Senior Informaticist - Provider Data Analytics

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.
• 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.

 

$86,600 - $119,200 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.
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.