[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

Key technologies and capabilities for this role

SQLExcelPivot TablesClaims DataHealthcare DataData ReportingDashboards

Questions & Answers

Common questions about this position

What are the required qualifications for this role?

Candidates need 3+ years of experience in data reporting, working with reporting tools like Excel and SQL-based extracts, advanced Microsoft Excel skills including pivot tables and linking to external data, experience with claims data and big complex data sets in healthcare, plus excellent communication, organizational, analytical, and problem-solving skills.

Is this a remote position, and what are the work-from-home requirements?

This is a work-from-home or hybrid home/office role with specific internet requirements: at minimum 25 Mbps download and 10 Mbps upload speeds recommended, wired cable or DSL suggested, and satellite/cellular approved only by leadership. Associates in California, Illinois, Montana, or South Dakota receive bi-weekly internet expense payments, and Humana provides telephone equipment.

What preferred qualifications would make me stand out?

Preferred skills include familiarity with state-specific reporting formats, ability to interpret regulatory language into reporting logic, exposure to CMS reporting standards, experience with Medicaid managed care organizations, prior support for Medicaid contracts, and experience with audit preparation and data validation.

What is the salary or compensation for this position?

This information is not specified in the job description.

What makes a strong candidate for this Senior Data and Reporting Professional role?

A strong candidate has the required 3+ years in data reporting with advanced Excel, claims data experience, and healthcare analytics, plus preferred Medicaid and CMS knowledge; demonstrate excellent cross-departmental communication and the ability to work independently on complex issues without direction.

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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