Provider Programs Analytics Lead

Analytics Lead - Provider Programs

Employment Type: Full-time

Position Overview

Become a part of our caring community and help us put health first. The Risk Adjustment Prospective Provider Programs organization delivers a portfolio of products to support physicians in providing optimal patient care and improving the accuracy of their clinical documentation. The products are a mix of in-house and vended solutions, with an eye toward growth of analytics-driven and interoperable solutions.

The Analytics Lead owns the reporting and analytics capabilities and insights for Provider Programs related to value and volume. The Analytics Lead work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Analytics Lead solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Analytics Lead determines the tools, technologies, applications and practices used to collect, integrate, analyze, and present an organization's raw data to create insightful and actionable business information.

Responsibilities

• Primary owner related to program value and volume analysis
• Advanced monitoring of existing, and creation of new, KPIs to identify risk and possible mitigation strategies
• Develop healthcare analytics visualizations based on stakeholder requests and intake
• Work collaboratively across the team and organization to design, build and maintain analytical solutions to support Provider Programs
• Ensure solutions provide the highest quality of data
• Use your skills to make an impact

Required Qualifications

• Bachelor's degree and 8 or more years of technical experience in data analysis
• 2 or more years of project leadership experience
• Advanced experience in SQL Server and/or other data systems
• Experience with Power BI and/or other data visualization tools
• Advanced experience working with big and complex data sets within large organizations
• Proven ability to work with cross-functional teams and translate requirements between business, project management and technical projects or programs
• Experience analyzing data to solve a wide variety of business problems and create data visualizations that drive strategic direction
• Expertise in data mining, forecasting, simulation, and/or predictive modeling
• Proficiency in understanding Healthcare related data
• Proficiency in verbal and written communication to senior and executive leadership
• Demonstrated excellence in problem solving/critical thinking
• Ability to manage multiple simultaneous time-sensitive deliverables
• Proficiency in compiling, analyzing, and interpreting data trends

Preferred Qualifications

• Advanced Degree in a quantitative discipline, such as Mathematics, Economics, Finance, Statistics, Computer Science, Engineering or related field
• Advanced experience in SQL Server, Azure, and other data systems
• Advanced experience with Power BI and/or other data visualization tools
• Advanced expertise in data mining, forecasting, simulation, and/or predictive modeling
• Experience creating analytics solutions for various healthcare sectors
• Experience with Stars or HEDIS

Additional Information

Internet Service Requirements for Home/Hybrid Employees: 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 required.
• Wireless, wired cable or DSL connection is suggested.
• Satellite, cellular and microwave connection can be used only if approved by leadership.

Internet Expense Reimbursement: Employees who live and work from Home in the states of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

Equipment: Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.

Work Environment: Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.