CASY-MSCCN Jobs

CASY-MSCCN Logo

Job Information

Humana Business Intelligence Engineer 1-Remote/Virtual WI or KY or IN only in Louisville, Kentucky

Description

The Business Intelligence Engineer 1 administers the installation of assigned provider accounts. Performs set-up, database loading, and preparation of administrative documents and materials. The Provider Installation Professional 1 performs advanced administrative/operational/customer support duties that require independent initiative and judgment.

Responsibilities

Where you Come In

Are you looking for a position that challenges you and has great opportunities for growth within Humana? This position involves loading into CAS, MTV and PIMS via the APEX system. This system takes you through the space of loading contracts and PIMS information that set up our providers in our directory for selection for Medicare, Medicaid, and Commercial. You will learn about Medicare, Medicaid and Commercial and will expand your knowledge for future positions.

The Business Intelligence Engineer 1 describes the tools, technologies, applications and practices used to collect, integrate, analyze, and present an organization's raw data in order to create insightful and actionable business information. Understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own work approach/priorities, and follows direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation.

  • Revise Facility or Physician arrangements and interpretations; followed by loading them into CAS and MTV via Apex.

  • Develop and implement best practices to ensure accurate loading of facility or physician contracts

  • Communicate with all system users and market office staff regarding, but not limited to: inquiries, change in contracts and system status reports.

  • Research, identify and correct contract loading errors to decrease claims payment issues

What Humana Offers

We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education.

Required Qualifications - What it takes to Succeed

  • Bachelor's Degree

  • Minimum of 1 year technical experience in data analysis

  • Comprehensive knowledge of Microsoft Office Word, Excel and PowerPoint

  • Strong organizational skills with strong attention to detail

  • Strong decision making skills

  • The associate hired would need to live within a 1 1/2 hour driving distance of the office (Waterside or DePere) to attend any in person meetings as needed or requested by the manager.

  • 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.

  • The hours for training are Mon-Fri, 8am-4:30pm est. After training, you can select an 8 hr shift that starts between 6am-9am est. Must be able to work overtime as needed.

  • IMPORTANT TO NOTE: No time off is permitted in July with possibility of mandatory overtime after training.

  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

  • Experience in SQL, SAS or other data systems

  • Access experience

  • In-depth experience in Microsoft Excel including formulas, pivots, charts, graphs, etc.

  • Expertise in assessing complex data sets and performing root cause analysis

  • Experience with data mining and predictive modeling techniques

  • Ability to use data to drive business outcomes and decisions

  • Must have a separate room with a locked door that can be used as a home office to ensure you have absolute and continuous privacy while you work.

  • Must have accessibility to high speed DSL or cable modem for a home office (Satellite internet service is NOT allowed for this role); and recommended speed for optimal performance from Humana systems is 10M x 1M

Interview Format

As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

If you are selected for a first round interview, you will receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication isn't missed) inviting you to participate in a Modern Hire interview. In this interview, you will listen to a set of interview questions over your phone or text and you will provide recorded responses to each question. You should anticipate this interview to take about 15 to 30 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

In order to support the CDC recommendations on social distancing and reduce health risks for associates, members and public health, Humana is deploying virtual and video technologies for all hiring activities. This position may be subject to temporary work at home requirements for an indefinite period of time. These requirements include access to a personal computing device with a camera, a minimum internet connection speed of 10m x 1m, and a dedicated secure home workspace for interview or work purposes. Humana continues to monitor the situation, and will adjust service levels as the coronavirus situation evolves. The following changes are temporary and will be evaluated frequently with the goal of returning to normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect your health and wellbeing during the hiring process.

#ThriveTogether #WorkAtHome

Scheduled Weekly Hours

40

DirectEmployers