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Business Intelligence Lead - Medicaid

Company: Humana
Location: Montgomery
Posted on: May 11, 2024

Job Description:

Become a part of our caring community and help us put health first

The population health analytics team within Humana is dedicated to transforming health outcomes of Medicaid members using Humana's technology and analytics. We are looking for a Business Intelligence Lead who will design and develop data models and turn data and insights into actionable plans. Being part of a talented team of Data Scientists with broad skills and applications, the Business Intelligence Lead will work cross-functionally and collaboratively with teams across the enterprise. The ideal candidate will have hands-on experience with healthcare data such as medical, behavioral, pharmacy claims data, financial, social and demographic data; demonstrated innovative and creative methods for identifying opportunities for improvement and successfully applying machine learning techniques to address business needs and create efficiencies in operation. The range of work includes solving problems of diverse scope and complexity ranging from moderate to substantial, developing data analytics strategies, leveraging technology platforms to collect, curate, integrate, analyze, data and create various data products.

Collaborates and negotiates with cross functional business units and establishes effective data and business analytics infrastructure compatible for big data analysis and machine learning.

Develops, monitors and maintains data models.

Monitors and addresses data quality and supports data governance programs.

Interprets and communicates analytic results to analytical and non-analytical business partners.

Compiles and presents regular and ad-hoc project status reports.

Develops, maintains, and collects structured and unstructured data sets for analysis and reporting.

Researches and evaluates innovative analytical methodologies, approaches, and solutions.

Exercises independent judgment and decision making on complex issues and works under minimal supervision and determine the best course of action.

Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.

Follows established guidelines/procedures.

Use your skills to make an impact

Required Qualifications

Bachelor's degree in computer science or a related field.

5 or more years of technical and data analytics experience.

3 or more years of project leadership experience.

Demonstrable experience in health insurance domain, familiarity with products, providers and claims processing.

Experience with Data Warehousing (Azure/SQL/Synapse), ETL (Azure Data Factory/SSIS), Microsoft Power Apps.

Experience in data visualization, such as Power BI, Tableau.

Hands on experience working with agile/scrum methodologies including user story grooming, sprint planning etc. to deliver high quality software solutions improving team velocity and speed to market.

Experience and knowledge in Python/SPSS/ SAS.

Experience with Machine Learning (ML) toolkits, such as SparkML and Notebooks.

Experience with using AI to improve experience in creating efficiencies.

Expertise in data mining, forecasting, simulation, and/or predictive modeling.

Preferred Qualifications

Experience developing and validating machine learning and predictive models, including Random Forest, Gradient Boosting, Neural Networks, cluster analysis, regression analysis, time series, and forecasting.

Experience in deep learning and recommendation.

Experience in cost of care and trend analysis.

Additional Information:

Workstyle: Home. Home workstyle is defined as remote but will use Humana office space on an as needed basis for collaboration and other face-to-face needs.

Typical Work Days/Hours: Monday - Friday, 8:00 am - 5:00 pm EST.

Nationwide Remote - This is a remote nationwide position.

WAH Internet Requirements

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.

Benefits

Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including:

Health benefits effective day 1

Paid time off, holidays, volunteer time and jury duty pay

Recognition pay

401(k) retirement savings plan with employer match

Tuition assistance

Scholarships for eligible dependents

Parental and caregiver leave

Employee charity matching program

Network Resource Groups (NRGs)

Career development opportunities

HireVue

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue 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.

#LI-JP1

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.$104,800 - $144,300 per yearThis 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.

About us

Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.

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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and 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.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.

Keywords: Humana, Montgomery , Business Intelligence Lead - Medicaid, IT / Software / Systems , Montgomery, Alabama

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