Missouri Manufacturing Jobs

Jobs.mo.gov mobile logo

Job Information

Humana Senior Business Intelligence Engineer (Claims Strategy) - Remote Nationwide in Springfield, Missouri


The Senior Business Intelligence Engineer (Claims Strategy) solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Senior Business Intelligence Engineer work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.


Where you Come In

The Senior Business Intelligence Engineer (Claims Strategy) 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.

  • Build methodologies and predictions by modeling data to identify and measure anomalies in claims payments across enterprise

  • Determine process solutions that integrate with software such as MS Teams and Power Platform

  • Participate in advanced automation efforts for procedural organization tasks.

  • Partner with analytics, IT and business areas across the organization.

  • Transcribe system connectivity and task workflow for broad departmental consumption.

  • Maintain a 360 degree view of Payer industry in regards to technological consistency

  • Advise the team and senior leaders on how to best capitalize on data insights, and they will help drive improvement in provider and member experience

What Humana Offers

We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education.

Required Qualifications - What it takes to Succeed

  • Bachelor's degree

  • 5+ years of data analysis, having worked comprehensively in analytic tools such as SAS, Python, R and other open source programming.

  • Comprehensive knowledge of Microsoft Office Applications and MS Power Platform ( Power BI, Power Apps, Power Automate )

  • Experience working with large data populations, specifically with global or national level healthcare payer claims

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

  • Proficiency in verbal and 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

  • Knowledge of iRPA (Intelligent Robotic Process Automation) products such as Automation Anywhere and the capabilities of such products

  • Advanced in SQL, SAS and other data systems

  • Experience with Humana wide data population

  • Experience with tools such as PowerBI for creating data visualizations

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

  • Experience creating analytics solutions for various healthcare sectors

  • Experience with programming algorithms and evaluations based on probabilities and statistics

Additional Information

The hours are Mon-Fri, 8am-5pm

This will be a remote/work at home position, but may require going in to the office as needed, once it is determined safe to return to onsite locations

Work at Home/Remote Requirements Must ensure designated work area is free from distractions during work hours and virtual meetings Must provide a high-speed DSL or cable modem for a workspace (Satellite and Hotspots are prohibited). A minimum standard speed of 10x1 (10mbs download x 1mbs upload) for optimal performance of is required

Our Hiring Process

As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called Modern Hire. Modern Hire Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you.

If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews

If you have additional questions regarding this role posting and are an Internal Candidate, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.

In order to support the CDC recommendations on social distancing and reduce health risks for associates, members and public health, Humana is deploying virtual and video technologies for all hiring activities. This position may be subject to temporary work at home requirements for an indefinite period of time. These requirements include access to a personal computing device with a camera, a minimum internet connection speed of 10m x 1m (satellite and/or wireless internet connections are NOT permitted for Work at Home roles) and a dedicated secure home workspace for interview or work purposes. Humana continues to monitor the situation, and will adjust service levels as the coronavirus situation evolves. The following changes are temporary and will be evaluated frequently with the goal of returning to normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect your health and wellbeing during the hiring process. #ThriveTogether #WorkAtHome

Scheduled Weekly Hours