Senior Clinical Research Scientist
Remote US
Healthcare is rapidly changing, and our members are living longer, often with more chronic conditions. The Clinical Analytics team identifies opportunities and build solutions to improve clinical outcomes and lower costs for millions of Medicare Advantage beneficiaries leveraging data science & analytics, clinical expertise, strategic mindset, and rigorous study designs. In this multi-disciplinary team, you will have the opportunity to work closely with strategy partners and clinicians to shape Humana’s future enterprise clinical strategies and initiatives.
The Senior Research Scientist applies mathematical, statistical, epidemiologic and data science principles to identify trends, assess variable associations or cause-effect relationships, and size potential opportunities to drive improvement in population health and reduction of healthcare cost using high volumes of structured and unstructured data.
The Senior Research Scientist will have the opportunity to exercise considerable latitude in determining objectives and approaches to assignments.
Responsibilities
As a Senior Research Scientist, you will:
- Research, prototype and scale new ideas to impact population health and cost of healthcare
- Collaborate with analytic and business teams to set objectives, approaches, and work plans
- Leverage a wide range of analytics methods ranging from descriptive to prescriptive to transform high volumes of complex data into analytics solutions and actionable insights
- Collaborate with clinicians and clinical informaticists to define various clinical concepts and extract clinical information from medical, pharmacy, and lab claims for analytics and modeling purposes
- Translates analytic results into key takeaways and communicate to business partners
- Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas
- Make decisions regarding own work methods, occasionally in ambiguous situations with general guidance
Use your skills to make an impact
Required Qualifications
- Master's Degree in a quantitative discipline such as Epidemiology, Biostatistics, Economics, Statistics, Clinical Informatics, Mathematics, Data Science, Data Analysis and/or related fields
- Experience working with healthcare data and/or strong interest in healthcare and desire to make a positive impact on population health
- 3-5 years of professional experience leveraging structured and unstructured data
- Proficient in manipulating and analyzing data with at least one of the programming languages such as Python, R, SAS
- Demonstrated strong analytical thinking and problem-solving skills
- Clear and concise oral and written communication skills, with a proven ability to translate complex methodologies and analytical results to higher-level business insights and key takeaways
Preferred Qualifications
- Healthcare or managed care working experience
- Experience working with medical, pharmacy, lab claims
- Experience working with big data and using PySpark, Spark R or Spark Scala
- Experience with causal inference and causal machine learning techniques, and/or advanced machine learning algorithms such as deep learning, NLP, recommender system, network analysis.
- Familiarity with clinical concepts related to a broad range of clinical conditions and disease states, such as oncology, falls, palliative care, behavioral health and/or other chronic conditions
- Deep understanding of healthcare payer economics, and/or other specific healthcare areas such as EMR, Episode grouper, utilization management, value-based care, low value care etc.
- Familiarity with clinical concepts related to a broad range of clinical conditions and disease states, such as oncology, falls, palliative care, behavioral health and other chronic conditions
Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.About us
Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
ApplyJob Profile
Remote US
Benefits/Perks401k retirement 401k Retirement Savings Bonus Incentive Bonus incentive plan Caring community Competitive benefits Dental Disability Flexible work methods Holidays Impact on population health Life Life Insurance Medical Paid parental and caregiver leave Paid Time Off Parental and Caregiver Leave Personal holidays Smart healthcare decisions Support whole-person well-being Time off Vision Vision Benefits Volunteer time Volunteer time off
Tasks- Analysis
- Collaborate with clinicians
- Collaborate with teams
- Communicate Results
- Communication
- Data Analysis
- Determining objectives and approaches
- Identify trends
- Make decisions on work methods
- Research
- Research and prototype new ideas
- Training
- Transform data into insights
- Utilization Management
Algorithms Analysis Analytic Analytical Analytical thinking Analytics Analytics Solutions Analyzing Behavioral health Big Data Biostatistics Business Business Insights Causal inference Claims Clinical Clinical expertise Clinical Informatics Communication Compensation Data Data analysis Data Science Deep Learning Dental Economics EMR Epidemiology Healthcare Healthcare Data Healthcare economics Healthcare services Informatics Insurance IT Life Insurance Machine Learning Managed Care Management Mathematical Mathematics Medicaid Medicare Medicare Advantage Modeling Network Network Analysis NLP Organizational Pharmacy Policy Population health Problem-solving Programming PySpark Python R Recommender system Recruitment Research SAS Scala Spark Spark r Spark/Scala Statistics Strategy Teams Training Utilization management Value-based care Vision Wellness Written communication
Experience3 - 5 years
EducationAnalytics Associate Behavioral health Biostatistics Business Communication Data Analysis Data Science Economics Education Epidemiology Healthcare Higher IT Management Master's Master's degree Mathematics Quantitative discipline Related fields Statistics
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9