• Data Science Manager

    HumanaAtlanta, GA 30309

    Job #1311842755

  • DescriptionThe Data Science Manager within Provider Payment Integrity uses their amazing leadership skills and improvement process experience to lead a team of six extraordinary associates that are highly skilled located throughout the country. Your dedicated team is focused on helping Humana find new ways to improve current and/or create new processes utilizing data science and machine learning aspects. Humana needs someone with excellent mathematics, statistics, modeling, business analysis, and technology experience and knowledge to transform high volumes of complex data into advanced analytic solutions.Responsibilities+ Utilize process improvement and gap analysis for continuous improvement of Humana's current telephonic Natural Language Processing (NLP) systems+ Guide and lead a strong technical team in determining, developing, and implementing new processes.+ One of the primary focus of this team is to identify potential Fraud, Waste, and Abuse occurring with Humana + Continuously staying up to date with industry news and working closely with new and existing vendors.Required Qualifications+ Bachelor's degree in data science, analytics or related field+ 4+ years of experience in Healthcare data analytics, artificial intelligence and/or data engineering+ Previous direct and/or indirect leadership experience+ Previous SQL, Python, R and/or Splunk experience+ Experience in using mathematics, statistics, modeling, business analysis, and technology to transform high volumes of complex data into advanced analytic solutions+ Experience with providing strategic advice and guidance to functional teams+ Experience in developing, maintaining, and collecting structured and unstructured data sets for analysis and reporting+ Experience in creating reports, projections, models, and presentations to support business strategy and tactics+ Successful demonstrated experience in working with senior executives to develop and drive segment or enterprise-wide functional strategiesWork-at-home Requirements+ Must ensure designated work area is free from distractions during work hours and virtual meetings+ Must provide a high-speed DSL or cable modem for a workspace (Satellite and Hotspots are prohibited). A minimum standard speed of 10x1 (10mbs download x 1mbs upload) for optimal performance of is requiredPreferred Qualifications+ Master's Degree+ Prior Experience with identifying Fraud, Waste, and Abuse with healthcare+ Previous management experienceAdditional Information+ This position may require up to 10% overnight travel depending on business needs+ This position has the ability to be work at home nationwide but for those located outside of the Louisville, KY area travel would increase over 10%+ Only persons with authorization to work permanently in the U.S. need apply.?EEO Scheduled Weekly Hours40About UsMission: At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms -when and where they need it. Our employees are at the heart of making this happen and that's why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first. Equal Opportunity EmployerIt is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law ~~~ you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact ~~~ for assistance.Humana Safety and SecurityHumana will never ask, nor require a candidate provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact ~~~ to validate the request.California ResidentsIf you are a California resident and would like to review our California Consumer Privacy Act (CCPA) Policy click here:CA Resident Privacy Policy

  • You Can Also Try Searching