Lead Data Scientist

This is a fully remote position, open to applicants in Illinois, +4 more states.

📋 Description

• Convert substantial volumes of intricate data into sophisticated analytical solutions through mathematics, statistics, modeling, business analysis, and technology.

• Create, uphold, and gather both structured and unstructured data sets for the purposes of analysis and reporting.

• Generate reports, forecasts, models, and presentations to bolster business strategy and tactics.

• Provide counsel to executives on critical, often segment-specific, functional strategies.

• Develop strategies for innovative analytical solutions that deliver actionable insights into policy compliance, adherence, operational consistency, and decision-making.

• Investigate, design, and implement a metric for policy adherence utilizing FRAC and PA denials information alongside advanced data modeling techniques.

• Construct valuation models to quantify savings achieved from the elimination of non-compliant outliers.

• Collaborate with National BH, Contracting, Medicaid, and ND&PPS teams to facilitate the operational application of the metric, including compliance with MHPAEA and Humana policies.

• Influence the future assessment of ancillary/inpatient psychiatric provider types and other potential areas of opportunity.

• Manage stakeholder relationships and expectations across data source owners, compliance, policy/governance, business, PTC, and National program partners.

• Shape priorities, trade-offs, and roadmap decisions while executing a scalable solution.

⛳️ Requirements

• Master’s degree.

• At least 8 years of professional experience in data and analytics, transforming data sets into actionable insights and reporting.

• A minimum of 5 years of experience with SQL.

• At least 4 years of experience in project leadership.

• Proficiency in using mathematics, statistics, modeling/Machine Learning modeling, business analysis, and technology to convert high volumes of complex data into advanced analytical solutions.

• Proven experience tackling problems of varying scope and complexity from moderate to substantial.

• Experience in developing, maintaining, and collecting both structured and unstructured data sets for analytical and reporting purposes.

• Proficient in creating reports, projections, models, and presentations to support business objectives.

• Capability to exercise independent judgment and decision-making regarding complex issues.

• Ability to work with minimal supervision while exercising independent judgment.

• Minimum internet download speed of 25 Mbps and upload speed of 10 Mbps.

• Suggested connection types include wireless, wired cable, or DSL; satellite, cellular, and microwave connections necessitate leadership approval.

• Capacity to work from a dedicated space without interruptions to safeguard member PHI/HIPAA information.

• Preferred: Doctorate degree.

• Preferred: Experience with claims datasets.

• Preferred: Familiarity with Databricks.

🏝️ Benefits

• Bonus incentive plan based on both company and/or individual performance.

• Medical, dental, and vision benefits.

• 401(k) retirement savings plan.

• Paid time off.

• Company holidays.

• Personal holidays.

• Paid parental leave.

• Paid caregiver leave.

• Short-term disability.

• Long-term disability.

• Life insurance.

• Home or Hybrid Home/Office telephone equipment.

• Bi-weekly internet expense payment for associates residing and working from home in California, Illinois, Montana, or South Dakota.

• Occasional travel to Humana offices for training or meetings.