Humana

Data Scientist Lead - Clinical

Posted on: 6 Feb 2021

Louisville, KY

Job Description

Description

The Lead Data Scientist leads the team to evaluate Humanas clinical programs and initiatives through observational studies or modeling development. Identifies and leverages structured and unstructured data sets for analysis and reporting. Creates reports, projections, models, and presentations to support business strategy and tactics. Advises executives to develop functional strategies (often segment specific) on matters of significance.

Responsibilities

Humana is seeking a Lead Data Scientist to work with clinical program owners to gain solid understanding of clinical and operational aspects of the program, suggesting and conducting analytical approaches and steps to answer business questions. This could include:

* Design and conduct ROI analysis to demonstrate clinical programs impact to financial trend.

* Develop economic models to project potential trend impacts from pilot programs.

* Collaborate with other trend teams to communicate trend impact to leaders.

* Participate company level Test and Learn committee as a statistical expertise.

* Explore new analytic approaches to answer business questions.

* Drive strategy and lead projects for the team, there could be a potential to lead a team of up to 1-4 analysts.

Required Qualifications

* Master's Degree

* 4 or more years of data science, statistical, economics, or analytical experience

* 2 or more years of healthcare research experience with knowledge of experimental study methodology (e.g. randomized control trials) and/or observational study methodology (e.g. propensity-score matching)

* 2 or more years project leadership experience

* Advanced proficiency in SAS, SQL, Python and/or R

* Experience in using mathematics, statistics, modeling, business analysis, and technology to transform high volumes of complex data into advanced analytic solutions

* Successful demonstrated experience in working on problems of diverse scope and complexity ranging from moderate to substantial

* Experience in developing, maintaining, and collecting structured and unstructured data sets for analysis and reporting

* Experience in creating reports, projections, models, and presentations to support business

* Ability to exercise independent judgment and decision making on complex issues regarding job duties and related tasks

* Ability to works under minimal supervision, using independent judgment

* Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

* PhD

* Knowledge in Power BI and/or machine learning

Scheduled Weekly Hours

40

Humana

Louisville, KY

Humana Inc., together with its subsidiaries, operates as a health and well-being company in the United States. The company offers medical and supplemental benefit plans to individuals. It also has contract with Centers for Medicare and Medicaid Services to administer the Limited Income Newly Eligible Transition prescription drug plan program; and contracts with various states to provide Medicaid, dual eligible, and long-term support services benefits.

In addition, the company provides commercial fully-insured medical and specialty health insurance benefits comprising dental, vision, and other supplemental health and voluntary insurance benefits; financial protection products; and administrative services only products to individuals and employer groups, as well as military services, such as TRICARE South Region contract.

Further, it offers pharmacy solutions, provider services, predictive modeling and informatics services, and clinical care services, such as home health and other services to its health plan members, as well as to third parties. As of December 31, 2018, the company had approximately 17 million members in medical benefit plans, as well as approximately 6 million members in specialty products. Humana Inc. was founded in 1961 and is headquartered in Louisville, Kentucky.

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