出海雷达

Senior Data Reporting Professional

其他限定地区(需当地身份)
公司Humana
薪资$73,400 - $100,100/年
工作地点United States
地域资格限定地区(需当地身份)
时区要求日间重叠约 9 小时,基本正常作息
用工类型Full Time
发布时间今天
数据来源Himalayas
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注意地域限制:该职位明确限定在 United States 招聘。如果你是位于中国大陆的求职者,通常需要当地工作身份才能投递,或需与雇主确认是否接受独立合同(Contractor)形式合作。
关于本页中文:职位描述由本机离线模型翻译,属机器翻译,供快速判断用;正式沟通与投递请以英文原文为准。官方翻译通道恢复后会自动重译升级。

成为我们关心社区的一部分高级数据和报告专业人员通过先进的分析,运营报告,绩效监测,法规合规报告和战略数据管理支持密歇根集成长期服务和支持 (MI LTSS) 计划。你将复杂的临床,运营,质量和财务数据转化为可操作见解,以支持项目监督,国家合同遵守,质量改善举措和执行决策。你的工作任务涉及适度复杂到复杂的问题,其中情况或数据分析需要深入评估变量的因素。你将独立工作,在确定目标和任务的方法方面发挥相当大的自由度,并开始影响部门战略。高级数据与报告专业人员与 LTSS 护理管理,利用管理,质量,财务,合规性,提供商运营以及市场领导紧密合作,监测程序性能,识别运营机会和支持实现 LTSS 计划要求。·开发和维护 MI LTSS 方案的运营,临床,质量和合规和执行仪表板。· 集成和验证来自多个系统的数据,包括护理管理平台,质量监控工具,提供商网络,索赔数据,评估系统和法规报告来源。· 创建支持运营绩效,监管合规,质量改善举措和战略计划规划的反复及特别报告。· 监测 LTSS 性能指标,包括健康风险评估,国际 RAI 评估,护理设施确定护理水平 (NFLOCD) 完成,以人为中心的服务计划,综合护理团队参与,HCBS 利用,护理管理生产力以及国家质量措施。·通过制定合规性和绩效报告工具,支持持续监测 LTSS 合同要求。·与 LTSS 领导层合作确定新兴趋势,运营风险,性能障碍以及改善过程的机会。·开发执行总结和演讲,以传达项目绩效和战略建议。·通过数据分析和报告,支持国家审计,准备审查,纠正行动计划和监管调查。·作为主题 m

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Become a part of our caring community

The Senior Data & Reporting Professional supports the Michigan Integrated Long-Term Services and Supports (MI LTSS) program through advanced analytics, operational reporting, performance monitoring, regulatory compliance reporting, and strategic data management. You will transform complex clinical, operational, quality, and financial data into actionable insights that support program oversight, state contract compliance, quality improvement initiatives, and executive decision-making. Your work assignments involve moderately complex to complex issues where analysis of situations or data requires an in-depth evaluation of variable factors. You will work independently, exercises considerable latitude in determining objectives and approaches to assignments, and begin to influence departmental strategy.The Senior Data & Reporting Professional partners closely with LTSS Care Management, Utilization Management, Quality, Finance, Compliance, Provider Operations, and Market Leadership to monitor program performance, identify operational opportunities, and support achievement of LTSS program requirements.

  • Develop and maintain operational, clinical, quality, compliance, and executive dashboards supporting the MI LTSS program.
  • Integrate and validate data from multiple systems, including care management platforms, quality monitoring tools, provider networks, claims data, assessment systems, and regulatory reporting sources.
  • Create recurring and ad hoc reports supporting operational performance, regulatory compliance, quality improvement initiatives, and strategic program planning.
  • Monitor LTSS performance indicators including Health Risk Assessments, InterRAI assessments, Nursing Facility Level of Care Determination (NFLOCD) completion, Person-Centered Service Plans, Integrated Care Team (ICT) participation, HCBS utilization, care management productivity, and state quality measures.
  • Support ongoing monitoring of LTSS contractual requirements through development of compliance and performance reporting tools.
  • Partner with LTSS leadership to identify emerging trends, operational risks, barriers to performance, and opportunities for process improvement.
  • Develop executive summaries and presentations communicating program performance and strategic recommendations.
  • Support state audits, readiness reviews, corrective action plans, and regulatory inquiries through data analysis and reporting.
  • Serve as a subject matter expert regarding LTSS operational reporting, analytics, and performance monitoring.

Use your skills to make an impact

Required Qualifications

  • Bachelor's degree in business Analytics, Healthcare Administration, Public Health, Information Systems, Statistics, Computer Science, Data Analytics, or a related field.
  • Five (5) or more years of healthcare analytics, reporting, managed care, population health, Medicaid, or related healthcare experience.
  • Experience working with large, complex healthcare and operational datasets.
  • Advanced Microsoft Excel skills including dashboard development, data modeling, and advanced reporting.

Preferred Qualifications

  • Master's degree in healthcare, business, analytics, or public health discipline.
  • Experience supporting LTSS, HCBS Waiver, Medicaid, D-SNP, HIDE, FIDE, or integrated care programs.
  • Advanced SQL, SAS, Tableau, Power BI, Qlik, or business intelligence tool experience.
  • Knowledge of Michigan SNP contract requirements and LTSS operations.

Additional Information

  • Workstyle: This is a remote position.
  • Typical Work Schedule: Monday through Friday; 8:00 AM to 5:00 PM Eastern Time (ET).

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.Scheduled Weekly Hours
40Pay 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.$73,400 - $100,100 per yearThis 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 12-07-2026

About us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.​
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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.
Originally posted on Himalayas

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