Clinical Business Intelligence Lead at Humana in Louisville, Kentucky

Posted in Other 4 days ago.

Type: Full Time

Job Description:

Description Humana is seeking a Clinical Business Intelligence Lead to drive excellence in Medicare Stars. Engage in the transformation of how clinical data is leveraged to inform operational and strategic decision making. Manage execution and improvement initiatives for internal clinical measures calculation, generation, validation and distribution. Responsibilities The Business Intelligence Lead 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. Responsibilities: Management, Leadership and Strategic Communications + Become an expert in clinical quality measures, Stars specifications, processes and schedules + Serve as the primary point-of-contact for business partners leveraging the Anvita clinical rules engine outputs + Provide oversight on measure development, interpretation and implementation + Align clinical measure outputs to NCQA technical specifications and Humana defined business logic + Advance clinical rules engine towards a future state that better supports key business intelligence functions Project Management + Document current capabilities, customers and procedures + Define customer needs + Assess business partner priorities + Source requirements + Develop product roadmap Operational Execution + Assure data quality, timeliness and accuracy + Leverage existing talent and expertise within QSI to drive efficiency and effectiveness Required Qualifications + Bachelor's degree + 4+ years of technical experience in data analysis + 2+ years of project, program or people leadership experience + 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 verbal/written communication to senior and executive leadership + Self-starter - comfortable working independently to accomplish components of a larger program Preferred Qualifications + Advanced Degree + Experience in SQL, Python + Advanced experience working with big and complex data sets within large organizations + Stars or HEDIS Experience Additional Information This position will be located at the Humana Tower in Louisville, KY but is currently work at home in Louisville, Ky Scheduled Weekly Hours 40 About Us Mission: At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms -when and where they need it. Our employees are at the heart of making this happen and that's why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first. Equal Opportunity Employer It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster. If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact for assistance. Humana Safety and Security Humana will never ask, nor require a candidate provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact to validate the request.