Senior Encounter Data Management Professional
Become a part of our caring community and help us put health first The Senior Business Intelligence Engineer develops and optimizes business processes to ensure the successful submission and reconciliation of encounter data for Medicaid and Medicare programs. You will ensure that all submissions exceed compliance standards through rigorous data analysis, quality assurance, and the development of tools to enhance encounter acceptance rates. The Senior Business Intelligence Engineer finds opportunities for long-term improvement of submission processes, collaborates with partners to integrate new and improved workflows, and provides solutions to complex data and process challenges. You will lead by example and partners with peers to enhance data visibility, quality, and accuracy. Work hours for this position are Mon-Fri, 8am-5pm EST. The Senior Business Intelligence Engineer ensures the integrity of organizational data. You will analyze complex data challenges, assesses situations critically, and use available resources to create scalable, and resilient code and dashboards. As a member of the Encounter Submission organization, the Senior Business Intelligence Engineer meaningfully contributes to supporting compliance and operational efficiency. Key Responsibilities: Develop and maintain a variety of processes and solutions, including Python scripts, SQL queries, Databricks notebooks, Azure DevOps pipelines, Power BI dashboards, and process automations. Support partners by addressing data issues, performing root cause analysis, and proposing applicable resolutions. Present clear, applicable insights to both internal and external partners. Improve data processes and advocates for innovation in data management practices. Use your skills to make an impact This role requires a collaborative spirit and strong analytical experience improving healthcare data quality and compliance. Required Qualifications Bachelor's degree in a technical field. 5 years of experience in data analysis and reporting with complex datasets. 5 years demonstrated experience developing scalable Python code. 3 years of experience building applicable dashboards. Experience working with complex datasets within the healthcare industry. Experience managing multiple priorities and deadlines that require exceptional attention to detail. Demonstrated ability to work independently and with a high degree of curiosity. History of contributing to organizations focused on the continuous improvement of consumer experiences. Preferred Qualifications Master's degree in a technical field. Demonstrated experience with analytics and reporting using Python, R, Tableau, or similar tools. Prior knowledge of EDI formats such as X12, 834, 835, 270/271, 276/277, 278, and 999. Experience using version control tools such as Git or similar platforms. 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. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees 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 employees 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. 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. $78,400 - $107,800 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. Application Deadline: 03-12-2026 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. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
