Humana

Clinical Research Scientist 2

San Antonio, Texas, United States

Not SpecifiedCompensation
Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Health Insurance, Clinical ResearchIndustries

Requirements

Candidates must possess a Master's degree in a quantitative discipline such as Epidemiology, Biostatistics, Economics, Statistics, Clinical Informatics, Mathematics, Data Science, or Data Analysis. They should have 1-3 years of experience applying mathematical, statistical, epidemiologic, or econometric principles to complex data, proficiency in programming languages like Python, R, or SAS, and strong analytical and problem-solving skills. Preferred qualifications include healthcare experience, familiarity with claims data, big data technologies (PySpark, Spark R, Spark Scala), causal inference, advanced machine learning techniques, and knowledge of healthcare payer economics.

Responsibilities

The Research Scientist 2 will lead research, evaluation, and development of opportunities to optimize healthcare delivery and lower medical costs while improving member health outcomes using mathematical, statistical, epidemiologic, and data science methods. Responsibilities include researching, prototyping, and scaling new ideas for population health improvement, collaborating with analytic and business teams to define objectives and work plans, and evaluating existing programs to identify and measure new solutions. The role involves leveraging diverse analytics methods to transform complex data into actionable insights, defining clinical concepts with clinicians, and translating analytic results into key takeaways and recommendations for business partners.

Skills

Data Science
Analytics
Clinical Expertise
Mathematical Methods
Statistical Methods
Epidemiologic Methods
Research
Evaluation
Development
Population Health
Healthcare Delivery
Descriptive Analytics
Prescriptive Analytics
Data Analysis
Clinical Concepts
Medical Claims
Pharmacy Claims
Lab Claims

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.
Rising medical costs and tightening Medicare reimbursements may strain financial performance.
Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.
The company emphasizes inclusivity, offering free language interpreter services for accessibility.
Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.
The company is the first insurer to cover TMS therapy for adolescent depression.
Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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