[Remote] Medicaid Data and Reporting Professional at Humana

San Antonio, Texas, United States

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Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

Bachelor's Degree
At least 3 or more years’ experience in data reporting
Proficiency using SQL, creating and modifying queries and code
Experience creating comprehensive dashboards using PowerBI, QlikView, Tableau, or similar
Comprehensive knowledge of Microsoft Office Applications including Word, Excel, Access and PowerPoint
Excellent organizational skills and ability to prioritize work

Responsibilities

Integrates data from multiple sources to produce requested or required data elements
Manages recurring reporting, state reporting, and ad-hoc reporting needs
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
Generates, analyzes, and disseminates essential reports that are integral to daily operations
Supports compliance with state mandates by preparing and submitting reports that meet regulatory requirements
Addresses complex ad-hoc reporting requests, requiring advanced analytical skills
Leads larger scope projects related to clinical data needs across all Medicaid markets
Collaborates with cross-functional teams to ensure that reporting initiatives align with organizational goals
Enhancing operational efficiency and strategic decision-making processes within the organization
Ensuring compliance and accuracy in all reporting activities
Driving data-informed decision-making and ensuring the successful delivery of healthcare services to members

Skills

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters

1961Year Founded

IPOCompany Stage

Social Impact, HealthcareIndustries

10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.

Rising medical costs and tightening Medicare reimbursements may strain financial performance.

Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.

The company emphasizes inclusivity, offering free language interpreter services for accessibility.

Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.

The company is the first insurer to cover TMS therapy for adolescent depression.

Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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