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Medicaid Business Intelligence Engineer

Humana

Sacramento, CA
Full Time
Mid Level
67k-91k
9 days ago

Job Description

About the Role

A Medicaid Business Intelligence Engineer at Humana solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The role involves working with tools, technologies, applications, and practices used to collect, develop, integrate, analyze, and present raw data to create insightful and actionable business information. The engineer supports the development of data, creation of processes, reporting, and visualizations for Humana Healthy Horizons Medicaid programs, taking initiative to create innovative solutions and managing Big Data and data quality in databricks.

Key Responsibilities

  • Solve complex business problems and issues using data from internal and external sources to provide insights to decision-makers.
  • Support development of data, creation of processes, reporting, and visualizations for Medicaid Risk Adjustment, prospective programs, and interoperability.
  • Manage Big Data and ensure data quality in databricks.
  • Interpret and independently determine appropriate courses of action for varied work assignments, often in ambiguous situations.
  • Understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas.

Requirements

  • 3+ years of experience in Python and Pandas Python library.
  • 2+ years of experience in Jupyter Notebook environment.
  • 2+ years of experience in Databricks Platform.
  • 2+ years of experience in Microsoft PowerBI or other data visualization software.
  • 2+ years of experience working with Big Data and performing root cause analysis.
  • 2+ years of experience in business ownership of data processes.
  • In-depth experience in Microsoft Office including Excel formulas, pivots, charts, and graphs.

Nice to Have

  • Experience in Managed Care.
  • Experience in Medicaid.
  • Experience in risk adjustment.
  • Experience with data mining and predictive modeling techniques.
  • Ability to use data to drive business outcomes and decisions.
  • Advanced Degree in a quantitative discipline, such as Mathematics, Economics, Finance, Statistics, Computer Science, Engineering or related field.

Qualifications

  • Educational background in a quantitative discipline such as Mathematics, Economics, Finance, Statistics, Computer Science, or Engineering.

Benefits & Perks

  • Health benefits effective day 1.
  • Paid time off, holidays, volunteer time, and jury duty pay.
  • Recognition pay.
  • 401(k) retirement savings plan with employer match.
  • Tuition assistance.
  • Scholarships for eligible dependents.
  • Parental and caregiver leave.
  • Employee charity matching program.
  • Network Resource Groups (NRGs).
  • Career development opportunities.

Working at Humana

Humana is committed to putting health first for its teammates, customers, and community. The company emphasizes making it easier for people to achieve their best health through its insurance and healthcare services, leading to a better quality of life for diverse populations including Medicare, Medicaid, military personnel, and communities at large. Humana values diversity, inclusion, and equal opportunity employment, and provides accessible services and support for all employees.

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Job Details

Posted AtJul 15, 2025
Salary67k-91k
Job TypeFull Time
Work ModeRemote
ExperienceMid Level

Job Skills

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About Humana

Website

humana.com

Location

Sacramento, CA

Industry

Direct Health and Medical Insurance Carriers

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