Senior Data and Reporting Professional - Network Optimization - IL Medicaid

Illinois, United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Managed CareIndustries

Requirements

Candidates must possess a Bachelor's degree or equivalent experience and at least 5 years of technical data reporting experience. Advanced proficiency in SQL, SAS, Microsoft Excel (including linking pivots, creating pivot tables, and summarizing data), and Microsoft Power BI (including linking to external data sources, pass-through queries, and data structure design) is required. Experience with data visualization tools like Tableau and Qlik, working with large and complex datasets in enterprise environments, and analyzing healthcare data are also necessary. Strong communication, organizational, analytical, and problem-solving skills are essential.

Responsibilities

The Senior Data and Reporting Professional will generate ad hoc reports and regular datasets by querying systems and databases, integrating data from multiple sources, and maintaining report forms and formats. Responsibilities include programming and maintaining information dashboards, data generators, and end-user resources, as well as creating specifications for reports based on business requests. The role involves writing and maintaining data and reporting process documentation, scheduling automated data processing jobs, triaging issues, identifying process improvements, and resolving data issues through root cause analysis. This position requires the ability to influence department strategy and make decisions on technical approaches for project components with considerable latitude.

Skills

SQL

SAS

Microsoft Excel

Data Reporting

Data Analysis

Managed Care Network Reporting

Healthcare Data

Data Integration

Process Documentation

Problem Solving

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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