Medicaid Analytics Lead: Enrollment & Operations

Humana Inc; Helena (MT); Remote; USD 118,000 - 162,000; Full time

Job summary

Humana Inc. is seeking a Business Intelligence Lead to act as the analytics and enrollment operations expert for Medicaid Enrollment. You will guide state implementation readiness, regulatory reporting, and enrollment analytics, while modernizing analytics across Medicaid markets.

The role combines strategic advisory with hands-on design of scalable data solutions, collaborating with leaders across compliance, operations, and technology to improve member experiences through data-driven decisions.

Qualifications

• Bachelor's degree in Business, Information Systems, Data Analytics, Healthcare Administration, Computer Science, or related field.
• 5+ years of healthcare analytics experience supporting complex operational processes
• 5+ years of experience working with large healthcare datasets, data warehouses, and analytic platforms
• 5+ years of advanced SQL development experience
• 5+ years of experience designing and delivering Power BI dashboards and reporting solutions
• Demonstrated experience supporting Medicaid business
• Demonstrated expertise with 834 enrollment transactions, membership reporting, and related operational controls
• Experience with Databricks, cloud-based analytics platforms, and modern data architecture practices
• Ability to independently lead cross-functional initiatives
• Strong verbal and written communication skills with demonstrated ability to communicate to executive leadership
• Experience driving process improvement and operational efficiency initiatives through data and analytics
• Ability to function as an internal consultant and trusted advisor to business partners
• Passion for improving member experiences through data-driven decision making

Responsibilities

• Lead state implementation readiness and regulatory reporting support for Medicaid Enrollment Operations
• Own enrollment analytics, compliance monitoring, and reporting modernization
• Design and implement reusable analytics solutions with Databricks, SQL, and Power BI
• Partner with business leaders, compliance, and technology teams to drive data-driven decisions
• Influence strategy and improve operational efficiency through analytics

Skills

SQL development

Power BI dashboards

Databricks

Medicaid enrollment

Data analytics

Cross-functional leadership

Executive communication

Education

Bachelor's degree

Master's degree

Tools

Databricks

Job description

Humana Inc. is seeking a Business Intelligence Lead to act as the analytics and enrollment operations expert for Medicaid Enrollment. You will guide state implementation readiness, regulatory reporting, and enrollment analytics, while modernizing analytics across Medicaid markets.

The role combines strategic advisory with hands-on design of scalable data solutions, collaborating with leaders across compliance, operations, and technology to improve member experiences through data-driven decisions.