Senior Data Scientist Physician Performance Insights - Remote or Office

Profile

Description

The Physician Performance Insights team's mission is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain high quality affordable healthcare while keeping our provider networks efficient and optimal. We achieve this through advanced analytics that enables objective evaluation of physician performance related to our two key metrics: Efficiency of Care (cost) & Effectiveness of Care (quality).

Responsibilities

Humana is seeking a Senior Data Scientist (Senior Informaticist) on the Physician Performance Insights team that leverages their advanced knowledge of data, analytics, modeling, optimization, and tools. Utilizes strategic thinking capabilities and is curious about results extracted from the data in order to investigate drivers. Leads and will be highly engaged in various strategic projects and initiatives, partnering and collaborating with multiple areas across the organization (Business, Analytics, IT, and others).

Develops or has a deep understanding of physician networks, physician performance and rating metrics (claims, episode groupings, conditions, specialties, etc.), product offerings, and analytics-based approaches which produce meaningful results

Designs new ways and/or improves current methods to evaluate physician efficiency performance measurements and supports conversations/alignment with other areas around physician performance analytics

Extracts and draws insights from complex data and report out both quantitative and qualitative findings

Builds new reports, models, dashboards, and KPI development

Applies disciplined approaches to optimize programs to maximize revenue growth

Executes on existing data related and technical processes to support core functions

Utilizes project management skills (Agile methodology) where applicable

Identifies opportunities to implement process improvements across various functions (Six Sigma and Lean principles)

Effectively communicates to diverse audiences and manages key relationships

Enjoys working in a highly collaborative team environment (whether remote or in office)

In addition to being a great place to work, Humana also offers industry leading benefits for all employees, starting your FIRST day of employment. Benefits include:

Medical Benefits

Dental Benefits

Vision Benefits

Health Savings Accounts

Flex Spending Accounts

Life Insurance

401(k)

PTO including 7 paid holidays, one personal holiday, one day of volunteer time off, 23 days of annual PTO, parental leave, caregiving leave, and weekly well-being time

And more

Required Qualifications

Bachelor's degree and 5 years of data analytics experience OR Master's degree and 3 years of data analytics experience

Experience with data mining, predictive modeling techniques and using data to drive business outcomes and decisions

Excellent verbal and written communication

Able to articulate and present findings and insights to senior leadership

Strong attention to detail

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

Preferred Qualifications

Advanced Degree

Preferred technologies such as SAS, SQL, Python, Power BI, QlikView, Tableau, Hadoop or similar tools

Expertise in data mining, forecasting, simulation, and/or predictive modeling

Six Sigma certification

Additional Information

Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field. Every associate and contractor who work inside a Humana facility or in the field, regardless of vaccination status, must complete a daily health screening questionnaire.

Work at Home/Remote Requirements

Work-At-Home Requirements

WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.

A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.

Satellite and Wireless Internet service is NOT allowed for this role.

A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Our Hiring Process

As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called Modern Hire. Modern Hire Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you.

If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews

If you have additional questions regarding this role posting and are an Internal Candidate, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.

In order to support the CDC recommendations on social distancing and reduce health risks for associates, members and public health, Humana is deploying virtual and video technologies for all hiring activities. This position may be subject to temporary work at home requirements for an indefinite period of time. These requirements include access to a personal computing device with a camera, a minimum internet connection speed of 10m x 1m (satellite and/or wireless internet connections are NOT permitted for Work at Home roles) and a dedicated secure home workspace for interview or work purposes. Humana continues to monitor the situation, and will adjust service levels as the coronavirus situation evolves. The following changes are temporary and will be evaluated frequently with the goal of returning to normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect your health and wellbeing during the hiring process. #ThriveTogether #WorkAtHome

Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humana's secure website.

Humana is more than an equal opportunity employer, Humana's dedication to promoting diversity, multiculturalism, and inclusion is at the heart of what we do in all of our Humana roles. Diversity is more than a commitment to us, it is the foundation of what we do. We are fully focused on diversity of race, gender, sexual orientation, religion, ethnicity, national origin and all of the other fascinating characteristics that make us each uniquely wonderful.

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com