Business Intelligence Lead Clinical Care Management

Overview

Become a part of our caring community and help us put health first. The Business Intelligence Lead role leads the design, development, and management of Power BI dashboards and analytics initiatives to support Medicare/Medicaid care management programs. The role emphasizes project management, advanced DAX programming for Power BI, and reporting related to key care management metrics and KPIs (Key Performance Indicators).

Responsibilities

• Develop, optimize, and maintain Power BI dashboards using advanced DAX to measure productivity, quality outcomes, and other program KPIs for care management in Medicare/Medicaid.
• Apply DAX to create complex calculated columns, measures, and custom aggregations, enabling robust visualization of care management metrics such as member engagement, assessment completion rates, quality measure achievement, and productivity statistics.
• Lead multiple analytics and reporting projects, ensuring alignment of project timelines, deliverables, and business goals.
• Collaborate with stakeholders to define specifications for care management metrics, business requirements, and continuous improvement initiatives.
• Analyze large datasets using Power BI and DAX to deliver timely, accurate insights for regulatory reporting, operational monitoring, and strategic decision support.
• Communicate findings and recommendations based on dashboard results to executive leadership and operational teams.
• Provide training and technical assistance to colleagues regarding optimal use of Power BI and interpretation of care management analytics.
• Maintain project documentation, data quality checks, and ensure compliance with Medicare/Medicaid program reporting standards.

Required Qualifications

• MBA in Healthcare Administration, Business Analytics, Information Systems, or related field.
• 4+ years’ experience in healthcare analytics and project management, with a focus on Medicare/Medicaid and/or care management operations.
• 2+ years of hands-on experience building Power BI reports and dashboards leveraging advanced DAX expressions, including calculated measures, time intelligence functions, and data modeling.
• Proven ability to understand how data relates to business goals, with a demonstrated capacity to identify opportunities for improvement and growth.
• Experience utilizing SQL or Tableau for data analysis, reporting, and visualization to support decision-making and optimize business processes.
• Demonstrated experience in project management, including organizing projects, managing timelines, facilitating effective meetings, and adapting strategies to achieve project objectives.
• Demonstrated familiarity with care management metrics, including productivity, quality, regulatory compliance, and program effectiveness for Medicare/Medicaid.
• Strong analytical, critical thinking, and problem-solving abilities; experience managing multiple projects effectively.
• Advanced proficiency with Power BI, Tableau, DAX, and Microsoft Excel; experience with SQL or other analytics platforms is an asset.

Preferred Qualifications

• Experience building custom DAX solutions for healthcare or Medicare/Medicaid analytics.
• Knowledge of Medicare/Medicaid care management reporting and performance metrics.
• Experience with additional analytics platforms (e.g., Python, Azure).

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 required.
• 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.

Interview Format

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. If selected to move forward with an interview, expect an email link to be sent to you to complete the video screening.

Social Security Task

Alert: Humana values personal identity protection. Applicants being considered for an interview may be asked to provide a social security number if it is not already on file. When required, an email will be sent from with instructions to add the information into the application at 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

$117,600 - $161,700 per year

Description of Benefits

Humana offers competitive benefits that support whole-person well-being, including medical, dental and vision benefits, 401(k) retirement savings, paid time off and holidays, disability, life insurance, and other opportunities. Application Deadline:

About us

Humana Inc. (NYSE: HUM) is committed to putting health first – for teammates, customers and the company. Through Humana insurance services and CenterWell healthcare services, we aim to help millions achieve their best health, delivering care when needed. This includes Medicare/Medicaid programs and services for diverse communities.

Equal Opportunity Employer

Humana does not 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. Humana also affirms affirmative action to employ and advance individuals with disability or protected veteran status, in compliance with applicable laws.

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