Sr Data Manager - IN Medicaid

Humana • Indianapolis, IN

9d • $97,900 - $133,500 • Hybrid

About The Position

Humana Healthy Horizons in Indiana is looking for a Senior Data Manager to fulfill the required Data Compliance Manager role, dedicated full-time to the Indiana Medicaid product line, PathWays. You will ensure data quality, report validation, and data exchange with state agencies. The Senior Data Manager will lead efforts to evolve reporting from a manual quality assurance process to a more mature model. This model will include exception-based and self-service reporting. Additionally, the Senior Data Manager will help establish formal change management and our requirements documentation practices. You are comfortable navigating complex, business processes and works with partners across the market to understand requirements, assess impacts, and define appropriate Quality Auditing processes and oversight.

Requirements

• Must reside in the Indianapolis, IN area and commute to the Indianapolis office three days per week, per contract requirements.
• Bachelor's degree or equivalent experience.
• 5+ years of experience in data quality, regulatory reporting, or data compliance in the healthcare arena.
• Experience working with report developers, partners, and external vendors.
• Proficiency with data extraction and reporting tools (e.g., SQL, Power BI).
• Experience with business processes that span multiple operational areas.

Nice To Haves

• Knowledge of healthcare data exchange standards regulatory/state data and reporting operations.
• Master's degree in a quantitative or health-related field.
• Medicaid, managed care, or government-sponsored healthcare program experience.
• Experience designing or implementing QA frameworks, exception reporting, or automated data quality controls.
• Experience with change management, BRD development, and process improvement.
• Experience working with third-party vendors on reporting or quality solutions.

Responsibilities

• Be the designated Data Compliance Manager for Indiana Medicaid, ensuring data exchanges and data quality meets FSSA and OMPP standards, policies, and contractual obligations.
• Oversee the end-to-end data lifecycle for state reporting, including data quality, validation, delivery, change management, and audit readiness.
• Lead manual quality assurance (QA) processes of state-required reports and electronic file exchanges, including detailed reconciliation, defect identification, and coordination of corrections with our teams, vendors, and external partners.
• Identify recurring data/reporting issues, conduct root cause analysis, and implement corrective and preventative actions in collaboration with departments both within the market and among shared services teams.
• Refine and promote the change management process, including intake, impact assessment, documentation, prioritization, and tracking.
• Oversee the process of the creation and review of Our requirements Documents (BRDs) in partnership with report developers, business owners, and operational teams to support report changes and data corrections.
• Demonstrate a understanding of business processes across all departments and departments to analyze BRDs, anticipate downstream impacts, and design QA plans.
• Maintain others on data standards, validation rules, reporting controls, and data governance practices for all State-facing submissions.
• Coordinate with FSSA, OMPP, and internal/external teams to implement new or revised data exchange and reporting requirements or modifications.
• Represent us in meetings with State partners, IT, vendors, and leaders; communicate data quality and compliance status.
• Prepare and maintain documentation, standard operating procedures, data definitions, QA methodologies, and change logs.
• Support readiness activities, compliance reviews, audits, and corrective action plans related to data and reporting.

Benefits

• medical, dental and vision benefits
• 401(k) retirement savings plan
• time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• short-term and long-term disability
• life insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Senior