About this job
Responsibilities
Member and Provider Analytics, the department this role is a part of, uses data science, business intelligence and Stars expertise to solve meaningful problems for Stars business partners. Our analytics drive Humana’s Stars performance and improve the health and life of our members by transforming data into advanced analytic solutions.
The Stars program is the Centers for Medicare & Medicaid Services (CMS) five‐star quality rating system for measuring Medicare beneficiaries’ experience with their health plans and the health care system. The program is a key component in financing health care benefits for MA and MA‐PD plan enrollees. In addition, the ratings are posted on the Medicare Plan Finder website to help beneficiaries choose the right plan offered in their geography. Quality metrics include screenings and vaccines, managing chronic conditions, member experience with the health plan, member complaints, interactions with providers and customer service. Humana has led all national competitors in the percent of members in 4+ Star plans for six consecutive years. This quality measure of Humana’s Medicare Advantage product offering directly impacts our members’ health.
Required Qualifications
- Bachelor's degree and 6 or more years of experience in data analysis and financial valuation OR Master's degree and 3 years of experience
- Experience building financial models that improve the decision-making experience for stakeholders
- 2 or more years of project leadership experience
- Experience analyzing data to solve a wide variety of business problems
- Proven ability to work with cross-functional teams and translate requirements between business, project management and technical projects or programs
- Proficiency in verbal/written communication to senior and executive leadership
- Must be passionate about contributing to an organization focused on continuously improving
Preferred Qualifications
- Advanced Degree in a quantitative discipline, such as Mathematics, Economics, Finance, Engineering, or related field
- Advanced in SQL, SAS and other data systems
- Proficiency in understanding the CMS Star Rating program, including measures within it
- Experience creating analytics solutions for various healthcare sectors
Scheduled Weekly Hours
This is an exciting company headquartered in a city with an excellent quality of life!
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What I love most about Humana is the unlimited opportunity for growth and advancement.
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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.
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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.
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I am proud to be part of a team that supports clinical growth and innovation.
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Onboarding
If you accept the offer to join our Humana team, you will receive a welcome call or email to begin the onboarding process.
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