Informatics Lead, Clinical Intelligence

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

Job summary

Humana is seeking an Informatics Lead, Clinical Intelligence to analyze AI opportunities across Home Health, Primary Care, and Pharmacy. You will size opportunities, shape an intelligence layer, and measure impact across products with AI, Data Science, and IT partners.

The role is remote, reports to the Director, Informatics, with travel to Humana offices as needed. Requires strong SQL, Python, and healthcare analytics expertise.

Qualifications

• Bachelor's or Master's degree with ample analytics experience in healthcare.
• 4+ years evaluating AI/ML solutions and measuring impact.
• Advanced SQL and Python for complex data analysis.
• Experience translating clinical research into business value.
• Strong communication skills for leadership-level insights.

Responsibilities

• Analyze high-value AI opportunities across health segments and size value cases.
• Design evaluation schemes for production Clinical Intelligence products.
• Serve as SME for population health benchmarks across partners.
• Establish metrics to measure impact, drift, and accuracy.
• Collaborate with product, clinical, data, and tech teams to scale solutions.
• Lead exploratory analyses to identify unmet needs and inform roadmaps.
• Create measurement plans and hypotheses prior to development.
• Translate opportunities into scalable, actionable intelligence.

Skills

SQL

Data analysis

Communication

Education

Bachelor's degree

Master's degree

Tools

Python

Databricks

Job description

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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

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