Manager Data Science Remote US

Profile

Job Information
Humana
Manager, Data Science (Remote US)
in
Cincinnati
Ohio
Description
Humana's Provider Payment Integrity organization is looking for an experience Data Science Manager to join the Claims Cost Management (CCM) Solutions Support team working from home anywhere in the US. This dedicated team is focused on building data-driven analytical solutions to prevent fraudulent claims.
Responsibilities
The Data Science Manager within Provider Payment Integrity will utilize their leadership skills and improvement process experience to lead a remote team of 6 highly skilled associates that are located throughout the country. This team will consists of Data Scientist, Cognitive/Machine Learning Professionals and a Database Engineer. This Manager will be experienced and knowledgeable in mathematics, statistics, modeling, business analysis and technology to transform high volumes of complex data into advanced analytic solutions.
Primary Focus
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
Based on current guidance from the CDC, local and state governments, and Humana leadership related to the coronavirus (COVID-19) outbreak have extended travel restrictions until further notice. The policy will be reassessed as the situation warrants. Once these restrictions are lifted this role may require up to 10% overnight travel depending on business needs for anyone located in Louisville, KY and up to 20% for anyone not located in Louisville, KY.
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 strategies
Work-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 required
Preferred Qualifications
Master's Degree
NLP experience
Prior Experience with identifying Fraud, Waste, and Abuse with healthcare
Previous management experience
Additional Information
Only persons with authorization to work permanently in the U.S. need apply. 
EEO
Scheduled Weekly Hours
40

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