Medicaid Business Intelligence Engineer

Position Overview

Become a part of our caring community and help us put health first. A Medicaid Business Intelligence Engineer solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Engineer's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

This role describes the tools, technologies, applications, and practices used to collect, develop, integrate, analyze, and present an organization's raw data in order to create insightful and actionable business information. Supports development of data and creation of processes, reporting, and visualizations for all Humana Healthy Horizons Medicaid Risk Adjustment, prospective programs, and interoperability. Takes initiative to create innovative solutions to complex business problems. Manages Big Data and data quality in Databricks.

Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

#LI-Remote position

Requirements

• 3+ years of experience in Python and Pandas Python library.
• 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.

Preferred Qualifications

• Experience in Managed Care
• Experience in Medicaid
• Experience in risk adjustment
• Experience with data mining and predictive modeling techniques
• Ability to use data to drive business outcomes and decisions
• Advanced Degree in a quantitative discipline, such as Mathematics, Economics, Finance, Statistics, Computer Science, Engineering or related field

Responsibilities

• Solves complex business problems and issues using data from internal and external sources.
• Provides insights to decision-makers.
• Supports development of data and creation of processes, reporting, and visualizations for Medicaid Risk Adjustment, prospective programs, and interoperability.
• Creates innovative solutions to complex business problems.
• Manages Big Data and data quality in Databricks.

Company Information

Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:

• Health benefits effective day 1
• Paid time off, holidays, volunteer time and jury duty pay
• Recognition pay
• 401(k) retirement savings plan with employer match
• Tuition assistance
• Scholarships for eligible dependents
• Parental and caregiver leave
• Employee charity matching program
• Network Resource Groups (NRGs)
• Career development opportunities

Application Instructions

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your qualifications.

Internet Requirements for Remote Employees

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 recommended.
• Wireless, wired cable or DSL connection is suggested.
• Satellite, cellular and microwave connection can be used only if approved by leadership.

Internet Expense Reimbursement: Employees 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.

Work Environment: Humana will provide Home or Hybrid Home/Office employees 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.