[Remote] Lead Research Scientist - Stars Decision Science

Note: The job is a remote job and is open to candidates in USA. Humana Inc. is a leading U.S. healthcare company seeking a Lead Research Scientist - Stars Decision Science to join their Performance and Decision Intelligence team. This role involves developing advanced analytics and decision science methodologies to enhance Star Rating performance and support decision-making processes within the organization.


Responsibilities

  • Create frameworks that support evidence-based decision making across quality and operational teams
  • Build decision science capabilities to prioritize opportunities based on expected impact, feasibility and financial value
  • Design simulation frameworks to evaluate potential outcomes under alternative business strategies
  • Advance existing capabilities across to team to make insight generation and decision-making simpler for our team and business partners
  • Deliver executive-ready recommendations that connect analytics to business action

Skills

  • Bachelor's degree in Statistics, Mathematics, Data Science, Economics, Finance, Operations Research, or another related quantitative or analytical field (including but not limited to similar disciplines)
  • 4 or more years in healthcare analytics, decision science, actuarial science, strategy analytics or related fields
  • 2 or more years of project leadership experience
  • Experience developing and applying predictive modeling, optimization modeling, decision science frameworks or causal inference methodologies
  • Strong proficiency with SQL and analytical programming languages such as Python, R, or SAS
  • Strong proficiency with Databricks
  • Demonstrated ability to articulate ideas effectively in both written and oral forms
  • Ability to communicate complex analytical findings to executive audiences
  • Demonstrated ability to work autonomously, manage competing priorities, and deliver high-quality results with minimal supervision
  • Master's degree in Statistics, Mathematics, Data Science, Economics, Finance, Operations Research or related field
  • Strong knowledge of CMS Medicare Advantage Star Rating program, including methodology and individual measures

Benefits

  • This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
  • Medical, dental and vision benefits
  • 401(k) retirement savings plan
  • Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
  • Short-term and long-term disability
  • Life insurance
  • 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.

Company Overview

  • Humana is a health insurance provider for individuals, families, and businesses. It was founded in 1964, and is headquartered in Louisville, Kentucky, USA, with a workforce of 10001+ employees. Its website is

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