Business Intelligence Lead - Encounter Submissions

** Become a part of our caring community*
* The Business Intelligence Lead solves complex business problems and issues using data from internal and external sources and leveraging knowledge to provide insight to decision-makers. The Business Intelligence Lead works on problems of diverse scope and complexity within the encounter submissions team that impacts teams across IT teams and operational teams across Humana's many business segments.

The Business Intelligence Lead Encounter Submissions is able to describes the tools, technologies, applications and practices used to collect, integrate, analyze, and present an organization's raw data in order to create insightful and actionable business information.  Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action.
Strong strategic, critical thinking, and conceptual abilities; ability to lead strategic planning discussions, and turn those into plans and tactics that are executable, measurable, and meet business goals.  Excellent planning and organizational skills with demonstrated ability to meet deadlines while implementing projects. Demonstrated ability to communicate with and influence others and interact with all levels of the organization.  Will own tracking and trending of Medicare submission metrics along with end to end analysis of Medicare submissions.  

Monitoring and tracking all new opportunities to ensure all HCCs are identified, stored and reported on.  Will also be responsible for pulling and trending submissions data to ensure HCCs are closed.  Will have 5 direct reports for data collection and analysis.

** Use your skills to make an impact*
* ** Required Qualifications*
* + Bachelor's Degree and 5 or more years of technical experience in data analysis

+ 2 or more years of project leadership experience

+ 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

+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences

** Preferred Qualifications*
* + Advanced Degree in a quantitative discipline, such as Mathematics, Economics, Finance, Statistics, Computer Science, Engineering or related field

+ Master's degree and 4 years of experience

+ Advanced in SQL, SAS and other data systems

+

Experience with tools such as Tableau and Qlik for creating data visualizations

+ Expertise in data mining, forecasting, simulation, and/or predictive modeling

+ Experience creating analytics solutions for various healthcare sectors

** Additional Information*
* Work at Home Requirements 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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

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.

$117,600 - $161,700 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…