[Remote] Medicaid Business Intelligence Engineer at Humana

San Antonio, Texas, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, InsuranceIndustries

Requirements

Candidates must have at least 3 years of experience with Python and the Pandas library, and 2 years of experience in a Jupyter Notebook environment, on the Databricks Platform, with Microsoft PowerBI or other data visualization software, working with Big Data and performing root cause analysis, and in business ownership of data processes. In-depth experience with Microsoft Office, including Excel formulas, pivots, charts, and graphs, is also required. Preferred qualifications include experience in Managed Care, Medicaid, risk adjustment, and data mining and predictive modeling techniques.

Responsibilities

The Medicaid Business Intelligence Engineer will solve complex business problems using data to provide insights to decision-makers. This role involves supporting the development of data, processes, reporting, and visualizations for Medicaid risk adjustment, prospective programs, and interoperability. The engineer will manage Big Data and data quality in Databricks, create innovative solutions, and interpret data to drive business outcomes and decisions.

Skills

Python

Pandas

Jupyter Notebook

Databricks

PowerBI

Data Visualization

Big Data

Root Cause Analysis

Data Processes

Microsoft Office

Excel

Managed Care

Medicaid

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.

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