Senior Business Intelligence Engineer - Medicaid Programs
Humana
- United States
- United States
Über
Examine utilization data to resolve provider disputes effectively.
Develop comprehensive provider reporting packages to enhance their performance understanding.
Contribute to data models that link members to providers, enhancing current value-based initiatives and evaluating efficacy.
Ensure high-quality standards through peer reviews and collaboration with Business Intelligence associates.
Work alongside the finance team to model and analyze impacts of new VBP models.
Collaborate with diverse team members to successfully implement and operationalize new VBP models.
Monitor performance KPIs for VBP models to identify design improvement opportunities based on feedback and data.
Design Return on Investment (ROI) analyses for VBP initiatives using various data sources, like healthcare claims and HEDIS data.
Ensure data accuracy in program administration for new initiatives.
Troubleshoot data integrity issues and propose effective solutions.
Qualifications Required: Bachelor's degree.
5+ years of experience in data analysis, or a Master's degree with 3+ years of experience.
Proficient in SQL, SAS, and other data management systems.
Proficient in tools like Power BI and the DAX language for data visualizations.
Strong verbal and written communication skills with senior and executive leadership.
Extensive experience handling large datasets in substantial organizations.
Adept at data analysis to resolve diverse business challenges and create impactful visual reports.
Solid proficiency in Microsoft Office Suite: Word, Excel, Access, and PowerPoint.
Excellent organizational skills with the ability to juggle multiple priorities.
Familiarity with healthcare-related data.
A strong commitment to enhancing consumer experiences.
Meticulous attention to detail.
Preferred Qualifications: Experience with Medicaid and Medicaid managed care.
Experience conducting claims data analysis for VBP model design.
Advanced degree in quantitative fields such as Mathematics, Economics, Finance, Statistics, or Computer Science.
Expertise in data mining, forecasting, simulation, and predictive modeling.
Experience creating analytics solutions in diverse healthcare environments.
Work-At-Home Requirements: Reliable internet with a minimum download speed of 25 Mbps and upload speed of 10 Mbps is essential. A wired cable or DSL connection is preferred.
Satellite, cellular, or microwave connections require prior approval.
Employees in California, Illinois, Montana, or South Dakota will receive bi-weekly internet expense reimbursement.
Humana provides appropriate telephone equipment for home or hybrid associates.
Work from a dedicated space that ensures privacy and confidentiality of member information.
Interview Process: To streamline our hiring process, we will utilize the HireVue interviewing platform. Selected candidates will receive an email invitation for a first-round interview via HireVue, allowing you to respond to recorded or text-based questions at your convenience. This will take approximately 15-20 minutes. Your recorded responses will be evaluated, after which you will be informed about the next steps. Humana Benefits: Humana offers a range of benefits for our employees and their families, including: Health benefits starting on day one.
Paid time off, holiday leave, and time off for volunteering.
401(k) plans with employer matching.
Tuition assistance and scholarships for eligible dependents.
Paid parental and caregiver leave.
Employee charity matching program.
Career development opportunities.
Although this is a remote position, occasional travel to Humana offices for training or meetings may be needed. Scheduled Weekly Hours: 40 Pay Range: The salary range for this position is between $89,000 and $121,400 annually, reflecting starting base pay for full-time employment. Actual pay may vary based on location, skills, and experience. This role is eligible for a bonus incentive plan based on individual and company performance. Benefits Overview: Humana provides competitive benefits aimed at supporting the overall well-being of our associates and their families, designed to promote health and smart healthcare decisions beyond the workplace. Application Deadline:
03-09-2026 About Us: Humana Inc. is dedicated to prioritizing health for everyone connected to our services. Through our insurance and healthcare offerings, we simplify access for our members to receive the necessary care and support, enhancing the quality of life for our diverse communities. Equal Opportunity Employer: Humana is an equal opportunity employer and does not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or veteran status. We actively engage in affirmative action to employ individuals with disabilities and protected veterans, ensuring that all employment decisions are made based on job-related criteria only. Humana adheres to applicable federal civil rights laws and offers free language interpreter services.
Sprachkenntnisse
- English
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