Business Intelligence Engineer Jobs

The Provider Business Intelligence teams are committed to effective and efficient business solutions for quality assurance and risk mitigation in implementing Humana’s Provider Medicare/Medicaid contracts. We are in search of a Business Intelligence Engineer 1 to provide support to our Provider Facility and Physician accounts to ensure we are meeting contractual requirements and expected timelines for the respective contracts.

Responsibilities

The Business Intelligence Engineer 1 provides support to provider or facility accounts by loading contracts, respond to inquiries and resolves issues of concern. This role performs set-up, database loading, and preparation of administrative documents/materials for Provider Facility or Physician accounts/contract loads. As a Business Intelligence Engineer you can expect to research, identify and correct contract loading errors to decrease claims payment issues. Facility or Physician arrangements and interpretations will be revised; followed by loading them into Humana systems.

As a Business Intelligence Engineer 1 you will communicate with all system users and market office staff regarding, but not limited to; inquiries, change in contracts and system status reports. A successful candidate will have high quality communication skills (written and verbal), top-notch organizational skills with attention to detail, and ability to maintain multiple competing priorities.

Required Qualifications

1+ years of Provider Installation Experience (credentialing, contracts, provider database/directories, or related area)

1+ years experience in a metric/production driven environment

Prior professional experience using Microsoft Office Programs, including Word, Excel, PowerPoint

Must meet Humana's Work at Home connectivity requirements listed in additional information

Meet location requirements identified in additional information

Preferred Qualifications

Associates or Bachelors Degree

CAS, MTV, PAAG, or APEX systems experience

Claims experience

Additional information

Hours: 7a-9am start time; OT based upon business need (can complete during work week/weekend) No PTO month of July due to Medicare-Push season

Training: 5 week virtual class room training

Location: Remote KY, IN, WI, Must reside within 1.5 hours of DePere, WI Office or Louisville, KY office as there may be in-person meetings required

To maximize the investment in our talent and support associates success in achieving competency levels which enable associates to understand scope of process and make connections with other areas of the enterprise, the Provider Contract Team has a time-in-job commitment of 18 months.

Virtual Pre-Screen

As part of our hiring process for this opportunity, we will be using exciting virtual pre-screen technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire 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 for a virtual pre-screen, you will receive an email and text correspondence inviting you to participate in a Modern Hire interview. In this virtual pre-screen, you will receive a set of questions to answer. You should anticipate this virtual pre-screen to take about 10-15 minutes.

Work at Home Connectivity Requirements

To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:

At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support Humana applications, per associate.

Wireless, Wired Cable or DSL connection is suggested.

Satellite, cellular and microwave connection can be used only if they provide an optimal connection for associates. The use of these methods must be approved by leadership. (See Wireless, Wired Cable or DSL Connection in Exceptions, Section 7.0 in this policy.)

Humana will not pay for or reimburse Home or Hybrid Home/Office associates for any portion of the cost of their self-provided internet service, with the exception of associates who live or work from Home in the state of California, Illinois, Montana, or South Dakota. Associates 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 associates with telephone equipment appropriate to meet the business requirements for their position/job.

Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is not already on file. When required, an email will be sent from [email protected] with instructions on how to add the information into your official application on Humana’s secure website.

If you have additional questions regarding this role posting, please send them to the Ask A Recruiter by visiting go/Buzz and searching Ask A Recruiter or email [email protected]. Please be sure to provide the requisition number so we may be able to research your request quicker.

#LI-Remote

Scheduled Weekly Hours

40