Clinical Data & Reporting Professional

Humana

4d•Remote

About The Position

Become a part of our caring community and help us put health first As a Humana Data and Reporting Professional 2 you will provide analytical support to the Florida Medicaid Quality Improvement and Clinical and Quality Provider Engagement teams. These teams focus on quality processes and outcomes. They ensure operational compliance standards and procedures, such as those for regulatory and accreditation entities are established and followed. Further, the team advances business practice by collaborating with leaders and cross functional teams to monitor and support various clinical performance and experience for our Medicaid members statewide. The Data and Reporting Professional 2 support these goals by developing and managing data sets and system tools. The Data and Reporting Professional 2 will have considerable latitude to create a compelling visual story of our health data. You will be responsible for all stages of the development, documentation, and dissemination of dashboards, with the goal of gaining a deeper understanding of the health categorization and stratification of the Florida Medicaid population. A significant amount of attention and time will be spent developing dashboards and providing insights utilizing eligibility and claims data to include medical, pharmacy, laboratory and other sources of available internal data. We are constantly challenging the status quo of data analysis and dissemination of information and knowledge, and there is considerable opportunity for innovation and creativity. Humana has a highly collaborative environment, and you will work closely with the Quality Improvement and Clinical and Quality Provider Engagement teams and other Leaders where you will be encouraged, rewarded, and cheered on for working out loud, continuously learning, and dreaming big. To be successful in this role, you should be curious and never be afraid to ask why, have an entrepreneurial attitude, and the confidence, skill and will to accomplish our goals.

Requirements

Bachelor’s degree
3 or more years of experience in data management and reporting
Comprehensive knowledge of Microsoft Office applications including Excel, Access, Power BI
Demonstrated experience producing high functioning dashboards using Power BI.
Experience working with big and complex data sets within large organizations.
Proficient querying large data sets from data warehouses using languages such as SQL, SAS, R, and/or Python.
Experience analyzing data to solve a wide variety of business problems and create data visualizations that drive strategic direction.
Strong, demonstrated strategic, analytical thinking, and consulting skills.
Proficiency in verbal and written communication to senior and executive leadership.
Demonstrated ability to work independently, proactively initiate tasks, conduct thorough research, and acquire new knowledge to support ongoing development.
Must be passionate about contributing to an organization focused on continuously improving consumer experiences.

Nice To Haves

Degree in a quantitative discipline, such as Mathematics, Economics, Finance, Statistics, Computer Science, Engineering or related field
Experience in managed care or health care sector
Knowledge of Humana's internal policies, procedures, and systems
Medicaid Health Plan Experience
Reside in Florida

Responsibilities

Research, create, and test dashboards for our internal partners and leadership
Create visualizations (dashboards) to monitor trends, utilization and timelines that enhance internal/external partners overall understanding of Humana’s Florida Medicaid population, utilization and quality outcomes
Develop visualizations (dashboards) using Power BI that assist internal partners to address and identify specific risks, identify gaps in care, improve efficiencies and enrollment of existing services/programs, implement clinical interventions and programs, monitor intervention/program performance/success, and reduce preventable events.
Collaborate with internal leaders, teams to provide strategic analytical support and insight for new opportunities.
Serve as a data and reporting subject matter expert for the Quality Improvement and Clinical & Quality Provider Engagement teams
Use your skills to make an impact

Benefits

Humana offers a variety of benefits to promote the best health and well-being of our employees and their families.
We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:
Health benefits effective day 1
Paid time off, holidays, volunteer time and jury duty pay
Recognition pay
401(k) retirement savings plan with employer match
Tuition assistance
Scholarships for eligible dependents
Parental and caregiver leave
Employee charity matching program
Network Resource Groups (NRGs)
Career development opportunities