[Remote] Senior Data and Reporting Professional at Humana

San Antonio, Texas, United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, MedicaidIndustries

Requirements

3+ years of experience in data reporting
Experience working with reporting tools (e.g., Excel, SQL-based extracts) without needing to build complex queries
Advanced Microsoft Excel skills including ability to link pivots to external data sources, creating pivot tables and summarizing data into reports and dashboards
Experience working with claims data
Experience working with big and complex data sets within large organizations and/or the analysis of healthcare data
Excellent communication and documentation skills, especially when working across departments and with state agencies
Proficiency in verbal and written communication to senior and executive leadership
Strong organizational skills and ability to manage multiple or competing priorities
Strong analytical and problem-solving skills

Responsibilities

Supports Medicaid state reporting initiatives for managed care operations across multiple states
Ensures compliance with state-specific Medicaid reporting implementations and requirements
Collaborates with internal teams and external stakeholders to ensure timely and accurate submission of mandated reports
Leverages understanding of claims data and Medicaid program requirements to drive accurate and timely submissions
Integrates data from multiple sources to produce requested or required data elements
Programs and maintains report forms and formats, information dashboards, data generators, canned reports and other end-user information portals or resources
Creates specifications for reports based on business requests
Influences department’s strategy
Makes decisions on moderately complex to complex issues regarding technical approach for project components
Works without direction and exercises considerable latitude in determining objectives and approaches to assignments

Skills

SQL

Excel

Pivot Tables

Claims Data

Healthcare Data

Data Reporting

Dashboards

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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