[Remote] Research Consulting Lead at Humana

San Antonio, Texas, United States

Humana Logo
Not SpecifiedCompensation
N/AExperience Level
N/AJob Type
Not SpecifiedVisa
N/AIndustries

Requirements

  • Bachelor's degree
  • 8 or more years of technical experience
  • 2 or more years of project leadership experience
  • Understanding of research methodology and the managed care arena
  • Experience with advanced analytics, machine learning, including program evaluation and health outcomes studies

Responsibilities

  • Leads a study team from study inception to dissemination of research results
  • Prepares documents and submissions involved in study execution, including Statements of Work/Responding to RFPs, Budget preparation, Master Service Agreements, IRB Protocols, Data Use Agreements
  • Prepares comprehensive scientific documents which may include study protocols, technical reports, peer-reviewed publications, and presentations to communicate study findings
  • Leverages advanced knowledge of integrated data, modeling, machine learning, and tools for the development of new research and executing on existing contracts
  • Exercises independent judgment and decision making on complex issues regarding job duties and related tasks
  • Advises executives to develop functional strategies on matters of significance
  • Provides expert guidance around study design, research methodology, analyses and interpretation of results

Skills

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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