Associate Director, Encounter Business Intelligence

Kentucky, United States

Apply with AI Apply

Not SpecifiedCompensation

Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Health Insurance, HealthcareIndustries

Requirements

Candidates must possess over 5 years of technical experience in data analysis and intelligence, with at least 3 years of experience leading and developing business intelligence teams. Proficiency in advanced analytics, Python, SQL (including SSMS, SSIS, SSRS), Cloud Technologies (Azure Synapse Analytics), DataBricks, and Power Platform (Power BI, Power Automate, Power Apps) is required. Familiarity with data infrastructure, governance, data passing, APIs, process improvement, and healthcare regulations is also necessary. Proven ability to create and present story-driven analytics presentations, lead change, and demonstrate executive presence and collaborative skills are essential. A Bachelor's degree is required, with an advanced degree or MBA preferred. Comprehensive knowledge of EDI formats and prior health insurance industry experience are also preferred.

Responsibilities

The Associate Director, Business Intelligence will solve complex business problems using data, supporting the monitoring of encounter system workflow, reconciliation of acknowledgements, data management, reporting, analytics, and automation for Encounters System Aging and DSNP data. This role involves identifying unique insights, articulating recommendations to decision-makers, and driving results. The Associate Director will lead a team of 7-9 associates, focusing on strategic understanding of encounter workflow, operational reporting, insight generation, and storytelling. Responsibilities include managing and prioritizing requests, collaborating with various teams to ensure data processes are automated and efficient, and identifying insights to solve complex business challenges.

Skills

Business Intelligence

Data Analysis

Reporting

Analytics

Data Management

Automation

Problem-Solving

Team Leadership

Communication

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters

1961Year Founded

IPOCompany Stage

Social Impact, HealthcareIndustries

10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.

Rising medical costs and tightening Medicare reimbursements may strain financial performance.

Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.

The company emphasizes inclusivity, offering free language interpreter services for accessibility.

Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.

The company is the first insurer to cover TMS therapy for adolescent depression.

Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

Land your dream remote job 3x faster with AI

Try Jobo Free