Remote Medicaid Enrollment Analytics Lead

Humana; Columbia (SC); Remote; USD 118,000 - 162,000; Full time

Benefits offered by this job

Bonus incentive plan

Job summary

Humana is seeking a Business Intelligence Lead to act as the analytics and enrollment operations expert supporting Medicaid Enrollment. This role leads state implementation readiness and regulatory reporting, delivering enrollment analytics and scalable solutions.

The associate partners with executive leadership, compliance, and technology teams, driving modernization and data-driven decision making across Medicaid markets.

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 efforts for Medicaid Enrollment Operations.
• Provide regulatory and contractual reporting support and enrollment analytics.
• Design and deliver scalable analytics solutions using Databricks, Power BI, and SQL.
• Partner with business leaders, compliance organizations, and technology partners.
• Influence strategy and drive modernization to reduce implementation effort and improve compliance.
• Deliver insights to executives and improve operational performance.

Skills

Healthcare analytics

SQL development

Power BI dashboards

Cross-functional leadership

Data-driven decision making

Executive communication

Education

Bachelor’s degree in Business, Information Systems, Data Analytics, Healthcare Administration, Computer Science, or related field

Master’s degree in Analytics, Information Systems, Public Health, Business Administration, or related discipline

Tools

Databricks

Power BI

SQL

Cloud-based analytics platforms

Job description

Humana is seeking a Business Intelligence Lead to act as the analytics and enrollment operations expert supporting Medicaid Enrollment. This role leads state implementation readiness and regulatory reporting, delivering enrollment analytics and scalable solutions.

The associate partners with executive leadership, compliance, and technology teams, driving modernization and data-driven decision making across Medicaid markets.