FWA Business Intelligence Lead

Become a part of our caring community   The Business Intelligence Lead describes the tools, technologies, applications and practices used to collect, integrate, analyze, and present an organization's raw data to create insightful and actionable business information. The current Special Investigations Unit review process has experienced a significant increase in activity and impact, with new provider reviews rising monthly, increasing stop/void checks, and prepay denials. This role will have a significant focus on Fraud and Waste and its substantially expanded fraud detection and payment prevention efforts.  Due to our fast growth, this role will lead internal and enterprise improvement projects such as operational improvements, AI integration, automation, platform implementation and Key Performance Indicators/reporting improvements. Use your skills to make an impact   Required Qualifications Undergraduate degree Minimum 8 years of experience in data analysis including enhancing relational data sets for reporting and analytics Minimum 2 years of project leadership experience Experience with Fraud, Waste, and Abuse in either the healthcare or banking industry Advanced experience working with big and complex data sets within large organizations Experience analyzing data to solve a wide variety of business problems and create data visualizations that drive strategic direction Proven ability to work with cross-functional teams and translate requirements between business, project management and technical projects or programs Proficiency in understanding Healthcare related data Proficiency in verbal/written communication to senior and executive leadership Work-At-Home Requirements At minimum, a download speed of 25 mbps and an upload speed of 10 mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and microwave connection can be used only if approved by leadership 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. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Preferred Qualifications Advanced Degree Advanced in SQL, SAS and other data systems Experience with tools such as Tableau and Qlik for creating data visualizations Expertise in data mining, forecasting, simulation, and/or predictive modeling Experience creating analytics solutions for various healthcare sectors Additional Information As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called HireVue. HireVue Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you. If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews. 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 suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.   Travel: