Director, Medicaid Business Intelligence
Posted on: 5 Mar 2021
Louisville, KY
Job Description
Description
The Director, Business Intelligence solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Director, Business Intelligence requires an in-depth understanding of how organization capabilities interrelate across the function or segment.
Responsibilities
The Director, Business Intelligence 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. Decisions are typically related to the implementation of new/updated programs or large-scale projects for the function and supporting technical/operational procedures and processes, and implements strategic plans, drives goals and objectives, and improves performance. Provides input into functions strategy.
Required Qualifications
* Bachelor's Degree and 10 years of technical experience in data analysis and intelligence OR Master's degree and 5 years of experience
* 5 or more years of leadership experience
* Knowledgeable in process improvement and metrics development
* Knowledgeable in regulations governing health care industries
* Prior Leadership Experience
* 5 - 10 years of experience in Compliance for a Health Plan
* Familiarity with contract writing, negotiation and interpretation
* Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and Access
* Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
* MBA or graduate degree in a management field
* Ability to anticipate and be proactive around next steps in large initiatives simultaneously
* Broad understanding of our businesses and connectedness to key Humana constituent areas
* Relationship focused and can represent the office of the CRO well to both internal and external audiences
* Familiarity with contract writing, negotiation and interpretation
* 5 - 10 years of experience in Compliance for a Health Plan
* 3 or more years of people leadership experience in building, managing and/or developing high-performing teams.
* Knowledgeable in regulations governing health care industries
* Knowledge of Humana's internal policies, procedures and systems
Additional Information
Scheduled Weekly Hours
40
Humana
Louisville, KY
Humana Inc., together with its subsidiaries, operates as a health and well-being company in the United States. The company offers medical and supplemental benefit plans to individuals. It also has contract with Centers for Medicare and Medicaid Services to administer the Limited Income Newly Eligible Transition prescription drug plan program; and contracts with various states to provide Medicaid, dual eligible, and long-term support services benefits.
In addition, the company provides commercial fully-insured medical and specialty health insurance benefits comprising dental, vision, and other supplemental health and voluntary insurance benefits; financial protection products; and administrative services only products to individuals and employer groups, as well as military services, such as TRICARE South Region contract.
Further, it offers pharmacy solutions, provider services, predictive modeling and informatics services, and clinical care services, such as home health and other services to its health plan members, as well as to third parties. As of December 31, 2018, the company had approximately 17 million members in medical benefit plans, as well as approximately 6 million members in specialty products. Humana Inc. was founded in 1961 and is headquartered in Louisville, Kentucky.
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IndustryHealthcare
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No. of Employees41,600
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Website
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Jobs Posted1359
