Remote Lead, Clinical Intelligence & Health Analytics

Humana Inc; Bismarck (ND); 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

Job summary

Humana Inc. is seeking an Informatics Lead, Clinical Intelligence to analyze high-value AI opportunities across Home Health, Primary Care, and Pharmacy segments. You will size opportunities, shape an intelligence layer, and collaborate with product teams to assess feasibility, value, and impact of AI-Driven initiatives.

The role is remote and reports to the Director, Informatics. You will partner with AI/ML, data, clinical, and operations teams to translate opportunities into scalable solutions

Qualifications

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

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.

Skills

SQL

Python

Data analytics

Clinical intelligence

Communication

Stakeholder collaboration

Education

Bachelor's degree in a related field

Master's degree (preferred)

Tools

Databricks

Job description

Humana Inc. is seeking an Informatics Lead, Clinical Intelligence to analyze high-value AI opportunities across Home Health, Primary Care, and Pharmacy segments. You will size opportunities, shape an intelligence layer, and collaborate with product teams to assess feasibility, value, and impact of AI-Driven initiatives.

The role is remote and reports to the Director, Informatics. You will partner with AI/ML, data, clinical, and operations teams to translate opportunities into scalable solutions