Senior Informaticist

Humana
Remote

About The Position

Become a part of our caring community The Senior Informaticist coordinates with other analytics and teams 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 applies advanced analytical knowledge to support data analysis, forecasting, and financial impact modeling projects within the Pharmacy Analytics organization. You will focus on Medicaid drug pipeline forecasting, estimating utilization and cost for new-to-market and latest high-cost therapies. You will support enterprise planning and decision-making by analyzing pharmacy claims and related datasets, developing utilization and cost forecasts, and translating findings into applicable insights. The Senior Informaticist works collaboratively with Actuarial and Clinical partners and is expected to exercise sound judgment, structured problem-solving, and clear communication, working in partnership with other team members. Use your skills to make an impact

Requirements

  • Bachelor's degree and 5 or more years of data analytics experience OR Master's degree and 3 years of experience
  • Experience using data to inform outcomes and decision-making
  • Working knowledge of healthcare or pharmacy data, including claims data
  • Analytical, problem-solving, and attention-to-detail skills
  • Effective verbal and written communication, with the ability to explain analytical results clearly
  • Experience with SQL, Python, PowerBI, Databricks, or similar analytics platforms
  • Experience with contributing to an organization focused on improving consumer and member experiences

Nice To Haves

  • Advanced degree in a quantitative field
  • Experience supporting pharmacy analytics, Medicaid populations, or drug cost forecasting
  • Exposure to pipeline forecasting, specialty drugs, or high-cost therapies
  • Demonstrated experience with statistical analysis or financial modeling
  • Experience with Databricks

Responsibilities

  • Support Medicaid pharmacy pipeline forecasting for new‑to‑market brand and specialty therapies
  • Develop utilization, cost, and PMPM forecasts using claims data and clinical assumptions
  • Conduct scenario and sensitivity analyses to assess financial risk and trend drivers for high‑cost drugs
  • Analyze pharmacy claims data to identify important trends, risks, and cost drivers within the Medicaid population
  • Deliver clear analytical insights, summaries, and visualizations to partners
  • Collaborate with cross‑functional partners to understand our needs and analytical requirements
  • Develop reproducible code to support analysis, forecasting, and reporting
  • Ensure analytical quality through documentation, data integrity, and process improvement

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.

Stand Out From the Crowd

Upload your resume and get instant feedback on how well it matches this job.

Upload and Match Resume

What This Job Offers

Job Type

Full-time

Career Level

Senior

Number of Employees

5,001-10,000 employees

© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service