[Remote] Director, Data Quality & Integrity (Provider Network Operations)

Note: The job is a remote job and is open to candidates in USA. Humana is hiring a Director to define and execute enterprise strategy for provider data quality, governance, directory accuracy, and innovation. The role establishes standards, controls, and continuous improvement practices while partnering across operations, technology, analytics, compliance, and provider services to strengthen data integrity and provider and member experiences.

Responsibilities

• Develop and execute a multi-year data quality and integrity strategy aligned with organizational priorities
• Establish enterprise standards, policies, and operating models that support sustainable data quality practices
• Lead strategic initiatives focused on improving data accuracy, completeness, consistency, and timeliness
• Serve as a thought leader in data quality management, governance, and stewardship
• Lead data governance programs that define ownership, accountability, business rules, and quality standards for critical data assets
• Partner with business and technology leaders to establish data stewardship responsibilities and governance processes
• Oversee data mastering initiatives, including the identification, definition, and management of key enterprise data assets
• Drive alignment across stakeholders on data definitions, standards, and quality expectations
• Design and implement data-driven auditing programs to proactively identify data anomalies, risks, and process weaknesses
• Establish monitoring frameworks and controls that improve visibility into data quality performance
• Lead reconciliation and validation processes to ensure alignment across multiple data sources
• Develop feedback mechanisms and continuous improvement processes that address root causes of data quality issues
• Conduct end-to-end assessments of business processes impacting data quality and integrity
• Lead provider directory data quality and integrity efforts to ensure compliance with CMS requirements, including accuracy, completeness, timely updates, and audit readiness
• Identify rework drivers, inefficiencies, and recurring quality issues and implement sustainable solutions
• Lead continuous improvement initiatives that improve operational effectiveness and reduce data-related defects
• Develop executive dashboards and reporting that provide actionable insights into quality performance
• Evaluate current and emerging data quality technologies and governance solutions
• Lead vendor assessments, RFP processes, and business case development for new capabilities
• Partner with Technology teams to implement tools that enhance automation, monitoring, and data governance
• Assess market-leading practices and identify opportunities to improve quality management capabilities
• Build strong relationships with operational leaders, technology teams, analytics partners, and external vendors
• Facilitate cross-functional alignment on data quality priorities and governance decisions
• Present findings, recommendations, and strategic roadmaps to executive leadership
• Lead organizational change efforts that promote enterprise ownership of data quality

Skills

• Bachelor's degree in Business, Healthcare Administration, Information Systems, Data Analytics, or a related field
• 8+ years of leadership experience in provider data management, provider directory operations, data governance, data quality, network operations, or related healthcare functions
• Deep understanding of provider data domains, including directory data, demographics, affiliations, specialties, credentialing, contracting, and regulatory requirements
• Experience designing and implementing enterprise data governance frameworks, stewardship models, quality controls, and auditing programs
• Proven success leading large-scale cross-functional transformation initiatives across business and technology organizations
• Strong executive presence with the ability to influence stakeholders and translate complex data issues into business outcomes
• This role is not eligible for work visa sponsorship
• Master's degree in a related field
• Experience with provider directory accuracy programs, regulatory audits, accreditation requirements, and provider network operations
• Experience with master data management, data governance platforms, and data quality tools
• Lean, Six Sigma, Data Governance, or Data Management certifications

Benefits

• This is a remote position.
• This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
• Medical, dental and vision benefits
• 401(k) retirement savings plan
• Time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• Short-term and long-term disability
• Life insurance

Company Overview