About this job
Responsibilities
The Clinical Vendor Oversight Senior Informaticist leverages advanced knowledge of data, modeling, optimization, and tools. Applies disciplined analytics to predict behavior and optimize programs and products to maximize revenue growth. Utilizes advanced or predictive modeling to develop, test and validate cases that improve the outcomes and quality of the programs we offer. Contributes to more innovative approaches to financial models, while building knowledge of the business. Understands and analyzes complex data, articulates to various units within the company at the appropriate level, impacts the business from mathematical concepts which have a potentially sizeable dollar impact on the business. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.
In this role you will:
- Develop and establish strong and effective working relationships with Clinical Vendor Management Professionals, leadership, and external clinical vendors who aid in managing medical utilization for Medicare, Medicaid, and Commercial lines of business.
- Master the intricacies of the data fields
- Obtain, validate, and analyze data from internal and external raw sources and finished reports, anticipating the needs of report end users
- Support the design, development, maintenance, and delivery of operational reports, dashboards, and ad hoc requests
- Continually identify ways to improve and enhance current reports, increasing value and usability
- Collect and document business requirements for reporting and analysis initiatives.
- Support research necessary to fully understand and correctly utilize the required clinical data
- Aid in deriving observations and insights from metrics to support and improve clinical operations
Required Qualifications
- Bachelor's degree and 5+ years of data analytics experience OR Master's degree and 3 years of experience
- 3+ years of experience with data mining, trend identification, and using data to drive business outcomes, recommendations, actionable insights, and decisions
- Experience with data management and analytics tools such as SQL, SAS, or Azure Synapse Analytics
- Experience with business intelligence and visualization tools such as Power BI or Tableau and Excel
- Demonstrated ability in verbal and written communication to articulate and present data findings and insights to all levels, including senior leadership
- Strong attention to detail
- Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
- Experience applying Lean and Six Sigma principles and methodologies to drive process efficiency and quality
- Experience using automation tools, like MS Power Automate, to create process efficiencies
- Experience with predictive modeling
- Experience with healthcare authorization data and claims data, and interoperability standards like FHIR
- Experience mapping disparate sources of data, and creating relational data models and databases
Scheduled Weekly Hours
This is an exciting company headquartered in a city with an excellent quality of life!
Senior Manager, MarketPoint Sales
![Bonnie](https://cdn-static.findly.com/wp-content/uploads/sites/1382/2020/10/1.4_testimonial_Bonnie_headshot.jpg)
What I love most about Humana is the unlimited opportunity for growth and advancement.
Manager, Quality Engineering
Working at Humana has provided me the opportunity to reach across other areas of the company, as well as provided opportunities for personal and career growth.
Provider Contracting Professional
![Virginia_headshot](https://cdn-static.findly.com/wp-content/uploads/sites/1382/2020/10/1.0_testimonial_Virginia_headshot.jpg)
When I saw how happy people were working here I wanted to be here. I knew Humana was going to be where I work 25 years and retire from.
Care Coach, Veteran
![Paul](https://cdn-static.findly.com/wp-content/uploads/sites/1382/2020/10/1.2_testimonial_Paul.jpg)
I am proud to be part of a team that supports clinical growth and innovation.
Project Manager, Care Delivery
![Brittany](https://cdn-static.findly.com/wp-content/uploads/sites/1382/2020/10/1.1_testimonial_Brittany.jpg)
Request an Accommodation
If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact yourcareer@humana.com for assistance.
Employment Fraud Notice
Humana will never ask a candidate for money for work equipment and network access or request access to personal accounts during the application process. Learn more about identifying and preventing employment fraud or report a suspected employment fraud case.
California Resident Applicants
If you are a California resident applying for a position and would like to review our California Applicant Privacy Policy, click here: CA Resident Applicant Privacy Policy
Latest Technology and Digital Analytics Jobs
Latest Jobs
Upcoming Tech Events
Our Hiring Process
![](https://cdn-static.findly.com/wp-content/uploads/sites/1290/2020/07/icon_IT.png)
Apply online
To be considered for a job, you must apply online. Unfortunately, we cannot accept resumes that have been emailed to us. Once you find a job that interests you, simply select “Apply.” It typically takes 15 minutes to fill out the application form. Be sure to update your resume and upload it as you cannot edit the resume or add it after the application has been submitted. Shortly after you submit your application, you will receive a confirmation.
![](https://cdn-static.findly.com/wp-content/uploads/sites/1290/2020/07/phone-interviews.jpg)
Next Step
If selected to continue with the interview process, you will be contacted through text or email to complete an assessment or schedule an initial live or recorded phone or video interview.
![](https://cdn-static.findly.com/wp-content/uploads/sites/1290/2020/07/hiring_icon_interview.png)
A hiring manager interview
After hiring managers and interview teams carefully consider the skills and experiences of applicants, they contact the top candidates via email or phone to schedule an interview.
![](https://cdn-static.findly.com/wp-content/uploads/sites/1290/2020/07/offer.jpg)
Offer from Humana
If you’ve successfully completed the interview process and are identified as the candidate we would like to hire, you will receive an offer from our Talent Acquisition team.
![](https://cdn-static.findly.com/wp-content/uploads/sites/1290/2020/07/hiring_icon_onboarding.png)
Onboarding
If you accept the offer to join our Humana team, you will receive a welcome call or email to begin the onboarding process.
![hiring_images](https://cdn-static.findly.com/wp-content/uploads/sites/1290/2020/07/hiring_images-combined.png)
![Hiring Process](https://cdn-static.findly.com/wp-content/uploads/sites/1290/2020/07/hiring_images-combined_mobile.png)