Data Scientist II - Stars

Become a part of our caring community and help us put health first
 The Data Scientist II position uses mathematics, statistics, modeling, economic principles, business analysis, and technology to deliver advanced analytic solutions. The ideal candidate for this position is well-versed in a variety of modeling techniques and understands how to navigate ambiguous business challenges. The Data Scientist II position requires an individual who designs and deploys predictive models, with experience implementing their use within business operations.

Member and Provider Analytics, the department this role is a part of, uses data science, business intelligence and Stars expertise to solve meaningful problems for Stars business partners. Our analytics drive Humana’s Stars performance and improve the health and life of our members by transforming data into advanced analytic solutions.

The Stars program is the Centers for Medicare & Medicaid Services (CMS) five‐star quality rating system for measuring Medicare beneficiaries’ experience with their health plans and the health care system. The program is a key component in financing health care benefits for MA and MA‐PD plan enrollees. In addition, the ratings are posted on the Medicare Plan Finder website to help beneficiaries choose the right plan offered in their geography. Quality metrics include screenings and vaccines, managing chronic conditions, member experience with the health plan, member complaints, interactions with providers and customer service. This quality measure of Humana’s Medicare Advantage product offering directly impacts our members’ health.

Responsibilities

• Analyze large, complex datasets to identify trends, patterns, and insights
• Develop and implement advanced statistical models to solve complex business problems
• Validate and interpret model results to provide actionable recommendations
• Translate business requirements into data science solutions
• Coordinate with cross-functional teams to ensure timely and successful completion of projects
• Collaborate with business leaders to understand challenges and objectives
• Present findings and recommendations to stakeholders

Use your skills to make an impact
 

Required Qualifications

• Bachelor's Degree in Data Science, Computer Science, Statistics, Mathematics, Economics or other quantitative discipline
• 2+ years' experience in a data science or analytics team
• Experience using concepts in mathematics and statistics to transform complex data into advanced analytic solutions
• Demonstrated experience in creating projections, models, and presentations to support business strategy and operations
• Possesses an understanding of how organization capabilities interrelate across departments
• Advanced in Python programming
• Must be passionate about contributing to an organization focused on continuously improving, both for our MA members and our business partners

Preferred Qualifications

• Master’s Degree in Data Science, Computer Science, Statistics, Mathematics, Economics or other quantitative discipline
• Experience developing solutions using Databricks, Azure Synapse and/or other cloud-based computing platforms
• Demonstrated experience in forecasting and/or simulation model development
• Proficiency in understanding the CMS Star Rating program, including measures within it

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.

$89,000 - $121,400 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: 04-06-2025
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.

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 veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.