Research Scientist, Clinical Innovation & Trend Analytics

004 Humana Insurance Company

United States

Remote

USD 78,000 - 108,000

Full time

5 days ago
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Benefits offered by this job

Bonus incentive plan

Job summary

Humana, Inc. is seeking a Research Scientist 2 (Remote) to join the Clinical Innovation and Trend Analytic Team. You will apply statistical and epidemiologic methods to identify trends, size opportunities, and translate findings into actionable insights for Medicare Advantage members.

This role requires a Master’s in a quantitative field and 2+ years of experience with SQL, SAS, and Python. You’ll work with clinicians and partners, design outcomes studies, and communicate results to business

Qualifications

  • Master's Degree in a quantitative field (e.g., Epidemiology, Biostatistics, Economics, Statistics, Clinical Informatics).
  • 2+ years creating datasets and analytical variables from large data using SQL, SAS, Python.
  • Experience with experimental/quasi-experimental methods (RCTs, propensity matching, diff-in-diff).
  • Collaborative work in multi-disciplinary teams; communicate results clearly to partners.

Responsibilities

  • Conduct exploratory analyses on populations, trends, and conditions to identify opportunities for improvement and cost reduction.
  • Collaborate with clinicians to define clinical concepts and extract information from medical, pharmacy, and lab claims for analytics.
  • Use descriptive and epidemiological methods; design outcomes studies and evaluations (RCTs, propensity matching, diff-in-diff).
  • Develop analytics in SQL, SAS, and Python; build visuals and models for research use-cases.
  • Translate results into actionable insights and communicate them to business partners.

Skills

SQL
SAS
Python
Statistical analysis
Epidemiology

Education

Master's degree (quantitative)

Tools

PySpark
DataBricks
Microsoft Azure
PowerBI

Job description

Become a part of our caring community Humana’s Clinical Innovation and Trend Analytic Team is seeking a Research Scientist 2 (Remote). Healthcare is rapidly changing, and our members are living longer, often with more chronic conditions. The Clinical Innovation and Trend Analytic team identifies opportunities and builds solutions to improve clinical outcomes and lower costs for millions of Medicare Advantage beneficiaries. This is done 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 clinical strategies and initiatives. The Research Scientist 2 applies statistical and epidemiologic principles to identify trends, assess cause-effect relationships, and size potential opportunities using high volumes of complex data. The Research Scientist 2 work assignments are varied and require interpretation of data and independent judgement.

Responsibilities
  • Conduct exploratory analysis on populations, trends, and clinical conditions to inform potential opportunities for trend savings and clinical outcomes improvement for our members.
  • 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.
  • Leverage a wide range of analytics methods from descriptive analysis to epidemiological methods.
  • Design outcomes studies and perform program evaluation using randomized controlled trials, propensity matching, difference-in-difference models, or other experimental/quasi-experimental methods.
  • Conduct literature reviews and intervention research to assess engagement rates and treatment effect sizes of interventions that are in the early stages of design and implementation.
  • Write code in SQL, SAS, and Python to assemble data, create analytic variables/features, design visuals and charts, and statistical models for research/science use‑cases.
  • Translate analytic results into key takeaways with actionable insights and communicate to business partners.
  • Understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas.
  • Make decisions regarding research methods, occasionally in ambiguous situations with general guidance.
  • Use your skills to make an impact.
Required Qualifications
  • Master's Degree in a quantitative discipline such as Epidemiology, Biostatistics, Economics, Statistics, Clinical Informatics, Engineering, and/or related fields.
  • 2+ years of experience that includes:
    • Skills to create datasets and analytical variables from large and complex data environments by writing code in SQL, SAS, and Python.
    • Applying research methods to transform high volumes of complex data into actionable insights.
    • Experience with experimental and quasi-experimental methods such as randomized controlled trials, propensity matching, or difference-in-difference models.
    • Experience working collaboratively within a multi-disciplinary team, to deliver quality analytical work, and communicate results and insights clearly to business partners.
Preferred Qualifications

Healthcare or managed care working experience. Experience working with medical, pharmacy, and lab claims. Demonstrated familiarity with clinical concepts related to a broad range of clinical conditions and disease states. Demonstrated familiarity with hypothesis testing, statistical methods, and/or comparative effectiveness study design and modeling techniques. Experience using Pyspark, DataBricks, Microsoft Azure, PowerBI. Strong interest in healthcare and desire to make a positive impact on health outcomes.

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 25Mbps and an upload speed of 10Mbps 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.

$78,400 - $107,800 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. Among our benefits, Humana provides 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

11-19-2026

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.

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