Business Intelligence Lead - Clinical Operations

Profile

Description

The Business Intelligence Lead solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Lead works on problems of diverse scope and complexity to support a wide array of operational processes, initiatives and associates.

Responsibilities

Location: Remote

Humana has articulated a long-term vision to transform from a health insurance company to a health services company distinguished by the prioritization of the health outcomes and care experiences of our members. Humana Clinical Operations (HCO) provides direct support to members and providers to achieve these outcomes and experiences. HCO Experience and Optimization (E&O) is dedicated to improving the experience of our associates and leaders by delivering reports, analytics, outcomes, and insights, as well as working with other analytics/reporting teams across the enterprise to provide the same.

The Business Intelligence Lead solves complex business problems and issues using a variety of internal Humana data and tools. The Business Intelligence Lead works closely with Humana clinical operators and leaders to deliver insights related to productivity, efficiency, emerging trends, process improvement, pilot measurement, clinical and health outcomes, and member, provider and associate experience. As a Business Intelligence Lead, you will:

Build strong trusting partnerships with clinical leaders to support programmatic needs, varying from program to program, and team to team.

Be the first touchpoint for clinical data needs, responsible for identifying solutions both home-grown and in partnership with other data and analytic teams.

Evaluate the effectiveness of the clinical strategy and recommend adjustments when needed to drive outcomes.

Lead the design, development, implementation and evaluation of new clinical measurement strategies leading to actionable business information.

Both present and prepare clinical leaders to present insights on their teams and programs leading to clinical improvement, operational efficiency, and trend savings.

Support data and report process efficiency including through automation, documentation, and best practices, delivering consistent look-and-feel to end-users.

Assess and improve current data and reporting environment related to clinical operations.

Immerse yourself in clinical processes, goals, and outcomes in order to support the growth and continued success for our associates, our members and our providers.

Work closely with associates and senior leaders across the enterprise to solicit input, guide data-backed problem solving, and make recommendations to advance the clinical operational strategy.

Contribute to the shared growth and education of your immediate team related to technology, data measurement and best-practices, and other professional development activities.

Required Qualifications

Bachelor's degree or equivalent work experience

8 or more years of experience data analysis and/or reporting

Extensive experience with SAS, ASA and/or SQL

Advanced experience working with big and complex data sets within large organizations

Strong knowledge and experience in process improvement

Experience analyzing data to solve a wide variety of business problems and create data visualizations that drive strategic direction

Proficiency in compiling, analyzing and interpreting data trends

Proven ability to work with cross-functional teams and translate requirements between business, project management and technical projects or programs

Strong communication skills both verbal and written and proven presentation skills (comfortable presenting to all levels of the organization)

Desired Qualifications

Experience with data visualization tools such as PowerBI

Experience working in the healthcare industry

Experience with Python, Hadoop and R

Knowledge of Humana's networks, clinical and business analytics, and policy levers

Excellent project management skills and experience leading the execution of large scale initiatives

Experience creating analytics solutions for various healthcare sectors

Additional Information

Humana is an organization with careers that change lives-including yours. As an innovator in the fast-paced industry of healthcare, we offer our associates careers that challenge, support and inspire them to use their passion for helping others and to lead their best lives. If you're ready to help people achieve lifelong well-being, and be a part of an organization that is growing and poised to make an impact on the future of healthcare, Humana has the right opportunity for you.

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com