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The Senior Data and Reporting Professional generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The Senior Data and Reporting Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

The Senior Data and Reporting Professional’s primary role is to develop organized analytics, reports and data management to support the market’s Quality team within the Medicaid product line. Integrates data from multiple sources to produce requested or required data elements, including predictive analytics. Programs and maintains report forms and formats, information dashboards, data generators, canned reports and other end-user information portals or resources. Begins to influence Quality Improvement strategy. Creates specifications for reports necessary for the quality management program, including Performance Improvement Projects and the Quality Assurance Committee. Makes decisions on moderately complex to complex opportunities which may support Member Engagement, Clinical Performance, Provider Engagement, Behavioral Health and Pharmacy. This position reports to Quality Improvement Management and work is performed with minimal direction. Exercises considerable latitude in determining objectives and approaches to assignments.

Use your skills to make an impact
 

Required Qualifications

• Bachelor's degree

• Minimum 5 years of experience in clinical data reporting, including interoperability

• Advanced proficiency in SQL, SAS and other data systems

• Minimum 3 years of experience within Managed Care or Healthcare setting

• Advanced Microsoft Excel skills including ability to link pivots to external data sources, creating pivot tables and summarizing data into reports and dashboards

• Advanced Microsoft Access skills including ability to link to external data sources, pass-through queries, data structure and relationship design.

• Experience working with big and complex data sets within large organizations and/or the analysis of healthcare data ​including multi-level drill down assessment of key utilization and financial performance measures related to Quality.

• Develop and maintain reporting systems, analytical processes, or other tools to support Quality and Clinical Performance, key benchmarks and improve Quality outcomes, i.e., HEDIS, NCQA, CAHPS, Performance Improvement Projects (PIPS) and state regulatory requirements.

• 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

• Must be able to work independently with limited supervision.

Preferred Qualifications

• Advanced Degree in a quantitative discipline, such as Mathematics, Economics, Finance, Data Science, Statistics, Computer Science, Engineering or related field, Healthcare Administration, Epidemiology or master’s in public health

• Experience with tools such as Tableau, Power BI, Qlik for creating data visualizations

• Experience in a system analytics and/or data warehousing environment

• Experience with Healthcare Data, including interoperability

• Experience in a system analytics and/or data warehousing environment

• Experience with querying data from cloud sources (Azure, etc.)

Additional Information

Workstyle: Remote

Location: South Carolina Preferred

Schedule: Monday through Friday 8:00 AM to 5:00 Eastern Time

Travel: 2 x annually

Work At Home Guidance

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested

• Satellite, cellular and microwave connection can be used only if approved by leadership

• Associates 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 associates 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

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