Data Management Lead

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

Job summary

A leading healthcare company seeks a Data Management Lead to oversee data management and reporting. The role involves collaboration with multiple departments, identifying AI opportunities, and advising on functional strategies. Candidates should possess a Bachelor's degree and relevant experience in healthcare and data management.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

401(k)

Paid Time Off

Disability Insurance

Life Insurance

Qualifications

• 5 years healthcare experience required.
• 2+ years project leadership experience.
• 2 years SQL experience required.

Responsibilities

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

Skills

Analytic Data Sets

SQL

Project Leadership

Data Management

Education

Bachelor's Degree

Tools

Ad-Hoc Query Tools

Job description

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This range is provided by Humana. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$106,900.00/yr - $147,000.00/yr

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. Works on problems of diverse scope and complexity, 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, Billing, Enrollment leadership, and IT. Identifies AI and RPA opportunities and follows through from exploration to implementation. Builds and maintains attended and unattended BOTs. Validates benefits achieved from solutions. Advises operational leadership on functional strategies specific to billing and enrollment, supporting enterprise strategy.

Key Accountabilities

1. Attend and become a citizen developer. Collaborate with Contact Center, Billing, Enrollment leadership, and IT. Identify AI and RPA opportunities. Build and maintain BOTs.
2. Analyze, coordinate, process, and resolve complex issues related to eligibility, enrollment, billing, claims, referrals/authorizations, network operations, access to care, Defense Health Agency/TRICARE policies, and other TRICARE topics.
3. Advise executives on developing functional strategies. Exercise independent judgment on complex issues. Make decisions with minimal supervision.

Required Qualifications

• U.S. citizenship (Department of Defense Contract requirement)
• Interim approval for government security clearance (NBIS)
• No work in Puerto Rico due to contract restrictions
• Bachelor's degree
• 5 years healthcare experience
• 2+ years project leadership experience
• Experience building and maintaining analytic data sets
• Knowledge of ad-hoc query tools and data repositories
• 2 years SQL experience
• Experience with large healthcare data sets

Work From Home Requirements

• Download speed of at least 25 Mbps and upload speed of 10 Mbps recommended
• Wireless, wired cable, or DSL connection suggested
• Satellite, cellular, microwave only if approved
• For residents in CA, IL, MT, SD: bi-weekly internet expense reimbursement
• Humana provides necessary telephone equipment
• Work from a dedicated, interruption-free space to protect PHI/HIPAA info

Travel may be required for training or meetings. Occasional travel to Humana offices.

Additional Details

Scheduled weekly hours: 40

Pay range: $106,900 - $147,000 annually, based on location and experience. Eligible for performance-based bonus.

Benefits

Humana offers medical, dental, vision, 401(k), paid time off, disability, life insurance, and more.

About Us

Humana is committed to health and well-being, serving diverse communities with insurance and healthcare services.

Equal Opportunity Employer

Humana does not discriminate and promotes affirmative action, employing individuals regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status.

Job Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Information Technology
• Industries: Insurance