Remote Lead Data Scientist - Policy Analytics & Compliance

Humana; Puerto Rico; On-site; USD 157,000 - 215,000; Full time

Benefits offered by this job

Medical benefits

401(k) plan

Paid time off

Disability insurance

Life insurance

Bonus eligibility

Job summary

Humana is seeking a Lead Data Scientist to drive advanced analytics and transform high-volume data into actionable insights. This remote role is based in Puerto Rico and supports executive decision-making with a strong focus on policy adherence measurement and scalable analytics implementation.

The role requires applying statistics, modeling, and business analysis to develop analytic datasets, build reporting outputs, and deliver models and presentations that guide strategy.

Qualifications

• Master's Degree required in a relevant field.
• 8+ years of professional data/analytics experience.
• 5+ years of SQL experience.
• 4+ years of project leadership experience.
• Experience applying math, statistics, modeling to large data.
• Ability to influence across teams and drive decisions.
• Experience creating actionable analytic outputs.

Responsibilities

• Develop, maintain, and collect structured/unstructured data sets for analysis and reporting.
• Create reports, projections, models, and presentations to support strategy.
• Advise executives on functional strategies with data-driven insights.
• Partner across national teams to operationalize analytics for policy adherence.
• Research and implement policy adherence metrics using FRAC and PA denials data.
• Design valuation models to measure savings by removing non-compliant outliers.
• Collaborate with national teams to ensure MHPAEA compliance and HUM policies.
• Influence priorities and roadmap for scalable analytics implementations.

Skills

SQL

Databricks

Machine Learning

Statistics

Leadership

Education

Master's Degree

Doctorate degree

Tools

HireVue

Job description

Humana is seeking a Lead Data Scientist to drive advanced analytics and transform high-volume data into actionable insights. This remote role is based in Puerto Rico and supports executive decision-making with a strong focus on policy adherence measurement and scalable analytics implementation.

The role requires applying statistics, modeling, and business analysis to develop analytic datasets, build reporting outputs, and deliver models and presentations that guide strategy.