Senior Business Intelligence - Medicaid

Profile

Job Information

Humana

Senior Business Intelligence - Medicaid

in

Newport

Rhode Island

Description

The Senior Business Intelligence Engineer solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Senior Business Intelligence Engineer work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

Responsibilities

The Senior Business Intelligence Engineer describes the tools, technologies, applications and practices used to collect, integrate, analyze, and present an organization's raw data in order to create insightful and actionable business information. Actively influences department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Develops business processes to ensure successful submission and reconciliation of encounter submissions to Medicaid. Ensures encounter submissions meet or exceed all compliance standards via analysis of data, and develops tools to enhance the encounter acceptance rate by Medicaid. Looks for long term improvements of encounter submission processes.

Required Qualifications

Bachelor's degree in Business, Finance, Operations or 5 years of related experience

Ability to analyze and manipulate data (ie: identify trends and data reconciliation)

Prior experience in a fast paced insurance or health care setting

Ability to manage multiple tasks and deadlines with attention to detail

Excellent communication skills

Experience with writing SQL and/or Access Databases

Self-starter, ability to work independently

Comprehensive knowledge of all Microsoft Office applications, including Word, PowerPoint, Outlook, and Excel, Power BI or other visualization tools

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

Master's Degree in Business Administration or a related field

Prior demonstrated experience with project management

Prior experience with Medicare and Medicaid programs

Six Sigma certification

Additional Information

This position is open to working remote in the eastern time zone and required to attend training meetings in Louisville, Kentucky as needed

We will require full COVID vaccination (https://www.cdc.gov/coronavirus/2019-ncov/vaccines/fully-vaccinated.html#vaccinated) for this job as we are a healthcare company committed to putting health and safety first for our members, patients, associates and the communities we serve.

If progressed to offer, you will be required to provide proof of full vaccination or documentation for a medical or religious exemption consideration where allowed by law.

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com