Senior Business Intelligence Engineer (Medicaid)

Humana Inc. Anchorage , AK 99501

Posted 2 months ago


Humana's Service Fund organization is looking for a Senior Business Intelligence Engineer to join the team working from home anywhere in the US! In this role, you will be a part of a team that delivers industry-leading capabilities supporting payments for all providers in value-based contracts with industry leading proprietary expertise creating best-in-class transparent business services and solutions. In support of Humana's strategic growth into Medicaid solutions, we are seeking an experienced individual to lead a dedicated effort as part of a team focused on designing and coordinating the integration of Medicaid into Service Fund.

The successful candidate will engage with diverse organizations within Humana to understand integration points, design and champion best solutions while maintaining clarity on objectives and serving as a subject matter expert on Service Fund processes, capabilities and state specific Medicaid requirements. Leveraging data and analytical skills, you will ensure our resources remain aligned and contracts and membership flawlessly integrate into Service Fund.


In this role, you will help solve complex business problems and issues with both data and process analysis. You will develop and champion best practice recommendations using collaborative leadership skills. The ideal candidate will bring a background in Medicaid and/or Medicare provider contracting and membership. The candidate will have demonstrable skills in process design, data analysis and project leadership. A team player, who takes pride in the overall success of the organization, supports collaborative goals and demonstrates high emotional intelligence in all aspects of life will be successful.

Core Responsibilities

  • Serve as a key resource for the Medicaid Business Organization on behalf of Service Fund

  • Responsible for collaborating with Service Fund, Medicaid stakeholders, Provider Contract Load, Enrollment and Finance stakeholders/leaders to understand need and best solutions for integration with Service Fund

  • Work cross-functionally with multiple teams within Service Fund to assist in providing clear solutions for complex problems related to Medicaid

  • This person will be an individual contributor who helps drive business decisions, and deliver outcomes aligned to department goals and objectives

Required Qualifications

  • Bachelor's degree

  • Strong knowledge of writing ad-hoc SQL queries (Exposure to or experience in SQL development a plus - PL/SQL, T-SQL)

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

  • Strong knowledge of database and business intelligence concepts

  • Experience in process design and mapping using Visio or equivalent tools

  • Demonstrable expertise with Excel for data analytics and graphical presentations

  • Experience in data management, data extraction and data reporting

  • Experience in leading others through change and innovation

Work at Home/Remote Requirements

  • Must ensure designated work area is free from distractions during work hours and virtual meetings

  • Must provide a high-speed DSL or cable modem for a workspace (Satellite and Hotspots are prohibited). A minimum standard speed of 10x1 (10mbs download x 1mbs upload) for optimal performance of is required

Preferred Qualifications

  • Advanced degree

  • Strong knowledge of data mining

  • Tableau, Qlikview, Qlik Sense, and/or other data presentation and analytical tools experience

  • MS Project experience

  • State Medicaid and/or Medicare experience

  • Project leadership experience

  • Experience preparing and communicating analysis to senior leaders

  • Provider Network Operations End to End process and system knowledge

Scheduled Weekly Hours


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Senior Business Intelligence Engineer (Medicaid)

Humana Inc.