[Remote] Stars Technology Business Intelligence Lead Product Owner at Humana

San Antonio, Texas, United States

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Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Health InsuranceIndustries

Requirements

Bachelor's degree
8 or more years of experience in data flow & analysis and software application building & enhancements
2 or more years of project leadership experience
Strong experience with healthcare data, particularly clinical and claims data used in HEDIS measurement
Familiarity with CMS Stars programs, NCQA standards, and quality performance metrics
Advanced experience working with big and complex data sets within large organizations
Experience analyzing data to solve a wide variety of business problems and create data visualizations that drive strategic direction
Proven ability to work with cross-functional teams and translate requirements between business, project management and technical projects or programs
Proficiency in understanding Healthcare related data
Proficiency in verbal/written communication to senior and executive leadership
Advanced Degree (desirable)

Responsibilities

Define and maintain the vision, strategy, and roadmap for data products that enable CMS Stars and HEDIS reporting. Ensure alignment with enterprise goals and departmental priorities
Own, groom, and prioritize the product backlog for one or more agile teams, ensuring it reflects business needs, regulatory changes, and technical dependencies
Elicit detailed requirements from stakeholders (e.g., business, compliance, and analytics) and translate them into clear user stories with defined acceptance criteria for development teams
Act as the primary liaison between business stakeholders and technical teams. Facilitate communication and alignment across data engineering, analytics, compliance, and QA teams
Work closely with data architects and engineers to design and validate data flows, mappings, and transformations. Provide guidance to ensure technical solutions are feasible and aligned with the product vision
Collaborate with governance teams to establish data quality benchmarks and implement testing protocols. Ensure data products adhere to CMS mandates and NCQA standards
Advocate for the resolution of technical debt and architectural improvements, balancing short-term feature delivery with long-term product sustainability
Monitor evolving CMS, NCQA, and HEDIS requirements and coordinate necessary updates in response to specification changes

Skills

Key technologies and capabilities for this role

CMS StarsHEDISTechnical Product OwnershipAgileData ProductsBacklog ManagementRequirements ElicitationData EngineeringRegulatory ComplianceRoadmap DevelopmentSoftware Engineering

Questions & Answers

Common questions about this position

What is the employment type for this Lead Technical Product Owner role?

This is a full-time position.

Is this role remote or does it require office presence?

This information is not specified in the job description.

What key skills and expertise are required for this position?

The role requires deep expertise in Stars/HEDIS data, regulatory requirements, agile product development, and 3 tier software development and technical support for critical systems, along with creative problem solving and a growth mindset.

What is the company culture like for this role at Humana?

The culture emphasizes a caring community focused on putting health first, collaboration across business stakeholders, data engineers, and IT teams, and a growth mindset.

What makes a strong candidate for this Business Intelligence Lead Product Owner role?

A strong candidate has deep expertise in CMS Stars and HEDIS quality measures, regulatory requirements, agile product development, and experience leading roadmaps, backlog management, and cross-functional collaboration.

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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