• The Business Intelligence Lead solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers
• The Business Intelligence Lead works on problems of diverse scope and complexity ranging from moderate to substantial
• This individual advises executives to develop functional strategies (often segment specific) on matters of significance

This individual exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, using independent judgment requiring analysis of variable factors and determining the best course of action

• This role will play a critical part in modernizing methodologies, improving accuracy, and driving automation to ensure compliance and operational efficiency
• Lead initiatives to redesign and optimize premium capitation reconciliation processes
• Collaborate with finance, operations, and IT teams to streamline data exchange and reporting
• Analyze current workflows, identify gaps, and implement process improvements
• Ensure compliance with regulatory requirements and internal controls
• Develop tools and reporting solutions to enhance transparency and scalability
• Support continuous improvement efforts to reduce manual intervention and improve timeliness
• Associates 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 associates 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
• Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required

Scheduled Weekly Hours

• Minimum 5 years of technical experience in Medicare and/or Medicaid data analysis
• Minimum 3 years of project leadership or process improvement experience
• Advanced experience in SQL, SAS, and/or other data systems
• Experience with tools such as Tableau, Power BI for creating data visualization
• Expertise in data mining, forecasting, simulation, and/or predictive modeling
• Experience creating analytics solutions for various healthcare sectors
• Experience analyzing data to solve a wide variety of business problems and create data visualizations that drive strategic direction
• Advanced experience working with big and complex data sets within large organizations
• Proven ability to work with cross-functional teams and translate requirements between business, project management and technical projects or programs
• Proficiency in verbal/written communication to senior and executive leadership
• 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

• 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 $117,600 - $161,700 per year

• This job is eligible for a bonus incentive plan
• This incentive opportunity is based upon company and/or individual performance
• Humana, 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