Business Intelligence Principal - HEDIS

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

The Business Intelligence Principal solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Principal provides strategic advice and guidance to functional team(s). Highly skilled with broad, advanced technical experience.

The Business Intelligence Principal plays a critical role in advancing Humana's quality performance by transforming complex data, measurement requirements, and business questions into actionable enterprise-ready solutions. This role provides strategic direction to identify and address complex opportunities across HEDIS and Medicare Stars, helping leaders understand performance, prioritize interventions, and operationalize improvement strategies at scale.

Success in this role requires a unique blend of strategic thinking, technical depth, quality measurement knowledge, and cross-functional influence. The ideal candidate will be able to interpret complex requirements, connect data to business action, and lead through ambiguity in a highly matrixed environment.

Humana is seeking a Business Intelligence Principal to strengthen enterprise intelligence capabilities in support of HEDIS and Stars performance. This role will lead the design and advancement of reporting frameworks, insight generation, and data strategies that enable leaders to identify performance drivers, surface emerging risks, evaluate improvement opportunities, and make better-informed business decisions.

The Principal will help shape how quality performance is measured, monitored, and communicated across the enterprise. This includes supporting evaluation of new data capture opportunities, improving the usability and consistency of performance insights, and helping ensure that complex data and quality guidance are translated into scalable operational approaches.

This role will work closely with leaders across quality improvement, interoperability, clinical, operational, and enterprise data teams and will serve as a strategic connector across those groups. The ideal candidate is highly collaborative, comfortable navigating complexity, and able to move fluidly between technical detail and executive-level strategy.

• *Key Responsibilities**

+ Lead the development of intelligence solutions, reporting strategies, and performance frameworks that support HEDIS and Medicare Stars improvement

+ Translate complex healthcare data and measurement concepts into clear, actionable insights for business and operational leaders

+ Partner with senior leaders to identify performance drivers, prioritize opportunities, and support intervention strategy

+ Design scalable reporting and insight frameworks that provide consistent visibility into measure performance, trends, gaps, and emerging risks

+ Establish repeatable approaches for evaluating the impact of quality initiatives, operational strategies, and new data opportunities

+ Serve as a bridge across quality, interoperability, business, and data teams to align intelligence solutions with operational needs

+ Identify gaps in current capabilities and recommend scalable solutions to strengthen enterprise decision support

+ Provide technical and strategic leadership across cross-functional efforts, helping teams make informed, evidence-based decisions

+ Maintain awareness of evolving CMS, and NCQA requirements and ensure intelligence capabilities adapt to changing expectations

+ Support evaluation of external vendors, enterprise tools, and data platforms that contribute to quality performance and insight generation

• *Use your skills to make an impact**
• *Required Qualifications**

+ Bachelor's degree or equivalent experience

+ 8+ years of experience in healthcare business intelligence, quality measurement, enterprise reporting, data strategy, or consulting

+ Demonstrated success translating complex data into strategic insights, performance narratives, and business recommendations

+ Strong experience with performance measurement, trend analysis, reporting frameworks, and executive-level storytelling

+ Strong strategic thinking, problem-solving, and prioritization skills

+ Ability to communicate complex technical, analytical, or measurement-related concepts to both technical and non-technical audiences

• *Preferred Qualifications**

+ Experience supporting HEDIS, Medicare Stars, or other healthcare quality programs

+ Experience working with healthcare data domains including claims, clinical, pharmacy, supplemental, and provider data

+ Familiarity with interoperability, clinical data exchange, or digital quality data strategies

+ Experience evaluating new data sources or enterprise capabilities to support quality measurement and performance improvement

+ Experience working in large, complex healthcare organizations with multiple stakeholders, business owners, and external partners

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