Job Overview
Location
Remote Nationwide
Job Type
Full-time
Category
Data & Analytics
Date Posted
April 15, 2026
Full Job Description
đź“‹ Description
- • The Informatics Lead provides advanced analytical support and oversight for Medicaid Prior Authorization (PA) reporting, driving data-driven decision-making for HCPR Risk Management, Medicaid Customer Success, and Medicaid Pharmacy Directors.
- • Day-to-day responsibilities include developing and refining data solutions, ensuring data integrity and security, monitoring state-specific reporting guidelines, communicating insights to stakeholders, mentoring junior staff, and overseeing documentation and SOPs for Medicaid PA analytics.
- • The role operates within Humana’s CenterWell Senior Primary Care division, a leading healthcare services business focused on integrated, personalized care for seniors, and contributes to enterprise data governance and operational excellence across Medicaid PA initiatives.
- • The Informatics Lead will deepen expertise in healthcare data analytics, strengthen leadership and mentoring capabilities, and gain influence in shaping data governance practices while supporting regulatory compliance and process improvement at scale.
🎯 Requirements
- • Bachelor’s or Master’s degree in Informatics, Computer Science, Data Science, Health Information Management, or a related field.
- • Minimum of 5 years’ experience in data analytics with demonstrated expertise in SQL coding and querying large-scale tables (1 billion+ rows).
- • Proficient in Power BI, including Paginated Reporting and writing DAX queries.
- • Strong understanding of data governance, privacy, and regulatory compliance, particularly within healthcare or Medicaid environments.
- • Excellent communication, organizational, and technical documentation skills.
- • Medicaid reporting experience, specifically in utilization management or prior authorization processes (preferred).
- • Experience working with Databricks for data processing and analytics (preferred).
🏖️ Benefits
- • Competitive medical, dental, and vision benefits supporting whole-person well-being.
- • 401(k) retirement savings plan with company support.
- • Generous time off including paid time off, company and personal holidays, volunteer time off, and paid parental and caregiver leave.
- • Short-term and long-term disability, life insurance, and additional wellness opportunities.
- • Eligibility for a bonus incentive plan based on company and/or individual performance.
Skills & Technologies
About Humana Inc.
Humana Inc. is a for-profit health and well-being company headquartered in Louisville, Kentucky. Founded in 1961, it provides health insurance, Medicare Advantage plans, Medicaid services, pharmacy benefit management, and clinical care through primary care centers. Serving millions of members across the United States, Humana focuses on integrated care delivery, home health, and wellness programs aimed at improving health outcomes and reducing costs for individuals, employers, and government partners.
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