Senior Data & Reporting Professional

Michigan, United States

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Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Health Insurance, HealthcareIndustries

Requirements

Candidates must possess a Bachelor's degree and over 5 years of technical experience in data reporting, including familiarity with Network Adequacy analytics platforms like Quest Analytics. Advanced proficiency in SQL, SAS, and other data systems is required, along with advanced Microsoft Excel skills for data manipulation and reporting. Experience with large, complex datasets in managed care network reporting and healthcare data is essential, as is proficiency in communicating with senior leadership. Strong organizational, analytical, and problem-solving skills are necessary, and the applicant must be located in or willing to relocate to Michigan.

Responsibilities

The Senior Data and Reporting Professional will generate ad-hoc reports and regular datasets to support Humana’s Michigan Medicaid plan network optimization, integrating data from multiple sources. Responsibilities include extracting and analyzing data from various information resources, potentially creating specifications for reports based on business requests, and acting as a Subject Matter Expert on Michigan contractual data and reporting requirements. The role involves writing and maintaining process documentation, scheduling automated data processing jobs, managing and resolving data issues, analyzing internal and external data, monitoring network adequacy, and partnering with shared services teams for ad-hoc reporting.

Skills

Data Analysis

Reporting

SQL

Data Warehousing

Data Integration

Process Documentation

Problem Solving

Root Cause Analysis

Market Intelligence

Network Adequacy

Medicaid

Provider Data

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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