Performance Enablement Lead – Part D Risk Adjustment

Relha LLC; Northern (KY); Hybrid; USD 118,000 - 162,000; Full time

Job summary

Humana is seeking a Performance Enablement Lead for Part D risk adjustment to lead BI, KPI reporting, and analytics across programs. You will define metric logic and reporting requirements, translating business needs into repeatable dashboards and analytic datasets.

The role partners with HTA/IT and enterprise data teams to deliver scalable reporting solutions, focusing on data governance, accuracy, and executive-ready insights. Strong leadership and communication are essential.

Qualifications

• Bachelor's degree in a related field plus 8+ years in BI or analytics.
• Experience with Databricks or similar cloud analytic environments.
• Experience with healthcare datasets.

Responsibilities

• Lead business intelligence and reporting for Part D risk adjustment programs.
• Define KPI measurement logic, business rules, reporting requirements, and analytic specifications.
• Translate business needs into repeatable dashboards, reports, and analytic datasets.
• Partner with HTA/IT and data teams to support scalable reporting and analytic solutions.
• Serve as the team’s SME for data visualization and best practices.
• Support automation and recurring performance measurement of BI outputs.
• Validate BI outputs for accuracy and governance.

Skills

SQL

Power BI

Leadership

Data visualization

Python/PySpark

Healthcare data

Education

Bachelor's degree

Master's degree

Tools

Databricks

Job description

Performance Enablement Lead – Part D Risk Adjustment

The Business Intelligence Lead leads reporting, KPI measurement, and BI support for Part D risk adjustment programs. The role solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Lead works on problems of diverse scope and complexity ranging from moderate to substantial.

The Business Intelligence Lead – Part D Risk Adjustment leads business intelligence, KPI reporting, and performance measurement for Part D risk adjustment programs. The role defines business rules, metric logic, and reporting requirements and translates business needs into repeatable reports, dashboards, and analytic datasets. The position partners with HTA/IT and enterprise data teams to support a modern reporting and analytic environment, scalable reporting solutions, and curated datasets.

Key Responsibilities

Lead business intelligence and reporting for Part D risk adjustment programs

Define KPI measurement logic, business rules, reporting requirements, and analytic specifications

Translate business needs into repeatable dashboards, reports, and analytic datasets

Partner with HTA/IT and data teams to support scalable reporting and analytic solutions and curated datasets

Serves as the team’s subject matter expert for data visualization and best practices

Support automation, recurring performance measurement, and broader team usage of BI outputs

Validate and ensure BI outputs are accurate, usable, and supported by appropriate controls

Use your skills to make an impact

Required Qualifications

Bachelor’s degree and 8+ years of relevant experience in business intelligence or analytics

Experience working with Databricks or similar cloud analytic environments

Experience in business intelligence, analytics, or reporting using healthcare datasets

3+ years’ leadership experience in business intelligence or analytics projects

Advanced SQL/data wrangling skills

Experience defining business logic, metric definitions, and curated reporting datasets in partnership with technical teams

Experience with Power BI for enterprise reporting

Proven ability to translate business requirements into recurring analytic datasets and reporting solutions

Ability to communicate complex data concepts to senior and executive leadership

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

Preferred Qualifications

Master’s degree and 4+ years of relevant experience

Advanced degree in a quantitative discipline (Mathematics, Economics, Finance, Statistics, Computer Science, Engineering, or related field)

Experience with Python/PySpark for analysis, automation, or data preparation

Familiarity with healthcare risk adjustment, medical and rx claims, membership, or provider analytics

Experience operationalizing automated data workflows and reporting data preparation

Knowledge of data governance and control practices

Expertise in data mining, and/or predictive modeling

This role is not eligible for work visa sponsorship.

Additional Information

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.

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue 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.

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from [emailprotected] with instructions on how to add the information into your official application on Humana’s secure website.

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: 08-24-2026

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 atHumana.comand atCenterWell.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.