
10,000+ employees
Founded 1961
đĽ Healthcare
đĄď¸ Insurance
âď¸ Healthcare Insurance
Healthcare ⢠Insurance ⢠Healthcare Insurance
Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.
đĽ 0 minutes ago
đşđ¸ United States â Remote
đľ $106.9k - $147k / year
â° Full Time
đ Senior
đ Data Scientist
đŚ H1B Visa Sponsor
đť Ghost score 0%
Where this job comes from
Posted on Humana's careers page, not through a job board
First seen by Remote Rocketship 0 minutes ago

10,000+ employees
Founded 1961
đĽ Healthcare
đĄď¸ Insurance
âď¸ Healthcare Insurance
Healthcare ⢠Insurance ⢠Healthcare Insurance
Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.
⢠Lead development, enhancement, validation, and ongoing performance of forecasting and valuation models ⢠Translate Medicare Advantage, Risk Adjustment, operational, and financial requirements into model logic and analytical methodologies ⢠Independently write complex SQL to manipulate and analyze data ⢠Build and enhance forecasting model assumptions and methodologies ⢠Evaluate Medicare Advantage and Risk Adjustment program performance ⢠Lead analytical initiatives across multiple stakeholders ⢠Influence business decisions without formal authority ⢠Lead complex analytical initiatives from problem definition through implementation ⢠Define analytical approaches, methodologies, assumptions, and success measures amid limited guidance or evolving requirements ⢠Mentor team members and review analytical work products ⢠Drive stakeholder alignment while balancing competing priorities and business objectives ⢠Translate ambiguous business challenges into actionable analytical solutions ⢠Own recurring valuation, performance measurement, and reporting processes ⢠Validate source data, assumptions, calculations, and reporting outputs ⢠Investigate unexpected trends and analyze root causes ⢠Reconcile findings across multiple data sources and methodologies ⢠Establish quality control procedures for recurring financial and operational reporting ⢠Develop, build, modify, validate, troubleshoot, and analyze financial models projecting risk-score-driven revenue and estimating program value ⢠Assess financial implications of changes in risk score performance, operational results, assumptions, and methodology ⢠Partner with business leaders, program owners, Finance, Operations, and Analytics teams ⢠Communicate valuation assumptions, risks, limitations, methodology changes, and performance trends to leaders and stakeholders ⢠Provide actionable, quantitatively supported insights for operational and strategic decisions ⢠Develop sustainable, scalable analytical and reporting processes
⢠Bachelor's degree in Finance, Economics, Statistics, Mathematics, Business Analytics, Computer Science, or a related field ⢠7+ years of progressive experience in healthcare analytics, financial analytics, consulting, strategy, or related analytical disciplines ⢠Experience developing financial models, valuation methodologies, or forecasting frameworks ⢠Experience leading complex analytical initiatives with significant business impact ⢠Advanced SQL proficiency, including independently writing, troubleshooting, and optimizing complex queries against large relational datasets ⢠Advanced financial modeling proficiency, including independently building, modifying, troubleshooting, validating, and analyzing complex forecasting and revenue projection models ⢠Ability to translate business rules, financial assumptions, analytical methodologies, and changing requirements into model logic using SQL, Excel, or related analytical tools ⢠Advanced Excel proficiency, including Pivot Tables, data validation, reconciliation, trend analysis, and synthesis of large datasets ⢠Strong understanding of forecasting, statistical analysis, and valuation concepts ⢠Ability to work across disparate data sources and varying levels of analytical granularity ⢠Strong attention to detail and ability to validate assumptions, methodologies, and results ⢠Working knowledge of Medicare Advantage and Risk Adjustment methodology ⢠Ability to work independently in ambiguous environments ⢠Ability to influence cross-functional stakeholders without direct authority ⢠Experience presenting results and recommendations to senior leaders ⢠Excellent written and verbal communication skills ⢠Ability to explain complex analytical concepts to non-technical audiences ⢠Minimum home internet speed of 25 Mbps download and 10 Mbps upload ⢠Dedicated work space without ongoing interruptions to protect member PHI/HIPAA information ⢠This role is not eligible for work visa sponsorship
⢠Bonus incentive plan based on company and/or individual performance ⢠Medical benefits ⢠Dental benefits ⢠Vision benefits ⢠401(k) retirement savings plan ⢠Paid time off ⢠Company holidays ⢠Personal holidays ⢠Paid parental leave ⢠Paid caregiver leave ⢠Short-term disability ⢠Long-term disability ⢠Life insurance ⢠Dedicated home workspace supporting protection of member PHI/HIPAA information ⢠Remote work arrangement with occasional travel to Humana offices for training or meetings
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