Data Scientist

Become a part of our caring community and help us put health first
 The Stars program is the Centers for Medicare & Medicaid Services (CMS) five‐star quality rating system for measuring Medicare beneficiaries’ experience with their health plans and the health care system. The program is a key component in financing health care benefits for MA and MA‐PD plan enrollees. In addition, the ratings are posted on the Medicare Plan Finder website to help beneficiaries choose the right plan offered in their geography. Quality metrics include screenings and vaccines, managing chronic conditions, member experience with the health plan, member complaints, interactions with providers and customer service. This quality measure of Humana’s Medicare Advantage product offering directly impacts our members’ health.

Member and Provider Analytics uses data science, business intelligence and Stars expertise to solve meaningful problems for Stars business partners. Our analytics drive Humana’s Stars performance and improve the health and life of our members by transforming data into advanced analytic solutions.

The Data Scientist II position uses mathematics, statistics, modeling, economic principles, business analysis, and technology to deliver advanced analytic solutions. The ideal candidate for this position is well-versed in a variety of modeling techniques and understands how to navigate ambiguous business challenges. The Data Scientist II position requires an individual who designs and deploys predictive models, with experience implementing their use within business operations. Member and Provider Analytics, the department this role is a part of, uses data science, business intelligence and Stars expertise to solve meaningful problems for Stars business partners. Our analytics drive Humana’s Stars performance and improve the health and life of our members by transforming data into advanced analytic solutions.

The Stars program is the Centers for Medicare & Medicaid Services (CMS) five‐star quality rating system for measuring Medicare beneficiaries’ experience with their health plans and the health care system. The program is a key component in financing health care benefits for MA and MA‐PD plan enrollees. In addition, the ratings are posted on the Medicare Plan Finder website to help beneficiaries choose the right plan offered in their geography. Quality metrics include screenings and vaccines, managing chronic conditions, member experience with the health plan, member complaints, interactions with providers and customer service. This quality measure of Humana’s Medicare Advantage product offering directly impacts our members’ health.

Responsibilities

• Collaborate with business leaders to understand challenges and objectives
• Analyze large, complex datasets to identify trends, …