Become a part of our caring community and help us put health first

The Senior Data and Reporting Professional (Medicaid – Michigan) generates ad-hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts supporting Humana’s Michigan Medicaid plan network optimization. The Senior Data and Reporting Professional integrates data from multiple sources to produce requested or required data elements. Routinely extracts and analyzes data from information dashboards, data generators, canned reports and other end-user information portals or resources. May create specifications for reports based on business requests. The Senior Data and Reporting Professional works assignments that involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The role applies extensive in-depth knowledge to perform a variety of difficult assignments and begins to influence department strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.

Position Responsibilities

• Subject Matter Expert (SME) on Michigan contractual data and reporting requirements and provider crosswalk/mapping from Humana’s data to state file.​
• Write and maintain the team’s data and reporting process documentation, including but not limited to process data flows.
• Schedule automated data processing jobs, manage and triage issues.
• Identify opportunities to improve current data processes.
• Root cause, document, and work to resolve data issues.
• Analyze internal and external data, as well as market intelligence information.
• Monitor network adequacy data to share with Network Optimization team for contracting opportunities.
• Partner with shared services teams to deliver ad-hoc reporting, including provider data to support adequacy and access review and insight.

Use your skills to make an impact

Required Qualifications

• Bachelor's Degree
• 5+ years of technical experience in data reporting. (Network Adequacy analytics platforms, such as Quest Analytics)
• Advanced proficiency in SQL, SAS and other data systems.
• Advanced Microsoft Excel skills including ability to link pivots to external data sources, creating pivot tables and summarizing data into reports and dashboards. With the ability to link to external data sources, pass-through queries, data structure and relationship design.
• Advanced experience working with big and complex data sets within large organizations with prior accountability for the analysis of managed care network reporting and healthcare data.
• Proficiency in verbal and written communication to senior and executive leadership.
• Strong organizational skills and ability to manage multiple or competing priorities.
• Strong analytical and problem-solving skills.
• The applicant must be located in or willing to relocate to Michigan. And report to the Michigan Market office for meetings and trainings as needed.

Preferred Qualifications

• Advanced Degree in a quantitative discipline, such as Mathematics, Economics, Finance, Statistics, Computer Science, Engineering or related field.
• Experience with tools such as Tableau and Qlik for creating data visualizations.
• Experience in a system analytics and/or data warehousing environment.

WAH Internet Statement

To 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 required; wireless, wired cable or DSL connection is required.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• 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 information.

Additional Information

Interview Format

As 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.

Social Security Task

Alert: Humana values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humana’s secure website.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The 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.

$73,400 - $100,100 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, 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 us

Humana 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.

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Equal Opportunity Employer

It 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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.