Business Intelligence Principal - HEDIS

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 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

Although this position is remote, residency close to or within Louisville KY preferred for occasional travel to Humana offices for meetings.

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.

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.

 

$142,300 - $195,700 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 03-22-2026
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.

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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.