Senior Clinical Research Scientist

at  Humana

BECOME A PART OF OUR CARING COMMUNITY AND HELP US PUT HEALTH FIRST

Healthcare is rapidly changing, and our members are living longer, often with more chronic conditions. The Clinical Analytics team identifies opportunities and build solutions to improve clinical outcomes and lower costs for millions of Medicare Advantage beneficiaries leveraging data science & analytics, clinical expertise, strategic mindset, and rigorous study designs. In this multi-disciplinary team, you will have the opportunity to work closely with strategy partners and clinicians to shape Humana’s future enterprise clinical strategies and initiatives.
The Senior Research Scientist applies mathematical, statistical, epidemiologic and data science principles to identify trends, assess variable associations or cause-effect relationships, and size potential opportunities to drive improvement in population health and reduction of healthcare cost using high volumes of structured and unstructured data.
The Senior Research Scientist will have the opportunity to exercise considerable latitude in determining objectives and approaches to assignments.

REQUIRED QUALIFICATIONS

• Master’s Degree in a quantitative discipline such as Epidemiology, Biostatistics, Economics, Statistics, Clinical Informatics, Mathematics, Data Science, Data Analysis and/or related fields
• Experience working with healthcare data and/or strong interest in healthcare and desire to make a positive impact on population health
• 3-5 years of professional experience leveraging structured and unstructured data
• Proficient in manipulating and analyzing data with at least one of the programming languages such as Python, R, SAS
• Demonstrated strong analytical thinking and problem-solving skills
• Clear and concise oral and written communication skills, with a proven ability to translate complex methodologies and analytical results to higher-level business insights and key takeaways

PREFERRED QUALIFICATIONS

• Healthcare or managed care working experience
• Experience working with medical, pharmacy, lab claims
• Experience working with big data and using PySpark, Spark R or Spark Scala
• Experience with causal inference and causal machine learning techniques, and/or advanced machine learning algorithms such as deep learning, NLP, recommender system, network analysis.
• Familiarity with clinical concepts related to a broad range of clinical conditions and disease states, such as oncology, falls, palliative care, behavioral health and/or other chronic conditions
• Deep understanding of healthcare payer economics, and/or other specific healthcare areas such as EMR, Episode grouper, utilization management, value-based care, low value care etc.
• Familiarity with clinical concepts related to a broad range of clinical conditions and disease states, such as oncology, falls, palliative care, behavioral health and other chronic conditions

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.

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.

As a Senior Research Scientist, you will:

• Research, prototype and scale new ideas to impact population health and cost of healthcare
• Collaborate with analytic and business teams to set objectives, approaches, and work plans
• Leverage a wide range of analytics methods ranging from descriptive to prescriptive to transform high volumes of complex data into analytics solutions and actionable insights
• Collaborate with clinicians and clinical informaticists to define various clinical concepts and extract clinical information from medical, pharmacy, and lab claims for analytics and modeling purposes
• Translates analytic results into key takeaways and communicate to business partners
• Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas
• Make decisions regarding own work methods, occasionally in ambiguous situations with general guidance