Senior Data Scientist

Humana Inc.
Topeka, United States of America
4 days ago

Role details

Contract type
Permanent contract
Employment type
Full-time (> 32 hours)
Working hours
Regular working hours
Languages
English
Experience level
Senior

Job location

Topeka, United States of America

Tech stack

Data analysis
Health Informatics
R
Python
Machine Learning
SAS (Software)
Information Technology
Data Analytics
Programming Languages

Job description

The Senior Data Scientist uses advanced analytics, machine learning, and predictive modeling to solve complex healthcare challenges and drive improved outcomes. You will develop data-driven solutions that support population health, utilization management, and quality improvement. You will collaborate with clinical, operational, and business partners to transform complex healthcare data into actionable insights that improve the experiences of Humana's members and providers. You will report directly to the Associate Director, Data Science.

What You'll Do:

  • Partner with Utilization Management (UM), clinical, and business teams to identify opportunities that improve healthcare quality, member outcomes, affordability, and provider experience.

  • Design, develop, validate, and implement predictive models to identify clinical risk, utilization trends, quality gaps, and opportunities for intervention.

  • Apply advanced statistical modeling, machine learning, and analytics techniques to support population health and healthcare decision-making.

  • Build and maintain analytical datasets and features using medical, pharmacy, laboratory, and provider claims data.

  • Collaborate with clinicians, clinical informaticists, and business stakeholders to translate complex business problems into analytical solutions.

  • Evaluate model performance and communicate actionable insights and recommendations to technical and non-technical audiences.

  • Research and scale innovative analytical approaches that improve healthcare outcomes and operational performance.

  • Contribute to data science best practices, modeling standards, and reusable analytical frameworks across the organization.

  • Understand Humana's objectives and independently manage work in a fast-paced and sometimes ambiguous environment.

Requirements

  • Master's degree in Statistics, Biostatistics, Data Science, Economics, Mathematics, Computer Science, Clinical Informatics, or a related quantitative discipline.

  • 4+ years of experience developing, validating, and implementing predictive models in healthcare, managed care, population health, or a related environment.

  • Demonstrated experience independently developing predictive models that influenced clinical, operational, or financial outcomes.

  • Advanced proficiency in Python, R, SAS, or similar programming languages used for statistical analysis and mach

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