Senior Data Scientist - Stars

Become a part of our caring community and help us put health first
 The Senior Data Scientist uses statistics and machine learning techniques to develop advanced analytic solutions. A good candidate will have experience designing, deploying, and implementing predictive models within business operations. Desired characteristics for candidates are experience with healthcare and/or survey data, Medicare Stars knowledge, and advanced statistics and machine learning expertise.

The Senior Data Scientist will be a part of Member and Provider Analytics, a team which uses data science, business intelligence and Stars expertise to solve meaningful problems for Stars 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.

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 Medicare Plan Finder website to help beneficiaries choose the right plan offered in their geography. Quality metrics include screenings and vaccines, managing chronic conditions, member experience with the health plan, member complaints, interactions with providers and customer service. This quality measure of Humana’s Medicare Advantage product offering directly impacts our members’ health.

The Senior Data Scientist uses machine learning and statistics to develop sophisticated models based on large structured and unstructured data sets and exercises considerable latitude in determining objectives and approaches to assignments. The ideal candidate for this position is well-versed in a variety of modeling techniques and understands how to navigate ambiguous business challenges.  The Senior Data Scientist position requires an individual who designs and deploys predictive models, with experience implementing their use within business operations.

 Responsibilities include:

• Collaborate with business leaders to understand challenges and objectives, identify opportunities, and propose solutions

• Analyze large, complex datasets to identify trends, patterns, and insights

• Develop and implement advanced statistical models to solve complex business problems

• Validate and interpret model results to provide actionable recommendations

• Coordinate with cross-functional teams to ensure timely and successful completion of projects

• Present findings and recommendations to stakeholders

Use your skills to make an impact
 

Role Essentials

• Bachelor's Degree with 5+ years' experience in a data science or analytics role OR Master’s or PhD Degree with 3+ years' experience in a data science or analytics role

• Experience manipulating and analyzing various types of data using Python, SAS, R, or similar software

• Strong business acumen with experience using concepts in mathematics, statistics, and machine learning to develop relevant forecasting capabilities

• Demonstrated experience in creating projections, models, and presentations to support business strategy and operation

• History of solving problems, creating solutions and driving change within a team

• Demonstrated strategic and analytical thinking

• 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

• Ability to make decisions on moderately complex to complex issues regarding technical approach for project components

Role Desirables

• Advanced in Python programming and predictive modeling

• Work experience in a health care and/or insurance setting

• Proficiency in understanding the CMS Star Rating program, including measures within it

• Experience developing solutions using Databricks, Azure Synapse and/or other cloud-based computing platforms

• Expertise in machine learning and stochastic modeling techniques 

Additional Information

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

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 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.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

 

$117,600 - $161,700 per year

 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 04-24-2025
About us
 Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.