[Remote] Medicaid Data and Reporting Professional at Humana

San Antonio, Texas, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, MedicaidIndustries

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
Preferred Qualifications
Advanced Degree
Experience in creating automated reports and self-service tools
In-depth experience in Microsoft Excel including formulas, pivots, charts, and graphs
Experience in managed care or health care sector
Prior experience working in a system analytics and/or data warehousing environment

Responsibilities

Integrate data from multiple sources to produce requested or required data elements
Support Medicaid Clinical operations in multiple markets
Manage recurring reporting, state reporting, and ad-hoc reporting needs
Program and maintain report forms and formats, information dashboards, data generators, canned reports and other end-user information portals or resources
Create specifications for reports based on business requests
Generate, analyze, and disseminate essential operational reports
Prepare and submit state reports to meet regulatory requirements
Address complex ad-hoc reporting requests using advanced analytical skills
Lead large-scale reporting projects related to clinical data needs across Medicaid markets
Collaborate with cross-functional teams to align reporting initiatives with organizational goals

Skills

Data Integration

Reporting

Dashboards

SQL

Excel

Data Analysis

State Reporting

Ad-hoc Reporting

Business Intelligence

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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