Job Description:
Humana Inc., headquartered in Louisville, Kentucky, is one of the nation's largest publicly traded health benefits companies. Humana offers a diversified portfolio of health insurance products and related services - through traditional and consumer-choice plans - to employer groups, government-sponsored plans, and individuals.

Today, Humana is a leader in consumer engagement. Throughout its diversified customer portfolio, the company provides guidance that can both help lower costs and lead to a better health plan experience.

Role: Clinical Innovations Analyst
Assignment Clinical Quality Analyst
Location: Louisville, KY

Assignment Capsule
As a Clinical Quality Analyst, you will collect and analyze data on clinical quality, generate actionable information and make recommendations that drive decision making in the Quality area. Your contributions will be a critical and visible component to shaping Humana's clinical quality improvement programs. Specifically, you will

• Be a key contributor in driving Humana's key clinical quality strategic initiatives through in-depth data analytics
  
• Be responsible for HEDIS (Healthcare Effectiveness Data and Information Set) measure comparison validation and analysis
  
• Assess HEDIS scores and generate data-driven actionable information to design and enhance quality improvement programs
  
• Work with IT to coordinate data extract changes and interaction with vendor.
  
• Work in collaboration with other organizations to develop clinical quality reports.

Key Competencies

• Builds Trust: You honor your word by doing what you say you are going to do.
  
• Drives for excellence: You are a continuous learner who encourages others to learn. By constantly upgrading your own work, you achieve results and outperform the competition.
  
• Implementation/Execution: You are good at organizing and managing multiple priorities and/or projects by using appropriate methodologies and tools.
  
• Problem Solving: You are a problem solver with the ability to encourage others in collaborative problem solving. Acting as both a broker and consultant regarding resources, you engage others in problem solving without taking over.

Role Essentials

• Self starter and problem solver with a keen analytic mind, who thrives in a fast-paced environment
  
• Undergraduate Degree in Engineering, Statistics, Mathematics, Computer Science, Health Administration or related field.
  
• Prior experience working in data analytics is required; related experience in a healthcare environment preferred.
  
• Knowledge of statistical methods and tools (SAS)
  
• Prior experience working with SQL, PL/SQL
  
• Strong written and oral communication skills
  
• Excellent PC skills (including MS Word, Excel and Access).

Role Desirables

• Knowledge of HEDIS and other clinical quality measures strongly desired
  
• Prior experience with HEDIS software (ViPS MedMeasures)
  
• Graduate degree in relevant fields.
  
• Experience in managed care or health care administration.

Reporting Relationships
You will report to the Manager of Clinical Quality Metrics & Analytics. This area is under the leadership of the VP of Health Guidance Organization & Chief Operations Officer.

Additional Information

Minimum Education Required: Bachelor

Years of Experience Required: At Least 3 Years

Expected Travel Time: None