Description
The Senior Informaticist completes and coordinates with other analytics, IT and business areas across the organization to ensure business processes and strategy decisions are being made based on the best data and knowledge possible. The Senior Informaticist work assignments involves complex issues where the analysis of situations, processes, or data requires an in-depth evaluation of business factors, root causes, and data.
Responsibilities
The Senior Informaticist leverages their advanced knowledge of opportunity elicitation, data assimilation, root cause discovery, business acumen, relationship building, and analytics tools. The role will build new approaches and innovative new approaches in provider scoring and quality of care and take into context new concepts, strategies, and information. The role will build out solutions that create the foundation of monitoring financial, utilization, clinical and administrative health of our population. The role applies disciplined analytics for solution discovery, root cause, and evaluation of data and information to support efforts on improving operations, lowing healthcare cost, and improving quality. The role will require understanding and analysis of complex data, articulating to various units within the company at the appropriate level from both a technical and business value perspective. The role is expected to have influence on the department’s strategy and tactics to deliver it. The role has free support to make decisions on complex issues regarding technical approach, program components, and performs work with high collaboration. The role will require someone solution and data curious to innovate on the design, creation, and implementation of informed decision making.
Our Government Contract Requires US Citizenship for this Position
If offered a position with Humana Government Business, you may be required to go through the eQIP process to obtain Government Security Clearance to work on government systems.This requires the completion of a 100+ page document on-line, finger printing, background check, credit check and completion of an employment application and drug test. The financial/credit check portion requires an in-depth review of any failure to meet financial obligations within the past 7 years, including but not limited to bankruptcy, debt over 120 days delinquent and/or $15,000 threshold for bad debt (items in collection and charge off).
Responsibilities
- Lead stakeholders in problem framing, requirement gathering, analysis, reporting, and insight development activities
- Deliver proactive thought and information to improve how provider scoring, provider steerage, clinical quality, KPI monitoring, and related business use cases of are delivering value
- Interpret and analyze quality of care measurement outcomes for reporting and insight discovery
- Provide data and consultation to corporate personnel for the purpose of improving our financial position and the health and well-being of our members
- Develop new reports and continually identify ways to improve current reports by increasing their value and usability
- Identify and seek to resolve data anomalies and irregularities
- Ensure full and clear documentation of business and technical processes and present them to stakeholders
- Lend your perspectives on organizational culture, operating model, and process improvement activities.
Key Accountabilities
- 20% Partnering as a subject matter expert on Humana Military strategy, tactics to deliver, and related solutions
- 20% Solve complex business problems and issues using data from internal and external sources to provide insight to and consult with decision-makers while creating new descriptive analytic measures, trends, and deep dives into root cause
- 20% Responsible for understanding the customers’ needs and pulling together the appropriate data to meet those needs
- 20% Built data, information, and knowledge in BI tools, presentations, and narratives to support objectives
- 20% – Develop and maintain key relationships with multiple business areas
This role description in no way states or implies that the key accountabilities above are the only ones being performed by the individual(s) with this role description. The individual(s) may be called upon and required to follow other instructions or perform other duties and tasks requested by his or her supervisor, consistent with the purpose of the position, department and/or company objectives .
This is a remote position
#LI-Remote
Required Qualifications
- Bachelors’ Degree
- Tableau, Power BI, and/or other BI developer tool use
- Demonstrated experience, in a business setting, working with large data sets.
- Experience consulting with clients in problem and requirements elicitation
- Experience working with clinical, financial, and utilization metrics in healthcare
- Comprehensive knowledge of Microsoft Office applications, including Word, Excel, Access and Power Point
Preferred Qualifications
- Advanced Degree
- Demonstrated experience with healthcare quality measurement
- Working knowledge of ad-hoc query tools and data repositories that support data extraction and manipulation such as SQL and Python
- Expertise in data mining, forecasting, simulation, and/or predictive modeling
- Preferred technologies such as SAS, SQL, Python, QlikView, Tableau, Hadoop or similar tools
- Technical documentation abilities
- Prior experience in managed-care or healthcare payer domain
Additional Information
Virtual Pre-Screen
As part of our hiring process for this opportunity, we will be using exciting virtual pre-screen technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected for a virtual pre-screen, you will receive an email and text correspondence inviting you to participate in a Modern Hire interview. In this virtual pre-screen, you will receive a set of questions to answer. You should anticipate this virtual pre-screen to take about 10-15 minutes.
Work at Home Connectivity Requirements
To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
- At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support Humana applications, per associate.
- Wireless, Wired Cable or DSL connection is suggested.
- Satellite, cellular and microwave connection can be used only if they provide an optimal connection for associates. The use of these methods must be approved by leadership. (See Wireless, Wired Cable or DSL Connection in Exceptions, Section 7.0 in this policy.)
- Humana will not pay for or reimburse Home or Hybrid Home/Office associates for any portion of the cost of their self-provided internet service, with the exception of associates who live or work from Home in the state of California, Illinois, Montana, or South Dakota. 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.
Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.
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 decisions will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$86,600 – $119,200 per year
This 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.