at Humana in Wilmington, Delaware, United States
The mission of the Physician Performance Insights team 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).
Humana is seeking a Senior Data Scientist (Senior Informaticist) on the Physician Performance Insights team that leverages their advanced knowledge of data, statistical analysis, business analytics, modeling, optimization, and related tools. Utilizes strategic thinking capabilities and is curious about results extracted from the data in order to investigate drivers and propose recommendations. 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 treatment groups, measures, 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
+ Analyzes data using statistical models, techniques, formulas, and calculations
+ Extracts and draws insights from complex data and reports out on 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
+ 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
+ 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, statistical approaches, predictive modeling techniques and using data to drive business outcomes and decisions
+ Experience with statistical models, methods, techniques, and formulas
+ Excellent verbal and written communication
+ Able to articulate and present findings to internal and external stakeholders
+ Strong attention to detail
+ Must be passionate about contributing to an organization focused on continuously improving consumer and provider experiences
+ Advanced Degree
+ Preferred technologies such as SAS, SQL, Python, R, Power BI, QlikView, Tableau, Hadoop or similar tools
+ Expert in data mining, forecasting, simulation, and/or predictive modeling
+ Six Sigma certification
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.
+ 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
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.
Scheduled Weekly Hours