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Humana

Sells Medicare health plans and runs senior clinics

Research Scientist - Clinical Innovation & Trend Analytics

Data SciencePosted on Nov 10
Full-timeRemote in USA

About the Job

Requirements

  • A Master's degree in a quantitative discipline such as Epidemiology, Biostatistics, Economics, Statistics, Clinical Informatics, Engineering, or a related field is required.
  • At least 2 years of experience creating datasets and analytical variables from large, complex data environments using SQL, SAS, and Python is required.
  • At least 2 years of experience applying research methods to transform high volumes of complex data into actionable insights is required.
  • At least 2 years of experience with experimental and quasi-experimental methods such as randomized controlled trials, propensity matching, or difference-in-difference models is required.
  • Experience working collaboratively within a multidisciplinary team to deliver quality analytical work and communicate results and insights clearly to business partners is required.

Responsibilities

  • Conduct exploratory analysis on populations, trends, and clinical conditions to identify potential opportunities for trend savings and improved clinical outcomes for members.
  • Collaborate with clinicians and clinical informaticists to define clinical concepts and extract clinical information from medical, pharmacy, and lab claims for analytics and modeling.
  • Use analytics methods ranging from descriptive analysis to epidemiological methods.
  • Design outcomes studies and evaluate programs using randomized controlled trials, propensity matching, difference-in-difference models, or other experimental or quasi-experimental methods.
  • Conduct literature reviews and intervention research to assess engagement rates and treatment effect sizes of interventions in early design and implementation stages.
  • Write code in SQL, SAS, and Python to assemble data, create analytic variables and features, design visuals and charts, and build statistical models for research and science use cases.
  • Translate analytic results into key takeaways with actionable insights and communicate them to business partners.
  • Understand department, segment, and organizational strategy and operating objectives, including their connections to related areas.
  • Make decisions regarding research methods, occasionally in ambiguous situations with general guidance.

Desired Qualifications

  • Healthcare or managed care work experience.
  • Experience working with medical, pharmacy, and lab claims.
  • Familiarity with clinical concepts related to a broad range of clinical conditions and disease states.
  • Familiarity with hypothesis testing, statistical methods, and comparative effectiveness study design and modeling techniques.
  • Experience using PySpark, Databricks, Microsoft Azure, and Power BI.
  • A strong interest in healthcare and a desire to make a positive impact on health outcomes.

About the Company

Humana

Sells Medicare health plans and runs senior clinics

Humana sells health insurance paid for by government programs, chiefly Medicare Advantage plans that private insurers run for Americans 65 and older in place of traditional Medicare. It ranks among the largest Medicare Advantage insurers in the country and also runs Medicaid plans for low-income families in several states. Its CenterWell business operates senior primary care clinics, a mail-order pharmacy and home health services, so many members get care from a company the insurer owns. Medicare and states pay Humana a set monthly amount per member, and it keeps the difference between those payments and members' medical costs. Humana was founded in 1961 as a nursing home company and is based in Louisville, Kentucky.

Company size
10,001+
Company stage
IPO
Headquarters
Louisville, KY
Founded
1961

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