Provider Programs Analytics Lead

Humana Inc; Ohio; Remote; USD 117,000 - 162,000; Full time

Job summary

Humana Inc. is seeking an Analytics Lead to oversee reporting and analytics related to value and volume in Provider Programs. Candidates should have extensive experience in data analysis and project leadership, alongside strong skills in SQL and data visualization tools. This remote role supports the health sector, influencing health outcomes through data-driven insights.

Benefits

Medical, dental, and vision benefits

401(k) retirement savings plan

Paid time off and holidays

Short-term and long-term disability

Life insurance

Qualifications

• 8+ years of technical experience in data analysis.
• 2+ years of project leadership experience.
• Proficiency in healthcare-related data.

Responsibilities

• Ownership of reporting and analytics capabilities for Provider Programs.
• Develop healthcare analytics visualizations based on stakeholder requests.
• Create and monitor KPIs to identify risk and mitigation strategies.

Skills

Data analysis

SQL

Data visualization

Problem solving

Communication

Education

Bachelor's degree

Advanced Degree in a quantitative discipline

Tools

SQL Server

Power BI

Azure

Job description

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

The Risk Adjustment Prospective Provider Programs organization delivers a portfolio of products to support physicians in providing optimal patient care and improving the accuracy of their clinical documentation. The products are a mix of in-house and vended solutions, with an eye toward growth of analytics-driven and interoperable solutions.
The Analytics Lead owns the reporting and analytics capabilities and insights for Provider Programs related to value and volume. The Analytics Lead work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

The Analytics Lead solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Analytics Lead determines the tools, technologies, applications and practices used to collect, integrate, analyze, and present an organization's raw data to create insightful and actionable business information.

• Primary owner related to program value and volume analysis
• Advanced monitoring of existing, and creation of new, KPIs to identify risk and possible mitigation strategies
• Develop healthcare analytics visualizations based on stakeholder requests and intake
• Work collaboratively across the team and organization to design, build and maintain analytical solutions to support Provider Programs
• Ensure solutions provide the highest quality of data

Use your skills to make an impact

Required Qualifications

• Bachelor's degree and 8 or more years of technical experience in data analysis
• 2 or more years of project leadership experience
• Advanced experience in SQL Server and/or other data systems
• Experience with Power BI and/or other data visualization tools
• Advanced experience working with big and complex data sets within large organizations
• Proven ability to work with cross-functional teams and translate requirements between business, project management and technical projects or programs
• Experience analyzing data to solve a wide variety of business problems and create data visualizations that drive strategic direction
• Expertise in data mining, forecasting, simulation, and/or predictive modeling
• Proficiency in understanding Healthcare related data
• Proficiency in verbal and written communication to senior and executive leadership
• Demonstrated excellence in problem solving/critical thinking
• Ability to manage multiple simultaneous time-sensitive deliverables
• Proficiency in compiling, analyzing, and interpreting data trends

Preferred Qualifications

• Advanced Degree in a quantitative discipline, such as Mathematics, Economics, Finance, Statistics, Computer Science, Engineering or related field
• Advanced experience in SQL Server, Azure, and other data systems
• Advanced experience with Power BI and/or other data visualization tools
• Advanced expertise in data mining, forecasting, simulation, and/or predictive modeling
• Experience creating analytics solutions for various healthcare sectors
• Experience with Stars or HEDIS

Additional Information

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Employees 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 employees 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.

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from [e-mail] with instructions on how to add the information into your official application on Humana’s secure website.

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.$117,600 - $161,700 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 06-30-2025

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.