

📋 Description

• Lead and oversee external vendors responsible for clinical abstraction to address HEDIS (Healthcare Effectiveness Data and Information Set) gaps.

• Supervise and engage in medical record review and abstraction processes for both hybrid and supplemental HEDIS seasons.

• Provide clinical expertise in medical record review to support enterprise-wide initiatives related to medical record data quality, master data management, and supplemental data integration.

• Conduct clinical member research and analysis as requested by business partners.

• Identify and implement process enhancements to improve efficiency, data quality, and consistency within clinical abstraction workflows.

• Develop and assess master data management metrics, report on data integrity and quality trends, and propose strategies for ongoing improvement.

• Deliver training, guidance, and best practices to both internal teams and external partners.

⛳️ Requirements

• Bachelor’s degree in Computer Science, Management Information Systems, Engineering, Mathematics, Business, Nursing, Health Information Management, or a related field.

• Over 5 years of experience in technical and/or clinical data management, with a proven history in data quality, integrity, or master data management.

• At least 2 years of experience in project leadership or supervisory roles.

• Familiarity with Healthcare Operations.

• Experience with data quality management principles, data architecture, and knowledge of analytics/reporting tools.

• Strong analytical, organizational, and communication abilities.

• Proven capability to effectively articulate ideas in both written and oral forms.

• Demonstrated ability to work independently, exercise sound judgment, and make decisions in complex, variable environments.

• A passion for enhancing consumer and clinical data experiences.

🏝️ Benefits

• Medical, dental, and vision benefits.

• 401(k) retirement savings plan.

• Paid time off (including paid time off, company and personal holidays, paid parental and caregiver leave).

• Short-term and long-term disability.

• Life insurance.