Humana Senior Business Intelligence Engineer in Indianapolis, Indiana
The Senior Business Intelligence Engineer 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.
The Senior Business Intelligence Engineer 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. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.
Researching regulatory documentation to understand provider reimbursement methodologies for potential new business, develop business requirements for implementation of new fee schedules/pricers, as part of a larger project team.
Developing and executing testing plan for new fee schedule/pricer implementations and updates, working with vendor and internal IT teams to resolve defects.
Collaborating with internal business partners for claims processing updates related to pricers and fee schedules, support internal users of the pricers, including providing guidance related to specific edits and answering general questions on the reimbursement methodologies.
Provide evidence of fee schedule implementation based on updates published by TRICARE, creating policies and procedures on request.
Our Department of Defense contract requires U.S. citizenship for this position
Successfully receive interim approval for government security clearance (eQIP - Electronic Questionnaire for Investigation Processing)
Bachelor's degree and if non - degreed, must have 7 years of business intelligence experience
5 years of experience in managed care environment
5 years of experience in business intelligence
Skilled in quantitative data analysis tools and techniques
Experience with SQL - skilled with querying and pulling data
Experience with Business Intelligence tools, such as Tableau or Power BI
Proficient with Microsoft Office products
Excellent verbal and written communication skills
Strong leadership and problem solving skills
Proven ability to develop and maintain strong professional and collaborative relationships
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Experience with SAS
Knowledge of TRICARE
Scheduled Weekly Hours
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