Lead Research Scientist - Stars Decision Science

** Become a part of our caring community*
* Come join the Performance and Decision Intelligence team within the larger Stars Analytics organization at Humana!

The Associate Director, Research Science is responsible for developing and applying advanced analytics, optimization frameworks, and decision science methodologies that translate complex business problems into actionable recommendations. This role will also work with a team of scientists and engineers, building organizational capabilities that strengthen Star Rating performance across the enterprise.

The Lead Research Scientist - Stars Decision Science is equipped with a variety of skills enabling them to support decision-making under the condition of uncertainty and facilitate decision-making by groups. This role will inject decision science concepts into the analytical workflow across the department, enabling richer insights and clear visibility to trade-offs.  This role employs risk and decision analysis techniques, such as decision trees and Bayesian modeling, to quantify benefits and risks of various decisions impacting our Medicare Advantage members, their health and our quality performance scores.

Routine responsibilities include:

+ Create frameworks that support evidence-based decision making across quality and operational teams

+ 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

+ Advance existing capabilities across to team to make insight generation and decision-making simpler for our team and business partners

+ Deliver executive-ready recommendations that connect analytics to business action

** Use your skills to make an impact*
* ** Required Qualifications*
* + Bachelor's degree in Statistics, Mathematics, Data Science, Economics, Finance, Operations Research, or another related quantitative or analytical field (including but not limited to similar disciplines)

+ 4 or more years 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

+ Demonstrated ability to articulate ideas effectively in both written and oral forms

+ Ability to communicate complex analytical findings to executive audiences

+ Demonstrated ability to work autonomously, manage competing priorities, and deliver high-quality results with minimal supervision

** Preferred Qualifications*
* + Master's degree in Statistics, Mathematics, Data Science, Economics, Finance, Operations Research or related field

+ Strong knowledge of CMS Medicare Advantage Star Rating program, including methodology and individual measures

*
* Location:

** Remote, strong preference for hybrid office in Louisville, KY

** Additional Information*
* ** This role is not eligible for work visa sponsorship.*
* To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees 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

+ Employees 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 employees with telephone 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

As part of our hiring process for this opportunity, we will be using an interviewing technology called Hire Vue to enhance our hiring and decision-making ability. Hire Vue 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.

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from

with instructions on how to add the information into your official application on Humana's secure website.

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…