Informatics Lead, Clinical Intelligence

Humana Inc; Frankfort (KY); Remote; USD 118,000 - 162,000; Full time

Benefits offered by this job

Bonus incentive plan

Job summary

Humana Inc. is seeking an Informatics Lead, Clinical Intelligence to analyze high-value AI opportunities across CenterWell's Home Health, Primary Care, and Pharmacy. You will size opportunities, define an intelligence layer linking patient risk, care history, engagement data, and clinical context.

This remote role reports to the Director, Informatics. You will partner with product, clinical, data, and IT teams to translate opportunities into scalable solutions, measure impact, and guide

Qualifications

• Bachelor's degree with 7+ years data analytics experience, or Master's with 4+ years
• 4+ years analyzing clinical intelligence solutions impacting patient care decisions
• 4+ years evaluating AI/ML solutions and outcomes
• Advanced experience with SQL and Python to analyze complex datasets
• Ability to apply clinical/public health research methods to assess opportunities and guide investments
• Data analysis/engineering for analytics, model evaluation techniques, and data-driven decisions
• Excellent verbal and written communication, presenting findings to senior leadership

Responsibilities

• Conduct data discovery, feasibility analysis, and opportunity sizing for Clinical Intelligence initiatives.
• Design and implement evaluation schemes for production Clinical Intelligence products, measuring impact, drift, and accuracy.
• Serve as SME for population health benchmarks, maintaining a unified perspective across partners and research.
• Establish success metrics and measure impact of intelligence capabilities on care coordination and outcomes.
• Partner with product, clinical, business, data, and technology stakeholders to identify high-value opportunities.
• Lead exploratory analyses to quantify business value and inform roadmaps.
• Create measurement plans and value hypotheses for new Clinical Intelligence capabilities prior to development and pilot launch.
• Collaborate with product, engineering, AI/ML, compliance, and operations teams to translate opportunities into scalable solutions.

Skills

SQL

Python

Data analytics

Communication

Leadership

Clinical intelligence

Education

Bachelor's degree

Master's degree

Master's in Public Health (preferred)

Tools

Databricks

Cloud data tools

Job description

Become a part of our caring community

The Informatics Lead, Clinical Intelligence is responsible for analyzing high-value AI opportunities across CenterWell's Home Health, Primary Care, and Pharmacy segments. This role conducts opportunity sizing and discovery analysis to identify and shape an intelligence layer that connects a patient's risk factors, care history, engagement data, and clinical context across products and experiences. This individual works closely with product management to identify opportunities, assess feasibility and value, and measure impact and drift of scaled solutions delivered by AI, Data Science, and IT partners.

This is a remote position that reports to the Director, Informatics.

Key Responsibilities

• Conduct data discovery, feasibility analysis, and opportunity sizing for Clinical Intelligence initiatives, supporting prioritization decisions and value case development.
• Design and implement evaluation schemes for production Clinical Intelligence products, owning the measurement of impact, drift, and accuracy against benchmarks.
• Serve as a subject matter expert for population health benchmarks, owning a unified perspective across internal partners and external research.
• Establish success metrics and measure the impact of intelligence capabilities on care coordination, personalization, operational efficiency, and patient outcomes.
• Partner with product, clinical, business, data, and technology stakeholders to identify high-value opportunities where connected patient intelligence can improve decisions, experiences, and outcomes.
• Lead exploratory analyses that identify unmet clinical and operational needs, quantify business value, and inform product roadmaps.
• Create measurement plans and value hypotheses for new Clinical Intelligence capabilities prior to development and pilot launch.
• Collaborate with product, engineering, AI/ML, compliance, and operations teams to translate opportunities into scalable solutions.

Use your skills to make an impact

Required Qualifications

• You will have a Bachelor's degree and 7+years of data analytics experience OR Master's degree with 4+ years of experience.
• You will have at least 4+ years of experience analyzing clinical intelligence solutions that impact patient care decisions
• You will have 4+ years of experience evaluating the outcomes, performance, and validation of AI & ML solutions
• You will have advanced experience with SQL and Python to analyze complex datasets
• You will have a proven ability to apply clinical and public health research methodologies to assess opportunities, quantify value, and guide enterprise-scale business and product investments.
• You will have significant experience with data analysis and engineering for analytics, model evaluation techniques, and using data to drive business outcomes and decisions.
• You will have excellent verbal and written communication, significant experience articulating and presenting findings and insights to senior leadership.

Preferred Qualifications

• Masters in Public Health, or similar healthcare field with a deep understanding in Epidemiology and/or Population.
• Experience with Databricks or other cloud-based data transformation tools.
• Experience with AI driven capabilities related to patient data, insights & decision support.
• Experience working in Agile or test-and-learn environments.

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 required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

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.

$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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 10-12-2027

About us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.

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.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.