• HEDIS Senior Data and Reporting Professional

    HumanaLansing, MI 48915

    Job #2671651755

  • Become a part of our caring community and help us put health first

    The Senior Data and Reporting Professional generates scheduled and ad hoc reports through analysis of large datasets from internal and external sources.

    The Senior Data and Reporting Professional engages in assignments ranging in complexity that require interpretation and independent determination for the appropriate course of action.

    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 primary function of the role is to develop organized analytics, reports and data management to support Quality Improvement within the Medicaid product line.

    • Integrates data from multiple sources to produce requested or required data elements.

    • Programs and maintains report forms and formats, information dashboards, data generators, canned reports and other end-user information portals or resources.

    • The Senior Data and Reporting Professional influences Quality Improvement strategy.

    • May create specifications for reports necessary for the quality management program.

    • Makes decisions on moderately complex to complex opportunities which may support Member Engagement, Clinical Performance, Provider Engagement, Behavioral Health and Pharmacy.

    • Exercises considerable latitude in determining objectives and approaches to assignments.

    • Other responsibilities as determined by leader.

    Use your skills to make an impact

    Required Qualifications

    • Bachelor's degree

    • 5+ years of data reporting experience in healthcare.

    • Must have experience working with HEDIS measures in Managed Care settings.

    • Advanced proficiency in SQL, SAS and other data systems

    • 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, PIPS and state regulatory requirements.

    • Advanced Microsoft Excel skills including ability to link pivots to external data sources, creating pivot tables and summarizing data into reports and dashboards.

    • Strong analytic skills: (ie: Experience working with 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 Population Health)

    • Proficiency in verbal and written communication to senior and executive leadership

    • Strong organizational skills and ability to manage multiple or competing priorities.

    Preferred Qualifications

    • Advanced Degree in a quantitative discipline, such as Mathematics, Economics, Finance, Statistics, Computer Science, Engineering or related field, Healthcare Administration or Masters in Public Health

    • Experience working with Medicaid population data is strongly preferred.

    • Experience with tools such as Tableau, Qlik and Power BI for creating data visualizations.

    • Experience in a system analytics and/or data warehousing environment

    • Experience with querying data from cloud sources (Azure, etc.)

    Additional Information

    This position is open to working remote

    Work at Home Criteria **?**

    To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:?

    • 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.?

    • Employees 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 employees 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 Modern Hire to enhance our hiring and decision-making ability. Modern Hire 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 **.?**

    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.$71,500 - $98,500 per yearThis 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.

    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 because he or she is a protected veteran. 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 ~~~.