Medical Director of Trend Analytics

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Job Information

Humana

Medical Director of Trend Analytics

in

Portsmouth

New Hampshire

Description

Humana's ECM organization is seeking a Medical Director of Trend Analytics. As a clinical trend leader you will support enterprise trend governance providing critical clinical and strategy assessment. Through working with various partners in trend transformation, retail business, enterprise clinical strategy, clinical products and various analytical organizations you will lead the clinical review and development of clinical leading indicators around various trend initiatives. As well, working collaboratively with the rapid learning team you will design prospective studies designed around relevant clinical leading indicators. This leader will employ a rigorous evidence driven approach delivered through a highly collaborative style to support enterprise trend transformation effort.

Responsibilities

Responsibilities include:

Responsible for performing clinical review of clinical trend initiatives that could positively impact trend including member experience, health outcomes and costs:

Understand the member/patient & provider experience and how this initiative enables improvements in trend and outcomes

Understand enterprise clinical strategy to be able to assess how trend initiatives align

Guide program owners and trend resources around relevant expected clinical impacts from interventions within the trend initiative

Provide guidance on clinical impacts and potential program design to help enable program success

Perform external literature reviews using evidence based medicine approaches and tools to understand and provider estimates of potential trend impact

Work collaboratively with various analytics resources to develop opportunity sizing and estimates of impact from trend initiatives

Serve as the internal clinical resource for the trend transformation team

Serve as the clinical authority in support of trend governance decisions makers

Collaborate with internal and external clinical subject matter experts as needed to support efforts

Develop clinical leading indicators to support the measurement and testing of clinical trend initiatives

Perform literature reviews using evidence based medicine practices and tools to asses and develop clinical leading indicators

Develop theoretical framework establishing the relationship between clinical trend interventions, clinical leading indicators, and utilization or other relevant return on investment outcomes

Collaboratively with program owners help ensure program design is best developed to improve likelihood of achieving desired clinical impacts

Collaboratively with Test & Learn team, design prospective studies using the clinical leading indicators and expect impact sizes to evaluate interventions and to test the relationships between clinical leading and lagging indictors

Required Qualifications

Clinical degree (MD or DO)

3 clinical practice experience

Experience with prospective clinical trial design

Experience with digital health solutions

Robust experience applying evidence based medicine tools and practice (systematic reviews, risk of bias assessment, etc.)

Experience with clinical analytics

Experience collaboratively with diverse teams, leading through influence, to execute on complex projects

Demonstrated ability to lead through ambiguity and function independently

Ability to assimilate, analyze, draw conclusions, and make recommendations from complex data

Preferred Qualifications

3 years experience with clinical informatics

Master's degree in a quantitative (health services research, public health, epidemiology, HEOR, biostatistics) and/or clinical field with at least 10 years of related work experience in clinical, trend and/or analytics

Experience with payor claims data analysis

Operational experience at healthcare provider

Travel

Less than 10 % but may change in the future

For this job, associates are required to be fully COVID vaccinated or undergo weekly COVID testing and wear a face covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home. We are a healthcare company committed to putting health and safety first for our members, patients, associates, and the communities we serve.

If progressed to offer, you will be required to:

Provide proof of full vaccination or commit to testing protocols

*OR  *

Provide proof of applicable exemption including any required supporting documentation

​​Medical, religious, state and remote-only work exemptions are available.

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com