Remote Senior Data & Reporting Lead

Humana Inc

Juneau (AK)

Remote

USD 73,000 - 100,000

Full time

4 days ago

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Job summary

Humana Inc. seeks a Senior Data & Reporting Professional to support the MI LTSS program with advanced analytics, reporting, and data management.

You will transform complex clinical, operational, quality, and financial data into insights guiding oversight and continuous improvement. You will partner with LTSS Care Management, Utilization Management, Quality, Finance, Compliance, Provider Operations, and Market Leadership to monitor performance and drive actions.

Qualifications

Bachelor's degree in business Analytics, Healthcare Administration, Public Health, Information Systems, Statistics, Computer Science, Data Analytics, or a related field.
Five (5) or more years of healthcare analytics, reporting, managed care, population health, Medicaid, or related healthcare experience.
Experience working with large, complex healthcare and operational datasets.
Advanced Microsoft Excel skills including dashboard development, data modeling, and advanced reporting.
Master's degree in healthcare, business, analytics, or public health discipline.
Experience supporting LTSS, HCBS Waiver, Medicaid, D-SNP, HIDE, FIDE, or integrated care programs.
Advanced SQL, SAS, Tableau, Power BI, Qlik, or business intelligence tool experience.
Knowledge of Michigan SNP contract requirements and LTSS operations.

Responsibilities

Develop and maintain operational, clinical, quality, compliance, and executive dashboards supporting the MI LTSS program.
Integrate and validate data from multiple systems, including care management platforms, quality monitoring tools, provider networks, claims data, assessment systems, and regulatory reporting sources.
Create recurring and ad hoc reports supporting operational performance, regulatory compliance, quality improvement initiatives, and strategic program planning.
Monitor LTSS performance indicators including Health Risk Assessments, InterRAI assessments, NFLOCD completion, Person-Centered Service Plans, ICT participation, HCBS utilization, care management productivity, and state quality measures.
Support ongoing monitoring of LTSS contractual requirements through development of compliance and performance reporting tools.
Partner with LTSS leadership to identify emerging trends, operational risks, and opportunities for process improvement.
Develop executive summaries and presentations communicating program performance and strategic recommendations.
Support state audits, readiness reviews, corrective action plans, and regulatory inquiries through data analysis and reporting.
Serve as a subject matter expert regarding LTSS operational reporting, analytics, and performance monitoring.