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

Humana is seeking a HEDIS Data and Reporting Lead to join the National Medicaid Quality team. The HEDIS Data and Reporting Lead reports to the National Medicaid Quality Director and oversees and coordinates all aspects of HEDIS data collection strategy, analytics, and reporting for the Humana Healthy Horizons Medicaid business, and leads the National Medicaid Quality Analytics team.

The HEDIS Data and Reporting Lead’s responsibilities include:

• Managing a team of Data and Reporting Professionals, BI Engineers, and Data Scientists, all dedicated to Humana’s Medicaid business at the national level.
• Overseeing the development and maintenance of BI reporting solutions for topics including but not limited to: HEDIS/Quality measure rate trending and forecasting, pay-for-performance (withhold) program monitoring, Provider HEDIS/Quality measure performance, CAHPS and survey analytics, Health Equity, and other needed Quality reporting.
• Overseeing the coordination of HEDIS data ingestion activities and driving strategy to optimize HEDIS data ingestion, EHR/HIE interoperability, supplemental data, and record review for the Medicaid line of business.
• Supporting market level Quality Analysts and Quality teams to ensure all state and NCQA deliverables are met in a timely fashion.
• Coordinating study designs for pilots and innovations by managing data science personnel within the National Medicaid Quality Analytics team.
• Supporting Medicaid Business Development efforts by assisting in data parade preparation and response development for all Medicaid RFP activities.

Use your skills to make an impact
 

Required Qualifications

• Five (5) or more years of technical experience in data reporting.
• Two (2) or more years of project leadership experience.
• Experience with HEDIS and Quality data and process, with strong understanding of industry standard reporting requirements, measures, and specifications.
• Advanced Microsoft Excel skills including ability to link pivots to external data sources, creating pivot tables and summarizing data into reports and dashboards.
• Advanced Power BI 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.

Preferred Qualifications

• Bachelor's degree.
• Prior people leader experience.
• Medicaid Quality Experience, preferably in the managed care setting.
• Advanced Degree in a quantitative discipline, such as Mathematics, Economics, Finance, Statistics, Computer Science, Engineering or related field.
• Advanced in SQL, SAS and other data systems.
• Experience with tools such as Tableau and Qlik for creating data visualizations.
• Prior experience working in a system analytics and/or data warehousing environment.

Additional Information:

• Workstyle: Home. Home workstyle is defined as remote but will use Humana office space on an as needed basis for collaboration and other face-to-face needs.  
• Travel: up to 10%
• Typical Work Days/Hours: Monday – Friday, 8:00 am – 5:00 pm, preferably EST.
• Direct Reports: 2 direct reports with potential for growth.

Nationwide Remote - This is a remote nationwide position.

WAH Internet Requirements

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

Benefits

Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:

• Health benefits effective day 1
• Paid time off, holidays, volunteer time and jury duty pay
• Recognition pay
• 401(k) retirement savings plan with employe