• Develop and implement enterprise-wide data governance policies procedures and standards.• Define and document metadata standards establishing naming conventions definitions and classification structures for metadata to ensure consistency across the catalog.• Create and maintained technical documentations (Data Governance, Metadata, Data Quality, Data Privacy Security, Glossaries, Frameworks).• Leveraging data governance tools Informatica (CDGC), Alation and AWS Glue Catalogs.•… Show more • Develop and implement enterprise-wide data governance policies procedures and standards.• Define and document metadata standards establishing naming conventions definitions and classification structures for metadata to ensure consistency across the catalog.• Create and maintained technical documentations (Data Governance, Metadata, Data Quality, Data Privacy Security, Glossaries, Frameworks).• Leveraging data governance tools Informatica (CDGC), Alation and AWS Glue Catalogs.• Manage data lineage, lifecycle, and ETL processes to enhance data traceability.• Ensure compliance with data security regulations and industry standards.• Collaborate with stakeholders to identify and resolve data quality issues.• Develop training programs on data governance best practices.• Define data governance and data quality key metrics to track business processes. Show less

CSC Global Inc., Miami, FL (Remote) • • Analyze and develop best practices for data management Informatica Cloud system, to optimize data assets value and mitigate risk supporting the data governance and data privacy programs.• Assist in analysis of data for the Test Data Management team review and query schemas in Oracle SQL Developer and Dataedo database systems to determine appropriate data masking rules classifying sensitive data. • Support the business units and technical… Show more CSC Global Inc., Miami, FL (Remote) • • Analyze and develop best practices for data management Informatica Cloud system, to optimize data assets value and mitigate risk supporting the data governance and data privacy programs.• Assist in analysis of data for the Test Data Management team review and query schemas in Oracle SQL Developer and Dataedo database systems to determine appropriate data masking rules classifying sensitive data. • Support the business units and technical areas in developing policies, procedures, and processes. Collaborate with project teams on different projects during the analysis, design, and deployment stage.• Maintain and monitor Record Retention Program compliance is within the legal, regulatory, and business requirements through the GDPR for data privacy. • Identify areas for data quality improvements to resolve data quality issues, also define key metrics to track business processes and documentation.• Create and maintain technical documentation and monthly reports analyzing data for assigned projects and/or applications. Show less

• Maintain Collibra Data Governance Center tool providing efficient, accurate data, and effective information management to provide that golden record across the organization.• Support data governance, data management, and data quality activities and requirements to ensure functional master data integrity across multiple data domains is consistent and meets business rules for DHA government.• Lead data steward initiatives providing training and updates through bi-weekly meetings… Show more • Maintain Collibra Data Governance Center tool providing efficient, accurate data, and effective information management to provide that golden record across the organization.• Support data governance, data management, and data quality activities and requirements to ensure functional master data integrity across multiple data domains is consistent and meets business rules for DHA government.• Lead data steward initiatives providing training and updates through bi-weekly meetings. Develop and implemented the data steward skill learning curriculum guide and data steward satisfaction survey.• Identify areas for data quality improvements to resolve claims, provider, pharmacy, and clinical domains. • Configuring Collibra Data Governance Center based on business user requirements and specifications.• Analyze business needs, document requirements and processes, scheduled maintenance, and updates to systems.• Assist with operationalizing analytics data models, deploy scheduled models to run automatically in the Production environment, also involved in Azure cloud sprints. Show less

• Perform data analysis to identify root cause on Encounter or Enrollment issues, and work with the relevant teams for resolution. Participate in process improvement initiatives and assist with the implementation of new changes.• Documenting business requirement for delivery to the IT development team and assist in UAT.• Utilize SQL Server to query data on information for Legacy files, and processing of PCP reports through FTP and SFTP. • Worked with Medicare and Medicaid Encounter… Show more • Perform data analysis to identify root cause on Encounter or Enrollment issues, and work with the relevant teams for resolution. Participate in process improvement initiatives and assist with the implementation of new changes.• Documenting business requirement for delivery to the IT development team and assist in UAT.• Utilize SQL Server to query data on information for Legacy files, and processing of PCP reports through FTP and SFTP. • Worked with Medicare and Medicaid Encounter Pro to obtain Encounter from the main server to be submitted to Medicare and Florida Medicaid. Encounters. • Analyze, plan and execute electronic data interchange (EDI) programs, processes, systems on 834, 837, 270/271, Files.• Act as a liaison between IT and the business teams to resolve issues related to QNXT and EDM applications, data analysis and reporting and resolution of any problems and gaps. • Ensure that business users tickets are entered in the NIMSOFT ticket system are addressed and the proper follow up is done.• Coordinating with Vendors on system related issues, reviews of the business application and licensing of software. Show less

• Analyze Medicare claims and Medi-Medi matched data to identify vulnerabilities, generate reports to detect fraud and prevent abusive use of services using SAP Business Object Intelligence and SQL to produce reports.• Retrieve and analyzed data issues concern, citing regulatory violations alleging schemes or scams to defraud the Government. Generate monthly reports in SAP Business Objects Intelligence comparing trends and patterns of claims from database system. • Collaborate with… Show more • Analyze Medicare claims and Medi-Medi matched data to identify vulnerabilities, generate reports to detect fraud and prevent abusive use of services using SAP Business Object Intelligence and SQL to produce reports.• Retrieve and analyzed data issues concern, citing regulatory violations alleging schemes or scams to defraud the Government. Generate monthly reports in SAP Business Objects Intelligence comparing trends and patterns of claims from database system. • Collaborate with Fraud Investigators to develop investigation report for quality assurance for Center of Medicare Services. Show less

• Responsible for the management of 3 individual statewide Medicaid and Medicare government contracts, Delaware, Virginia, and Michigan; providing the highest quality cost containment services to the individual state healthcare programs.• Analyze data conversion and execute complex queries within SAS, COBOL and JCL programs retrieving sample data for states requirements and develop cost avoidance reports for deliverables to the State CMS dept.• Coordinated effort and tasks with business… Show more • Responsible for the management of 3 individual statewide Medicaid and Medicare government contracts, Delaware, Virginia, and Michigan; providing the highest quality cost containment services to the individual state healthcare programs.• Analyze data conversion and execute complex queries within SAS, COBOL and JCL programs retrieving sample data for states requirements and develop cost avoidance reports for deliverables to the State CMS dept.• Coordinated effort and tasks with business units in order to meet client demands and accommodate changing needs. • Provide Quality Assurance services to the client maintain data integrity, security, and adhere to the usage of Protected Health Information (PHI).• Develop protocols for transfer of large volumes of secure data from clients through various forms of electronic transmission as well as receiving physical media; collect and test data received from clients.• Support the Programmers in preparing and writing program specifications to move new data, updates and new processes into production. Conduct business needs analysis, running system queries and reports as requested. Show less