The posting
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The Provider Data Business Intelligence Lead is an experienced data analytics and business intelligence professional responsible for advancing provider data transparency, governance, operational enablement, automation, controls, and performance measurement. You will lead the collection, integration, analysis, visualization, and interpretation of complex data. This data includes provider, customer service, claims, enrollment, and operational information. The goal is to produce actionable business insights that support enterprise strategy and improve consumer and provider experiences.
The Provider Data Business Intelligence Lead serves as a strategic advisor to operational leadership, identifying key areas of focus, defining success metrics, measuring attainment, and enabling data-driven decision-making across business functions. You will work independently with broad latitude, exercising sound judgment on complex issues that require analysis of variable factors and determination of the best course of action.
This position is critical to strengthen data stewardship and controls, reducing process inefficiency, inconsistent performance and increasing automation. The position will also identify and advance value-driven automation strategies, including artificial intelligence, robotic process automation, bots, automated quality controls, and other operational enablement solutions.
KEY ACCOUNTABILITIES
40% Lead automation and workflow enablement initiatives by identifying opportunities to reduce manual work through process modification, AI, RPA, bots, and automated toolsets; partner with technology and operations teams from evaluation through implementation; measure realized benefits such as efficiency, quality, cost avoidance, and cycle-time reduction; and deliver scalable, governed data solutions and leadership insights that reduce reliance on manual or inconsistent processes.
25% Lead data stewardship and governance for provider data by defining, validating, monitoring, and documenting data journeys, business rules, quality standards, and controls; improving data transparency, accuracy, and accountability; overseeing automated data quality monitoring and remediation
20% Conduct complex data analysis to support business operations, leadership requests, audits, investigations, and strategic initiatives; identify trends, root causes, and improvement opportunities; and translate ambiguous business questions into actionable insights.
15% Develop and required reporting, including business intelligence dashboards, visualizations, scorecards, recurring reports, and executive-level reporting while ensuring accurate, timely, and audit-ready outputs through strong stakeholder partnership, validated data sources, and effective reporting controls while ensuring reporting and analytics processes align with enterprise governance, compliance, privacy, and security requirements.
This role description in no way states or implies that the key accountabilities above are the only ones being performed by the individual(s) with this role description. The individual(s) may be called upon and required to follow other instructions or perform other duties and tasks requested by his or her supervisor, consistent with the purpose of the position, department and/or company objectives.
Use your skills to make an impact
Required Qualifications
- Bachelor's degree or equivalent experience in data analytics, business intelligence, information systems, healthcare, business, statistics, computer science, or a related field
- 10 or more years of experience in data analysis, business intelligence, reporting, or analytics
- Advanced experience working with large, complex enterprise datasets
- Strong ability to analyze data, create visualizations, and generate insights that solve business problems and inform strategy
- Advanced proficiency in SQL, SAS, and related analytical tools
- Experience with BI and visualization tools such as Tableau, Power BI, Qlik, or similar platforms
- Ability to translate business needs into technical/reporting requirements and partner across cross-functional teams
- Experience documenting requirements, data definitions, and reporting logic
- Working knowledge of healthcare data and strong executive-level written and verbal communication skills
- Ability to work independently, exercise sound judgment, and support continuous improvement of consumer, provider, and operational experiences
- Advanced analytics skills, including predictive analytics, forecasting, data mining, statistical modeling, and development of healthcare analytics solutions
- Knowledge of automation capabilities, including AI, RPA, bots, automated data quality, reconciliation, controls, and remediation tools
- Ability to partner effectively with IT, data engineering, architecture, compliance, operations, vendors, and stakeholders across modern cloud, data warehouse, data lake, and analytics environments
- Our Department of Defense Contract requires U.S. citizenship for this position
- Successfully receive approval for government security clearance (Via National Background Investigation Services NBIS)
- HGB is not authorized to do work in Puerto Rico per our government contract. We are not able to hire candidates that are currently living in Puerto Rico
Preferred Qualifications
- Experience working with healthcare operational data, including provider, claims, enrollment, and customer Service data
- Strong understanding of data governance, stewardship, lineage, data quality management, and reporting controls
Additional Information
Work Style: Remote
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: 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.
$117,600 - $161,700 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 10-14-2026
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
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.
