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

About the Role

Employment Type: Full time

Become a part of our caring community and help us put health first. Humana’s Clinical Analytics Team is seeking a Research Scientist 2 (Remote).

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.

Responsibilities

As a Research Scientist 2, you will:

  • Research, prototype and scale new ideas to improve population health and healthcare delivery
  • Collaborate with analytic and business teams to set objectives, approaches, and work plans
  • Collaborate with strategy to evaluate existing programs and identify and measure new solutions to impact healthcare
  • Leverage a wide range of analytics methods ranging from descriptive to prescriptive to transform high volumes of complex data into analytics solutions and actional 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 make recommendations to business partners
  • Understands department, segment, and organizational strategy and operating objectives, and translate the strategy to work priorities
  • Make decisions regarding own work methods, occasionally in ambiguous situations with general guidance

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
  • 1-3 years of experience in applying mathematics, statistics, epidemiologic or econometric principals to transform high volumes of complex data into actionable insights
  • Demonstrated strong interest in healthcare and desire to make a positive impact on population health
  • 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
  • Flexible, dynamic personality who can work independently and collaboratively within a multi-disciplinary team
  • 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

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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