Humana Data and Reporting Professional 2 in Lancaster, South Carolina
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 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.
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.
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
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.
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