Job Details

Senior Data & Reporting Professional

Become a part of our caring community and help us put health first. The Senior Data & Reporting Professional tests the overall network in each county of operations to ensure the network is strong enough to support serving customers. The Senior Network Adequacy Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Data & Reporting Professional begins to influence the department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. This role will manage and lead the data infrastructure and reporting methodologies in support of Network Adequacy requirements and process optimization, primarily focusing on the Medicaid line of business, with a deep understanding of network build initiatives to proactively mitigate operational deficiencies, drive superior quality, and establish standardization in an ambiguous environment.

Systems thinker - Highly analytical, able to break down a problem and recommend pragmatic solutions

Prioritization - Able to execute on projects within prescribed timelines in an environment with competing demands

Data - The ability to process data, present relevant views to different stakeholders, and predict and forecast trends/insights

Tools - A curiosity to experiment with and evaluate new tools to impact how we work. Advanced skills with SQL, PowerBI, and Excel

Proficiency in verbal and written communication to senior and executive leadership

Strong organizational skills and ability to manage multiple or competing priorities

High collaboration and consensus building skills; assuring that reports align with stated operational goals and/or strategic initiatives

Required Qualifications:

• Bachelor's Degree
• 5 or more years of data analysis and reporting experience
• Prior experience creating analytics solutions for various and disparate healthcare Provider data
• Advanced in SQL and relational database models
• In-depth experience in Microsoft Excel including formulas, pivots, charts, graphs, etc.
• Experience utilizing and optimizing the use of multiple large data sets
• Experience building reporting solutions and data visualizations using Power BI

Preferred Qualifications:

• Proficiency in DAX coding
• Expertise in data mining, correlation analyses, forecasting, simulation, and/or predictive modeling
• SSIS ETL experience in the process of data extraction, transforming data into information, and loading information effectively
• Able to mentor others in how to efficiently code and effectively design dashboards and reports
• Knowledge of Provider contracting
• Project Management experience

Additional Information:

This role is considered "remote/work at home," however, you must live/work in the EST to be considered for this opportunity with preference being given to candidates located within driving distance to Louisville, KY.

Work-At-Home Requirements:

• Must have the ability to provide a high speed DSL or cable modem for a home office.
• 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

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours: 40

Pay Range: $78,400 - $107,800 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.

Application Deadline: 11-06-2025

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 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. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our