Research Scientist 2 (Remote)

Employment Type: Full-time

Position Overview

Humana's Clinical Analytics Team is seeking a Research Scientist (Remote) to join our caring community and help us put health first. Healthcare is rapidly changing, and our members are living longer, often with more chronic conditions. The Clinical Analytics team identifies opportunities and builds solutions to improve clinical outcomes and lower costs for millions of Medicare Advantage beneficiaries through an evidence-based approach using data 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 enterprise clinical strategies and initiatives. The Research Scientist 2 applies mathematical, statistical, and epidemiologic principles to identify trends, assess variable associations or cause-effect relationships, and size potential opportunities using high volumes of complex data. Your work assignments will be varied and frequently require interpretation of data/information and independent judgment.

Responsibilities

As a Research Scientist 2, you will:

• Design studies (e.g., randomized control trials, difference-in-difference, propensity score matching) to measure performance of various specialty value-based programs.
• Calculate minimal detectable effects for key clinical outcomes of specialty value-based programs.
• Perform feasibility analysis to determine likely clinical impact of programs.
• Complete Economic Valuation Model for value-based programs.
• Collaborate with analytic and actuary teams to set objectives, approaches, and work plans.
• 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.
• Collaborate with contracting teams to incorporate study design elements into value-based contracts.
• Translate analytic results into key takeaways and communicate to business partners.
• Understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas.
• Make decisions regarding your 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, and/or related fields.
• 2+ years of experience in applying mathematics, statistics, and epidemiologic principles to transform high volumes of complex data into actionable insights.
• Experience manipulating and analyzing data using SAS, R, Python, or similar software.
• Demonstrated strong analytical thinking and problem-solving skills.
• Demonstrated strong interest in healthcare and desire to make a positive impact on population health.
• Flexible, dynamic personality who can work independently and collaboratively with cross-functional teams.
• 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, and lab claims.
• Demonstrated familiarity with randomized controlled trial, observational causal inference methods, and comparative effectiveness study design.
• Demonstrated familiarity with clinical concepts related to a broad range of clinical conditions and disease states – experience with oncology, behavioral health, and chronic conditions would be particularly valuable.

Additional Information

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cabl...