Remote Director, Data Quality & Governance

Humana; United States; Remote; USD 180,000 - 240,000; Full time

Job summary

Humana is seeking a Director of Provider Data Quality & Directory Governance to define and execute the enterprise strategy for provider data quality, governance, and directory accuracy. This leader will establish operating models, standards, controls, and continuous improvement practices across provider directories, network operations, credentialing, contracting, and digital experiences.

Reporting to the VP of Provider Network Operations, you will collaborate across Operations, Technology,

Qualifications

• Bachelor's degree in a related field is required and leadership experience in provider data management, governance, or related healthcare functions is essential.
• Experience designing enterprise data governance frameworks, stewardship models, quality controls, and auditing processes is required.
• Deep understanding of provider data domains, including directory data, demographics, affiliations, specialties, credentialing, contracting, and regulatory requirements.

Responsibilities

• Define and execute a multi-year data quality and integrity strategy aligned with organizational priorities.
• Lead data governance programs with ownership, business rules, and quality standards for critical data assets.
• Design auditing programs to identify data anomalies, risks, and process weaknesses and establish monitoring frameworks.
• Lead provider directory data quality and integrity efforts to ensure CMS compliance, accuracy, timeliness, and audit readiness.
• Develop executive dashboards and reporting that provide actionable insights into quality performance.

Skills

Leadership

Data governance

Data quality

Auditing

Stakeholder management

Strategic thinking

Communication

Education

Bachelor's degree in Business, Healthcare Administration, Information Systems, Data Analytics, or related field

Job description

Humana is seeking a Director of Provider Data Quality & Directory Governance to define and execute the enterprise strategy for provider data quality, governance, and directory accuracy. This leader will establish operating models, standards, controls, and continuous improvement practices across provider directories, network operations, credentialing, contracting, and digital experiences.

Reporting to the VP of Provider Network Operations, you will collaborate across Operations, Technology,