Job Details

ID #3677086
State South Dakota
City Aberdeen
Full-time
Salary USD TBD TBD
Source Humana
Showed 2020-03-31
Date 2020-04-01
Deadline 2020-05-31
Category Et cetera
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Informatics Lead (Medical Claims)

South Dakota, Aberdeen 00000 Aberdeen USA

Vacancy expired!

DescriptionThe Informatics Lead coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Informatics Lead works on problems of diverse scope and complexity ranging from moderate to substantial.ResponsibilitiesThe Pharmacy Informatics Lead will oversee Medical Formulary modeling and forecasting, as well as analytic support for Specialty programs. The Lead leverages their advanced knowledge of data, modeling, optimization, and tools. Applies disciplined analytics to predict behavior and optimize programs and products to maximize revenue growth. Utilizes advanced or predictive modeling to develop, test and validate cases that improve the outcomes and quality of the programs we offer. Contributes to more innovative approaches to financial models as they build knowledge of the business context in which it operates. Understands and analyzes complex data, articulates mathematical concepts to various units within the company at the appropriate level, and on initiatives with potentially sizable dollar impact. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision. Uses independent judgment requiring analysis of variable factors and determining the best course of action. This lead role will have a team of 4 associates to support this work. Medical modeling

Scale up resources and build bench strength, to support modeling cycle with a high-volume busy season

Work with other leaders on the team to identify synergy opportunities with similar processes

Specialty Initiatives

Implement best practices in forecasting and tracking initiative performance

Prioritize the big picture, long term goals

Develop a robust process for scorecard submission, allowing for quarterly comparisons of drivers

Required Qualifications

Bachelor's degree in Mathematics, Statistics, Actuarial Science, Economics, or other quantitative focus

6 + years of data analytics experience, preferably healthcare /medical claims

Ability to clearly articulate and present findings, drivers of change, and insights to senior leadership

Experience in defining and executing measurement programs

Ability to prioritize multiple projects and competing customers

Experience with advanced analytics, including program evaluation and optimization

Strategic thinking and planning capabilities

Organized and detail-oriented

Excellent verbal and written communication

Intermediate experience with analytic tools such as SAS or SQL

Preferred Qualifications

2 or more years of leadership experience

Advanced Degree

Six Sigma certification

Prior healthcare, pharmacy, actuarial experience strongly desired

Advanced experience in SAS, SQL, similar tools

Scheduled Weekly Hours40About UsMission: At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first. Equal Opportunity EmployerIt is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster.If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact mailboxtasrecruit@humana.com for assistance.Humana Safety and SecurityHumana will never ask, nor require a candidate provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact mailboxtasrecruit@humana.com to validate the request.

Vacancy expired!

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