Lead Data Scientist

🔥 0 minutes ago

🌽 Illinois, North Carolina, +3 more states – Remote

🌽 Illinois – Remote 🌲 North Carolina – Remote 🌾 North Dakota – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote

💵 $156.5k - $215.3k / year

⏰ Full Time

🟠 Senior

📊 Data Scientist

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ 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.

📋 Description

• Transform high volumes of complex data into advanced analytic solutions using mathematics, statistics, modeling, business analysis, and technology • Develop, maintain, and collect structured and unstructured data sets for analysis and reporting • Create reports, projections, models, and presentations to support business strategy and tactics • Advise executives on significant, often segment-specific, functional strategies • Shape strategy for innovative analytics solutions providing actionable insights into policy adherence, compliance, operational consistency, and decision-making • Research, design, and implement a policy adherence metric using FRAC and PA denials information and advanced data modeling • Design valuation models to measure savings from removing non-compliant outliers • Partner with National BH, Contracting, Medicaid, and ND&PPS teams to support operational use of the metric, including MHPAEA and Humana policy compliance • Shape future measurement of ancillary/inpatient psychiatric provider types and other opportunity areas • Manage stakeholders and expectations across data source owners, compliance, policy/governance, business, PTC, and National program partners • Influence priorities, tradeoffs, and roadmap decisions while implementing a scalable solution

🎯 Requirements

• Master's Degree • Minimum 8 years of professional experience in data and analytics transforming data sets for actionable insights and reporting • Minimum 5 years of experience utilizing SQL • Minimum 4 years of project leadership experience • Experience using mathematics, statistics, modeling/Machine Learning modeling, business analysis, and technology to transform high volumes of complex data into advanced analytic solutions • Demonstrated experience working on problems of diverse scope and complexity ranging from moderate to substantial • Experience developing, maintaining, and collecting structured and unstructured data sets for analysis and reporting • Experience creating reports, projections, models, and presentations to support business • Ability to exercise independent judgment and decision making on complex issues • Ability to work under minimal supervision using independent judgment • Minimum download speed of 25 Mbps and upload speed of 10 Mbps • Wireless, wired cable, or DSL connection suggested; satellite, cellular, and microwave connections require leadership approval • Ability to work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information • Preferred: Doctorate degree • Preferred: Experience with claims datasets • Preferred: Experience with Databricks

🏖️ Benefits

• Bonus incentive plan based on company and/or individual performance • Medical, dental, and 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 • Home or Hybrid Home/Office telephone equipment • Bi-weekly internet expense payment for associates living and working from home in California, Illinois, Montana, or South Dakota • Occasional travel to Humana offices for training or meetings