83 applicants

Company

Humana · 13 hours ago

Senior HEDIS Medicaid Data Manager

Remote Alabama

Full-time

Remote

Senior Level

$95K/yr - $131K/yr

5+ years exp

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Health CareHealth Insurance

H1B Sponsor Likely

U.S. Citizen Only

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Responsibilities

Become an expert in HEDIS and Medicaid specifications, processes, and schedules

Partner to develop comprehensive Medicaid program to support state measure needs, development, and reporting

Drive internal and external partnerships to coordinate, guide, and oversee implementation of clinical measures, as well as all related regulatory activities and reporting

Interpretation and presentation of complicated and large data sets to identify trends, data scenarios, and opportunities for improved member health and measure compliance

Ability to decipher regulatory literature and effectively communicate impacts and changes

Apply critical thinking skills to develop queries, isolate impacts of regulatory changes, and identify patterns in clinical data using Excel, SQL, SAS, etc.

Analyze data to solve a wide variety of business problems and creation of data visualizations that drive strategic vision

Partnership with IT and HEDIS NCQA-certified vendor on tool and reporting enhancements

Establish and maintain effective professional relationships with key upstream and downstream partners

Ensure data quality, timeliness and accuracy

Champion improvements to existing processes

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Data analysisData interpretationHEDIS experienceMedicaid experienceExcel proficiencySQL proficiencySAS proficiencyProject management

Required

5 years or more of data analysis and data interpretation experience

Superb communication skills (written and verbal) to effectively communicate across teams, levels and functions

2 years or more of project management experience

Self-starter – comfortable working independently to accomplish components of a larger program

Strong organizational and time management skills

Demonstrated excellence in problem solving/critical thinking with exceptional attention to detail

Ability to manage multiple simultaneous time-sensitive deliverables

Travel - up to 10%

Preferred

Bachelor’s Degree

HEDIS and/or Medicaid Experience

Advanced proficiency in Excel, SQL, SAS, or other data systems

Benefits

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

Company

Humana

Glassdoor

3.8

Humana is a health insurance provider for individuals, families, and businesses.

Founded in 1964

Louisville, Kentucky, USA

10,001+ employees

http://www.humana.com

H1B Sponsorship

Humana has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

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Trends of Total Sponsorships

2023 (217)

2022 (257)

2021 (258)

2020 (107)