Senior Data Governance Analyst

Base location: AZ or CO. Virtual office with local residency required in Phoenix, AZ; Denver, CO; or Grand Junction, CO.

About the role

The Senior Data Governance Analyst performs activities within the organization’s Data Governance program to ensure quality, integrity, and usability of data. Responsibilities include semantic mapping of clinical or administrative data, supporting data standards, producing process and standards documentation, metric reporting, and issue identification through validation processes. This role assists stakeholders and staff in applying clinical data and workflow knowledge to develop products and services that transform healthcare delivery.

Responsibilities

• Provide advanced analytical support for business operations utilizing HIE data such as clinical, provider, and member data.
• Conduct independent analysis of highly complex data sets under moderate supervision and guidance.
• Analyze clinical data and work with internal and external stakeholders to support data quality improvement activities.
• Perform exploratory data analysis and data mining of HIE data; interpret findings in easily understandable formats for varying levels in the organization and external customers.
• Lead the development of data, product, and service documentation standards, including guidelines and templates.
• Define semantic mappings of clinical or administrative data to a standard reference terminology.
• Provide thought leadership for the development, documentation, and execution of policies, procedures, and governance driving the clinical data lifecycle needs of the organization.
• Serve as a steward to Data Governance by participating in working groups and committee initiatives as a subject matter expert for domain knowledge of data standards and quality initiatives.
• Identify information gaps discovered during the terminology mapping process; communicate gaps or problems with mapping processes and provide actionable solutions.
• Apply knowledge of clinical data and end-user workflow experience to influence HIE tools, products, and services.
• Plan and execute product inspection and testing for quality assurance and conformance to specifications and deliverables.
• Work with source systems and downstream data consumers to apply standard data quality techniques, remediate issues, and assist with implementation of processes to monitor data quality risks, including:
  • Assisting to analyze data quality results.
  • Measuring and auditing large volumes of data for quality issues and gaps.
  • Assisting with the performance of root cause analysis of data anomalies.
  • Triaging data quality issues.
• Evaluate and quantify business impact of data quality issues and make recommendations for data improvements, including required process and system changes.
• Prepare product and process data quality reports utilizing identified metrics.
• Champion organizational behavior changes related to the use of data; support the vision of data managed as an asset and literacy education.
• Lead organizational activities with vendor and client representatives concerning identified data quality issues, and the development and execution of effective corrective action plans.
• Maintain professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies.
• Maintain knowledge of clinical disease states, hospital care processes, quality measure reporting, and Social Determinants of Health (SDOH) data types.
• Participate as a subject matter expert to support education and train internal and external staff on Contexture’s data quality management program policies, procedures, and standards.
• Perform other related duties as assigned.

Requirements

• Minimum of 5+ years of relevant experience.
• Bachelor’s Degree required in Nursing or related clinical field and/or 8+ years of commensurate experience in claims data analysis and/or medical claims coding.
• Master’s degree or other advanced degree in informatics preferred.
• Formal certifications such as CPHQ, NI-BC, CBCS, CCS, CMIS, or NCCT.
• Experience with data analytics, data management associated with systems evaluation, and human factor workflow analysis.
• Membership in informatics-related professional organizations (e.g., HIMSS, AMIA, ANIA) preferred.

Skills

• Proven ability to work independently as well as effectively in a team environment and maintain strong working relationships.
• Ability to define, plan, organize, prioritize, and manage multiple complex projects efficiently and effectively.
• Working knowledge of quality assurance and quality improvement methodologies, techniques, tools, and data quality principles and processes.
• Experience applying process improvement strategies to clinical workflows utilizing information systems.
• Clinical background (e.g., RN, NP, PA) and experience using an electronic health record system such as EPIC, Cerner, Meditech, NextGen, eClinicalWorks, or Allscripts.
• Knowledge of state and federal quality payment and improvement programs (e.g., eCQM, HTP, QPP) in ambulatory and inpatient care settings.
• Working knowledge of HL7 v2.x, HL7 v3.x, HL7 FHIR, C-CDA, and XDS.b standards and protocols.
• Working knowledge of data management, data warehousing, data modeling, data analysis, and statistics.
• Working knowledge of MSSQL Server, PostgreSQL, and Python.
• Familiarity with best practice standards and challenges associated with interoperability of data.
• Working knowledge of standard code set terminologies such as LOINC, CPT, ICD-10, SNOMED, RxNorm, CVX, etc.
• Experience with clinical terminology coding and mapping, and common tools/resources.
• Working knowledge of medical claims data formats including UB92, CCLS, 835, 834, CMS 1500, etc.
• Working knowledge of Microsoft Office toolset (Word, Project, Excel, and PowerPoint required; Visio preferred).
• Ability to work in a fast-paced environment, embrace change, adjust quickly to shifting priorities, and consistently meet targeted deadlines.
• Highly organized with strong attention to detail, timeliness, compliance requirements, and tracking information reliably and clearly.
• Self-motivated, resourceful, critical thinker who identifies areas of opportunity and delivers high-value contributions.
• Strong interpersonal skills to train, mentor, and delegate tasks to team members in a remote workplace setting.
• Passion for utilizing technology to enhance healthcare delivery.
• Excellent written and verbal communication skills.

Pay

Monthly pay range: $6,943 – $8,083.

Schedule

• Full-time, exempt position.
• Occasional after-hours work may be required.
• Limited travel may be required for client meetings, conferences, or events.

Work Environment

• Virtual office with moderate noise levels.
• Exposure to sensitive information including Protected Health Information (PHI), Personally Identifiable Information (PII), and financial data; compliance with all applicable laws, regulations, and policies is required.
• Periodic driving to clients, conferences, or events may be required.

Physical Demands

• Frequent communication and information exchange.
• Regular movement within the office to access equipment and materials.
• Ability to remain stationary for extended periods (approximately 50% of the time).
• Continuous use of computers and office equipment (e.g., keyboard, monitor, printer).
• Frequent handling of materials up to 10 lbs; occasional handling up to 30 lbs.
• Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Benefits

Contexture provides a comprehensive benefits package. For details, request a Benefit Summary from the Benefits Department.