Become a part of our caring community and help us put health first
 

HQRI is an organization that is responsible for improving health outcomes and advancing the care experience of our members and provider partners through integrated risk adjustment (RA) and quality (Stars) solutions that leverage data and technology to empower members, providers, and Humana. HQRI Health Quality and Stars (HQS) is committed to caring for our customers and delivering high plan quality as rated by the Centers for Medicare and Medicaid Services (CMS).
The CMS Stars quality rating system evaluates Medicare Advantage and Prescription Drug Plans using approximately 40 measures covering preventive care screenings, health condition management, health outcomes, patient experience, and plan operations.

The Stars Senior Business Intelligence Engineer will play a critical part in supporting the data reporting and performance management of our Stars improvement operations. Your expertise in retrieving, structuring, analyzing and visualizing data will drive impactful business solutions. By creating solutions that serve the needs of partners across the enterprise you will equip them to be more efficient and effective at their work – driving actions with meaningful data.

Location: remote but preference for Louisville, KY

The CMS Stars quality rating system evaluates Medicare Advantage and Prescription Drug Plans using approximately 40 measures covering preventive care screenings, health condition management, health outcomes, patient experience, and plan operations.

The Stars Senior Business Intelligence Engineer will play a critical part in supporting the data reporting and performance management of our Stars improvement operations. Your expertise in retrieving, structuring, analyzing and visualizing data will drive impactful business solutions. By creating solutions that serve the needs of partners across the enterprise you will equip them to be more efficient and effective at their work – driving actions with meaningful data.

Key responsibilities:

Data Management and Reporting:

• Retrieve, structure and manage large datasets to support Stars reporting dashboards

• Create, maintain and enhance Power BI dashboards to monitor performance metrics and trends

• Ensure accuracy and consistency of data across all reports and tools

Data Analysis and Problem-Solving:

• ​Analyze data to identify trends, insights and performance drivers that impact Star ratings

• Collaborate with cross-functional teams to solve complex business problems using data-driven approaches

• Proactively identify opportunities for improvement and innovation within the Stars program

Stars Expertise Development:

• Become an expert in CMS Stars specifications, processes and related performance metrics

• Deeply understand underlying data sources and their relationships to Stars performance

• Educate stakeholders on Stars data and processes to drive better decision-making

 Support Performance Management:

• Design and deliver actionable reporting to track progress on Stars improvement initiatives

• Assist in evaluating the impact of various interventions and programs on Star ratings

• Partner with the Stars team to ensure alignment between data insights and strategic goals

Use your skills to make an impact
 

Role Essentials

• Bachelor's degree and 5 or more years of technical experience in data analysis OR Master's degree and 3 or more years of experience

• Advanced in SQL

• Experience with PowerBI and/or other tools such as Tableau and Qlik for creating data visualizations

• Advanced experience working with big and complex data sets within large organizations

• Experience analyzing data to solve a wide variety of business problems and create data visualizations that drive strategic direction

• Proficiency in understanding Healthcare related data

• Proficiency in verbal and written communication to senior and executive leadership

• Strong attention to detail and a commitment to data accuracy

Role Desirables

• Advanced Degree in a quantitative discipline, such as Mathematics, Economics, Finance, Statistics, Computer Science, Engineering or related field

• Expertise in data mining, forecasting, simulation, and/or predictive modeling

• Experience creating analytics solutions for various healthcare sectors

• Previous experience in Medicare Advantage and CMS Stars strongly preferred

• Familiarity with data warehousing (Oracle) and cloud platforms (Azure)

Additional Information

Hybrid work arrangement preferred, with a mix of office and remote work, but will accept remote for the right candidate

Humana is an organization with careers that change lives—including yours. As an innovator in the fast-paced industry of healthcare, we offer our associates careers that challenge, support and inspire them to use their passion for helping others and to lead their best lives. If you’re ready to help people achieve lifelong well-being, and be a part of an organization that is growing and poised to make an impact on the future of healthcare, Humana has the right opportunity for you.

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.

 

$89,000 - $121,400 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us
 

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.

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 veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.