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The Senior Business Intelligence Engineer solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Senior Business Intelligence Engineer 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 Intelligence Engineer contributes to the success of Humana’s business strategy by supporting data-driven decision-making and business intelligence initiatives across the Care Management organization. As a Senior Business Intelligence Engineer, you will be responsible for designing, developing, and maintaining scalable data models, dashboards, and reporting solutions to enable actionable insights for stakeholders. You will evaluate internal and external data sources, provide support for analytics initiatives, and perform ongoing monitoring of data quality and performance. This role involves assessing and communicating information regarding business performance and opportunities with functions across the organization. You will begin to influence department strategy and make decisions on moderately complex to complex issues regarding technical approaches for project components, working independently with considerable latitude in determining objectives and approaches to assignments.

Key Responsibilities:

• Design, develop, and maintain BI solutions, including dashboards, reports, and data visualizations to support operational and strategic decision-making.

• Collaborate with operational leaders to ensure alignment between data systems, internal/external reporting, and business processes.

• Evaluate data processes, documentation, metrics, and data sets to identify gaps and opportunities for improvement; develop and oversee implementation of remediation activities.

• Support internal and external analytics initiatives: Lead data preparation efforts, review supporting documentation submissions, communicate findings to business owners, and work with impacted parties to implement improvements.

• Issue and Opportunity Management reporting and oversight for Care Management, including the tracking and reporting of business performance metrics, action plan development, and serving as a liaison between technical teams and business stakeholders.

• Provide assurance around the effectiveness and efficiency of data processes, reporting, and analytics within Care Management.

• Perform targeted reviews of processes, documentation, metrics, and data sets to identify strategic, operational, and analytical gaps; develop and oversee implementation of solutions.

• Work in partnership with multidisciplinary teams and key internal and external stakeholders to develop relationships and define business requirements for analytics projects.

• Serve as subject matter expert for data integration, business intelligence solutions, and relevant regulatory and/or contractual requirements.

• Lead meetings and prepare presentations, reports, and dashboards for technical and non-technical audiences.

• Serve as a problem solver, provide recommendations, and implement change to drive business intelligence initiatives.

This role will primarily support the Michigan Dual Eligible Special Need Plan care management program through analytics and reporting oversight requirements. You will work directly with Michigan Market leaders, vendors, Medicare Care Management leaders, and other key stakeholders. Michigan-specific responsibilities include, but are not limited to:

• Lead initiatives to drive required analytics and reporting for Quality Improvement Evaluation activities.

• Execute on MI SMAC Quality data requirements.

• Build a culture of data-driven decision-making with key stakeholders.

• Perform oversight requirements as defined in the Model of Care, with a focus on data and reporting.

• Liaise with Michigan Market leadership and LTSS vendors on analytics needs and solutions.

Use your skills to make an impact

Required Qualifications:

• Bachelor’s degree in computer science, information systems, business analytics, or a related field.
• Demonstrated passion for contributing to an organization focused on continuously improving consumer experiences through data-driven insights.
• Working knowledge of CMS Regulatory Guidelines, Special Needs Plan Regulations, and State Medicaid Agency Contracts as they relate to data management and reporting.
• 5+ years’ experience in business intelligence, data analytics, or a related field within the healthcare industry.
• Experience with the end-to-end analytics process, from data preparation through issue resolution.
• Experience with process development, improvement, and implementation for BI solutions.
• 3+ years of demonstrated experience with identifying/mitigating data quality issues and improving business results through analytics.
• Experience with strategic initiatives and implementations involving data analytics.
• Proficiency querying and analyzing healthcare data using SQL, Python, R, or relevant BI tools.
• Experience with monitoring, metric review, and data validation.
• Solid understanding of care management/care coordination operations, technology, communications, and processes as they relate to analytics.
• Effective oral and written communication skills with experience communicating technical results to Senior Leadership.
• Strong critical thinking and problem-solving skills; detailed and well organized.
• Comprehensive knowledge of Microsoft Office applications and proficiency working in Outlook, Teams, SharePoint, Excel, PowerPoint, and Word.
• Strong business acumen with demonstrated collaboration across organizational teams.

Preferred Qualifications:

• Experience with Humana’s care management platforms and BI tools.
• Knowledge of Humana’s internal policies and procedures related to data and analytics.
• Knowledge of Long Term Support Services (LTSS) procedures as they relate to data management.
• Experience creating dashboards, trending, and reporting using BI platforms (e.g., Power BI, Tableau).
• Project management/process management experience in BI/analytics projects.
• Healthcare experience with care management/care coordination and familiarity with clinical and operational data.

Additional Information

• 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.

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.

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.

$89,000 - $121,400 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: 10-03-2025

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.