Senior Data and Reporting Professional - Humana
Dover, DE
About the Job
Become a part of our caring community and help us put health first
The Senior Data and Reporting Professional generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The Senior Data and Reporting Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The Senior Data and Reporting Professional’s primary role is to develop organized analytics, reports and data management to support the market’s Quality team within the Medicaid product line. Integrates data from multiple sources to produce requested or required data elements, including predictive analytics. Programs and maintains report forms and formats, information dashboards, data generators, canned reports and other end-user information portals or resources. Begins to influence Quality Improvement strategy. Creates specifications for reports necessary for the quality management program, including Performance Improvement Projects and the Quality Assurance Committee. Makes decisions on moderately complex to complex opportunities which may support Member Engagement, Clinical Performance, Provider Engagement, Behavioral Health and Pharmacy. This position reports to Quality Improvement Management and work is performed with minimal direction. Exercises considerable latitude in determining objectives and approaches to assignments.
Use your skills to make an impact
Required Qualifications
+ Bachelor's degree
+ Minimum 5 years of experience in clinical data reporting, including interoperability
+ Advanced proficiency in SQL, SAS and other data systems
+ Minimum 3 years of experience within Managed Care or Healthcare setting
+ Advanced Microsoft Excel skills including ability to link pivots to external data sources, creating pivot tables and summarizing data into reports and dashboards
+ Advanced Microsoft Access skills including ability to link to external data sources, pass-through queries, data structure and relationship design.
+ Experience working with big and complex data sets within large organizations and/or the analysis of healthcare data including multi-level drill down assessment of key utilization and financial performance measures related to Quality.
+ Develop and maintain reporting systems, analytical processes, or other tools to support Quality and Clinical Performance, key benchmarks and improve Quality outcomes, i.e., HEDIS, NCQA, CAHPS, Performance Improvement Projects (PIPS) and state regulatory requirements.
+ Proficiency in verbal and written communication to senior and executive leadership
+ Strong organizational skills and ability to manage multiple or competing priorities
+ Strong analytical and problem-solving skills
+ Must be able to work independently with limited supervision.
Preferred Qualifications
+ Advanced Degree in a quantitative discipline, such as Mathematics, Economics, Finance, Data Science, Statistics, Computer Science, Engineering or related field, Healthcare Administration, Epidemiology or master’s in public health
+ Experience with tools such as Tableau, Power BI, Qlik for creating data visualizations
+ Experience in a system analytics and/or data warehousing environment
+ Experience with Healthcare Data, including interoperability
+ Experience in a system analytics and/or data warehousing environment
+ Experience with querying data from cloud sources (Azure, etc.)
Additional Information
Workstyle: Remote
Location: South Carolina Preferred
Schedule: Monday through Friday 8:00 AM to 5:00 Eastern Time
Travel: 2 x annually
Work At Home Guidance
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
+ Satellite, cellular and microwave connection can be used only if approved by leadership
+ Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Interview Format As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
SSN Alert Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$73,400 - $100,100 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 12-14-2024
About us
Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
The Senior Data and Reporting Professional generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The Senior Data and Reporting Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The Senior Data and Reporting Professional’s primary role is to develop organized analytics, reports and data management to support the market’s Quality team within the Medicaid product line. Integrates data from multiple sources to produce requested or required data elements, including predictive analytics. Programs and maintains report forms and formats, information dashboards, data generators, canned reports and other end-user information portals or resources. Begins to influence Quality Improvement strategy. Creates specifications for reports necessary for the quality management program, including Performance Improvement Projects and the Quality Assurance Committee. Makes decisions on moderately complex to complex opportunities which may support Member Engagement, Clinical Performance, Provider Engagement, Behavioral Health and Pharmacy. This position reports to Quality Improvement Management and work is performed with minimal direction. Exercises considerable latitude in determining objectives and approaches to assignments.
Use your skills to make an impact
Required Qualifications
+ Bachelor's degree
+ Minimum 5 years of experience in clinical data reporting, including interoperability
+ Advanced proficiency in SQL, SAS and other data systems
+ Minimum 3 years of experience within Managed Care or Healthcare setting
+ Advanced Microsoft Excel skills including ability to link pivots to external data sources, creating pivot tables and summarizing data into reports and dashboards
+ Advanced Microsoft Access skills including ability to link to external data sources, pass-through queries, data structure and relationship design.
+ Experience working with big and complex data sets within large organizations and/or the analysis of healthcare data including multi-level drill down assessment of key utilization and financial performance measures related to Quality.
+ Develop and maintain reporting systems, analytical processes, or other tools to support Quality and Clinical Performance, key benchmarks and improve Quality outcomes, i.e., HEDIS, NCQA, CAHPS, Performance Improvement Projects (PIPS) and state regulatory requirements.
+ Proficiency in verbal and written communication to senior and executive leadership
+ Strong organizational skills and ability to manage multiple or competing priorities
+ Strong analytical and problem-solving skills
+ Must be able to work independently with limited supervision.
Preferred Qualifications
+ Advanced Degree in a quantitative discipline, such as Mathematics, Economics, Finance, Data Science, Statistics, Computer Science, Engineering or related field, Healthcare Administration, Epidemiology or master’s in public health
+ Experience with tools such as Tableau, Power BI, Qlik for creating data visualizations
+ Experience in a system analytics and/or data warehousing environment
+ Experience with Healthcare Data, including interoperability
+ Experience in a system analytics and/or data warehousing environment
+ Experience with querying data from cloud sources (Azure, etc.)
Additional Information
Workstyle: Remote
Location: South Carolina Preferred
Schedule: Monday through Friday 8:00 AM to 5:00 Eastern Time
Travel: 2 x annually
Work At Home Guidance
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
+ Satellite, cellular and microwave connection can be used only if approved by leadership
+ Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Interview Format As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
SSN Alert Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$73,400 - $100,100 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 12-14-2024
About us
Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
Source : Humana