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HumanaHU

Network Optimization Lead

Humana Inc. is a for-profit American health insurance company based in Louisville, Kentucky, offering a wide range of insurance products and health and wellness services.

Humana

Employee count: 5000+

Salary: 115k-158k USD

United States only

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Become a part of our caring communityAs a Network Optimization Lead - Data Architect you will be responsible for developing, maintaining, and collecting structured and unstructured data sets for analysis and reporting. You will report to the Director of Network Optimization.Key AccountabilitiesYou will create reports, projections, models, and presentations to support business strategy.You will be responsible for developing blueprints for data repositories, evaluating software platforms, and integrating systems.You will communicate business needs with IT professionals to establish long-term data architecture solutions.You will leverage large sets of structured and unstructured data to develop tactical and strategic insights.You will collaborate with analytic and data teams to set objectives, approaches, and work plans.You will research new analytical methodologies, approaches, and solutions.You will develop and validate statistical forecasting models and tools.You will interpret and communicate analytic results to analytical and non-analytical business partners and executive decision makers.You will design user interfaces, visualizations, and data algorithms to make complex data more usable for leaders to derive insights and make better business decisions.Required QualificationsOur Department of Defense Contract requires U.S. citizenship for this position.Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Service).HGB is not authorized to do work in Puerto Rico per our government contract. We are not able to hire candidates that are currently living in Puerto Rico.Bachelor's degree.10 years in systems development or data architecture work.10 years in Military or Government related field of work.5 years in healthcare or financial field of work.Experience with SQL (including ability to build queries from scratch, join disparate data sets together, and how to optimize code).Experience with programming languages - such as Java, C++, and/or Python, data architecture, and systems development.Experience with complex data extraction.Knowledge of the healthcare data structures, including EMR and claims.Preferred QualificationsExperience with Common Table Expressions (CTEs) breaking complex queries into modular blocks.Proficiency in business analytics, metrics/reports, and healthcare applications.Experience with recursive queries to navigate hierarchical data structures.Work at Home RequirementsAt 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.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.Scheduled Weekly Hours40Pay Range$115,200 - $158,400 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.Description of BenefitsHumana, 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.Equal Opportunity EmployerIt is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our

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Salary: 115k-158k USD

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United States +/- 0 hours

About Humana

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Humana Inc. is dedicated to improving the health and well-being of the millions of people it serves. Our customers often navigate complex healthcare systems and face challenges in accessing affordable, high-quality care. That's why we are committed to putting health first, not just for our members, but also for our teammates and the broader communities we impact. We understand that true health encompasses more than just physical well-being; it includes emotional, social, and financial health. Therefore, we strive to offer personalized care from people who genuinely care, listening to our members' needs and creating solutions that help them achieve their best selves. Our approach is rooted in an integrated care delivery model that aims to simplify the healthcare experience, making it easier for individuals and families to get the right care at the right time.

Since our founding in 1961, initially as a nursing home company and later evolving into a leading health insurance provider, Humana has consistently adapted to meet the changing needs of the healthcare landscape. We specialize in government-sponsored programs, with a significant portion of our medical membership stemming from Medicare Advantage, Medicaid, and TRICARE. Beyond traditional insurance, Humana is increasingly focused on providing comprehensive healthcare services, including primary care, at-home care, and pharmacy benefit management through our CenterWell brand. We recognize that many of our customers, particularly seniors, are managing multiple chronic conditions. Our integrated care delivery model, which leverages both high-tech tools like data analytics and personalized, low-tech interactions such as in-home visits, allows us to predict, slow, and sometimes even prevent disease progression. We are deeply invested in the communities we serve, working to address health disparities and improve local health outcomes through initiatives like our Bold Goal, which aims to improve the health of the communities we serve by making it easier for people to achieve their best health.

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