Medicaid Business Intelligence Engineer

About the role

The Business Intelligence Engineer 2 solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The role involves varied work assignments that frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

• Develops and maintains data and processes for Humana Healthy Horizons Medicaid Risk Adjustment, prospective programs, and interoperability.
• Supports the creation of data-driven reports and visualizations.
• Takes initiative to create innovative solutions to complex business problems.
• Manages Big Data and ensures data quality.
• Understands department, segment, and organizational strategy and operates within it.
• Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction.

Requirements

• 2+ years of experience in Python or Pyspark.
• 2+ years of experience in Jupyter Notebook environment.
• 2+ years of experience in Databricks Platform.
• 2+ years of experience in Microsoft PowerBI or other data visualization software.
• 2+ years of experience working with Big Data and performing root cause analysis.
• 2+ years of experience in business ownership of data processes.
• In depth experience in Microsoft Office including Excel formulas, pivots, charts, graphs, etc.

Qualifications

• Use your skills to make an impact.
• Advanced Degree in a quantitative discipline, such as Mathematics, Economics, Finance, Statistics, Computer Science, Engineering or related field (preferred).

Skills

• Experience in Managed Care.
• Experience in Medicaid.
• Experience in risk adjustment.
• Experience with data mining and predictive modeling techniques.

Benefits

Humana offers competitive benefits that support whole-person well-being. Associate benefits include medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance, and many other opportunities.

Pay

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. $66,800 - $91,100 per year.

Schedule

This role is fully remote.

Additional Information

This role is not eligible for work visa sponsorship. 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 Required; Wireless, Wired Cable Or DSL Connection Is Suggested. In Certain Roles, The Minimum Recommended Internet Speed Required By Humana May Not Be Sufficient For Business Needs. Humana Reserves The Right To Require Associates To Upgrade Their Internet Service If Necessary. Work From A Dedicated Space Lacking Ongoing Interruptions To Protect Member PHI / HIPAA Information. Occasional Travel To Humana's Offices For Training Or Meetings May Be Required. 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. $66,800 - $91,100 Per Year. This Job Is Eligible For A Bonus Incentive Plan. This Incentive Opportunity Is Based Upon Company And/or Individual Performance.

About Us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.