Data Scientist II - Stars

About the position

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

Requirements

• 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

Nice-to-haves

• 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

Benefits

• Medical, dental and vision benefits
• 401(k) retirement savings plan
• Paid time off, company and personal holidays, volunteer time off
• Paid parental and caregiver leave
• Short-term and long-term disability
• Life insurance