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Humana’s Clinical Analytics Team is seeking a Research Scientist (Remote).

Healthcare is rapidly changing, and our members are living longer, often with more chronic conditions. The Clinical Analytics team at Humana innovates at the intersection of enterprise value and member health by using advanced analytics and strategic insights to drive informed decision making and execute clinical priorities. We partner cross-functionally to identify opportunities and develop clinical solutions that aim at providing high-value care and addressing unmet needs for members with chronic conditions. We are committed to creating value for our members by implementing rigorous performance measurement for our clinical solutions and delivering insights into opportunities for improvement.

The Research Scientist participates in research study design, analysis and interpretation of results, with special emphasis on statistical and analytical plan development; data acquisition, preparation, and management; statistical analysis and interpretation of findings. The Research Scientist work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

This role will be part of the team in Clinical Analytics that supports the long-term sustainability of next-generation value-based and clinical model.

Responsibilities

As a Research Scientist, you will:

• Perform outcomes studies to measure performance of various specialty value-based programs
• Analyze program operational data to identify opportunities for improving engagement and intervention effectiveness
• Develop reports for key read-outs to internal and external stakeholders
• Build out Power BI dashboards that monitor performance of specialty value-based programs across clinical KPIs and core operational, utilization, and financial metrics
• Collaborate with analytic and data teams to set objectives, approaches, and work plans
• 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

Required Qualifications

• Master's Degree in a quantitative discipline such as Epidemiology, Biostatistics, Economics, Statistics, Clinical Informatics, and/or related fields
• Demonstrated strong analytical thinking and problem-solving skills
• Demonstrated strong interest in healthcare and desire to make a positive impact on population health
• Flexible, dynamic personality who can work independently and collaboratively with cross-functional teams
• 2+ years of experience in applying mathematics, statistics, epidemiologic principals to transform high volumes of complex data into actionable insights
• 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 
• Experience manipulating and analyzing data using SAS, R, Python, or similar software
• Experience using Power BI to visualize large volume of healthcare data

Preferred Qualifications

• Healthcare or managed care working experience
• Experience working with medical, pharmacy, lab claims
• Demonstrated familiarity with randomized controlled trial, observational causal inference methods, and comparative effectiveness study design
• Demonstrated familiarity with clinical concepts related to a broad range of clinical conditions and disease states – experience with oncology, behavioral health and chronic conditions would be particularly valuable

Use your skills to make an impact
 

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
• Satellite, cellular and microwave connection can be