Humana Risk Adjustment Operations - Business Consultant in Louisville, Kentucky

Role: Risk Adjustment Operations Reporting- Business Consultant Assignment: Risk Adjustment Operations Location: Louisville, KY (Tower)

Assignment Capsule

Utilize your data analysis and business knowledge to help analyze and improve existing processes and procedures through data analysis.

Humana is seeking an Operations Reporting Business Consultant for Risk Adjustment who will: lead and educate associates to help create and optimize service and operational metrics, evaluating existing issue resolution processes, applications and tools, and collaborating with multiple departments to continuously strive for excellence. * Develop best-in-class operational metric dashboard

  • Responsible for ADHOC reporting requests and data analysis projects during peak periods

  • Partner with retrieval and coding operations, subject matter experts, training teams to develop and deploy continuous improvement initiatives across corporate and local market offices

  • Initiate and facilitate meetings with key leaders and vendor representatives to identify and document pertinent group trends

  • Cultivate relationships with all operational areas of risk adjustment and integrate with strategic partners to further align business optimization

    Role Essentials

  • Associate’s or Bachelor’s Degree in Business, Finance or a related field or equivalent experience

  • SQL

  • Excel

  • Database Creation Experience

  • Previous reporting package design - Business Intelligence software (i.e. Tableau, QlikView)

  • Comprehensive knowledge of compliance and regulatory issues and customer service standards Desirables

  • Prior Risk Adjustment Experience

  • Master’s Degree in Business Administration or a related field

  • Prior group implementation and/or project management experience

  • Prior supervisory experience

  • Six Sigma certification Reporting Relationships

  • You will report to a Department Manager Additional Information

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Title: Risk Adjustment Operations - Business Consultant

Location: KY-Louisville

Requisition ID: 177547

Humana Inc., headquartered in Louisville, Ky., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.