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Humana Informaticist in Portland, Maine

Description

The Informaticist coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledgeable SMEs. The Informaticist work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

The Informaticist leverages its advanced knowledge of data, modeling, optimization, and tools. Applies disciplined analytics to predict behavior and optimize programs and products to maximize revenue growth. Utilizes advanced or predictive modeling to develop, test and validate cases that improve the outcomes and quality of the programs we offer. Contributes to more innovative approaches to financial models as it builds knowledge of the business context in which it operates. Understands and analyzes complex data, articulates to various units within the company at the appropriate level, impacts the business from mathematical concepts which have a potentially sizeable dollar impact on the business.

  • Analyzes claims data to understand the utilization and medical costs associated with different services

  • Understands how provider contracts are structured and the impact of contract changes on the overall unit cost trends

  • Looks at different medical trends and identifies opportunities for potential improvement in clinical care and cost containment

  • Analyzes monthly progress and understands savings for existing cost trend bender initiatives

In addition to being a great place to work, Humana also offers industry leading benefits for all employees, starting your first day of employment. Benefits include:

  • Medical Benefits

  • Dental Benefits

  • Vision Benefits

  • Health Savings Accounts

  • Flex Spending Accounts

  • Life Insurance

  • 401(k)

  • PTO including 7 paid holidays, two personal holidays, one day of volunteer time off, 23 days of annual PTO, parental leave, caregiving leave, and weekly well-being time

Required Qualifications

  • Bachelor's Degree

  • 2+ years of data analysis experience

  • Ability to use appropriate problem solving, research and analysis tools

  • Experience with data mining, predictive modeling techniques and using data to drive business outcomes and decisions

  • Strong attention to detail

  • Excellent written and verbal communication

  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

  • Advanced Degree

  • Preferred technologies such as SAS, SQL, R, Python, Power BI, QlikView, Tableau, Hadoop or similar tools

Additional Information

Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.

Work-At-Home Requirements

  • Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.

  • A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.

  • Satellite and Wireless Internet service is NOT allowed for this role.

  • A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Our Hiring Process

As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called Modern Hire. Modern Hire Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you.

If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

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Scheduled Weekly Hours

40

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