Senior Data Reporting Professional

Humana

3d • $73,400 - $100,100 • Remote

About The Position

The Senior Data & Reporting Professional supports the Michigan Integrated Long-Term Services and Supports (MI LTSS) program through advanced analytics, operational reporting, performance monitoring, regulatory compliance reporting, and strategic data management. This role involves transforming complex clinical, operational, quality, and financial data into actionable insights to support program oversight, state contract compliance, quality improvement initiatives, and executive decision-making. The position handles moderately complex to complex issues requiring in-depth evaluation of variable factors. The Senior Data & Reporting Professional will work independently, exercise considerable latitude in determining objectives and approaches, and begin to influence departmental strategy. This role partners closely with LTSS Care Management, Utilization Management, Quality, Finance, Compliance, Provider Operations, and Market Leadership to monitor program performance, identify operational opportunities, and support the achievement of LTSS program requirements.

Requirements

• Bachelor's degree in business Analytics, Healthcare Administration, Public Health, Information Systems, Statistics, Computer Science, Data Analytics, or a related field.
• Five (5) or more years of healthcare analytics, reporting, managed care, population health, Medicaid, or related healthcare experience.
• Experience working with large, complex healthcare and operational datasets.
• Advanced Microsoft Excel skills including dashboard development, data modeling, and advanced reporting.

Nice To Haves

• Master's degree in healthcare, business, analytics, or public health discipline.
• Experience supporting LTSS, HCBS Waiver, Medicaid, D-SNP, HIDE, FIDE, or integrated care programs.
• Advanced SQL, SAS, Tableau, Power BI, Qlik, or business intelligence tool experience.
• Knowledge of Michigan SNP contract requirements and LTSS operations.

Responsibilities

• Develop and maintain operational, clinical, quality, compliance, and executive dashboards supporting the MI LTSS program.
• Integrate and validate data from multiple systems, including care management platforms, quality monitoring tools, provider networks, claims data, assessment systems, and regulatory reporting sources.
• Create recurring and ad hoc reports supporting operational performance, regulatory compliance, quality improvement initiatives, and strategic program planning.
• Monitor LTSS performance indicators including Health Risk Assessments, InterRAI assessments, Nursing Facility Level of Care Determination (NFLOCD) completion, Person-Centered Service Plans, Integrated Care Team (ICT) participation, HCBS utilization, care management productivity, and state quality measures.
• Support ongoing monitoring of LTSS contractual requirements through development of compliance and performance reporting tools.
• Partner with LTSS leadership to identify emerging trends, operational risks, barriers to performance, and opportunities for process improvement.
• Develop executive summaries and presentations communicating program performance and strategic recommendations.
• Support state audits, readiness reviews, corrective action plans, and regulatory inquiries through data analysis and reporting.
• Serve as a subject matter expert regarding LTSS operational reporting, analytics, and performance monitoring.

Benefits

• medical
• dental
• 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