SENIOR MEDICAID HEDIS DATA PROFESSIONAL
Company: Humana
Location: Albany
Posted on: October 6, 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:
- Collects, analyzes, and validates HEDIS data from various
sources
- Ensures data accuracy and completeness
- Prepares detailed HEDIS reports and summaries for
stakeholders
- Maintains comprehensive documentation of all HEDIS related
processes
- Understands own work area professional concepts/standards,
regulations, strategies, and operating standards
- Makes decisions regarding own work approach/priorities and
follows direction
- Develops robust data extraction, transformation and loading
process to support HEDIS reporting requirements
- Creates and manages complex SQL queries and scripts to extract
and manipulate data from various sources
- Integrates data from multiple sources including claims,
clinical and provider data, ensure data integrity and
consistency.Use your skills to make an impactRequired
Qualifications
- Proficiency in HEDIS measures, Medicaid programs and healthcare
quality improvement
- Proficiency in understanding Healthcare related data
- Experience analyzing data to solve a wide variety of business
problems
- Comprehensive knowledge of Microsoft Office Applications
including Word, Excel, Access, PowerPoint and Power BI
- Experience working with big and complex data sets within large
organizations and/or the analysis of healthcare data
- Proficiency in verbal and written communication
- Strong organizational skills and ability to manage multiple or
competing prioritiesPreferred Qualifications
- Bachelor'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 reporting
- RN license or 5 years clinical experience
- Proven experience with SQL, ETL processes, and data
warehousing
- Proficiency in SQL, Python, or other programming languages
- Proficiency 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, Albany , SENIOR MEDICAID HEDIS DATA PROFESSIONAL, Other , Albany, New York
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