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Data and Reporting Lead



Ohio, USA · Remote
Posted on Monday, April 22, 2024

Become a part of our caring community and help us put health first

The Data and Reporting Lead generates ad hoc reports, regular datasets and reports information for end-users using system tools and database or data warehouse queries and scripts. The Data and Reporting Lead works on problems of diverse scope and complexity ranging from moderate to substantial. The Data Reporting Lead will pull healthcare data and use it to tell a story that will help the plan identify improvement efforts, interventions and initiatives.

Data and Reporting Lead (Within Managed care/Healthcare) Remote (able to work in Eastern time zone)

The Data and Reporting Lead integrates data from multiple sources to produce requested or required data elements for Quality Improvement within the Ohio Medicaid line of business. The Data and Reporting Lead will prepare and submit data for review and discussion to state entities as well as provide data for HEDIS and other healthcare quality measures. The Data and Reporting Lead will create, review, stratify and identify opportunities to improve health outcomes using various data sets. The Data and Reporting Lead will create dashboards, canned reports and will use data generators and other end-user information portals or resources. The Data and Reporting Lead may create specifications for reports based on business requests and advises executives to develop functional strategies (often segment specific) on matters of significance. This role reports to the Quality Improvement Director but will work under minimal supervision with the expectation of collaboration with all stakeholders, internal and external; and an ability to exercise judgement and decision making on complex issues regarding job duties and related tasks

Use your skills to make an impact

Data and Reporting Lead (Within Managed care/Healthcare) Remote (able to work in Eastern time zone)

Required Qualification

  • Bachelor's degree or 5 + years relevant work experience
  • 5+ years of experience in data reporting
  • 3 years of experience within managed care or healthcare insurance related field
  • Advanced Microsoft Excel skills including ability to link pivots to external data sources, creating pivot tables and summarizing data into reports, dashboards, charts, and graphs
  • Ability to link external data sources, pass-through queries, data structure and relationship design
  • Experience working with big and complex data sets within large organizations and/or the analysis of healthcare data including multi-level drill down assessment of key utilization and financial performance measures related to Quality Improvement and Population Health
  • Develop and maintain reporting systems, analytical processes, and/or other tools to support Quality and Clinical Performance, key benchmarks and improve Quality outcomes, (i.e., HEDIS, NCQA, CAHPS, PIPS and state regulatory requirements)
  • Advanced in SQL, SAS, SPSS and/or other statistical data analysis applications
  • WAH requirements: Must have the ability to provide a high-speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required.
  • COVID VACCINATION: Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.

Preferred Qualifications

  • Degree in areas such as Public Health, Epidemiology, Statistics, Healthcare Administration
  • Experience with tools such as Power BI, Tableau and/or Qlik View for creating data visualizations
  • Prior experience working in a system analytics and/or data warehousing environment
  • Prior experience with QI Science Tools such as run charts, control charts, outcome, process and balancing measures
  • Lean Six Sigma
  • Proficiency in verbal and written communication to senior and executive leadership
  • Strong organizational skills and ability to manage multiple or competing priorities
  • Strong analytical and problem-solving skills
  • Knowledge of quality improvement measurement methods and approaches (PDSA, DMAIC, etc.)

Additional Information

  • Schedule: Monday to Friday from 8 am to 5 pm. Open for Flexible Start and Stop Times.
  • Training: Remote learning, 30-90 days individual pace
  • Work Location (Address): Work At Home anywhere within Eastern Time Zone.
  • % Travel: 10%
  • # of Direct Reports: 1-2 potential
  • Notice about requesting SSN: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from [email protected] with instructions to add the information into the application at Humana’s secure website.​
  • Benefits​: Retirement match of 100% on your contributions to your 401K. Medical, Dental, Vision and a Variety of supplemental insurances. Free Basic Life Insurance. Tuition Reimbursement. 23 days Paid Time Off. 9 paid Holidays. 1 day for Volunteer Time Off… and much more…

Scheduled Weekly Hours


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 will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$95,300 - $131,200 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.

About us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.