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, including with Markets on various network initiatives. 

• 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

• Pulls and analyzes data 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, which requires significant SQL coding skills and problem solving ability

• 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

• 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

Use your skills to make an impact
 

Required Qualifications

• Bachelor's Degree

• 3+ years of experience in the healthcare sector

• 5+ years of data analytics experience

• Experience using SQL/PL SQL

• Experience with data mining, statistical approaches, and using data to drive business outcomes and decisions

• Excellent verbal and written communication

• Able to articulate and present findings to internal and external stakeholders

• Strong attention to detail

Preferred Qualifications

• Master's Degree

• Experience with claims data and cost efficiency of care

• Preferred technologies such as SAS, Python, Power BI, QlikView, Tableau, ASA, Hadoop or similar tools

• Expert in data mining, forecasting, simulation, and/or predictive modeling

• Six Sigma or Lean certification

Additional Information

This role is considered "remote/work at home" and can be based anywhere in the United States with preference given to candidates in the Eastern or Central Time Zone

Work-At-Home Requirements

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 recommended; wireless, wired cable or DSL connection is suggested
• Satellite, cellular and microwave connection can be used only if approved by leadership
• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.