Consulting Practice Leader – Healthcare Provider Data SME

Key Responsibilities

• Lead the definition, development, and governance of core Provider Data Products.
• Define domain-specific data architectures and data lifecycle strategies.
• Establish data product ownership models, domain definitions, and lifecycle management frameworks.
• Architect and refine Provider Subject Area Data Models.
• Guide the adoption and customization of standard industry data models and frameworks.
• Standardize reference data, taxonomy mappings, and code sets.
• Serve as the trusted advisor to hospital system executives on provider data strategy and data quality initiatives.
• Drive cross-departmental alignment between Provider Enrollment, Medical Staff Services, Clinical Operations, IT/Data Engineering, and Managed Care Contracting.
• Establish and facilitate data governance bodies specific to Provider Data Quality, Stewardship, and Integration.
• Implement data quality frameworks, stewardship workflows, and automated validation pipelines.
• Establish MDM and Identity Resolution protocols.

Required Skills & Expertise

• Healthcare Provider Data Knowledge
• Standard Industry Models & Protocols
• Health System Source Systems
• Reference Data & Identifiers
• Consulting & Leadership Skills

Qualifications

• Experience: 8+ years in healthcare data domain consulting or enterprise health system informatics.
• Education: Bachelor's or master's degree in health informatics, Computer Science, Information Systems, or a related quantitative field.
• Certifications (Preferred): FHIR Certification, Certified Health Data Analyst (CHDA), or Enterprise Data Governance certifications.