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Description

The Senior Data and Reporting Professional generates regular datasets for end-users using system tools and database or data warehouse queries and scripts. The Data and Reporting Professional work assignments are often straightforward and of moderate complexity. A successful candidate will be responsible for managing and analyzing data specifically around HEDIS and quality initiatives for Medicaid. This role requires an understanding in Medicaid programs, HEDIS and NCQA requirements.

Responsibilities

The Senior Data and Reporting Professional:

  • Collects, analyzes, and validates HEDIS data from various sources
  • Ensures data accuracy and completeness
  • Prepares detailed HEDIS reports and summaries for stakeholders
  • Maintains comprehensive documentation of all HEDIS related processes
  • Understands own work area professional concepts/standards, regulations, strategies, and operating standards
  • Makes decisions regarding own work approach/priorities and follows direction
  • Develops robust data extraction, transformation and loading process to support HEDIS reporting requirements
  • Creates and manages complex SQL queries and scripts to extract and manipulate data from various sources
  • Integrates data from multiple sources including claims, clinical and provider data, ensure data integrity and consistency. 

Required Qualifications

  • Proficiency in HEDIS measures, Medicaid programs and healthcare quality improvement
  • Proficiency in understanding Healthcare related data
  • Experience analyzing data to solve a wide variety of business problems
  • Comprehensive knowledge of Microsoft Office Applications including Word, Excel, Access, PowerPoint and Power BI
  • Experience working with big and complex data sets within large organizations and/or the analysis of healthcare data
  • Proficiency in verbal and written communication
  • Strong organizational skills and ability to manage multiple or competing priorities

Preferred Qualifications

  • Bachelor's degree and 5 or more years of technical experience in data analysis OR Master's degree and 3 or more years of experience with a focus on healthcare and HEDIS reporting
  • RN license or 5 years clinical experience
  • Proven experience with SQL, ETL processes, and data warehousing
  • Proficiency in SQL, Python, or other programming languages
  • Proficiency in database management systems (Oracle, SQL Server, MySQL)
  • Expertise in data mining, forecasting, simulation, and/or predictive modeling

Work at Home Internet Statement

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

Additional Information

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue 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



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

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Our Hiring Process

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.

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.

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.

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.

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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Hiring Process