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Senior Business Intelligence Engineer - Medicaid Quality

Humana
Remote US, United StatesRemotefull_timeVerifiedPosted 12 Sept 2024
💰 $108,500/yr($78,800/yr$108,500/yr)

About the role

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 impact
 

Required 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 Criteria 

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. 

Interview Format 

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. 

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.

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Company

Humana

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