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Provider Network Operations Process and Financial Analyst

Company Name:
Humana
## Description
Role: Provider Operational Process and Finance Analyst
Assignment: Provider Network Operations
Location: Blankenbaker, Louisville, KY
We're looking for associates who are dedicated to service and believe in following the Golden Rule of treating others the way you want to be treated. Humana was founded on this premise, and this value is reflected in our expectations for providing perfect service to our consumers, providers, employers, agents and others we work with. At Humana, Perfect Service means getting the basics done right, delivering value and quality, and providing everyone with personalized attention and guidance. We want to engage with our members through every step of their journey to lifelong well-being. This includes meaningful direct consumer interaction and developing positive relationships with healthcare providers. Humana associates provide Perfect Service every day to our members, employers, providers, and colleagues. We're looking for people who improve their own well-being by looking out for the best interests of others.
Assignment Capsule
You will research, document and analyze multi-faceted operational, production and performance data with impacts on day to day operations within claims cost management. You will identify data trends, identify root cause metrics, serve as a liaison between the business and our reporting team to ensure accurate reporting is designed, develop ideas and assist with programs and projects to solve problems, and present and assist with implementation of solutions. You will be required to learn and document existing business processes within CCM and identify weaknesses/gaps as well as obtain an understanding of all data involved.
Perform routine report production including: projections, staffing analysis, operational production performance, performance measurement and tracking, and trend analysis
Make recommendations based on data analysis of potential problems
Query data and summarize in fashion suitable for making business decisions
Work with multiple operational audit areas and groups to understand data and processes
Document business processes and weaknesses
Work with reporting team to design reporting based on business need
Analyze reports and draw conclusions
Key Competencies
_Accountability_: Meets established expectations and takes responsibility for achieving results; encourages others to do the same.
_Builds Trust_: Consistently models and inspires high levels of integrity, lives up to commitments, and takes responsibility for the impact of one''s actions.
_Collaborates__:_ Engages others by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that puts Humana''s overall success first.
_Pursues Excellence_: Seeks out learning, strives to develop and expand personally, and continuously helps others upgrade their capability to contribute to Humana.
## Qualifications
Role Essentials
Bachelor''s Degree in Accounting, Finance or similar area
Demonstrated ability using Access, SQL, Excel and/or Microsoft Visio.
Must be adaptable, able to multi-task, and be able to work in a face paced environment.
Understand and document business processes and perform process improvement analysis
Role Desirables
CPA, CGMA, CMA
Proficiency with Excel, Access, Visio and/or SQL
3-5 years Healthcare Financial Experience
2 years of technical experience analyzing data and/or creating financial/operational reports
Reporting Relationships
You will report to a Consultant. This area is under the leadership of the SVP & Chief Operating Officer.
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.
Apply now, or join our Talent Network so you can stay informed and up to date on what's happening at Humana.
Schedule: Full-time
Primary Location: US-KY-Louisville
Role: Finance/Accounting
Travel: No
Req ID: 120802
Work Environment Type: Office

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