Senior Data Reporting Professional

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.

Workstyle: This is a remote position.

Typical Work Schedule: Monday through Friday; 8:00 AM to 5:00 PM Eastern Time (ET).

​ 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.