Medicaid Business Intelligence Lead

🔥 17 hours ago

🇺🇸 United States – Remote

💵 $117.6k - $161.7k / year

⏰ Full Time

🟠 Senior

📚 Business Intelligence Analyst

🦅 H1B Visa Sponsor

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• Lead state implementation readiness efforts for Medicaid markets • Support regulatory and contractual reporting • Lead enrollment analytics and compliance monitoring • Develop analytics modernization initiatives across Medicaid markets • Solve complex business problems using internal and external data sources • Provide actionable insights and strategic direction to business leaders • Serve as the primary analytics lead for Medicaid Enrollment Operations initiatives • Design and implement analytics solutions with business leaders, operational teams, compliance organizations, and technology partners • Exercise independent judgment on issues affecting state compliance, enrollment operations, contractual reporting, membership reporting, reconciliation, and operational performance • Use Databricks, Power BI, SQL, and cloud-based data environments to create reusable and scalable solutions • Influence strategy and identify operational efficiency opportunities • Establish reporting standards and drive modernization efforts • Reduce implementation effort while improving compliance, operational visibility, and business outcomes

🎯 Requirements

• Bachelor's degree in Business, Information Systems, Data Analytics, Healthcare Administration, Computer Science, or related field • 5+ years of healthcare analytics experience supporting complex operational processes • 5+ years of experience working with large healthcare datasets, data warehouses, and analytic platforms • 5+ years of advanced SQL development experience • 5+ years of experience designing and delivering Power BI dashboards and reporting solutions • Demonstrated experience supporting Medicaid business • Demonstrated expertise with 834 enrollment transactions, membership reporting, and related operational controls • Experience with Databricks, cloud-based analytics platforms, and modern data architecture practices • Ability to independently lead cross-functional initiatives • Strong verbal and written communication skills with demonstrated ability to communicate to executive leadership • Experience driving process improvement and operational efficiency initiatives through data and analytics • Ability to function as an internal consultant and trusted advisor to business partners • Passion for improving member experiences through data-driven decision making • This role is not eligible for work visa sponsorship • Home-based work requires a minimum internet speed of 25 Mbps download and 10 Mbps upload • Dedicated workspace required to protect member PHI/HIPAA information

🏖️ Benefits

• Bonus incentive plan based on company and/or individual performance • Medical benefits • Dental benefits • Vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • Whole-person wellness support • Occasional travel to Humana offices for training or meetings