Company name
Humana Inc.
Location
Bridgeport, CT, United States
Employment Type
Full-Time
Industry
Finance
Posted on
Aug 06, 2021
Profile
Description
Responsibilities
The MRA finance team within Healthcare Quality Reporting and Improvement (HQRI) is responsible for projecting and tracking risk adjustable revenue. Specifically, this role projects and tracks risk adjustable revenue from prospective programs and other strategic initiatives to inform the overall revenue forecast. Claims data as well as data from CMS are utilized to project revenue generated from specific programs.
Use data to project and track specific sources of risk adjustable revenue. Evaluate strategic initiatives and programs to inform decisions and planning. Compile data used by operational leaders to optimize effectiveness of strategic initiatives and inform risk adjustable revenue forecasts. Enhance modeling techniques to improve accuracy of forecasts. Independently monitor reporting for emerging trends and insights to inform operational decisions.
Required Qualifications
Bachelor's Degree
3 years experience using SQL, SAS, or other software for forecasting and reporting
Must be able to explain variances and trends and enhance modeling techniques
Experience managing complex datasets for forecasting and reporting
Must be able to exercise independent judgment and decision making on complex issues regarding job duties
Preferred Qualifications
Experience working with Medical Claims or other healthcare data
Medicare Risk Adjustment Experience
Masters Degree
Additional Information
This role will be located in the Humana Tower, downtown Louisville, Ky or WAH Nationwide
Scheduled Weekly Hours
40
Company info
Humana Inc.
Website : http://www.humana.com