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Humana Senior Informaticist - ETG Data in Kansas City, Missouri

Description

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.

Responsibilities

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

Key Accountabilities

  • 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

Required Qualifications

  • 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)

  • Bachelor's degree

  • 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

Preferred Qualifications

  • Advanced Degree

  • 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

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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