Senior Data Scientist

Nov 06, 2023

Louisville - KY


The Senior Data Scientist will join a team that leverages predictive modeling and analytics to support Humana’s HQRI (Healthcare Quality & Reporting Improvement) department. The team focuses on risk adjustment modeling for our Medicare, Commercial, and Medicaid business. The HQRI department is a high-performing department with a key role within Humana. They rely on this team to provide guidance in operations and financial projections that are grounded in data science.


The Senior Data Scientist in this role will empower risk adjustment decision makers through predictive analytics. They will provide actionable, accurate, and reliable solutions to our operations and finance partners’ business needs.  They will put the customer first, delivering timely and clearly communicated results.


  • Within six months, understand and run at least 2 of our major models

  • Within one year, improve our models by increasing efficiency, building a new model/process, and/or improving the accuracy of an existing model


  • Utilize mathematics, statistics, and programming to generate predictions that drive risk adjustment operations and strategy

  • Partner with peers and supervisors to establish an overall collaborative working relationship

  • Deliver complex information in the manner most useful to the customer, utilizing tables, charts, graphs, filters, etc. to make clear the most important aspects of the information presented

  • Seek always to understand customers’ needs and works in partnership with customers to develop solutions that satisfy those needs

**This role will be Hybrid Home; which means you’ll be in office 2 days and you may work at home 3 days per week**

Required Qualifications

  • Bachelor's Degree and 3 or more years of data analytics experience

  • Proficiency with one of the following: SQL, SAS, R or Python

  • Experience using mathematics, statistics, modeling, business analysis, and technology to transform high volumes of complex data into advanced analytic solutions

  • Ability to use independent judgment requiring analysis of variable factors and determining the best course of action.


Additional Information

Work-At-Home Requirements:

To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office 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 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

Why Humana?  You'll experience the following perks as a full-time Humana employee:

Compensation and Financial Security — Our pay philosophy is designed to motivate and reward associates for their skills and contributions to the company. We provide options to help you plan for your future and protect your assets: Competitive base pay, Recognition pay, 401(k) retirement savings plan with company match.

Your Whole Health — Humana's health products and services are designed to encourage personal wellness and smart healthcare decisions for you and your family: Medical, dental, and vision benefits, Health plan incentives, Paternity leave, etc.

Work Perks — Humana knows your life extends outside of work. We have many options to support your interests and needs. Some departments have the flexibility to allow associates to work from home, and we offer all associates: Paid time off, holidays, volunteer time, jury duty pay, Associate charity matching program, Discount programs with major retailers, etc.

Grow With Us — Humana provides growth and career opportunities that can help you develop your skills and build your future with the organization: Internal and external learning events, Tuition assistance, Inclusion and diversity training, etc.

Social Security Task:

Alert: Humana values personal identity protection.  Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file.  When required, an email will be sent from [email protected] with instructions to add the information into the application at Humana’s secure website.

Interview Format:

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

If you are selected for a first-round interview, you will receive an email correspondence inviting you to participate in a Modern Hire interview.  In this interview, you will receive a set of interview questions over your phone or via email to complete. Some of the questions may require longer responses and using a computer vs phone to type responses may work best. You should expect this interview to take about 15-20 minutes. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to the next round of interviews.

Scheduled Weekly Hours


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