Data Architect 2 – HQRI Forecasting & Analysis

Become a part of our caring community and help us put health first
 The Data Architect 2 works in all data environments which includes data design, database architecture, metadata and repository creation. The Data Architect 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

               

Location: remote

Healthcare Quality and Reporting Improvement (HQRI) Finance is looking for a Data Architect 2 to translate business needs into long-term data architecture solutions. In this role, you will be responsible for creating and implementing new metadata schemes, customizing data backup and data migration routines, and ongoing database development to support HQRI’s forecasting models which provide critical insights for the enterprise. Over the course of your projects, you will need to learn and understand the broader business and modeling context in order to collaborate on cross-functional teams, communicate the capabilities and limitations of our data architecture, and provide data-driven insights.

The HQRI Finance team supports Humana’s Healthcare Quality Reporting and Improvement business area, part of the Medicare and Medicaid business. With over 9 million medical members and $67B in ’20 revenue, Medicare and Medicaid are Humana’s largest business segments, comprising over 80% of the company’s total revenue and the majority of its earnings. The Finance team develops revenue and risk score projections for bids and budgets, evaluates changes in Medicare and Medicaid regulations and payment models, monitors and reports on risk adjustment data submissions, and supports HQRI operations.

Breakdown of responsibilities

• Create and implement metadata schemes

• Design and execute data archival/retrieval processes

• Improve existing processes for efficiency and utility

• Test and deploy SQL code

• Update and deploy projection data

Use your skills to make an impact
 

Required Qualifications

• Bachelor’s degree in Computer Science, Information Technology or related field
• 3 years or more of experience designing data solutions
• SQL database design
• SQL query tuning
• General knowledge of Python or other high-level, general purpose language
• Working knowledge of Git or similar version control system
• Strong problem solving and critical thinking skills
• Excellent technical communication

Desired Qualifications

• Python for scripting and file/data automation tasks, familiarity with SQLAlchemy and Pandas
• Redgate SQL tools
• Familiarity with risk adjustment concepts
• Familiarity with Medicare Advantage reimbursement

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.

Scheduled Weekly Hours

40
About us
 Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.