Role: Analytics Consultant
Assignment: Stars and HEDIS Analytics
Location: Louisville, KY
Healthcare is changing radically. It\u2019s not just about insurance or providing care. It\u2019s rapidly becoming a deeply personalized approach to helping people live life to the fullest, enabling them to achieve their goals and dreams. We promote lifelong wellbeing by giving our associates fresh perspective, new insights, and exciting opportunities to grow their careers. At Humana, we\u2019re seeking innovative, determined individuals who want to make a difference in the lives of our members, our company, and the entire healthcare industry.
As an Analytics Consultant, you will work directly with internal customers to help guide Humana\u2019s decision makers (executives to front-line leaders) to maximize clinical effectiveness, enhance quality of care, and minimize waste and variability within the healthcare delivery system using your consulting, analytics and problem solving skills.
CMS distributed nearly $3 Billion in Stars quality bonuses last year to Medicare Advantage plans based on healthcare quality standards and measures. In this role, you will have a direct impact on maximizing the excellence of care that Humana\u2019s members receive and, in turn, the financial benefit that Humana receives by achieving high performance.
Assess and influence Humana\u2019s healthcare quality operations, strategies and tactics using in-depth analytics and knowledge of healthcare industry and healthcare data.
Work closely with partners in the Healthcare Quality, Reporting, and Improvement organization, the Medicare markets, and throughout the enterprise to understand the specific needs of those partners and organizations and develop clinical quality analyses, metrics and tools that meet those needs to deliver the right behavior and interventions for our members and providers.
Develop subject matter expertise in the latest quality metrics for the Medicare and Medicaid programs and serve as a consulting resource for the clinical analytic needs of partners across the enterprise.
Blend big, fascinating, and messy data (structured and unstructured) to measure Humana\u2019s performance and provide competitive intelligence on the healthcare industry.
Use industry leading database systems, clinical decision engines and algorithms to extract meaningful insights about the business and what influences quality performance.
Examine and communicate trends to senior leaders regarding: Effectiveness of Care, Pharmacy Safety, Consumer Perception, and Service & Operations
Bachelor\u2019s Degree in Engineering, Statistics, Mathematics, Public Health, Computer Science, Operations Research, Health Administration, Economics or other technical or healthcare related field
2 years' experience analyzing data with a proven ability to synthesize quantitative results, derive business implications and make clear recommendations
Significant prior experience working with one or more of the following statistical, database or data visualization tools, such as SAS, QlikView, Tableau, SQL, PL/SQL, MS Access, R, Python, or SPSS
Strong written and verbal communication. Strong problem solving and reasoning skills.
Interest and ability to define and pursue understanding of a customer\u2019s business problem in both business language and mathematical terms.
Excellent PC skills (including MS Word, Excel)
Graduate Degree in Engineering, Statistics, Mathematics, Public Health, Computer Science, Operations Research, Health Administration, Economics or other technical or healthcare related field
General understanding of the healthcare environment and policy developments such as the Affordable Care Act, and Medicaid or Medicare
Prior analytical experience with Medicare, Medicaid and/or other healthcare data
Exposure to established industry standards for measuring healthcare quality: HEDIS, CAHPS, HOS, and other quality metrics
Experience in relevant fields such as Engineering, Statistics, Mathematics, Computer Science, Operations Research, Health Administration, Economics or other technical or healthcare related field.
You will report to a Director or Manager of Stars and HEDIS Analytics. This area is under the leadership of the VP of Healthcare Quality, Reporting, and Improvement.
At Humana, we\u2019re also committed to making the resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. We know your well-being is important to you, and it\u2019s important to us too.If you share our passion for helping people, we likely have the right place for you at Humana. After applying, we encourage you to join our Talent Network as well, so you can stay informed and up to date on what\u2019s happening around our organization in the changing world of healthcare.
Website : http://www.humana.com
Humana's diverse lines of business work to serve all types of consumers. From families to seniors to military members to self-employed individuals, there is a plan to meet many unique needs. Find out how Humana's associates and corporate leaders are committed to customer service. Our team uses innovation to deliver results to our consumers.