Humana Business Analyst (Testing Application) in Louisville, Kentucky

Role:Business Analyst (Testing Application)

Assignment:Integrated Provider Solutions

Location:Louisville, KY-Humana Waterside Building

We’re looking for associates who are dedicated to service and believe in following the Golden Rule of treating others the way you want to be treated. Humana was founded on this premise, and this value is reflected in our expectations for providing perfect service to our consumers, providers, employers, agents and others we work with. At Humana, Perfect Service® means getting the basics done right, delivering value and quality, and providing everyone with personalized attention and guidance. We want to engage with our members through every step of their journey to lifelong well-being. This includes meaningful direct consumer interaction and developing positive relationships with healthcare providers. Humana associates provide Perfect Service every day to our members, employers, providers, and colleagues. We’re looking for people who improve their own well-being by looking out for the best interests of others.


Assignment Capsule

As the MRM Business Analyst, the associate will: work on the Medical Records Management Team, supporting both the Provider and Associate Portals. The associate will provide all support for the MRM tool including, but not limited to implementing enhancements, security, functionality and testing. In addition, the associate will address issues and provide testing/training on new functionality. Lastly, the associate will occasionally write project requirements/features and attend IT scrum calls.

  • Resolve general issues and defects
  • Determine the root cause of problems and coordinate appropriate solutions for their correction
  • Execute special analysis projects along with regularly scheduled reporting responsibilities
  • Create reports to assist in the on-going management of existing issues/defects and the maintenance of key performance measures

Key Competencies * _Collaborates:_Engages others by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that puts Humana's overall success first. * _Pursues Excellence:_Seeks out learning, strives to develop and expand personally, and continuously helps others upgrade their capability to contribute to Humana. * _Accountability:_*Meets established expectations and takes responsibility for achieving results; encourages others to do the same. * *_Builds Trust:_Consistently models and inspires high levels of integrity, lives up to commitments, and takes responsibility for the impact of one's actions.

Role Essentials * Bachelor’s Degree or equivalent experience * Strong working knowledge of Microsoft Word, Excel and Power Point and Visio (or similar database management application) * Excellent communication skills, both written and verbal * Prior testing and use case development experience * Ability to problem solve

Role Desirables * Billing and/or medical records processing and audit experience * Basic Macro experience and/or knowledge of relational databases * Relevant industry experience

· Prior experience with SQuIDS testing database

· Knowledge of Medical Records Management system

· Strong operational understanding of provider networks and capitation systems and how they impact claim processing and provider relationships

· Access and SQL relational DB experience

· Production support experience/operations

Reporting Relationships

You will report to a Process Consultant and a Manager. This area is under the leadership of the VP of Provider Process Services (PPS)


Additional Information

Humana is an organization with careers that change lives—including yours. As an innovator in the fast-paced industry of healthcare, we offer our associates careers that challenge, support and inspire them to use their passion for helping others and to lead their best lives. If you’re ready to help people achieve lifelong well-being, and be a part of an organization that is growing and poised to make an impact on the future of healthcare, Humana has the right opportunity for you.

Apply now, or join our Talent Network so you can stay informed and up to date on what’s happening at Humana.

Title: Business Analyst (Testing Application)

Location: KY-Louisville

Requisition ID: 177667