Performance Enablement Lead – Part D Risk Adjustment

Become a part of our caring community 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 ongoin