Senior Business Intelligence Engineer - Medicaid Quality
HumanaAbout 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.
Apply for this role
Generate a tailored application kit with a matched cover letter, interview prep, and CV highlights — in under 60 seconds.
Apply Now →Generate Application KitFree account required — sign up in 30s