[Remote] Senior Data and Reporting Professional - Network Optimization - IL Medicaid at Humana

Illinois, United States

Humana Logo
Not SpecifiedCompensation
Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Managed CareIndustries

Skills

Key technologies and capabilities for this role

SQLSASMicrosoft ExcelData ReportingData AnalysisManaged Care Network ReportingHealthcare DataData IntegrationProcess DocumentationProblem Solving

Questions & Answers

Common questions about this position

What experience is required for this Senior Data and Reporting Professional role?

Candidates need a Bachelor's degree or equivalent experience, 5 or more years of technical experience in data reporting, and advanced experience with big and complex data sets in large organizations, including managed care network reporting and healthcare data.

What technical skills are required for this position?

Required skills include advanced proficiency in SQL, SAS and other data systems; advanced Microsoft Excel skills for pivots, tables, and dashboards; advanced Microsoft PowerBI skills for data linking, queries, and design; plus experience with Tableau, Qlik, and handling big complex healthcare data sets.

Is this a remote position or does it require office work?

This information is not specified in the job description.

What is the salary or compensation for this role?

This information is not specified in the job description.

What soft skills are needed to succeed in this role?

The role requires proficiency in verbal and written communication to senior and executive leadership, strong organizational skills to manage multiple priorities, and strong analytical and problem-solving 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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