Senior Informaticist

Become a part of our caring community and help us put health first
 The Senior Informaticist completes and coordinates with other analytics, IT and business areas across the organization to ensure business processes and strategy decisions are being made based on the best data and knowledge possible. The Senior Informaticist work assignments involves complex issues where the analysis of situations, processes, or data requires an in-depth evaluation of business factors, root causes, and data.

The Senior Informaticist leverages their advanced knowledge of opportunity elicitation, data assimilation, root cause discovery, business acumen, relationship building, and analytics tools. The role will build new approaches and innovative new approaches in provider scoring and quality of care and take into context new concepts, strategies, and information. The position will build out solutions that create the foundation of monitoring financial, utilization, clinical and administrative health of our population. The position applies disciplined analytics for solution discovery, root cause, and evaluation of data and information to support efforts on improving operations, lowering healthcare cost, and improving quality. The role will require understanding and analysis of complex data, articulating to various units within the company at the appropriate level from both a technical and business value perspective. The role is expected to have an influence on the department’s strategy and tactics to deliver it. The role has free support to make decisions on complex issues regarding technical approach, program components, and performs work with high collaboration. The role will require someone solution and data curious to innovate on the design, creation, and implementation of informed decision making.

Responsibilities 

• Lead stakeholders in problem framing, requirement gathering, analysis, reporting, and insight development activities

• Deliver proactive thought and information to improve how provider scoring, provider steerage, clinical quality, KPI monitoring, and related business use cases of are delivering value

• Interpret and analyze quality of care measurement outcomes for reporting and insight discovery

• Provide data and consultation to corporate personnel for the purpose of improving our financial position and the health and well-being of our members

• Develop new reports and continually identify ways to improve current reports by increasing their value and usability

• Identify and seek to resolve data anomalies and irregularities

• Ensure full and clear documentation of business and technical processes and present them to stakeholders

• Lend your perspectives on organizational culture, operating model, and process improvement activities

Key Accountabilities

• 20% Partnering as a subject matter expert on Humana Military strategy, tactics to deliver, and related solutions

• 20% Solve complex business problems and issues using data from internal and external sources to provide insight to and consult with decision-makers while creating new descriptive analytic measures, trends, and deep dives into root cause

• 20% Responsible for understanding the customers’ needs and pulling together the appropriate data to meet those needs

• 20% Build data, information, and knowledge in BI tools, presentations, and narratives to support objectives

• 20% Develop and maintain key relationships with multiple business areas 

This role description in no way states or implies that the key accountabilities above are the only ones being performed by the individual(s) with this role description.  The individual(s) may be called upon and required to follow other instructions or perform other duties and tasks requested by his or her supervisor, consistent with the purpose of the position, department and/or company objectives.

Use your skills to make an impact
 

Required Qualifications

• Bachelor's degree and 5 or more years of data analytics experience OR Master's degree and 3 or more years of data analytics experience

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

• Technical proficiency in SQL coding and data visualization tools preferably in Tableau and/or PowerBI

• Excellent verbal and written communication skills

• Demonstrated ability to communicate technical information to non-technical professionals and senior leadership

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

• Our Department of Defense Contract requires U.S. citizenship for this position

• Successfully receive approval for government security clearance (Via National Background Investigation Services NBIS) 

• HGB is not authorized to do work in Puerto Rico per our government contract.  We are not able to hire candidates that are currently living in Puerto Rico

Preferred Qualifications

• Experience with SAS, Python, QlikView, Hadoop or similar tools

• Prior experience in health insurance operations analytics

• Experience working with health insurance operations related data to include enrollment, claims and/or billing 

• Experience with TRICARE and/or the military health care delivery system

• Ability to work collaboratively within a team, group and/or project team environment

Additional Information

Work Style: Remote

Work at Home/Remote Requirements 
To ensure Hybrid Office/Home associates’ ability to work effectively, the self-provided internet service of Hybrid Office/Home associates must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested

• Satellite, cellular and microwave connection can be used only if approved by leadership

• Associates 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 associates with telephone and computer equipment appropriate to meet the business requirements for their position/job

• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

HireVue Statement:  As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
 

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.

$97,900 - $133,500 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 05-06-2025
About us
 Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.

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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.