Job Overview
Location
Remote Nationwide
Job Type
Full-time
Category
Data Science
Date Posted
June 23, 2026
Full Job Description
đź“‹ Description
- • Develop and apply advanced analytics, optimization frameworks, and decision science methodologies to translate complex business problems into actionable recommendations for Medicare Advantage quality performance.
- • Create evidence-based decision-making frameworks to support quality and operational teams across the enterprise.
- • 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 and policy changes.
- • Advance existing analytical capabilities to simplify insight generation and decision-making for team members and business partners.
- • Deliver executive-ready recommendations that directly connect analytical findings to business actions and strategic priorities.
- • Employ risk and decision analysis techniques including decision trees, Bayesian modeling, and causal inference methodologies to quantify benefits and risks of decisions affecting member health and Star Ratings.
- • Inject decision science concepts into the analytical workflow to improve clarity, visibility, and trade-off analysis across departments.
- • Collaborate with a multidisciplinary team of scientists and engineers to strengthen organizational capabilities focused on improving Stars performance.
- • Communicate complex analytical findings to executive audiences with clarity and precision, ensuring alignment with business objectives.
- • Work autonomously to manage competing priorities, deliver high-quality results with minimal supervision, and maintain rigorous standards for data integrity and analysis.
- • Ensure all analytical work complies with HIPAA regulations by working from a dedicated, interruption-free space to protect member PHI.
- • Support the adoption of Databricks and other enterprise analytics platforms to enhance scalability and reproducibility of decision science models.
- • Participate in occasional travel to Humana offices for training, team alignment, or strategic meetings as required.
- • Utilize SQL and analytical programming languages (Python, R, or SAS) to extract, transform, and analyze large-scale healthcare datasets.
- • Translate CMS Medicare Advantage Star Rating program methodology into analytical models that drive performance improvement.
🎯 Requirements
- • Bachelor’s degree in Statistics, Mathematics, Data Science, Economics, Finance, Operations Research, or another related quantitative or analytical field
- • 4 or more years of experience 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
🏖️ Benefits
- • Medical, dental, and vision benefits
- • 401(k) retirement savings plan
- • Paid time off, company and personal holidays, volunteer time off, and paid parental and caregiver leave
- • Short-term and long-term disability insurance
- • Life insurance
- • Bonus incentive plan based on company and/or individual performance
Skills & Technologies
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About Humana Inc.
Humana Inc. is a for-profit health and well-being company headquartered in Louisville, Kentucky. Founded in 1961, it provides health insurance, Medicare Advantage plans, Medicaid services, pharmacy benefit management, and clinical care through primary care centers. Serving millions of members across the United States, Humana focuses on integrated care delivery, home health, and wellness programs aimed at improving health outcomes and reducing costs for individuals, employers, and government partners.
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