Description

The In-Home Assessment Senior Program Performance Analyst assists in identifying risks in IHWA performance and explores strategic opportunities to improve performance. Candidates need to be able to perform quick analysis, work with supporting analytics teams to design operational reporting to identify performance gaps sooner and deliver performance summaries for leadership updates. This Senior position is critical to the program maximizing IHWA visits and delivering on Retail Bid goals.

Responsibilities

In-home Health and Well-being Assessment (IHWA) is a program within Humana’s Medicare Risk Adjustment under the Clinical, Quality, and Enterprise Solutions organization that delivers ~1M face to face member visits per year. We contract with 2 primary vendors to send clinicians to spend 45-60 minutes with the member to review their medications, document the member’s conditions, conduct screenings, educate the member and answer their questions, observe the member and their home environment, connect the member back to their PCP, and refer members to Humana Clinical resources to address unmanaged conditions or SDOH needs.

With continued clinician capacity constraints within the healthcare industry, the IHWA program is projected to miss on some goals in 2023. The team is currently building robust tools and datasets that is allowing us to push back on unrealistic vendor projections. The program has a lot of opportunity to build more leading indicator reporting for completions, improve performance projections, identify opportunities to increase IHWA visits, and improve bid goal setting.

The In-Home Assessment Senior Program Performance Analyst will be tasked with designing, drafting, and using reporting to identify gaps in performance, predict performance using leading indicators, create transparency to push back on vendor projections and confidence, and provide input to set annual bid goals with the vendors. Some key KPIs are IHWA visit volumes and completion rates at the program, vendor, & state levels. Major partners for collaboration on issues, opportunities, and solutions are IHWA Director, leaders, SMEs, Vendor Managers and Vendors, MRA Finance, Prospective Programs Analytics, and HTA Analytics.

The In-Home Assessment Senior Program Performance Analyst will need to be proficient in SQL and Excel to quickly analyze data and to design ongoing reporting in Power BI with support of Business Intelligence reporting teams. Experience with operational reporting is needed to identify leading indicators (scheduled visits, cancellation rates, clinician staffing, et al) to project performance ourselves and compare to vendor projections.

The In-Home Assessment Senior Program Performance Analyst will exercise some independent judgment and decision making on moderately complex issues and will work under minimal supervision, while delivering actionable transparency for Vendor Managers to push on vendors and helping to form accurate expectations for the markets and executive leadership.

Required Qualifications

• Bachelor's degree
• 3+ years of performance reporting experience
• Proficiency with SQL
• 3+ years of operational experience
• Strong analytical and data modeling skills
• Strong communication skills, both oral and written
• Strong knowledge of Microsoft Office 360 products (Excel, PowerPoint, Teams, SharePoint, PBI)

Preferred Qualifications

• Clinical experience
• Knowledge and experience in health care environment/managed care
• Power BI development experience
• Medicare Risk Adjustment knowledge
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences, health outcomes, and program performance

WAH requirements: Must have the ability to provide a high-speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense. A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required. Satellite and Wireless Internet service is NOT allowed for this role. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Interview Format

As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire 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.

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 [email protected] with instructions on how to add the information into your official application on Humana’s secure website.

Scheduled Weekly Hours

40