Humana Inc., headquartered in Louisville, Kentucky, is one of the nation's largest publicly traded health benefits companies, with approximately 11 million medical members located primarily in 15 states and Puerto Rico. 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.

Over its 43-year history, Humana has consistently seized opportunities to meet changing customer needs.

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.


The Medicare Risk Adjustment Data Analyst prepares, analyzes and reviews MRA data, transactions and reports. Responsibilities include database creation and management, identifying ways to re-engineer current reports and processes, converting ad hoc reports to Excel and Access and monitoring data being worked, logged and reported. In addition, this role may conduct research regarding claim status and update system information. This role serves as a resource to providers, office staff, internal and external customers regarding MRA. The Data Analyst provides exemplary service to ensure success in a rapidly changing health care environment. This position reports to the Director of Medicare Risk Adjustment.

Responsibilities Include:

-- Downloads and processes all MRA reports, converting all information to Access and Excel as required
-- Analyzes data for completeness and accuracy
-- Develops and maintains databases necessary for effective and efficient reporting
-- Monitors all incoming and outgoing data reporting
-- Strives to find new ways to more accurately capture and report MRA data
-- Completes appropriate paperwork/documentation/system entry regarding claim/encounter information as required
-- Demonstrates analytical and problem-solving ability regarding barriers to accurate reporting and transmission of data
-- Provides training and education and serve as a resource to internal and external customers regarding MRA
-- Supports and participates in process and quality improvement initiatives
-- Other duties as assigned


Minimum Requirements:

-- Strong knowledge and skill level with Microsoft Office XP products, specifically Access and Excel
-- 3-5 years experience in database management and data reporting
-- High school diploma or equivalent required - BA preferred
-- Knowledge and experience in health care environment/managed care preferred
-- Professional demeanor and appearance, strong work ethic, reliable, resourceful, enthusiastic, team player with positive attitude
-- Strong written and verbal communication skills; strong analytical, organizational and time management skills required To Apply to this job go to http://www.GadBall.com or click here