Description
The Senior Business Intelligence Engineer will be an integral part of our Medicaid Operations and Strategy team responsible for ensuring timely and accurate Medicaid provider data reporting to support internal external partners. The business needs of team continues to evolve and grow, changing the composition of the team as it expands to accommodate the increased responsibilities.
Responsibilities
Responsibilities: This associate’s primary responsibility will be working all aspects of Medicaid provider data reporting from, researching, enhancing, and consulting on very complex provider data files to driving provider reporting strategy ensuring Humana succeeds with Medicaid provider reporting. The associate will represent Humana’s provider data on calls with State Leaders, Humana Medicaid leaders, peers, and auditors.
The Senior Business Intelligence Engineer will be responsible for:
Act as the DRI for Provider Files/Reporting with internal and external partners, State Agencies, etc.
Review State’s Report Deliverables/Expectations for ownership determination
Assess Report Companion Guides and Templates (data gaps, supplemental data, process gaps, etc..)
Collaborate with Markets, Operational areas, Process and Project Managers to accommodate new Medicaid provider reporting needs
Develop requirements for provider reports, both internal and external
Create and execute testing of file code formatting
Monitor and work State error reports
Determine root causes driving issues and developing solutions
Support cross-functional teams on their provider data needs
Develop or verify P&Ps
Maintain Medicaid provider reporting process documents
Required Qualifications
- 3+ years of provider data knowledge and/or experience
- 3+ years of experience in data analysis
- Advanced experience working with big and complex data sets within large organizations
- Experience analyzing data to solve a wide variety of business problems and create data visualizations that drive strategic direction (Healthcare related data)
- Prior experience in presenting verbal and written communication to senior+ leadership
- Meet Work At Home requirements in additional information
Preferred Qualifications
- Knowledge of Medicaid provider data and/or processes
- Advanced in SQL, SAS and other data systems
- Experience with tools such as Tableau and Qlik for creating data visualizations
- Expertise in data mining, forecasting, simulation, and/or predictive modeling
- Experience creating analytics solutions for various healthcare sectors
Additional Information
As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
Satellite, cellular and microwave connection can be used only if approved by leadership
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
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 decisions will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$78,800 – $108,500 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.