Data Management Strategy & Governance Senior Manager (Clinical Quality) - Evernorth Health Services

Job Overview:

This role is responsible for driving the Clinical Quality data acquisition strategy and data product support within the Enterprise Quality & Accreditation organization.

The data being acquired will be used to measure clinical quality results that ultimately allow Cigna to benchmark against competitors, and drive improvements in patient outcomes.

This data will feed into HEDIS and NCQA accreditations.

This position will be responsible for driving the multi-year roadmap of data work and will directly enable the transition towards digital quality measures (dQM) as mandated by regulatory needs.

This position leads a team inclusive and not limited to a Clinical Data Governance Lead and a Clinical Data Steward.

Responsibilities include overseeing the Clinical Quality data infrastructure, data quality, data acquisition, data expansion, pursuing the highest value use cases, and implementing in an organized, timely, and effective manner.

As dQM depends on timely, standardized, and complete clinical data, this role is essential to translate strategic quality goals into actionable partnerships with external provider organizations.

It ensures the business has the right contractual, operational, and relationship frameworks to support digital data acquisition at scale-particularly in Value Based Program (VBP) aligned environments.

Key Functions:

Data Strategy & Delivery


* Develop multi-year data roadmap that allows Cigna to meet digital quality measurement (dQM) regulatory objectives


* Drive the delivery of the clinical quality data strategy, ensuring that development is occurring on time and within budget


* Secure funding to achieve the priority outcomes needed corresponding with the roadmap timeline


* Prioritize data acquisition and vendor strategy based on cost/benefit analysis and provide recommendations on vendor/tool usage to close data gaps


* Partner with architecture and engineering teams to ensure data platforms and infrastructure support business priorities and long-term strategy


* Advocate for scalable, flexible solutions that enable future growth and innovation


* Translate business objectives into strategic data capabilities, enabling the matrixed cross functional team to prioritize investments that directly support digital transformation

Data Product Ownership


* Function as the business product owner for the Clinical Quality data product


* Coordinate with technical data product delivery teams to build enterprise data product that will house clinical quality data


* Drive the adoption and transition of reporting and analysis to pull from new data product

Contractual Data Enablement


* Evaluate existing vendor and provider agreements to assess if they support digital clinical data capture.


* Provide recommendations for which vendors are strategic, and which vendors can be sunset because of building direct connections to source data


* Partner with the contracting tea...