Business Intelligence Lead - Medicaid
Company: Humana
Location: Charleston
Posted on: April 25, 2024
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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, Charleston , Business Intelligence Lead - Medicaid, IT / Software / Systems , Charleston, West Virginia
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