Humana Service Operations Business Analysis in Louisville, Kentucky

Role: Service Operations Business Analyst

Assignment: HMO- Service Fund

Location: Miramar, FL

Humana is looking for associates dedicated to service, and who believe in following the golden rule: treat others the way you want to be treated. Humana was founded on this basic premise of how people should be treated, and this value is very much alive in our expectations for providing our customers with perfect service today. At Humana, Perfect Service means getting the basics done right, delivering value and quality, providing guidance on their needs, and actively engaging with our members. Our associates engage with members through every step of their road to wellness; whether it’s through direct interaction or their efforts behind the scenes. Humana associates provide Perfect Service every day to our members, employers, providers and colleagues. As a member of our service organization you will respond directly to questions and provide guidance on transactions, inquires, or complaints from consumers. Humana is looking for people who improve their own well-being by taking care of others.

Assignment Capsule

Be a part of the Humana Service Fund organization, enabling the success of our provider community with world class services only Service Fund can provide. You will collaborate with market and finance leaders and other customers to understand business objectives. You will develop solutions to complex business needs and build controls to determine threshold variation. You will execute controls utilizing Excel, SQL and EDW based data sources that enable Service Fund business to operate with confidence and accuracy.

Humana is seeking an individual to effectively work with Service Fund customers and translate their objectives into effective actions that achieve desired results.

  • Skilled in analyzing data against expected outcomes to determine accuracy and issue root cause

  • Develop and communicate actionable and clear insights

  • Able to prepare concise and meaningful data presentations in excel using simple graphical presentations

  • Use appropriate problem-solving, research and analysis tools to collect, analyze and synthesize quantitative and qualitative data and information

Role Essentials

  • Bachelor’s Degree in Accounting, Finance, Economics or a related field

  • Demonstrable expertise with data analytics and graphical presentations

  • Strong SQL programming knowledge

  • Experience in data management, data extraction and data reporting

  • Demonstrated ability to translate complex system capabilities into simple customer message

  • Active listener that seeks out context of VOC needs

  • Demonstrated ability to identify root cause and corrective actions

  • Strong written and verbal communication skills

  • Ability to drive self and others to achieve commitments Role Desirables

  • Experience with Provider Risk Contracting

  • 1 – 3 years with accounting and/or financial analysis experience

  • QlikView, Tableau or other data presentation and analytical tools experience

  • Service Fund data or provider risk reporting experience, a plus

Reporting Relationships

  • You will report to a Manager.

Title: Service Operations Business Analysis

Location: FL-Miramar

Other Locations: US-KY-Louisville

Requisition ID: 189311

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.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. We also provide free language interpreter services. See our full accessibility rights information and language options.