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Resp & Qualifications

Manager, Data Usage & Rights (Remote)

PURPOSE:

CareFirst is a leading healthcare payor organization committed to providing comprehensive health insurance solutions while maintaining the highest standards of data management, privacy, security, and regulatory compliance. We are seeking an experienced professional to lead our data governance function, leading cross-functional efforts to ensure data integrity, compliance, security, and usability while driving cultural adoption of data governance principles and stewardship across the enterprise.

The Manager of Data Governance, Data Usage and Rights will be responsible for developing, implementing, and overseeing comprehensive data governance frameworks that ensure compliant, ethical, and strategic use of healthcare data. This role requires deep expertise in healthcare regulations, data privacy laws, and governance best practices to protect member information while enabling data-driven business outcomes. Serves as a point of escalation for governance, data quality, compliance, and protection issues and will work closely with stakeholders to improve the quality and value of core data assets while enabling strategic initiatives. Establishes governance and quality best practices, implements tools and techniques, and provides training and support. Ensures organizational compliance to drive business value and operational efficiency.

ESSENTIAL FUNCTIONS:

Data Governance Framework

+ Drive the data quality, data integrity and data management across the enterprise that will enable business users to leverage and use the data as a differentiator in running the business with accurate and core business information and intelligence.

+ Develops techniques for quality data collection to ensure adequacy, accuracy, and legitimacy of data

+ Develop and maintain enterprise-wide data governance policies, procedures, and standards

+ Lead day-to-day data governance activities of key enterprise systems and interfaces, including leading cross-functional data governance committees, procedures for data inquiries and decisioning, gap analysis, business process mapping, and data flow analysis

+ Establish data classification schemes and data lineage documentation

+ Design and implement data stewardship programs across business units

+ Establish KPIs and monitor data quality metrics, reporting progress to leadership

Data Usage & Rights, Privacy Management, Regulatory Compliance

+ Implement and manage data-related policies to meet regulatory and legal obligations (e.g., HIPAA, GDPR).

+ Monitor compliance and ensure proper classification, usage, retention, and archiving practices.

+ Oversee member data rights requests (access, portability, deletion, correction)

+ Review and approve data usage requests in collaboration with Privacy Office and Cybersecurity team

+ Manage consent management frameworks and opt-out processes

+ Establish protocols for third-party data sharing agreements

+ Ensure appropriate data minimization and retention practices

+ Lead privacy by design initiatives for new systems and processes

Leadership

+ Define and own the enterprise data governance roadmap in alignment with business goals.

+ Champion data governance policies, standards, and stewardship practices

+ Provide leadership for developing and/or operating data governance decisioning framework; metadata and reference data governance practices; data quality assessment and monitoring procedures; and data standards and guidelines

Collaboration, Stakeholder Management, Training, People Management

+ Collaborate with Data Architecture, Data Engineering, and Security teams to ensure technical alignment.

+ Develop training programs to promote data literacy and stewardship across departments. Drive organizational understanding of data accountability and ownership.

+ Partner with IT, Security, Legal, Privacy Office and business units on data governance initiatives

+ Develop and deliver data governance training programs

+ Serve as subject matter expert for data governance questions

+ Develop and report on governance metrics and program effectiveness to senior leadership

+ Track and monitor the implementation of data controls across the organization

+ Provide leadership, coaching and mentoring to team members while serving as a role model

Why Join Us?

Help us transform data culture. Youll be empowered to shape governance foundations that advance decision-making, trust and innovation across the organization.

QUALIFICATIONS

**Education Level:** Bachelor's Degree in Computer Science, Information Technology or Engineering or related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Experience:

+ 5+ years related professional experience in data management

+ 1 year Supervisory experience or demonstrated progressive leadership experience

Preferred Qualifications:

+ Minimum of 3 years of experience in data governance

+ Proven experience leading data governance transformation at a complex healthcare company

+ Healthcare industry experience

+ Hands on Experience in the design and configuration of data governance collaboration platforms, metadata repository tools or data quality tools preferably Informatica CDGC/IDMC.

+ Experience with metadata management, master data management (MDM) and data catalogs

+ Certifications like CDMP, DAMA or DGSP are a plus.

Supervisory Responsibility

This position manages a small team of 3-7 individuals.

Knowledge, Skills and Abilities (KSAs):

+ Deep understanding of data lifecycle, privacy frameworks and governance technologies

+ Solid understanding of SQL, ETL processes, Master Data Management processes, PowerBI and Microsoft Azure Cloud

+ Ability to work with cross-functional stakeholders, build trust and become a true business partner for both strategic and operational challenges

+ Knowledge of data governance, data management, and data modelling concepts.

+ Excellent leadership, coaching and mentoring skills

+ Excellent analytical skills, with a focus on understanding overall business issues, determining creative solutions and facilitating informed decision-making in difficult situations

+ Excellent verbal and written communication skills, with ability to communicate technical concepts to various audiences and strong ability to influence others

+ Familiar with current and emerging technologies and the ability to investigate and recommend new technology to meet business needs

+ Departmental oversight including goal setting, budget management, and results.

+ Must be able to effectively work in a fast-paced environment with frequently changing priorities, deadlines, and workloads that can be variable for long periods of time.

**Salary Range:** $120,320 - $223,344

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Department

Data Architecture

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Where To Apply

Please visit our website to apply: www.carefirst.com/careers

Federal Disc/Physical Demand

Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship

\#LI-KL1

REQNUMBER: 21243