Business Intelligence Lead Clinical Care Management

12237 Albany, New York Humana

Posted 1 day ago

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Job Description

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).

Key Responsibilities:

  • Develop, optimize, and maintain Power BI dashboards using advanced DAX (Data Analysis Expressions) 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 and actionable 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.

Use your skills to make an impact

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 is required 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. Please be aware that applicants being considered for an interview will 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

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$117,600 - $161,700 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline:

About us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to 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. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our

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Business Intelligence Lead Clinical Care Management

12260 Albany, New York Humana

Posted today

Job Viewed

Tap Again To Close

Job Description

**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).
**Key Responsibilities:**
+ Develop, optimize, and maintain Power BI dashboards using advanced DAX (Data Analysis Expressions) 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 and actionable 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.
**Use your skills to make an impact**
**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 is required 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. Please be aware that applicants being considered for an interview will 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**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$117,600 - $161,700 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline:
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

**Equal Opportunity Employer**
It is the policy of Humana not to 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. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our
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