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Humana

Senior Data Scientist - Stars

Remote

Description

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 CMS consumer website to help beneficiaries choose among the plans offered in their area. Quality metrics include screenings and vaccines, managing chronic conditions, member experience with the health plan, member complaints, and customer service. For the past five years, Humana has led national competitors with the most members in 4+ Star plans, so we take great pride in the quality of care we deliver and the experience we provide our beneficiaries. This measure of quality directly impacts our members' health and the benefit offerings available to them.

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Responsibilities

The Member and Provider Analytics team uses data science, public health, experimental design, valuation, and Stars program expertise to solve meaningful problems for 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.

As a Senior Data Scientist within the Member and Provider Analytics team you will primarily work to predict, measure, and improve Humana's performance using contract-level modeling. Additionally, the ideal candidate will contribute to and advance our member-level modeling capabilities to enhance prioritization and targeting efforts. This role is ripe for someone who wants to explore, iterate quickly, and deliver valuable insights for Humana.

Key responsibilities include:

  • Building predictive models related to Stars, member-level, plan-level and contract-level
  • Performing exploratory data analysis to determine drivers and best predictors for modeling
  • Recommending and developing the best ML/AI modeling techniques given the business objectives
  • Building data analyses to communicate key takeaways from project results
  • Collaboration with other data scientists on cross-functional projects and frequent communication with business partners
  • Self-motivated and organized to research multiple projects at once

Required Qualifications

  • Bachelor's Degree and 5 years of data science experience OR Master's Degree and 2 years of data science experience
  • Experience using mathematics, statistics, modeling, business analysis, and technology to transform high volumes of complex data into advanced analytic solutions
  • Advanced proficiency in Python and SQL.
  • Create projections, models, and presentations to support business partners
  • 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

  • Experience with using Databricks and cloud environments.
  • Knowledge of advanced machine learning techniques such as deep learning and AI
  • Prior health care and/or insurance experience

Additional Information

Work-At-Home Requirements:

  • WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
  • A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.
  • Satellite and Wireless Internet service is NOT allowed for this role.
  • A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Why Humana? You'll experience the following perks as a full-time Humana employee:

Compensation and Financial Security - Our pay philosophy is designed to motivate and reward associates for their skills and contributions to the company. We provide options to help you plan for your future and protect your assets: Competitive base pay, Recognition pay, 401(k) retirement savings plan with company match.

Your Whole Health - Humana's health products and services are designed to encourage personal wellness and smart healthcare decisions for you and your family: Medical, dental, and vision benefits, Health plan incentives, Paternity leave, etc.

Work Perks - Humana knows your life extends outside of work. We have many options to support your interests and needs. Some departments have the flexibility to allow associates to work from home, and we offer all associates: Paid time off, holidays, volunteer time, jury duty pay, Associate charity matching program, Discount programs with major retailers, etc.

Grow With Us - Humana provides growth and career opportunities that can help you develop your skills and build your future with the organization: Internal and external learning events, Tuition assistance, Inclusion and diversity training, etc.

Social Security Task:

Alert: Humana values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humana's secure website.

Interview Format:

As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule.

If you are selected for a first-round interview, you will receive an email correspondence inviting you to participate in a Modern Hire interview. In this interview, you will receive a set of interview questions over your phone or via email to complete. Some of the questions may require longer responses and using a computer vs phone to type responses may work best. You should expect this interview to take about 15-20 minutes. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to the next round of interviews.

Scheduled Weekly Hours

40

Job ID: humana-R-310644
Employment Type: Other

This job is no longer available.

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