Data Management Lead

Humana Inc; Kentucky; Remote; USD 106,000 - 147,000; Full time

Job summary

Join a forward-thinking company as a Data Management Lead, where you will play a vital role in enhancing data management processes and driving innovation through AI and RPA initiatives. This position offers the chance to work on complex data challenges, collaborate with various departments, and contribute to the development of strategic solutions that impact healthcare delivery. With a focus on operational excellence, you'll leverage your expertise to build and maintain analytic data sets, ensuring the organization meets its operational goals. If you are passionate about making a difference in healthcare, this is the opportunity for you.

Benefits

Remote Work Flexibility

Internet Expense Reimbursement

Telephone Equipment Provided

Health Insurance

401(k) Plan

Paid Time Off

Employee Discounts

Wellness Programs

Qualifications

• 5+ years of healthcare experience required.
• 2+ years of project leadership experience preferred.
• Experience with large healthcare data sets is essential.

Responsibilities

• Collaborate with leadership to implement AI and RPA opportunities.
• Analyze and correct multifaceted problems relating to billing and enrollment.
• Advise executives on functional strategies for significant matters.

Skills

Healthcare Experience

Project Leadership

SQL

Data Management

Analytic Data Sets

Education

Bachelor's Degree

Tools

Ad-hoc Query Tools

Data Repositories

Job description

Job Profile

Data Management Lead

Job Level

Lead

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

The Data Management Lead supports all aspects of configuration control, data management, and deficiency reporting. The Data Management Lead works on problems of diverse scope and complexity ranging from moderate to substantial.

The Data Management Lead supports all aspects of configuration control, data management, and deficiency reporting. The Data Management Lead works on problems of diverse scope and complexity ranging from moderate to substantial. Describes the tools, technologies, applications and practices used to collect, integrate, analyze, and present an organization's raw data from the ECW. Will attend and become a citizen developer. Collaborates with Contact Center and Billing and Enrollment leadership, and IT. Identifies AI and RPA opportunities and follow through from exploration to implementation. Builds and maintains attended and unattended BOTs. Validates benefits achieved from solution implementation. Advises operational leadership to develop functional strategies specific to billing and enrollment, supporting enterprise strategy, on matters of significance.

Key Accountabilities -

• 50% - Will attend and become a citizen developer. Collaborates with Contact Center and Billing and Enrollment leadership, and IT. Identifies AI and RPA opportunities and follow through from exploration to implementation. Builds and maintains attended and unattended BOTs.

• 25% - Implement self-directed activities to analyze, coordinate, process, and complete action to correct multifaceted problems relating to eligibility, enrollment, billing, claims, referrals/authorizations, network operations, access to care, Defense Health Agency/TRICARE Health Plan policy, and other TRICARE topics.

• 25% - Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks and works under minimal supervision. Uses independent judgment requiring analysis of variable factors and determining the best course of action.

Use your skills to make an impact

Required Qualifications

• Our Department of Defense Contract requires U.S. citizenship for this position

• Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Services)

• HGB is not authorized to do work in Puerto Rico per our government contract.We are not able to hire candidates that are currently living in Puerto Rico.

• Bachelor's degree

• 5 years of healthcare experience

• 2 or more years of project leadership experience

• Experience building and maintaining analytic data sets

• Working knowledge of ad-hoc query tools and data repositories that support data extraction and manipulation

• 2 years experience using SQL

• Experience with large data set and healthcare data

Work at Home Requirements

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested

• Satellite, cellular and microwave connection can be used only if approved by leadership

• Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

• Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.

• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$106,900 - $147,000 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Referral Bonus Information

This requisition is not eligible for a referral bonus.

About us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.