Humana Medicaid is seeking to develop new benefits and wellness programs for members in Medicaid and Duals health plans, and to advance personalized solutions that foster whole person care, by leveraging data to meet compliance requirements and define and drive business value.
Requirements
- Proven experience with tools such as PowerBI, Tableau or Qlik for creating data visualizations
- Proven experience with SQL, SAS, or other data systems.
- Experience working with big and complex healthcare data sets within large organizations
- Ability to gather, analyze, interpret, and present complex data and create accurate and meaningful information for data reporting and decision support to senior leadership
- Expertise in data mining, forecasting, simulation, and/or predictive modeling
- Experience creating analytics solutions for various healthcare sectors
- Experience working with government and state agencies
Responsibilities
- Create and monitor benefit and ILOS utilization reports across all Medicaid programs.
- Collect, integrate, analyze, synthesize, and present data related to benefit utilization, ensuring compliance with state reporting requirements and providing a comprehensive view of product performance
- Analyze structured and unstructured data to uncover pain points, establish causality, and recommend prioritized solutions based on insights
- Perform predictive and prescriptive analytics to understand member behavior, identify trends, and recommend strategies for advanced analytics and product design
- Drive and develop metrics, KPIs, and visualization opportunities with a strategic lens for optimally structuring and presenting data to end users
- Work cross-functionally with other teams throughout the organization to align business goals with analytics solutions and deliver data-driven insights
- Implement process improvements to enhance data accuracy, reporting efficiency, and compliance with regulatory requirements, ensuring continuous improvement and innovation
Other
- Bachelor’s degree in data science, statistics, computer science, health informatics, business, or a related field with a strong record of academic achievement
- 4+ years of technical experience in business intelligence, data systems, reporting and data analysis
- 3+ years of health care experience for Medicare and/or Medicaid populations
- Excellent written, verbal, and interpersonal communication skills, and ability to relate to internal and external customers
- Ability to operate in a fast-paced environment under tight deadlines
