Senior Business Intelligence Engineer - Medicaid Quality

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

The Senior Business Intelligence Engineer solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers to support Medicaid HEDIS reporting and quality initiatives. The Senior Business Intelligence Engineer position requires advanced technical skills in data management, analysis, and visualization, as well as a deep understanding of HEDIS measures, NCQA and Medicaid programs.

The Senior Business Intelligence Engineer

develops, implements, and maintains robust data extraction, transformation and loading process to support HEDIS reporting requirements.

Create and manage complex SQL queries and scripts to extract and manipulate data from various sources.

Integrate data from multiple sources including claims, clinical and provider data, ensuring data integrity and consistency.

Design and develop interactive dashboards and reports using Power BI to present HEDIS metrics and trends.

Provide actionable insights on quality improvement initiatives.

Lead and mentor junior BI engineers and analysts, providing guidance on best practices and technical solutions.

Collaborate with cross functional teams, including IT, Quality and Market teams to align on data initiatives.

Use your skills to make an impactRequired Qualifications:

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

Proficiency in understanding Healthcare related data

Proficiency in HEDIS measures, Medicaid programs and healthcare quality improvement

Comprehensive knowledge of Microsoft Office Applications including Word, Excel, Access, PowerPoint, and Power BI

Proficiency in verbal and written communication to senior and executive leadership

Preferred Qualifications:

Bachelor's degree and 5 or more years of technical experience in data analysis OR Master's degree and 3 or more years of experience with a focus on healthcare and HEDIS reporting

Proven experience with SQL, ETL processes, and data warehousing

Proficiency in SQL, Python, or other programming languages

Proficiency in database management systems (Oracle, SQL Server, MySQL)

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

Proven experience with tools such as Microsoft Power BI for creating data visualizations

Experience creating advanced visualization and analytical solutions for various healthcare sectors

Demonstrated leadership and project management skills

Work at Home CriteriaTo 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.

Interview FormatAs 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.If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded SMS Text Messaging interview. You will be asked a series of questions to which you will be using your cell phone to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your text responses will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.Social Security TaskAlert: Humana values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humana's secure website.Scheduled Weekly Hours40Pay RangeThe 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.$78,800 - $108,500 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.Description of BenefitsHumana, 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 usHumana 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 EmployerIt 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 veteran status. 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=HumanaWebsite.