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The Senior Business Systems Analysis Professional on the Market Support team plays a vital role in bridging the gap between corporate clinical operations and regional market teams across the Medicaid business. This role focuses on supporting and enhancing business processes, systems, and workflows to improve operational efficiency, resolve issues, and support compliance with clinical and regulatory requirements. As a trusted partner to both business and technical stakeholders, the BSA helps markets navigate and operationalize clinical initiatives and system capabilities, as per the prioritization set up by the market. The Senior Business Systems Analysis Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

The Senior Business Systems Analysis Professional formulates and defines systems and objectives based on both user needs and a good understanding of applicable business systems and industry requirements. Devises or modifies procedures and processes to solve complex problems considering computer equipment capacity and limitations, operating time, and form of desired results. Validates benefits achieved from solution implementation. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.

• Serve as a liaison between clinical operations, market teams, and Platform & Reporting teams to translate business needs into system requirements and technical solutions.
• Work closely with market stakeholders to identify, troubleshoot, and resolve operational and systems issues related to clinical workflows, utilization management, case management, and other CliniOps functions.
• Analyze current processes and systems to identify gaps, inefficiencies, or areas for improvement and make data-driven recommendations.
• Support the implementation of clinical programs and system enhancements by gathering and supporting business requirements, process flows, and acceptance criteria, as necessary.
• Participate in user acceptance testing (UAT), change management, and deployment planning to ensure solutions meet business needs and regulatory standards.
• Provide post-launch support and training to market teams on new system functionality and updated processes.
• Collaborate with cross-functional teams including Clinical Operations, Compliance, Product, IT, and Market Leadership to ensure alignment with market goals, state expectations and corporate strategies.
• Track and monitor resolution of system defects, enhancements, and service requests.

Use your skills to make an impact

Required Qualifications

• Bachelor's degree
• 5 or more years of technical experience
• Working knowledge of ad-hoc query tools and data repositories that support data extraction and manipulation
• Knowledge of Systems Development Life Cycle
• Experience in problem analysis and process
• Comprehensive knowledge of all Microsoft Office applications including Word, Excel, Access, PowerPoint, and Visio
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

• MBA or other Advanced Degree
• Six Sigma certification
• PMP certification
• Demonstrated experience with process documentation and re-engineering

Additional Information

WAH Internet Statement

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

Benefits

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

HireView

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 relevant skills and experience at a time that is best for your schedule.

SSN Alert

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

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.

$80,900 - $110,300 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.Application Deadline: 05-15-2025

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.

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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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.