Leads enterprise data governance, privacy, and risk management efforts to ensure the compliant, secure, and responsible use of data across all lines of business, including Commercial, Medicare, and Medicaid.
Establishes and operationalizes governance frameworks, decision protocols, standards, and controls that promote data quality, transparency, accountability, and appropriate use of sensitive health information.
Partners closely with Legal, Compliance, Security, Informatics, and business leaders to translate regulatory requirements, contractual obligations, and enterprise policies into practical governance processes and risk-based controls.
Responsible for identifying, assessing, and mitigating risks across data sharing, access, lineage, downstream use, and third-party relationships, while enabling audit-defensible decision-making and scalable governance practices aligned with business objectives and regulatory expectations, including HIPAA, CMS mandates, and state privacy requirements.
Expected to lead the communication strategy across varied audiences and organizational levels, and to drive outcomes through highly polished, structured program management disciplines.
Requirements
10+ years of experience in healthcare, data governance, privacy, risk management, or a related field
Deep knowledge of healthcare regulations, including HIPAA, CMS requirements, and state privacy laws
Experience with data governance frameworks, data lineage, metadata management, and stewardship practices
Strong understanding of payer operations, including claims, utilization management, risk adjustment, and STARS
Expertise in risk identification, assessment, mitigation planning, control design, and reporting
Ability to translate legal and regulatory requirements into operational and technical processes
Strong stakeholder management, executive communication, and cross-functional collaboration skills
Ability to influence leaders and drive alignment across functions and throughout the enterprise
Experience defining and operationalizing risk mitigation strategies and governance solutions
Demonstrated ability to develop and execute audience-specific communication strategies across operational, management, and executive levels of an organization
Proven experience crafting polished executive briefings, board materials, and governance communications that make complex topics accessible and decision-ready
Strong program management skills, including experience driving structured programs with defined milestones, RACI accountability, risk management, and executive-level status reporting
Benefits
medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
comprehensive benefits package designed to support the physical, emotional, and financial well-being