Note: The job is a remote job and is open to candidates in USA. Humana Inc. is a leading U.S. healthcare company that focuses on delivering care and service to millions of people. The Claims Senior Business Analyst will perform business analysis, documentation of requirements, and translation into system specifications, working on moderately complex to complex issues.
Responsibilities
- Lead customer and stakeholder discovery activities (e.g., interviews, usability testing, feedback analysis) to uncover needs, pain points, and opportunities
- Analyze customer needs, stakeholder expectations, and relevant data to understand value drivers
- Define discovery objectives and scope aligned to product strategy, customer outcomes, and business goals
- Translate analytical insights into a clear and compelling value proposition
- Partner with stakeholders (engineering, design, marketing, sales, operations) to align product vision, scope, and delivery with the value proposition
- Quantify value through business cases, cost–benefit analysis, and ROI assessments
- Ensure alignment between the value proposition and organizational strategy and goals
- Translate discovery insights into actionable outcomes such as product deliverables, roadmap inputs, and value propositions
- Collaborate with cross-functional partners to validate assumptions and support decision-making
- Communicate the value proposition effectively to diverse stakeholders
- Communicate findings clearly to leadership and teams to support alignment and decision‑making
Skills
- Minimum 2 years of experience adjudicating claims data and completing data analysis using CAS
- Working knowledge of ad-hoc query tools and data repositories that support data extraction and manipulation
- Experience partnering with stakeholders (engineering, design, marketing, sales, operations) to align product vision, scope, and delivery with the value proposition
- Experience translating data into presentable information to influence decisions and priorities
- Experience analyzing processes to identify recommended solutions or re-engineering
- Demonstrated experience with process documentation, including the use of Microsoft Office applications including Word, Excel, Access, PowerPoint, and Visio
- Bachelor's degree
- Six Sigma certification
- PMP certification
Benefits
- This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
- 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Company Overview
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