Associate Director, Encounter Business Intelligence

Become a part of our caring community and help us put health first
 The Associate Director, Business Intelligence solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Associate Director, Business Intelligence requires a solid understanding of how organization capabilities interrelate across department(s).

The Associate Director, Business Intelligence for Encounters System Aging and DSNP data and reporting will support monitoring of encounter system workflow, reconciliation of acknowledgements to systems, data management, reporting and analytics, and automation. The support includes identifying unique insights and solving complex business challenges using a variety of data sources. The individual in this role will be expected to bring creativity and clearly articulate these insights, recommendations, and actions to a variety of key business decision makers within the business and drive results.

The Associate Director, Business Intelligence will utilize various tools, technologies, applications and best practices to analyze and present insightful, actionable information. This role oversees data & analytics team efforts to provide reporting, analytics solutions, ensuring encounter data workflow has appropriate controls and monitoring and automation with the objective of optimizing performance. The role will lead a team of up to approx. 7-9 direct associates.

Key Responsibilities include:

• Lead and develop a team focused on strategic understanding encounter workflow & reconciliation of data across multiple systems, operational reporting, insight generation, and storytelling to support the business.
• Manage and prioritize requests from team members and cross functional partners and set realistic expectations. Transparently communicate about priorities on a regular basis.
• Embrace a service mentality to collaborate with Operations, Business Intelligence teams, Database teams, and IT to assure data processes are automated, efficient, and to identify insights and/or solve complex business challenges.

Use your skills to make an impact
 

Required Qualifications

• 5+ years of technical experience in data analysis and intelligence.
• 3+ years of experience in leading and developing high-performing business intelligence teams.
• Proficient in advanced analytics, Python, and other statistical software.
• Proficient SQL skills with knowledge of SSMS, SSIS, and SSRS.
• Familiarity with data infrastructure, governance, data passing, and APIs.
• Experience with Cloud Technologies (Azure Synapse Analytics), DataBricks, and Power Platform (Power BI, Power Automate, Power Apps).
• Proven ability to create and present story-driven analytics presentations.
• Knowledge of process improvement and development of metrics.
• Understanding of regulations in healthcare or related industries.
• Creative and proactive in managing large initiatives.
• Passionate about enhancing consumer experiences and business outcomes.
• Experienced in leading change and inspiring organizational performance during transformation.
• Excellent oral and written communication skills, with executive presence.
• Collaborative mindset and relationship-building skills with diverse stakeholders.
• Works effectively with adjacent BI and data science teams to drive results.

Preferred Qualifications

• Bachelor's degree
• Advanced degree or MBA
• Comprehensive knowledge of EDI formats: X12, 834, 835, 837, 270/271, 276/277, 278
• Current or recent experience in a large, highly matrixed company
• Prior health insurance industry experience

Additional Information

Work-At-Home Requirements:

• WAH requirements: Must have the ability to provide a high-speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
• A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.  
• Satellite and Wireless Internet service is NOT allowed for this role.
• 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 exciting interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule.
 
If you are selected, you will receive correspondence inviting you to participate in a HireVue assessment.  You will have a set of questions, and you will provide responses to each question. You should anticipate this to take about 15 - 20 minutes. Your answers will be reviewed, and you will subsequently be informed if you will be moving forward to next round.

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.

 

$129,300 - $177,800 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.

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.