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Business Intelligence Valuation Lead

Humana

Humana

Operations, Data Science
Remote
Posted on Monday, July 1, 2024

Become a part of our caring community and help us put health first

The Business Intelligence Valuation Lead position uses mathematics, statistics, economic principles, business analysis and financial modeling techniques to deliver analytic solutions and valuations that support the decision-making process with stakeholders and ensure financial resources are appropriately prioritized. The Lead position is accountable for the team’s valuation product portfolio and will guide the enterprise in proper adoption of tools and resources. The ideal candidate for this position is well-versed in managing complex projects, able to lead through influence, can set direction with colleagues and has a solid understanding of how capabilities interrelate across departments. This position requires the individual to stay current with valuation best practices, both internal and external to the organization, as well as ensuring techniques are maturing as the organization evolves.

Member and Provider Analytics, the department this role is a part of, uses data science, business intelligence and Stars expertise to solve meaningful problems for Stars business partners. Our analytics drive Humana’s Stars performance and improve the health and life of our members by transforming data into advanced analytic solutions.

The Stars program is the Centers for Medicare & Medicaid Services (CMS) five‐star quality rating system for measuring Medicare beneficiaries’ experience with their health plans and the health care system. The program is a key component in financing health care benefits for MA and MA‐PD plan enrollees. In addition, the ratings are posted on the Medicare Plan Finder website to help beneficiaries choose the right plan offered in their geography. Quality metrics include screenings and vaccines, managing chronic conditions, member experience with the health plan, member complaints, interactions with providers and customer service. Humana has led all national competitors in the percent of members in 4+ Star plans for six consecutive years. This quality measure of Humana’s Medicare Advantage product offering directly impacts our members’ health.


Use your skills to make an impact

Required Qualifications

  • Bachelor's degree and 6 or more years of experience in data analysis and financial valuation OR Master's degree and 3 years of experience
  • Experience building financial models that improve the decision-making experience for stakeholders
  • 2 or more years of project leadership experience
  • Experience analyzing data to solve a wide variety of business problems
  • Proven ability to work with cross-functional teams and translate requirements between business, project management and technical projects or programs
  • Proficiency in verbal/written communication to senior and executive leadership
  • Must be passionate about contributing to an organization focused on continuously improving

Preferred Qualifications

  • Advanced Degree in a quantitative discipline, such as Mathematics, Economics, Finance, Engineering, or related field
  • Advanced in SQL, SAS and other data systems
  • Proficiency in understanding the CMS Star Rating program, including measures within it
  • Experience creating analytics solutions for various healthcare sectors

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


$104,800 - $144,300 per year


This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.


About us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.