Sr Data Manager - Indiana Medicaid

Humana•23h ago

United StatesHybrid$97.9K–$133.5KFull-timeMid Level5+ yrs exp

H-1B sponsor

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Become a part of our caring community Humana Healthy Horizons in Indiana is looking for a Senior Data Manager to fulfill the required Data Compliance Manager role, dedicated full-time to the Indiana Medicaid product line, PathWays. You will ensure data quality, report validation, and data exchange with state agencies.

The Senior Data Manager will lead efforts to evolve reporting from a manual quality assurance process to a more mature model. This model will include exception-based and self-service reporting. Additionally, the Senior Data Manager will help establish formal change management and our requirements documentation practices.

You are comfortable navigating complex, business processes and works with partners across the market to understand requirements, assess impacts, and define appropriate Quality Auditing processes and oversight

Responsibilities

Be the designated Data Compliance Manager for Indiana Medicaid, ensuring data exchanges and data quality meets FSSA and OMPP standards, policies, and contractual obligations.
Oversee the end-to-end data lifecycle for state reporting, including data quality, validation, delivery, change management, and audit readiness.
Lead manual quality assurance (QA) processes of state-required reports and electronic file exchanges, including detailed reconciliation, defect identification
coordination of corrections with our teams, vendors
Identify recurring data/reporting issues, conduct root cause analysis, and implement corrective and preventative actions in collaboration with departments both within the market and among shared services teams.
Refine and promote the change management process, including intake, impact assessment, documentation, prioritization, and tracking.
Oversee the process of the creation and review of Our requirements Documents (BRDs) in partnership with report developers, business owners, and operational teams to support report changes and data corrections.
Demonstrate a understanding of business processes across all departments and departments to analyze BRDs, anticipate downstream impacts, and design QA plans.
Maintain others on data standards, validation rules, reporting controls, and data governance practices for all State-facing submissions.
Coordinate with FSSA, OMPP, and internal/external teams to implement new or revised data exchange and reporting requirements or modifications.
Represent us in meetings with State partners, IT, vendors, and leaders; communicate data quality and compliance status.
Prepare and maintain documentation, standard operating procedures, data definitions, QA methodologies, and change logs.
Support readiness activities, compliance reviews, audits, and corrective action plans related to data and reporting.
Key Success Factors: Balance hands-on report QA with strategic process improvement.
Collaboration and skills across technical and business teams.
Demonstrated capability to design data/reporting processes.
And connect business processes across multiple operational areas to interpret requirements and design QA solutions.
Use your skills to make an impact Required Qualifications: Must reside in the Indianapolis, IN area and commute to the Indianapolis office three days per week, per contract requirements.
Bachelor's degree or equivalent experience. 5+ years of experience in data quality, regulatory reporting, or data compliance in the healthcare arena.
Experience working with report developers, partners, and external vendors.
Proficiency with data extraction and reporting tools (e.g., SQL, Power BI).
Experience with business processes that span multiple operational areas

Preferred Qualifications

Knowledge of healthcare data exchange standards regulatory/state data and reporting operations.
Master's degree in a quantitative or health-related field.
Medicaid, managed care, or government-sponsored healthcare program experience.
Experience designing or implementing QA frameworks, exception reporting, or automated data quality controls.
Experience with change management, BRD development, and process improvement.
Experience working with third-party vendors on reporting or quality solutions.
Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting.
The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $97,900 - $133,500 per year This job is eligible for a bonus incentive plan.
This incentive opportunity is based upon company and/or individual performance.
Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being.
Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work.
Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company.
Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large.
Learn more about what we offer at Humana.com and at CenterWell.com.
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 protected veteran status.
It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status
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.

Required skills

SQLPower BI