Senior Workforce Management Analyst

Humana Inc. Rogers , AR 72757

Posted 2 months ago


This opening will support the Humana Clinical Pharmacy Review organization performing a variety of analytical tasks including forecasting clinical review volume, identifying opportunities for automated decision making in the clinical review process, and developing tools and models used in workforce management.


Humana's Clinical Pharmacy Review function manages all authorizations and edits to pharmacy claims submitted by Humana's members. This role will be responsible for creating and maintaining demand forecasts that support workforce decisions and budgeting. This role will also be responsible for performing analytics involving automation of decisions in the Humana Clinical Pharmacy Review processes.

The successful candidate will be able to work independently on complex processes. The ability to communicate the results of their work to a broader non-data oriented audience will be critical for this candidate.

Required Qualifications

  • Bachelor's Degree

  • 3-5 years' experience in an analytics role preferably in Workforce Management Analytics or Consumer Experience Analytics

  • Experience in creating forecasts and models using statistical techniques

  • Experience creating data visualizations (Preferably in Power BI)

  • Coding Experience (Examples: SQL, SAS, R, Python, etc.)

  • Experience with Excel

  • Demonstrated ability to communicate complex analytical findings to non-data oriented audience

  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

  • Advanced Degree

  • Experience with call-center or other customer service workforce management forecasting and automation

  • Health insurance or pharmacy knowledge

Additional Information

  • This position can be Work From Home

Scheduled Weekly Hours


icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Workforce Management Lead Remote US

Humana Inc.

Posted 1 month ago

VIEW JOBS 9/23/2021 12:00:00 AM 2021-12-22T00:00 Description The Workforce Management Lead applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, talent management, diversity and human resource compliance). The Workforce Management Lead works on problems of diverse scope and complexity ranging from moderate to substantial. Responsibilities The Workforce Management Lead assesses organizational staffing and identifies requirements and solutions to meet workforce objectives. * Provides analysis of talent and staffing needs based on strategic planning at the enterprise level. * Advises executives to develop functional strategies (often segment specific) on matters of significance. * Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision. * Uses independent judgment requiring analysis of variable factors and determining the best course of action. Required Qualifications * Bachelor's Degree. * Three (3) or more years of Workforce Management experience. * Two (2) or more years of project leadership experience. * Two (2) or more years of technical experience in data reporting and analysis. * Ability to assess organization staffing, identify staffing requirements and provide solutions to workforce objectives. * Experience in human analytics and business consulting. * Advanced Microsoft Excel skills including ability to link pivots to external data sources, creating pivot tables and summarizing data into reports and dashboards. * Comprehensive knowledge of Microsoft Word, PowerPoint, Project and Access. * Proficiency in verbal and written communication to senior and executive leadership. * Strong analysis, critical thinking, and analytical problem solving skills. * Ability to handle multiple competing priorities and deadlines with attention to detail. * Must be able to travel to Louisville, KY for onsite in-person yearly meeting. * We will require full Covid Vaccination for this job as we are a healthcare company committed to putting health and safety first for our members, patients, associates and the communities we serve. * If progressed to offer, you will be required to provide proof of full vaccination or documentation for a medical or religious exemption consideration where allowed by law. * Must have a room in your home designated as a home office; away from high traffic areas where confidential information may be secured. * Must have the ability to provide a high-speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required. * Associates working in the state of Arizona must comply with the Tobacco Free Hiring Policy (see details below under Additional Information) and upon offer will be subjected to nicotine testing as part of a 10-panel drug test. Preferred Qualifications * Master's Degree. * PowerBI experience. * Experience working in Medicaid operations settings. Additional Information * Travel: Onsite to yearly meetings in Louisville, KY. * Work Days/Hours: Monday - Friday; Eastern Time Zone. * The following policy applies ONLY to associates working in the state of Arizona: Humana is committed to providing a safe and healthy work environment and to promoting the health and well-being of its associates. Effective July 1, 2011, Humana adopted a tobacco-free hiring policy that will promote a healthier workplace and will not hire users of tobacco and nicotine products. If you have any questions, please consult with your recruiter Interview Format As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making. If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes. If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews. Scheduled Weekly Hours 40 Humana Inc. Rogers AR

Senior Workforce Management Analyst

Humana Inc.