[Remote] Senior Research Scientist at Humana

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 at least 3 years of experience in research science or a related field. Proficiency in SQL, SAS, R, or Python is required, along with experience in using mathematics, statistics, modeling, business analysis, and technology for advanced analytic solutions. The ability to use independent judgment to analyze variable factors and determine the best course of action is essential. A passion for improving consumer experiences within a health-focused organization is also required. A Master's degree or higher and experience in healthcare, insurance, or risk adjustment are desired qualifications.

Responsibilities

The Senior Research Scientist will participate in research study design, analysis, and interpretation of results, focusing on statistical and analytical plan development, data acquisition, preparation, management, and analysis. They will apply advanced statistical methods to evaluate the impact of risk adjustment programs and pilot projects, informing business decisions and optimizing operational strategies. The role involves collaborating with data science and actuarial analytics specialists, serving as a thought leader and subject matter expert in research study design and analysis. Within six months, the scientist will take ownership of existing program evaluation projects, and within two years, create a framework for evaluating risk adjustment programs and expand the scope of evaluation.

Skills

Statistical Analysis

Research Study Design

Data Acquisition

Data Preparation

Data Management

SQL

SAS

Python

Predictive Modeling

Risk Adjustment

Program Evaluation

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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