Humana Senior Informaticist - ETG Data in Kansas City, Missouri
The Senior Informaticist coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Senior Informaticist 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 Informaticist leverages their advanced knowledge of data, business acumen, and technology. The role applies disciplined practices for ETL, reporting, root cause, and evaluation of data and information to support efforts on improving operations, lowing healthcare cost, and improving care quality. Contributes to innovative approaches in clinical and financial insights as they build knowledge of the context in which they operate. Understands and structures complex data, articulates to various systems and units within the company, and influences the business from concepts that have a potentially sizeable dollar impact on the business. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for program components, and performs work with minimal direction. Exercises considerable latitude in determining objectives and approaches to assignments.
This position will play a pivotal role in the creation of the Humana Military future. You will be a member of a cross-functional team comprised of clinicians, informaticists, data scientists, actuaries, and technologists working to measure and enhance the costs and quality delivered to our population. This role is responsible for delivering cost and quality information and insights to support evolving use cases.
Summarize and synthesize data, information, and business knowledge from multiple sources, interpret and translate findings into meaningful information and actionable reports for the purpose of improving our financial position and the health and well-being of our members
Creating and maintaining friction free data pipelines
Provide thought leadership and project advancement to create population and provider cost and quality measurement solutions
Participate in requirement gathering, analysis, reporting, and insight development
Develop and sustain relationships with technical and business SMEs to create shared learning and solution alignment
Develop new solutions and continually identify ways to improve current deliverables by increasing their value and usability
Be comfortable and confident within ambiguity while completing ad hoc and special projects
50% - Create and support data processes to input and export data from multiple sources into meaningful and actionable structures to support business use cases
40% - Provide thought leadership and project advancement to create population and provider cost and quality measurement solutions
10% - Provide stewardship to medical, lab, pharmacy, claims, and cost data to identify trends and patterns, pinpoint issues and areas for improvement, and recommend solutions and alternatives
Our Department of Defense contract requires U.S. citizenship for this position
Successfully receive interim approval for government security clearance (eQIP - Electronic Questionnaire for Investigation Processing)
Experience in managed care, health plan systems, and medical claims
Expertise querying, defining, and manipulating data within a SQL environment
Expertise with SSIS
Experience with provider cost and quality measurement programs
Expertise in combining multiple and varying relational datasets
Understanding of healthcare information standards clinical coding sets such as ICD, CPT/HCPCS, and DRG
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Experience with modeling tools like R, Python, or SAS
Experience with Optum Symmetry ETG and EBM Connect
Experience with reporting and data visualizations tools (such as Tableau/Power BI)
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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