SENIOR MEDICAID HEDIS DATA PROFESSIONAL

Company: Humana
Location: Albany
Posted on: November 12, 2024

Job Description:

Become a part of our caring community and help us put health firstThe Senior Data and Reporting Professional generates regular datasets for end-users using system tools and database or data warehouse queries and scripts. The Data and Reporting Professional work assignments are often straightforward and of moderate complexity. A successful candidate will be responsible for managing and analyzing data specifically around HEDIS and quality initiatives for Medicaid. This role requires an understanding in Medicaid programs, HEDIS and NCQA requirements.The Senior Data and Reporting Professional will:Collect, analyze, and validate HEDIS data from various sourcesManage the identification of new connections/sources of data, including timelines and impact on reportingDevelop and execute project management for new connection builds, including timelines and project plansShare updates with markets on status of new connections, data feeds, and issues that ariseEscalate when timelines are behind and communicate clearly to stakeholdersMaintain comprehensive documentation of timeliness, impacted measures and key contacts for all HEDIS data sourcesEnsure data accuracy and completeness for HEDIS reports prior to HEDIS engine ingestionWork closely with external data partners to resolve HEDIS gapsPrepare detailed HEDIS reports for stakeholdersInvestigate data issues related to measure performance or specific data feedsUse your skills to make an impactRequired QualificationsProject management experienceProficiency in HEDIS measures, Medicaid programs and healthcare quality improvementProficiency in understanding Healthcare related dataComprehensive knowledge of Microsoft Office Applications including Word, Excel, Access, PowerPoint and Power BIExperience working with big and complex data sets within large organizations and/or the analysis of healthcare dataProficiency in verbal and written communicationStrong organizational skills and ability to manage multiple or competing prioritiesExperience analyzing data to solve a wide variety of business problemsPreferred QualificationsBachelor's degree and 5 or more years of technical experience in data analysis OR Master's degree and 3 or more years of experience with a focus on healthcare and HEDIS reportingRN license or 5 years clinical experienceProven experience with SQL, ETL processes, and data warehousingProficiency in SQL, Python, or other programming languagesProficiency in database management systems (Oracle, SQL Server, MySQL)Expertise in data mining, forecasting, simulation, and/or predictive modelingWork at Home Internet StatementTo ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggestedSatellite, cellular and microwave connection can be used only if approved by leadershipEmployees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA informationAdditional InformationAs part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.Scheduled Weekly Hours40Pay RangeThe compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$71,500 - $98,500 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.Description of BenefitsHumana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.About usHumana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.Equal Opportunity EmployerIt is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.

Keywords: Humana, Springfield , SENIOR MEDICAID HEDIS DATA PROFESSIONAL, Other , Albany, Massachusetts