Research Scientist

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

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 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.

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.

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

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.

 

$71,100 - $97,800 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: 05-26-2025
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.

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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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.