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Humana

Senior Data Scientist

Remote

Description

The HGB Data and Analytics (DNA) team leverages the power of analytics and data-driven insights to improve the health and well-being of our military service members, retirees and their families, and to drive continuous improvement in the delivery of healthcare services. Within this team, the DNA Data Science team pioneers efforts across many areas of focus, including but not limited to provider analytics, healthcare fraud analytics, behavioral science, test and learn, disease progression/modeling, predictive and prescriptive analytics, and operational analytics.

The Senior Data Scientist uses mathematics, statistics, modeling, business analysis, and technology to transform high volumes of complex data into advanced analytic solutions. Develops, maintains, and collects structured and unstructured data sets for analysis and reporting. Creates reports, projections, models and presentations to support business strategy and tactics.

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The Senior Data Scientist will collaborate closely with other data scientists, informaticists, behavioral economists, data visualization professionals and product managers to build advanced analytics solutions for the latest TRICARE contract (T5), advance Humana Military's clinical quality strategy, and support new revenue growth opportunities. The scope of work includes predictive modeling, exploring new datasets for potential integration into machine learning and other analytics projects, retrospective analysis, assisting in designing and analyzing results of business experiments, and operationalizing data science solutions.

Responsibilities

KEY ACCOUNTABILITIES

  • Design, prototype, and implement statistical modeling, machine learning algorithms, retrospective analysis and other advanced analytics techniques to solve business problems
  • Lead the exploratory data analysis effort to navigate a diverse set of datasets, and organize and wrangle large datasets to get actionable insights from them
  • Deploy, operationalize and maintain data science solutions for the DNA team
  • Participate in dialogue with internal business partners to determine areas of opportunity where analytics can be leveraged to solve big problems
  • Visualize data to tell a compelling story and communicate project progress to non-technical stakeholders
  • Develop and maintain productive relationships within the enterprise business and analytic communities

Required Qualifications

  • 5+ years relevant experience + Bachelor's degree or 3+ years relevant experience + Master's Degree or at least 0-2 years relevant experience + Ph.D.
  • Understanding of and experience using advanced analytics concepts (e.g., supervised/unsupervised learning, natural language processing, linear programming, simulation, etc.)
  • Strong communication skills with the ability to explain technical concepts and analytics-driven findings to business people potentially including C-level executives, and to explain business processes, concepts, challenges, and issues to technical resources
  • Experience in visualizing data to communicate findings
  • Strong statistical foundation, with broad knowledge of deterministic and probabilistic statistical methods
  • Programming proficiency in Python or other object-oriented programming language
  • Experience querying relational databases using SQL

Preferred Qualifications

  • Work experience in healthcare space
  • Experience in a research related role or graduate program
  • Knowledge of payer claims, clinical programs and interventions, and health outcomes Experience with medical claims codes: ICD-10, HCPCS, CPT, and NDC
  • Experience with visualization tools such as Tableau or Power BI
  • Experience using cloud technologies (Azure, AWS, GCP)

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Scheduled Weekly Hours

40

Job ID: humana-R-291977
Employment Type: Other

This job is no longer available.

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