Job Information
Humana Data and Reporting Professional in Richmond, Virginia
Become a part of our caring community and help us put health first
Humana is seeking a Data and Reporting Professional to support the Wisconsin Medicaid market. The 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 Data and Reporting Professional's work assignments are often straightforward and of moderate complexity.
Humana's Wisconsin Medicaid Data and Reporting Professional:
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.
May create specifications for reports based on business requests.
Provides analytical support during provider contract negotiation process. Supports negotiation and acts as a consultant in efforts to establish market competitiveness and ensure contract compliance. Assists contracting staff in building tools that model rates. Organizes and performs analytical review of opportunities with provider networks.
Utilizes research and decision-making tools to analyze effectiveness of provider network performance through financial modeling, network accessibility and evaluates outcomes compared to expectations.
Plans and evaluates current network performance to determine effectiveness and assist in development and implementation of system enhancements by helping to define and update business requirements to ensure the organization's competitive advantage.
Supports network adequacy analysis and network performance.
Responsible for retrieving, interpreting, and analyzing data to drive key business decisions and actions, measure program efficacy and contribute to strategic direction.
Analyzes contracted rates to assist with determining appropriate rates for provider contracts.
Works on various projects related to the analysis of claims, clinical and financial data, with a focus on improvement of financial and/or clinical outcomes.
Gathers data from multiple sources and develops necessary analytic data result sets to enable accurate and robust quantitative analyses.
Use your skills to make an impact
Required Qualifications
Bachelor's degree
2 years of technical experience in data reporting.
Comprehensive knowledge of Microsoft Office Applications - Word, Excel, and PowerPoint.
1 or more years of experience in Microsoft SQL, SAS and other data systems.
Preferred Qualifications
Experience with Power BI or other data visualization software.
Experience in managed care or health care sector.
Prior experience working in a system analytics and/or data warehousing environment.
Additional Information
Workstyle: Home. Home workstyle is defined as remote but will use Humana office space on an as needed basis for collaboration and other face-to-face needs.
Typical Work days/hours: must be available Monday - Friday, 8:00 am - 5:00 pm Central Standard Time (CST)
WAH Internet Requirements
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.
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
HireVue
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.$48,800 - $67,400 per year
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 https://www.humana.com/legal/accessibility-resources?source=Humana_Website.