
Data Governance Expert
3 days ago
Job Overview:
We are seeking an experienced data governance professional to lead the implementation and continuous development of an enterprise-wide data catalog using Collibra. This role is highly focused on the healthcare payer industry, including regulatory compliance, PHI/PII protection, and integration across complex healthcare systems.
Key Responsibilities:
- Configure and customize Collibra workflows, data models, and governance processes to meet healthcare payer requirements.
- Develop automated data discovery and cataloging for assets such as claims, eligibility, provider networks, and member data.
- Design and implement data lineage across complex data ecosystems spanning core admin systems, data warehouses, and analytics platforms.
Healthcare-Specific Data Governance
- Build healthcare-specific data domains in Collibra (e.g., ICD-10, CPT, HCPCS, NDC, provider taxonomies).
- Implement data classification, sensitivity tagging (PHI/PII), and compliance with HIPAA.
- Define and apply data retention and privacy policies within Collibra aligned with member consent and regulatory rules.
- Manage metadata for regulatory datasets (HEDIS, Medicare Stars, MLR, risk adjustment).
Required Skills & Qualifications:
- 8+ years of experience with Collibra Data Intelligence Cloud (implementation and administration).
- Expertise in Collibra data catalog, lineage, and governance modules.
- Skilled in workflow configuration, custom attributes, and Role-Based Access Control.
- Experience with Collibra Connect for system integration and automation.
- Proficiency with REST APIs and Collibra's extensibility features.
Healthcare Payer Industry Knowledge
- 4+ years in healthcare payer or health plan environments.
- Strong understanding of claims data (institutional, professional, pharmacy), eligibility, provider, and member data.
- Familiarity with healthcare standards: HL7, X12 EDI, FHIR.
- Knowledge of regulatory requirements (HIPAA, ACA, Medicare Advantage, Medicaid).
- Familiarity with coding systems: ICD-10-CM/PCS, CPT, HCPCS, NDC, SNOMED CT.
Benefits:
- Proven experience with data governance frameworks in healthcare settings.
- In-depth knowledge of data privacy regulations (HIPAA, state-level laws).
- Expertise in data classification, quality management, and Master Data Management principles.
- Experience in compliance reporting and audit trail configuration.
Preferred Qualifications:
- Advanced healthcare experience.
- Understanding of value-based care, population health, and clinical data integration.
- Deep knowledge of Medicare Advantage, Medicaid, and commercial health plan operations.
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