Humana

Principal Data Scientist - Growth AI

San Antonio, Texas, United States

Not SpecifiedCompensation
Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Data Science, Artificial Intelligence, AI & Machine LearningIndustries

Requirements

Candidates must hold a Master’s degree or Ph.D. in Data Science, Computer Science, Artificial Intelligence, or a related field, and possess a minimum of 10 years of relevant experience in data science, with at least 5 years specifically focused on AI and NLP applications. Proficiency in programming languages like Python or R is required, along with experience in NLP libraries such as NLTK, spaCy, and Hugging Face Transformers, and frameworks like TensorFlow or PyTorch. Strong analytical expertise in processing and analyzing large textual datasets, extracting insights, and building predictive models using generative AI techniques is also necessary. Exceptional verbal and written communication skills, including the ability to articulate complex concepts to diverse audiences, are required, alongside strong problem-solving and critical thinking abilities.

Responsibilities

The Principal Data Scientist will lead innovative projects aimed at enhancing Medicare Advantage membership projections and bid processes, collaborating with cross-functional teams to develop robust algorithms that drive strategic decision-making and improve operational efficiencies. They will apply advanced machine learning techniques, particularly Large Language Models (LLMs), to synthesize and analyze complex datasets for predictive modeling. This role involves conducting audits, delivering training, and advising management on HR-related risk mitigation strategies, ultimately providing strategic advice and guidance to functional teams.

Skills

Python
R
NLP libraries (NLTK, spaCy, Hugging Face Transformers)
TensorFlow
PyTorch
Large Language Models (LLMs)
Predictive Modeling
Data Analysis
Generative AI
Machine Learning
Statistical Modeling
Business Analysis
Data Processing
Communication

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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