[Remote] Technology Solution Implementation Professional at Humana

San Antonio, Texas, United States

Humana Logo
Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, MedicaidIndustries

Requirements

  • Two years+ experience using technology in data analysis projects or in projects that dealt with business data flows
  • 1+ years of ETL experience
  • Demonstrated understanding of the information needs and processing flows in healthcare environments
  • Experience with the SDLC phases of a project and general knowledge of project management
  • Demonstrated excellent written and verbal communication skills
  • Demonstrated ability to maintain confidentiality, follow directions, and use good judgment in an environment that can be ambiguous and time sensitive
  • Ability to work EST
  • SFTP Experience
  • Process Improvement
  • Preferred Qualifications
  • Power BI, Jira and ADO training preferred
  • Experience with Agile Methodology and/or Scaled Agile Methodology
  • Experienced in introducing new processes into a new or existing environment while minimizing disruption and mitigating risks
  • Experience with Medicare and/or Medicaid
  • Ability to coordinate with development and user teams to assess risks, goals, and needs and ensure that all are adequately addressed
  • Bachelor's degree in CS, Engineering, Math, Information Systems, Data Science, Data Analytics, or Statistics

Responsibilities

  • Works with ETL developers, data stewards, project managers, and business SMEs to obtain programming specifications needed to submit information in our proprietary ticketing system that moves data from its origin to its ultimate destination
  • Ensures proper documentation is completed so that the programming and testing occurs
  • Tracks and maintains documentation on ET work
  • Communicates between both IT and non-IT departments on updates, as well as educating non-IT departments on the process
  • Ensures proper access for authorized users and provides support to data tool users
  • Conducts connectivity testing when needed
  • Coordinates establishing connections to SFTP sites in collaboration with the State Technology Market Lead
  • Coordinates resolution of resolving ETL issues for the market
  • Participates on vendor and market calls when necessary
  • Produces reports and analytics outlining progress and resolution
  • Maintains inventory of market ET transmissions
  • Other duties as assigned

Skills

ETL
SFTP
SDLC
data analysis
ticketing system
connectivity testing
reports
analytics

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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