Become a part of our caring community and help us put health first
 

The mission of the Physician Performance Analytics team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain high quality affordable healthcare while keeping our provider networks efficient and optimal. We achieve this through advanced analytics that enables objective evaluation of physician performance related to our two key metrics: Efficiency of Care (cost) & Effectiveness of Care (quality).

Humana is seeking a Senior Informaticist on the Physician Performance Analytics team that leverages their advanced knowledge of data, statistical analysis, problem solving, business analytics, modeling, optimization, and related tools. Utilizes strategic thinking capabilities and is curious about results extracted from the data in order to investigate drivers and propose recommendations.  Leads and will be highly engaged in various strategic projects and initiatives, partnering and collaborating with multiple areas across the organization. 

• Develops or has a deep understanding of physician networks, physician performance and rating metrics (claims, measures, conditions, specialties, etc.), product offerings, and analytics-based approaches which produce meaningful results
• Designs new ways and/or improves current methods to evaluate physician performance measurements and supports conversations/alignment with other areas around physician performance analytics
• Analyzes data from SQL, ASA, SAS etc. using statistical models, techniques, formulas, and calculations
• Researches and extracts insights from complex data and reports out on both quantitative and qualitative findings
• Executes on existing data-related and technical processes to support core functions
• Creates, reviews, researches, and/or executes complex queries, all while understanding the business context and expected results
• Utilizes project management skills (Agile methodology) where applicable
• Supports building/modifying (or directly builds/modifies) new reports, models, and dashboards in Power BI
• Applies disciplined approaches to optimize programs to maximize revenue growth
• Identifies opportunities to implement process improvements across various functions (Six Sigma and Lean principles)
• Effectively communicates to diverse audiences and manages key relationships
• Enjoys working in a highly collaborative team environment (whether remote or in office)

In addition to being a great place to work, Humana also offers industry leading benefits for all employees, starting your FIRST day of employment. Benefits include:

• Medical Benefits
• Dental Benefits
• Vision Benefits
• Health Savings Accounts
• Flex Spending Accounts
• Life Insurance
• 401(k)
• PTO including 8 paid holidays, one personal holiday, one day of volunteer time off, 23 days of annual PTO, parental leave, caregiving leave, and weekly well-being time
• And more

Use your skills to make an impact
 

Required Qualifications

• Bachelor's Degree and 5+ years of data analytics experience OR Master's degree and 3+ years of data analytics experience
• 3+ years' of experience with SQL
• Experience with data mining, statistical approaches, predictive modeling techniques and using data to drive business outcomes and decisions
• Experience with statistical models, methods, techniques, and formulas
• Excellent verbal and written communication
• Able to articulate and present findings to internal and external stakeholders
• Strong attention to detail

Preferred Qualifications

• Advanced Degree
• Experience with technologies such as ASA, Power BI, SAS, Python, R, Hadoop or similar tools
• 3+ years of experience in the healthcare sector
• Expert in data mining, forecasting, simulation, and/or predictive modeling
• Six Sigma certification

Additional Information

Work at Home/Remote Requirements

Work-At-Home Requirements

• To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support Humana applications, per associate.