Data Management Lead

Humana; Arkansas; Remote; USD 106,000 - 147,000; Full time

Job summary

Join a leading healthcare company as a Data Management Lead, where you'll support data management and deficiency reporting. This role involves collaborating with leadership teams, identifying AI opportunities, and advising on strategic development. You'll work with large healthcare data sets and help improve processes related to billing and enrollment.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

401(k)

Paid Time Off

Disability Insurance

Life Insurance

Wellness Programs

Qualifications

• At least 5 years of healthcare experience.
• 2+ years of project leadership experience.
• 2+ years of SQL experience.

Responsibilities

• Collaborate with leadership to identify AI and RPA opportunities.
• Analyze and resolve complex issues related to eligibility and billing.
• Advise executives on developing functional strategies.

Skills

Healthcare Experience

Project Leadership

SQL

Data Analysis

Education

Bachelor's Degree

Tools

Ad-hoc Query Tools

Job description

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

The Data Management Lead supports configuration control, data management, and deficiency reporting. This role involves working on complex problems, ranging from moderate to substantial scope. The responsibilities include using tools, technologies, and practices to collect, analyze, and present raw data from the ECW, and collaborating with various leadership teams. The role also involves identifying AI and RPA opportunities, building and maintaining BOTs, validating benefits, and advising on strategic development specific to billing and enrollment processes.

Key Accountabilities:

1. 50%: Attend and become a citizen developer. Collaborate with Contact Center, Billing and Enrollment leadership, and IT. Identify AI and RPA opportunities and follow through from exploration to implementation. Build and maintain attended and unattended BOTs.
2. 25%: Analyze, coordinate, and resolve complex issues related to eligibility, enrollment, billing, claims, referrals/authorizations, network operations, access to care, and TRICARE policies.
3. 25%: Advise executives on developing functional strategies, exercise independent judgment on complex issues, and determine the best course of action based on analysis.

Use your skills to make an impact

Required Qualifications:

• U.S. citizenship required due to Department of Defense contract
• Ability to obtain interim security clearance (NBIS)
• Note: Candidates living in Puerto Rico are not eligible due to contract restrictions
• Bachelor's degree
• At least 5 years of healthcare experience
• 2+ years of project leadership experience
• Experience building and maintaining analytic data sets
• Knowledge of ad-hoc query tools and data repositories
• 2+ years of SQL experience
• Experience working with large healthcare data sets

Work from Home Requirements:

• Minimum internet speed of 25 Mbps download and 10 Mbps upload
• Wireless, wired cable, or DSL connection recommended
• Satellite, cellular, or microwave connections require leadership approval
• Employees in California, Illinois, Montana, or South Dakota receive a bi-weekly internet stipend
• Humana provides necessary telephone equipment
• Work in a dedicated, interruption-free space to protect PHI/HIPAA information

Travel to Humana offices may be required occasionally.

Scheduled Weekly Hours: 40

Pay Range: $106,900 - $147,000 annually, commensurate with experience and location. The role is eligible for performance-based incentives.

Benefits: Humana offers comprehensive benefits including medical, dental, vision, 401(k), paid time off, disability, life insurance, and wellness programs.

About us

Humana Inc. is dedicated to putting health first, providing insurance and healthcare services to improve quality of life for diverse populations, including those with Medicare, Medicaid, military personnel, and communities.

Equal Opportunity Employer: We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, disability, or veteran status, and promote affirmative action in employment practices.