Key skills
SQLBusiness IntelligenceLeadership
About this role
Role Overview
- report to an Associate VP of Strategy Advancement
- drive ecosystem strategy, identifying architecture simplifications, provider data quality improvements, operational and quality automations
- deliver end to end efficiency, quality and modernization through automations, operational processes and product technology strategies
- manage provider data business intelligence
- partner across Humana Military products, IT, automation teams and business partners on data stewardship and data models
- initiate strategies to leverage new technologies to improve provider data quality
- manage UAT processes and automations
- ensure quality programs monitor adherence to TRICARE policies
- monitor provider data incident, escalation and resolution processes
Requirements
- U.S. Citizenship
- Successfully receive interim approval for government security clearance (NBIS
- National Background Investigation Services)
- 7 years in leadership experience over a large operations area
- 7 years direct experience in health plan operations: contract management, claims processing or provider data management
- 7 years experience in data analysis and/or metrics reporting or auditing for quality
- Bachelor's degree
- Experience and proficiency with TRICARE operations policy
- Proficiency in SQL data queries and reporting
Tech Stack
- SQL
Benefits
- 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
- many other opportunities