Informatics Lead, Clinical Intelligence

Humana Inc; United States; Remote; USD 118,000 - 162,000; Full time

Benefits offered by this job

Medical, dental and vision benefits

401(k) retirement savings plan

Paid time off and holidays

Disability insurance

Life insurance

Job summary

Humana Inc. is seeking an Informatics Lead, Clinical Intelligence to analyze high-value AI opportunities across CenterWell segments. This remote role partners with product management to size, Feasibility, and value, shaping an intelligence layer connecting patient data to care outcomes.

Reports to the Director, Informatics. Qualified candidates bring 7+ years in data analytics (or 4+ with a master's) and are proficient in SQL, Python, and AI/ML evaluation, with strong communication for senior

Qualifications

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

Responsibilities

• Conduct data discovery, feasibility analysis, and opportunity sizing for Clinical Intelligence initiatives.
• Design evaluation schemes and measure impact, drift, and accuracy against benchmarks.
• Serve as SME for population health benchmarks across internal partners and external research.
• Establish success metrics and measure impact on care coordination and outcomes.
• Partner with product, clinical, business, data, and technology stakeholders to identify high-value opportunities.
• Lead exploratory analyses to identify unmet clinical and operational needs and inform product roadmaps.
• Create measurement plans and value hypotheses before 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

Stakeholder alignment

Education

Bachelor's degree in relevant field

Master's degree in related field

Tools

Databricks

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.

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

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.

• 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.