Research Scientist

Humana Inc; Louisville (KY); Remote; USD 71,000 - 98,000; Full time

Job summary

Join Humana’s Clinical Analytics Team as a Research Scientist 2, where you will apply your advanced analytical skills to improve healthcare outcomes for Medicare Advantage beneficiaries. In this remote position, your expertise in statistical and epidemiological methods will be crucial in shaping enterprise clinical strategies within a collaborative environment while ensuring actionable insights from large datasets.

Qualifications

• 2+ years of experience applying statistical principles to healthcare data.
• Strong interest in healthcare and population health.
• Experience manipulating complex data for insights.

Responsibilities

• Design and conduct studies to evaluate value-based programs.
• Analyze and interpret complex healthcare data.
• Collaborate with cross-functional teams to enhance clinical strategies.

Skills

Analytical Thinking

Problem-Solving

Statistical Analysis

Data Management

Education

Master's Degree in Epidemiology, Biostatistics, or related fields

Tools

SAS

R

Python

Job description

Job Profile

Research Scientist 2

Job Level

Professional 2

Become a part of our caring community and help us put health first

Humana’s Clinical Analytics Team is seeking a Research Scientist (Remote).

Healthcare is rapidly changing, and our members are living longer, often with more chronic conditions. The Clinical Analytics team identifies opportunities and builds solutions to improve clinical outcomes and lower costs for millions of Medicare Advantage beneficiaries through an evidence-based approach using data analytics, clinical expertise, strategic mindset, and rigorous study designs. In this multi-disciplinary team, you will have the opportunity to work closely with strategy partners and clinicians to shape Humana’s enterprise clinical strategies and initiatives.

The Research Scientist 2 applies mathematical, statistical, and epidemiologic principles to identify trends, assess variable associations or cause-effect relationships, and size potential opportunities using high volumes of complex data. The Research Scientist 2 work assignments are varied and frequently require interpretation of data/information and independent judgement.

Responsibilities

As a Research Scientist 2, you will:

· Design studies (e.g., randomized control trials, difference-in-difference, propensity score matching) to measure performance of various specialty value-based programs

· Calculate minimal detectable effects for key clinical outcomes of specialty value-based programs

· Perform feasibility analysis to determine likely clinical impact of programs

· Complete Economic Valuation Model for value-based programs

· Collaborate with analytic and actuary teams to set objectives, approaches, and work plans

· Collaborate with clinicians and clinical informaticists to define various clinical concepts and extract clinical information from medical, pharmacy, and lab claims for analytics and modeling purposes

· Collaborate with contracting teams to incorporate study design elements into value based contracts.

· Translates analytic results into key takeaways and communicate to business partners

· Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas

· Make decisions regarding own work methods, occasionally in ambiguous situations with general guidance

Required Qualifications

· Master's Degree in a quantitative discipline such as Epidemiology, Biostatistics, Economics, Statistics, Clinical Informatics, and/or related fields

· 2+ years of experience in applying mathematics, statistics, epidemiologic principals to transform high volumes of complex data into actionable insights

· Experience manipulating and analyzing data using SAS, R, Python, or similar software

· Demonstrated strong analytical thinking and problem-solving skills

· Demonstrated strong interest in healthcare and desire to make a positive impact on population health

· Flexible, dynamic personality who can work independently and collaboratively with cross-functional teams

· Clear and concise oral and written communication skills, with a proven ability to translate complex methodologies and analytical results to higher-level business insights and key takeaways

Preferred Qualifications

· Healthcare or managed care working experience

· Experience working with medical, pharmacy, lab claims

· Demonstrated familiarity with randomized controlled trial, observational causal inference methods, and comparative effectiveness study design

· Demonstrated familiarity with clinical concepts related to a broad range of clinical conditions and disease states – experience with oncology, behavioral health and chronic conditions would be particularly valuable

Additional Information

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.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from [e-mail] with instructions on how to add the information into your official application on Humana’s secure website.

Use your skills to make an impact

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.$71,100 - $97,800 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Referral Bonus Information

This requisition is not eligible for a referral bonus.Application Deadline: 06-30-2025

About us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.

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.