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Senior Informaticist

Senior Informaticist

Humana IncRaleigh, NC, US
3 hours ago
Job type
  • Full-time
Job description

Become a part of our caring community and help us put health first

The Senior Informaticist coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Senior Informaticist work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

The Senior Informaticist-Pharmacy Data Analytics will be responsible for supporting Patient Safety analytics on the Medicare population. Duties will include reviewing technical specifications from multiple agencies including CMS, PQA, HEDIS and NCQA. Applying those technical specifications to transactional claims to generate member level reporting for business owners. Developing study design for campaigns and managing campaign build and outcomes. Delivering ad hoc and standard reporting for senior level leadership. Generating deep dive information to create strategy for influencing members and providers.

The Senior 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. 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. Makes decisions on moderately complex to complex issues regarding technical approach for project components.

Use your skills to make an impact

Required Qualifications

  • Bachelor's degree in Mathematics, Statistics, Healthcare, Informatics, Computer Science or related field
  • 5 or more years of data analytics experience
  • Experience with reporting (from dealing with large data sets to report production)
  • Experience with data mining, predictive modeling techniques and using data to drive business outcomes and decisions
  • Technical proficiency in coding and data visualization tools preferably in such as SAS, Python, PowerBI or similar tools
  • Excellent verbal and written communication
  • Demonstrated ability to communicate technical information and present findings and insights to non-technical professionals and senior leadership
  • Strong attention to detail

Preferred Qualifications

  • Advanced degree
  • Experience in PQA / NCQA measure analytics
  • Knowledge of or experience in CMS Stars and / or MTM analytics
  • Experience with reporting (from dealing with large data sets to report production)
  • Working Conditions

    Remote work style. Must have a self-provided internet service with a minimum download speed of 25 Mbps and an upload speed of 10 Mbps.

    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.

    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.

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