Senior Data Scientist

Key Skills

Java Programming, Python Programming, SQL, Data Modeling, R Programming, Statistics, SAS, Data Analysis

Job Description

The Senior Data Scientist will join a team that leverages predictive modeling and analytics to support Humana’s HQRI (Healthcare Quality & Reporting Improvement) department. The team focuses on risk adjustment modeling for our Medicare, Commercial, and Medicaid business. The HQRI department is a high-performing department with a key role within Humana. They rely on this team to provide guidance in operations and financial projections that are grounded in data science.

Responsibilities

The Senior Data Scientist will join a team that leverages predictive modeling and analytics to support Humana’s HQRI (Healthcare Quality & Reporting Improvement) department. The team focuses on risk adjustment modeling for our Medicare, Commercial, and Medicaid business. The HQRI department is a high-performing department with a key role within Humana. They rely on this team to provide guidance in operations and financial projections that are grounded in data science.

The Senior Data Scientist in this role will empower risk adjustment decision makers through predictive analytics. They will provide actionable, accurate, and reliable solutions to our operations and finance partners’ business needs. They will put the customer first, delivering timely and clearly communicated results.

Objectives:

• Within six months, understand and run at least 2 of our major models
• Within one year, improve our models by increasing efficiency, building a new model/process, and/or improving the accuracy of an existing model

Responsibilities:

• Utilize mathematics, statistics, and programming to generate predictions that drive risk adjustment operations and strategy
• Partner with peers and supervisors to establish an overall collaborative working relationship
• Deliver complex information in the manner most useful to the customer, utilizing tables, charts, graphs, filters, etc. to make clear the most important aspects of the information presented
• Seek always to understand customers’ needs and works in partnership with customers to develop solutions that satisfy those needs

**This role will be Hybrid Home; which means you’ll be in office 2 days and you may work at home 3 days per week**

Required Qualifications

• Bachelor's Degree and 5 years of data analytics experience OR Master's Degree and 3 or more years of data analytics experience
• Proficiency with SQL, SAS, R and/or Python
• Experience using mathematics, statistics, modeling, business analysis, and technology to transform high volumes of complex data into advanced analytic solutions
• Ability to work on assignments independently that involve moderate to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors

Preferred Qualifications

• PhD
• Health industry experience

Additional Information

Vaccine Policy:

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 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 25×10 (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

Why Humana?

At Humana, we know your well-being is important to you, and it’s important to us too. That’s why we’re committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. Just to name a few:

• Work-Life Balance
• Generous PTO package
• Health benefits effective day 1
• Annual Incentive Plan
• 401K – Immediate company match
• Well-being program 
• Paid Volunteer Time Off
• Student Loan Refinancing