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Humana Data and Reporting Professional 2 in Lancaster, South Carolina

Description

The Data and Reporting Professional 2 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 Data and Reporting Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

Responsibilities include conducting full lifecycle analysis to include requirements, activities and design. Will develop analysis practices and enhance reporting capabilities. They will also monitor performance and quality control plans to identify improvements. Will provide role support and advise internal customers to enable data driven decision-making.

Will be responsible for trend identification using various mathematical and statistical calculations to determine how the data sampled might best be applied to the business need and quality improvement.

KEY ACCOUNTABILITIES

40% Review and analyze data either through statistical analysis, data mining, and other proven analysis techniques. Verify analysis findings and provide results and recommendation to management. Develop and implement innovative predictive modeling databases to optimize statistical /mathematical efficiency and quality.

30% Incorporate analytical skills to collect, organize, and disseminate large amounts of information understanding the importance of data detail and accuracy. Incorporate working knowledge of medical billing, reimbursement, and health insurance practices. Maintain understanding of health insurance industry trends and best practices.

15% Utilize PC-based applications specifically used for data management, analysis and predictive modeling. Using industry best practices provider results and recommendations to Cost Management leadership. Move from project to project as needed based on direction from leadership.

15% Utilize data analysis tools, such as SAS and database language tools like SQL. Develop, implement and run queries. Generate standard reports to be used for weekly and monthly analysis. Present data findings to Management showing accurate analysis skills.

Required Qualifications

  • Our Department of Defense contract requires U.S. Citizenship

  • Successfully receive interim approval for government security clearance (eQIP - Electronic Questionnaire for Investigation Processing)

  • Bachelor’s Degree or equivalent technical data analysis experience

  • Three years experience in healthcare data analysis

  • Understanding of medical claim billing and coding requirements

  • Experience and proficiency in Tableau or related statistical databases

  • Experience with SQL

  • Proficiency in Microsoft Access, Excel and Word

  • Excellent communication and interpersonal skills

  • Ability to read and interpret documents such as contracts and policy manuals

  • Ability to write routine reports, correspondence and training documents

  • Ability to speak effectively before groups of customers or employees of the organization

  • Problem solving abilities

  • Self-motivated and task oriented

  • Able to prioritize assignments with little guidance

  • High degree of self-awareness and emotional intelligence

Scheduled Weekly Hours

40

About Us

Mission: At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.

Equal Opportunity Employer

It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster.

If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact mailboxtasrecruit@humana.com for assistance.

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