Senior Data Scientist

San Antonio, Texas, United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, InsuranceIndustries

Requirements

Candidates must possess a Bachelor's degree and 5 years of applicable experience, or a Master's degree and 3 or more years of experience. Proficiency in SQL, SAS, R, or Python is required, along with experience transforming complex data into advanced analytic solutions using mathematics, statistics, modeling, business analysis, and technology. The ability to use independent judgment requiring analysis of variable factors and determining the best course of action is also necessary. Preferred qualifications include a Master's degree or higher and experience in healthcare, insurance, or risk adjustment.

Responsibilities

The Senior Data Scientist will use mathematics, statistics, and programming to generate predictions that drive risk adjustment operations and strategy. They will partner with peers and supervisors to establish collaborative working relationships and deliver complex information in a clear and useful manner to customers, utilizing tables, charts, and graphs. The role involves understanding customer needs and developing solutions in partnership with them, with an objective to take ownership of major models within six months and improve models by increasing efficiency, building new models/processes, or enhancing existing model accuracy within one year.

Skills

Data Modeling

Statistics

Mathematics

Programming

Predictive Analytics

Risk Adjustment

Data Visualization

Business Analysis

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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