Humana Medicaid is seeking to advance personalized solutions that foster whole person care to engage and empower members in their health journeys by developing new benefits and wellness programs for members in their Medicaid and Duals health plans.
Requirements
- 4+ years of technical experience in business intelligence, data systems, reporting and data analysis
- 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
- Utilizes advanced data management processes and tools such as: predictive modeling, data visualization, and business intelligence frameworks
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 data-driven insights
- Responsible for Medicaid state reporting requirements, building intuitive reporting constructs and reports to empower stakeholders with data-drive decision making tools
Other
- Bachelor’s degree in data science, statistics, computer science, health informatics, business, or a related field with a strong record of academic achievement
- 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
- Must be passionate about contributing to an organization focused on continuously improving consumer experiences while delivering value to the organization
- Ability to operate in a fast-paced environment under tight deadlines
