30 Data Management jobs in Baltimore
Provider Data Specialist_PN
Posted 12 days ago
Job Viewed
Job Description
Provider Data Specialist_PN
Provider Data Specialist
Who are we?
Versant Health is one of the nation's leading administrators of managed vision care, serving millions of our clients' members nationwide. We are driven by our mission to help members enjoy the wonders of sight through healthy eyes and vision.
As a Versant Health associate, you can enjoy a comprehensive Total Rewards package, which includes health and dental insurance, tuition reimbursement, 401(k) with company match, pet insurance, no-cost-to-you vision insurance for you and your qualified dependents. We are also invested in your success. There are many opportunities for advancement and development throughout all stages of your career with us.
See how you can make a difference with the support of strong leadership and a team environment.
See Everything, Be Anything™.
What are we looking for?
The Provider Data Specialist role is responsible for educating, verifying, monitoring, and accurately managing all of Versant Health's two national networks of 80,000+ Ophthalmology and Optometric practitioner's and office's demographic and payee data. The role performs additions, changes, and terminations to Versant Health's provider data systems to positively effect the accuracy of the Provider Directory, Utilization Management and authorizations, and claims processing. The Provider Data Specialist role will also perform periodic audits, maintenance, and troubleshooting of provider, office, and payee data utilizing the National Practitioner Identifier (NPI) Registry, state's Provider Master Files for Medicaid Registration, and Tax Identification programs
Where you will have an impact
- Directly responsible for creating newly contracted providers, their offices, and payee(s), into the three (3) provider databases based on data received via contracting, credentialing reports, and direct provider submissions
- Directly responsible for creating new non-contracted providers, their offices, and payee(s), into the three (3) provider databases; comprehensively reviews and edits existing non-contracted provider data to facilitate accurate claims processing and the issuance of authorizations.
- Directly responsible to comprehensively reviewing, editing, updating existing provider, office, and payee records as needed and as requested. Requires review of documentation and reports, as well as acting on requests from internal and external customers.
- Directly responsible to terminate provider, office, and payee records as requested using correct termination reason codes to determine controllable and noncontrollable terminations. Requires extensive review of documentation and reports, as well as acting on requests from internal and external customers.
- Manage complex Retailer and Provider Group data by periodically receiving and comprehensively reviewing the provider databases and rosters and performing updates to the three (3) provider databases.
- Directly responsible for managing "Provider Pick" and "Provider Contract" claims pend queue and providing guidance to Claims on claims processing.
- Maintain IRS standards for Payees and utilize Tax Identification Number verifications.
- Annually, resolve all 1099-B submissions to Versant Health
- Support Versant Health Accounts Receivable Department with provider education on Negative Balance accounts and network suspension and reactivations
- Educate and assist Providers and their office personnel with understanding the uses, importance, and impact of their provider data to Members and the Provider Directory
- Educate and assist all Versant Health departments with provider data, Provider Directory questions, and various data integrity projects.
- Review and process Provider Directory data updates received from contracted Provider Directory & Outreach vendors to ensure data accuracy; perform updates, corrections, and terminations of provider and office data.
- Initiate and/or support provider database improvements and communication processes as needed with other departments regarding database enhancements.
- Contact assigned providers to validate required data elements via phone and/or email.
- Conduct peer review audits and provide feedback to reduce errors and improve processes and performance, maintaining current provider data to ensure the quality of the network, and may be responsible for representing the provider network area on department related IT projects.
- Four to Five (4-5) years of experience with a managed care organization in a Provider Data Mangement, Credentialing, Nework Management, Network Deveopment, and/or Provider Relations role
- Combination of education and work experience required; Associate or Bachelor's degree preferred
- Capable and comfortable dealing with Protected Health Information (PHI),Personal Identifiable Information (PII), sensitive, and confidential information with discretion and trust
- Experience must include direct responsibility for managing provider, office and payee data and/or claims processing.
- Experience working with provider networks and healthcare providers.
- Knowledge and experience in CMS Provider Directory regulations
- Proficiency in Microsoft Office Excel, Word, Excel, Access, and Power Point
HIPAA & Security Requirements
All Associates must comply with the Health Insurance Portability Accountability Act of 1996 (HIPAA) as it pertains to disclosures of protected health information (PHI) as described in the Notice of Privacy Practices and HIPAA Privacy Policies and Procedures. As a component of job roles and responsibilities, Associates may have access to covered information, cardholder data or other confidential customer information which must be protected at all times. As a result, Associates must explicitly adhere to all data security guidelines established within the Company's Privacy & Security Training Program.
Versant Health will never request money from candidates who seek employment with us and will never ask for any payment as part of the recruitment process.
Versant Health is a proud Equal Employment Opportunity and Affirmative Action employer dedicated to attracting, retaining, and developing a diverse and inclusive workforce. All qualified applicants will receive consideration for employment at Versant Health without regards to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, national origin, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law.
The wage range for applicants for this position is ($20.00 to $22.50).
All incentives and benefits are subject to the applicable plan terms.
Project Data Management Analyst
Posted 1 day ago
Job Viewed
Job Description
Oceaneering Technologies (OTECH) develops, manufactures, and operates customized marine systems, shipboard equipment, subsea vehicles, and engineered solutions for commercial and U.S. military vessels.
Oceaneering Aerospace and Defense Technologies (AdTech) delivers solutions that enable humans to work safely and effectively in harsh environments - from underwater to the outer reaches of space. Our innovative solutions support the development and application of practical, cost-effective systems that meet our customers' challenges - from routine to extreme. Our experience and expertise across multiple industries uniquely positions us as a leader in the government, space, and maritime services markets. Our products and services meet the rigorous demands of the complex environments in which they operate, delivering results without compromising safety or reliability.
Oceaneering is a global provider of engineered services and products, primarily to the offshore energy industry. We develop products and services for use throughout the lifecycle of an offshore oilfield, from drilling to decommissioning. We operate the world's premier fleet of work class ROVs. Additionally, we are a leader in offshore oilfield maintenance services, umbilicals, subsea hardware, and tooling. We also use applied technology expertise to serve the defense, entertainment, material handling, aerospace, science, and renewable energy industries.
Position Summary
The Oceaneering Ocean Technologies (OTECH) group is seeking a Project Data Management Analyst to provide support in the administration and oversight of data management principles in support of OTECH programs to include:
- Data Integrity and Quality
- Data Governance
- Data Lifecycle Management
- Data Security
- Data Accessibility
- Data Integration
- Metadata Management
- Data Modeling
- Data Analytics
The Project Data Management Analyst is a core member of the OTECH Integrated Product Support (IPS) team. The Project Data Management Analyst reports to the Configuration and Data Manager. The Project Data Management Analyst will work with all levels within the IPS organization as well as with individuals from the program and engineering staff to ensure quality support and customer satisfaction. The Project Data Management Analyst is a hybrid position located in Hanover, MD.
Duties And Responsibilities
The Project Data Management Analyst will support OTECH programs and execute the following:
ESSENTIAL:
- Responsible for data management activities.
- Implement high-level prioritization of requests and communicate schedules to stakeholders, including customers.
- Create and maintain program data library asset databases.
- Ensure timely and accurate release of deliverables and program documents.
- Coordinate with document authors and project managers to ensure deadlines and special handling requirements are met for on-time quality delivery.
- Provide education on naming conventions and document format standards.
- Promote consistency in naming conventions and documentation standards across multiple projects.
- Ensure high-quality program documentation by performing technical editing to comply with deliverable templates.
- Identify and correct usage errors and edit deliverables for grammar, spelling, and formatting consistency.
- Create locked working templates for Engineers and Program Managers using Microsoft Office applications.
- Conduct all aspects of documentation management and data management for multiple projects.
- Review and report on program data metrics to benchmark effectiveness.
- Collaborate with team members and contribute to upgrading standards and best practice guidelines.
- Develop and implement review cycle plans, ensuring proper marking of classified documents according to required standards.
- Facilitate board meetings as needed by keeping notes and making updates based on meeting charter and process documents.
- Additional duties as assigned.
REQUIRED:
- Bachelor's Degree and a minimum of 8 years of prior relevant experience. An additional 4 years of additional experience may be considered in lieu of a degree.
- In-depth knowledge of data management.
- Strong organizational and problem-solving skills.
- Knowledge and experience in program contract review to determine documentation requirements for each work product and project phase.
- Strong knowledge and experience in managing documentation libraries.
- Experience with SharePoint Administration.
- U.S. Citizenship is required.
- Proficient in MS Office applications and database management.
- Skilled in time management, oral comprehension, reading comprehension, speaking, written comprehension, information ordering, active listening, critical thinking, and deductive reasoning.
- Experience in providing guidance, coaching, and training to other employees.
- Ability to write business correspondence and interact with others in a professional manner.
- Ability to obtain security clearance.
- Secret clearance.
- Advanced degree in Data Management or related disciplines such as Business Administration or Business Management.
- Ability to work independently under general direction and demonstrate a high degree of attention to detail.
- Ability to thrive in a dynamic environment and communicate effectively within and outside the organization.
- Experience editing various types of contract deliverable documents in accordance with DoD standards.
- Knowledge of MIL-STD-963C, GEIA-859, and DoD 5010.12-M for Data Management.
- Effective presentation and computer skills.
Additional Information
This position is Hybrid - Remote and will require commuting to a designated office. Hybrid work schedules are determined by the hiring manager based on business need.
PAY, BENEFITS AND WORK SCHEDULE:
We offer a comprehensive and competitive benefits package. Employee benefits vary by role, however, may include Health and Wellness, Mental Health, Retirement Savings, Life and Disability, Paid Maternity and Parental Leave, Paid Time Off, Tuition Reimbursement, and an Employee Assistance Program. Annualized pay for this position is : $85,000- $115,000.
Equal Opportunity Employer
All qualified candidates will receive consideration for all positions without regard to race, color, age, religion, sex (including pregnancy), sexual orientation, gender identity, national origin, veteran status, disability, genetic information, or other non-merit factors.
How To Apply
Regular full-time employees who apply will be considered along with external candidates. Employees with less than six months with their current position are not eligible to apply for job postings. Please discuss your interest in the position with your current manager/supervisor prior to submitting your completed application. It is highly recommended to apply through the PeopleSoft or Oceanet portals.
Project Data Management Analyst
Posted 1 day ago
Job Viewed
Job Description
Company Profile Oceaneering Technologies (OTECH) develops, manufactures, and operates customized marine systems, shipboard equipment, subsea vehicles, and engineered solutions for commercial and U.S. military vessels. Oceaneering Aerospace and Defense Technologies (AdTech) delivers solutions that enable humans to work safely and effectively in harsh environments – from underwater to the outer reaches of space. Our innovative solutions support the development and application of practical, cost-effective systems that meet our customers’ challenges – from routine to extreme. Our experience and expertise across multiple industries uniquely positions us as a leader in the government, space, and maritime services markets. Our products and services meet the rigorous demands of the complex environments in which they operate, delivering results without compromising safety or reliability. Oceaneering is a global provider of engineered services and products, primarily to the offshore energy industry. We develop products and services for use throughout the lifecycle of an offshore oilfield, from drilling to decommissioning. We operate the world's premier fleet of work class ROVs. Additionally, we are a leader in offshore oilfield maintenance services, umbilicals, subsea hardware, and tooling. We also use applied technology expertise to serve the defense, entertainment, material handling, aerospace, science, and renewable energy industries. Position Summary The Oceaneering Ocean Technologies (OTECH) group is seeking a Project Data Management Analyst to provide support in the administration and oversight of data management principles in support of OTECH programs to include: Data Integrity and Quality Data Governance Data Lifecycle Management Data Security Data Accessibility Data Integration Metadata Management Data Modeling Data Analytics The Project Data Management Analyst position will require organizational skills as well as focus and attention to detail. The Project Data Management Analyst is a core member of the OTECH Integrated Product Support (IPS) team. The Project Data Management Analyst reports to the Configuration and Data Manager. The Project Data Management Analyst will work with all levels within the IPS organization as well as with individuals from the program and engineering staff to ensure quality support and customer satisfaction. The Project Data Management Analyst is a hybrid position located in Hanover, MD. Duties And Responsibilities The Project Data Management Analyst will support OTECH programs and execute the following: ESSENTIAL: Responsible for data management activities. Implement high-level prioritization of requests and communicate schedules to stakeholders, including customers. Create and maintain program data library asset databases. Ensure timely and accurate release of deliverables and program documents. Coordinate with document authors and project managers to ensure deadlines and special handling requirements are met for on-time quality delivery. Provide education on naming conventions and document format standards. Promote consistency in naming conventions and documentation standards across multiple projects. Ensure high-quality program documentation by performing technical editing to comply with deliverable templates. Identify and correct usage errors and edit deliverables for grammar, spelling, and formatting consistency. Create locked working templates for Engineers and Program Managers using Microsoft Office applications. Conduct all aspects of documentation management and data management for multiple projects. Review and report on program data metrics to benchmark effectiveness. Collaborate with team members and contribute to upgrading standards and best practice guidelines. Develop and implement review cycle plans, ensuring proper marking of classified documents according to required standards. Facilitate board meetings as needed by keeping notes and making updates based on meeting charter and process documents. ADDITIONAL: Additional duties as assigned. Qualifications REQUIRED: Bachelor’s Degree and a minimum of 8 years of prior relevant experience. An additional 4 years of additional experience may be considered in lieu of a degree. In-depth knowledge of data management. Strong organizational and problem-solving skills. Knowledge and experience in program contract review to determine documentation requirements for each work product and project phase. Strong knowledge and experience in managing documentation libraries. Experience with SharePoint Administration. U.S. Citizenship is required. Proficient in MS Office applications and database management. Skilled in time management, oral comprehension, reading comprehension, speaking, written comprehension, information ordering, active listening, critical thinking, and deductive reasoning. Experience in providing guidance, coaching, and training to other employees. Ability to write business correspondence and interact with others in a professional manner. Ability to obtain security clearance. DESIRED: Secret clearance. Advanced degree in Data Management or related disciplines such as Business Administration or Business Management. Ability to work independently under general direction and demonstrate a high degree of attention to detail. Ability to thrive in a dynamic environment and communicate effectively within and outside the organization. Experience editing various types of contract deliverable documents in accordance with DoD standards. Knowledge of MIL-STD-963C, GEIA-859, and DoD 5010.12-M for Data Management. Effective presentation and computer skills. Additional Information This position is Hybrid - Remote and will require commuting to a designated office. Hybrid work schedules are determined by the hiring manager based on business need. PAY, BENEFITS AND WORK SCHEDULE: We offer a comprehensive and competitive benefits package. Employee benefits vary by role, however, may include Health and Wellness, Mental Health, Retirement Savings, Life and Disability, Paid Maternity and Parental Leave, Paid Time Off, Tuition Reimbursement, and an Employee Assistance Program. Annualized pay for this position is : $85,000- $115,000. Equal Opportunity Employer All qualified candidates will receive consideration for all positions without regard to race, color, age, religion, sex (including pregnancy), sexual orientation, gender identity,national origin, veteran status,disability, genetic information, or other non-merit factors. How To Apply Regular full-time employees who apply will be considered along with external candidates. Employees with less than six months with their current position are not eligible to apply for job postings. Please discuss your interest in the position with your current manager/supervisor prior to submitting your completed application. It is highly recommended to apply through the PeopleSoft or Oceanet portals. #J-18808-Ljbffr
Encounter Data Management Professional
Posted 1 day ago
Job Viewed
Job Description
Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation of encounter submissions to Medicaid. Ensures encounter submissions meet or exceed all compliance standards via analysis of data and develops tools to enhance the encounter acceptance rate by Medicaid. Looks for long-term improvements of encounter submission processes. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
The Encounter Data Management Professional ensures data integrity for claims vs outbound encounters. The Encounter Data Management Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
**Use your skills to make an impact**
**Required Qualifications**
+ Over 2 years of experience in healthcare claims processing, including encounter data submissions and related administrative functions
+ Demonstrated proficiency in Excel formulas and pivot tables.
+ Demonstrated analytical and critical thinking skills for effectively solving complex problems.
+ Ability to manage multiple tasks and deadlines while maintaining strong attention to detail.
+ Capable of clearly and concisely articulating ideas, both verbally and in writing.
+ Comprehensive understanding of Microsoft Office applications, including Word, PowerPoint, Outlook, and foundational knowledge of Access
**Preferred Qualifications**
+ Bachelor's degree in Business, Finance, Accounting, Operations or other related fields
+ Prior health insurance industry experience
+ Working knowledge of Microsoft SQL or SAS
**Additional Information**
If selected for hire and residing near the Louisville, KY office, this role may require in-office meetings at the discretion of the business.
**Work-At-Home Requirements:**
WAH requirements: Must have the ability to provide a high-speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.
Satellite and Wireless Internet service is NOT allowed for this role.
A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
**Interview Format**
As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$65,000 - $88,600 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 08-28-2025
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
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**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our
Data Management JOB Training Opportunity
Posted 4 days ago
Job Viewed
Job Description
Year Up United is a one-year or less, intensive job training program that provides young adults with in-classroom skill development, access to internships and/or job placement services, and personalized coaching and mentorship. Year Up United participants also receive an educational stipend.
The program combines technical and professional training with access to internships and job placement support through our industry-leading talent placement firm YUPRO Placement. If you receive an internship, it may be at Bank of America or JPMorgan Chase among other leading organizations in the Baltimore area.
Are you eligible?
You can apply to Year Up United if you are:
- A high school graduate or GED recipient
- Eligible to work in the U. S.
- Available Monday-Friday throughout the duration of the program
- Highly motivated to learn technical and professional skills
- Have not obtained a Bachelor?s degree
- You may be required to answer additional screening questions when applying
What will you gain?
Professional business and communication skills, interviewing and networking skills, resume building, ongoing support and guidance to help you launch your career. During the internship phase, Year Up United students earn an educational stipend of $525 per week.
In-depth classes include:
- Business Operations
- Project Management
- Banking
- Customer Success
- IT Support
- Data Analytics
Get the skills and opportunity you need to launch your professional career.
75% of Year Up United graduates are employed and/or enrolled in postsecondary education within 4 months of graduation. Employed graduates earn an average starting salary of fifty-three thousand dollars per year.
Manager, Data Analyst (Data Management)
Posted 9 days ago
Job Viewed
Job Description
Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
**Job Category**
Technology
**Compensation Overview**
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
**Salary Range**
$96,400.00 - $159,100.00
**Target Openings**
1
**What Is the Opportunity?**
At Travelers, we create trusted strategic products and services to unlock the power of our data. We enhance and measure our ability to access, govern, manage, connect and integrate internal and external data assets and ensure our employees understand the value of data and the impacts to our business. As a Manager, Data Management you will develop strategies to promote effective data governance practices to ensure that data is consistent, trustworthy, and doesn't get misused. You will measure accuracy, completeness, consistency, and reliability of data to embody and promote Traveler's data culture values. Consulting with business partners, you will assist in the design implementation, and drive the adoption of data management, governance, and metadata policies, standards, and best practices. You will develop and own project timelines and plans for assigned projects. Leveraging your understanding of the data ecosystem, business process and decision-making, as well as the data value chain, you will analyze medium complexity customer requests for changes to data management tools to determine impact on existing systems, process and develop appropriate specifications, enhancements, and procedures to comply.
**What Will You Do?**
+ Govern the process of managing the availability, usability, integrity security and privacy of the data.
+ Collaborate with partners and assist with the design, development and implementation of innovative governance practices, roles, responsibilities.
+ Develop procedures, processes, and support the development of remediation plans to assure data quality for business purposes
+ Perform complex data profiling and analysis; communicates results in support of data quality processes.
+ Partner with business customers to recommend, develop, maintain and prioritize business data quality requirements, specifications, and rules.
+ Assist in defining metadata repository, data catalog, reference data management, and data lineage capabilities.
+ Work with business customers to ensure appropriate naming definitions and standards are being followed.
+ Facilitate the root cause analysis and resolution of business data management issues, including proposal and implementation of specification or procedural changes to address issue, working with impacted areas.
+ Leverage knowledge of data models, data relationships, mapping lineage and business rules to ensure that solutions meet operational and business needs.
+ Analyze medium complexity customer requests (internal or external, e.g., data calls) for changes to production systems, determine impact on existing systems, process and develop appropriate specifications, enhancements, and/or procedures to comply.
+ Leverage tools, processes, and workflows to capture knowledge, find information and maintain its relevance.
+ Design the creation, maintenance and governance of taxonomies and ensures its applicability to content and/or data.
+ Perform other duties as assigned.
**What Will Our Ideal Candidate Have?**
+ Prior experience with ETL / Data Integration tools, one or more Data platforms, and Cloud Computing Technologies and related emerging technology.
+ Prior experience with one or more of the following Tools and languages: SQL, Teradata, Python, Hive, MicroStrategy, Ab Initio, Messaging, NoSQL.
+ Ability to understand metadata management, including metadata management, lineage, and cataloging.
+ Strong communication skills with the ability to consult on projects and present information effectively.
+ Ability to think strategically and use judgement to resolve issues as they arise.
+ Excellent relationship building skills with the ability to work both independently and collaboratively with internal and external partners.
+ Excellent time management skills with the ability to manage multiple projects simultaneously and follow through to ensure timely completion.
+ Strong leadership skills with the ability to manage a team and provide strategic direction on opportunities.
+ Ability to apply a thorough understanding of overall physical and logical data model and of data relationships, mapping, lineage and business rules.
+ Knowledge of data models, data relationships, mapping lineage and business rules.
**What is a Must Have?**
+ Bachelor's degree or three years of relevant data and analytics, and/or data management experience.
**What Is in It for You?**
+ **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
+ **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
+ **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
+ **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
+ **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
**Employment Practices**
Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email ( ) so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit .
Senior Encounter Data Management Professional
Posted 9 days ago
Job Viewed
Job Description
The Senior Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation of encounter submissions to Medicaid/Medicare. Ensures encounter submissions meet or exceed all compliance standards via analysis of data and develops tools to enhance the encounter acceptance rate by Medicaid/Medicare. Looking for long-term improvements of encounter submission processes. Begins to influence department's strategy. Make decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.
The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its trading partners, Medicare and Medicaid. The Senior Encounter Data Management Professional will work with department leadership, trading partner owners, and the error resolution team to ensure timely improvements are made regarding Error Submission issues/errors. Additionally, the Senior Encounter Data Management Professional is tasked with problem-solving and clearing roadblocks to any issue that prevents Humana from submitting encounter data information to its trading partners in a timely manner. Must analyze data, trends, system limitations and create long-term improvements and see them through implementation to drive the needed change to improve Encounter Submissions. This involves moderately complex to complex issues where analyzing situations or data requires an in-depth evaluation of variable factors.
**Use your skills to make an impact**
**Required Qualifications**
**5 years of medical claims processing/auditing or encounter data management experience**
**Demonstrated deep dive research and analysis skills**
**Prior experience in a fast-paced insurance or health care setting**
**Demonstrated experience working with Medicare and Medicaid programs**
**Ability to manage multiple tasks and deadlines with attention to detail**
**Self-starter, ability to work independently**
**Preferred Qualifications**
**Bachelor's degree in business, Finance, Operations or other related fields**
**1+ years of leadership, coaching and/or team leadership experience**
**1+ years of leadership, coaching and/or team leadership experience**
**Demonstrated experience in managing projects effectively**
**Medical claims experience**
**Additional Information**
**_This position may be required to be onsite a minimum of once per month for collaborative meetings if local to Louisville._**
**Work-At-Home Requirements:**
+ WAH requirements: Must have the ability to provide a high-speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
+ A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.
+ Satellite and Wireless Internet service is NOT allowed for this role.
+ A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
**Interview Format**
As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$78,400 - $107,800 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 07-31-2025
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
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**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our
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Principal / Sr. Principal Data Management Engineer
Posted today
Job Viewed
Job Description
RELOCATION ASSISTANCE: Relocation assistance may be available
CLEARANCE TYPE: A US Government security clearance per customer's requirements.
TRAVEL: Yes, 10% of the Time
Description
At Northrop Grumman, our employees have incredible opportunities to work on revolutionary systems that impact people's lives around the world today, and for generations to come. Our pioneering and inventive spirit has enabled us to be at the forefront of many technological advancements in our nation's history - from the first flight across the Atlantic Ocean, to stealth bombers, to landing on the moon. We look for people who have bold new ideas, courage and a pioneering spirit to join forces to invent the future, and have fun along the way. Our culture thrives on intellectual curiosity, cognitive diversity and bringing your whole self to work - and we have an insatiable drive to do what others think is impossible. Our employees are not only part of history, they're making history.
Description:
At Northrop Grumman, our employees have incredible opportunities to work on revolutionary systems that impact people's lives around the world today, and for generations to come. Our pioneering and inventive spirit has enabled us to be at the forefront of many technological advancements in our nation's history - from the first flight across the Atlantic Ocean, to stealth bombers, to landing on the moon. We look for people who have bold new ideas, courage and a pioneering spirit to join forces to invent the future, and have fun along the way. Our culture thrives on intellectual curiosity, cognitive diversity and bringing your whole self to work - and we have an insatiable drive to do what others think is impossible. Our employees are not only part of history, they're making history.
Northrop Grumman Mission Systems is a trusted provider of mission-enabling solutions for global security. Our Engineering and Sciences (E&S) organization pushes the boundaries of innovation, redefines engineering capabilities, and drives advances in various sciences. Our team is chartered with providing the skills, innovative technologies to develop, design, produce and sustain optimized product lines across the sector while providing a decisive advantage to the warfighter. Come be a part of our mission!
The Microelectronics, Design, and Applications (MDA) organization is seeking a Principal / Sr. Principal Data Management Engineer to join our team and pioneer new approaches, design and implement technologies for a computer integrated manufacturing system. You'll work in a fast-paced team environment alongside physicists, design engineers, and superconducting foundry engineers to make these technologies a reality.
Northrop Grumman Mission Systems (NGMS) is seeking a Principal / Sr. Principal Data Management Engineer . This position is located at the Linthicum, MD location.
What You'll get to Do:
-
Create complex data models for analysis and reporting
-
Integrate various data sources into a data management platform
-
Design and develop ETL and ELT processes
-
Identify requirements for effective data management
-
Communicate with various stakeholders to ensure data management needs are met
-
Evaluate COTS tools
-
Develop Data governance policies
-
Document data management platform
This is a dual level requisition which can be filled as a Principal or Sr. Principal Data Management Engineer
Basic Qualifications for Principal Data Management Engineer:
-
A degree in a STEM area (Science, Technology, Engineering or Math) with a minimum of 5 years of experience with a bachelor's degree, 3 years of experience with a master's degree, or 0 years of experience with a PhD
-
Experience in microelectronics manufacturing or semiconductor fabs, including experience with semiconductor computer integrated manufacturing (CIM) components
-
Experience with different data storage methodologies
-
Understanding of data governance
-
Strong command of SQL
-
Understanding of different database architectures
-
Must be willing to work on site 100% of time
-
Limited travel to local Northrop Grumman facilities may be required
-
This position requires the applicant to be a U.S. citizen
-
Must be able to obtain and maintain a US government security clearance per business requirements
Basic Qualifications for Sr. Principal Data Management Engineer:
-
A degree in a STEM area (Science, Technology, Engineering or Math) with a minimum of 8 years of experience with a bachelor's degree, 6 years of experience with a master's degree, or 4 years of experience with a PhD
-
Experience in microelectronics manufacturing or semiconductor fabs, including experience with semiconductor computer integrated manufacturing (CIM) components
-
Experience with different data storage methodologies
-
Understanding of data governance
-
Strong command of SQL
-
Demonstrated experience with different database architectures
-
Must be willing to work on site 100% of time
-
Limited travel to local Northrop Grumman facilities may be required
-
This position requires the applicant to be a U.S. citizen
-
Must be able to obtain and maintain a US government security clearance per business requirements
Preferred Qualifications:
-
Active US government security clearance per business requirements
-
Experience with Applied Materials APF repositories
-
Experience with Applied Materials Activity Manager
-
Experience with Oracle RDBMS
-
Experience implementing data virtualization platforms
-
Experience with Tableau
Salary Range: $115,800.00 - $73,800.00Salary Range 2: 144,200.00 - 216,400.00
The above salary range represents a general guideline; however, Northrop Grumman considers a number of factors when determining base salary offers such as the scope and responsibilities of the position and the candidate's experience, education, skills and current market conditions.
Depending on the position, employees may be eligible for overtime, shift differential, and a discretionary bonus in addition to base pay. Annual bonuses are designed to reward individual contributions as well as allow employees to share in company results. Employees in Vice President or Director positions may be eligible for Long Term Incentives. In addition, Northrop Grumman provides a variety of benefits including health insurance coverage, life and disability insurance, savings plan, Company paid holidays and paid time off (PTO) for vacation and/or personal business.
The application period for the job is estimated to be 20 days from the job posting date. However, this timeline may be shortened or extended depending on business needs and the availability of qualified candidates.
Northrop Grumman is an Equal Opportunity Employer, making decisions without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, veteran status, disability, or any other protected class. For our complete EEO and pay transparency statement, please visit U.S. Citizenship is required for all positions with a government clearance and certain other restricted positions.
Principal / Sr. Principal Data Management Engineer (209964)
Posted 4 days ago
Job Viewed
Job Description
CLEARANCE TYPE: A US Government security clearance per customer's requirements.
TRAVEL: Yes, 10% of the Time
**Description**
At Northrop Grumman, our employees have incredible opportunities to work on revolutionary systems that impact people's lives around the world today, and for generations to come. Our pioneering and inventive spirit has enabled us to be at the forefront of many technological advancements in our nation's history - from the first flight across the Atlantic Ocean, to stealth bombers, to landing on the moon. We look for people who have bold new ideas, courage and a pioneering spirit to join forces to invent the future, and have fun along the way. Our culture thrives on intellectual curiosity, cognitive diversity and bringing your whole self to work - and we have an insatiable drive to do what others think is impossible. Our employees are not only part of history, they're making history.
**Description:**
At Northrop Grumman, our employees have incredible opportunities to work on revolutionary systems that impact people's lives around the world today, and for generations to come. Our pioneering and inventive spirit has enabled us to be at the forefront of many technological advancements in our nation's history - from the first flight across the Atlantic Ocean, to stealth bombers, to landing on the moon. We look for people who have bold new ideas, courage and a pioneering spirit to join forces to invent the future, and have fun along the way. Our culture thrives on intellectual curiosity, cognitive diversity and bringing your whole self to work - and we have an insatiable drive to do what others think is impossible. Our employees are not only part of history, they're making history.
Northrop Grumman Mission Systems is a trusted provider of mission-enabling solutions for global security. Our Engineering and Sciences (E&S) organization pushes the boundaries of innovation, redefines engineering capabilities, and drives advances in various sciences. Our team is chartered with providing the skills, innovative technologies to develop, design, produce and sustain optimized product lines across the sector while providing a decisive advantage to the warfighter. Come be a part of our mission!
The Microelectronics, Design, and Applications (MDA) organization is seeking a **Principal /** **Sr. Principal Data Management Engineer** to join our team and pioneer new approaches, design and implement technologies for a computer integrated manufacturing system. You'll work in a fast-paced team environment alongside physicists, design engineers, and superconducting foundry engineers to make these technologies a reality.
Northrop Grumman Mission Systems (NGMS) is seeking a **Principal / Sr. Principal Data Management Engineer** . This position is located at the **Linthicum, MD** location.
**What You'll get to Do:**
+ Create complex data models for analysis and reporting
+ Integrate various data sources into a data management platform
+ Design and develop ETL and ELT processes
+ Identify requirements for effective data management
+ Communicate with various stakeholders to ensure data management needs are met
+ Evaluate COTS tools
+ Develop Data governance policies
+ Document data management platform
_This is a dual level requisition which can be filled as a_ **Principal** _or_ **Sr. Principal Data Management Engineer**
**Basic Qualifications for Principal Data Management Engineer:**
+ A degree in a STEM area (Science, Technology, Engineering or Math) with a minimum of 5 years of experience with a bachelor's degree, 3 years of experience with a master's degree, or 0 years of experience with a PhD
+ Experience in microelectronics manufacturing or semiconductor fabs, including experience with semiconductor computer integrated manufacturing (CIM) components
+ Experience with different data storage methodologies
+ Understanding of data governance
+ Strong command of SQL
+ Understanding of different database architectures
+ Must be willing to work on site 100% of time
+ Limited travel to local Northrop Grumman facilities may be required
+ This position requires the applicant to be a U.S. citizen
+ Must be able to obtain and maintain a US government security clearance per business requirements
**Basic Qualifications for Sr. Principal Data Management Engineer:**
+ A degree in a STEM area (Science, Technology, Engineering or Math) with a minimum of 8 years of experience with a bachelor's degree, 6 years of experience with a master's degree, or 4 years of experience with a PhD
+ Experience in microelectronics manufacturing or semiconductor fabs, including experience with semiconductor computer integrated manufacturing (CIM) components
+ Experience with different data storage methodologies
+ Understanding of data governance
+ Strong command of SQL
+ Demonstrated experience with different database architectures
+ Must be willing to work on site 100% of time
+ Limited travel to local Northrop Grumman facilities may be required
+ This position requires the applicant to be a U.S. citizen
+ Must be able to obtain and maintain a US government security clearance per business requirements
**Preferred Qualifications:**
+ Active US government security clearance per business requirements
+ Experience with Applied Materials APF repositories
+ Experience with Applied Materials Activity Manager
+ Experience with Oracle RDBMS
+ Experience implementing data virtualization platforms
+ Experience with Tableau
Salary Range: $115,800.00 - $73,800.00Salary Range 2: 144,200.00 - 216,400.00
The above salary range represents a general guideline; however, Northrop Grumman considers a number of factors when determining base salary offers such as the scope and responsibilities of the position and the candidate's experience, education, skills and current market conditions.
Depending on the position, employees may be eligible for overtime, shift differential, and a discretionary bonus in addition to base pay. Annual bonuses are designed to reward individual contributions as well as allow employees to share in company results. Employees in Vice President or Director positions may be eligible for Long Term Incentives. In addition, Northrop Grumman provides a variety of benefits including health insurance coverage, life and disability insurance, savings plan, Company paid holidays and paid time off (PTO) for vacation and/or personal business.
The application period for the job is estimated to be 20 days from the job posting date. However, this timeline may be shortened or extended depending on business needs and the availability of qualified candidates.
Northrop Grumman is an Equal Opportunity Employer, making decisions without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, veteran status, disability, or any other protected class. For our complete EEO and pay transparency statement, please visit U.S. Citizenship is required for all positions with a government clearance and certain other restricted positions.
Senior Database Management Specialist
Posted today
Job Viewed
Job Description
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