Humana Medical Director of Clinical Informatics in Overland Park, Kansas
Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to solve for the healthcare challenges of today. The Applied Clinical Informatics team uses applied informatics knowledge and clinical acumen to support identification and enablement of health improvement opportunities for our members. In this exciting start-up environment, you'll have the opportunity to develop clinical informatics tools and capabilities from the ground up, while working collaboratively with clinicians, data scientist, products owners and business owners across Humana.
Humana's ACI organization is seeking a Medical Director of Clinical Informatics. This leader will employ a rigorous evidence based approach informed through informatics best practices and delivered through a highly collaborative style to support clinical, quality and enterprise solutions. This role will be responsible to develop tools and processes to continuously identify health improvement opportunities for our members.
Responsible for developing a library of clinical initiatives that could positively impact trend including member experience, health outcomes and costs:
Understand the member/patient experience and clinical data insights to identify options for decreasing friction points for members and providers
Combine knowledge of the member experience with analytics and data insights to identify areas of opportunity to reduce trend and improve health outcomes
Identify high priority conditions and areas of opportunity for our member population
Identify interventions and levers to address high priority conditions/areas of opportunity
Identify emerging health concerns/needs for our members and levers that can make a difference for our members' health and costs
Complete literature searches to identify trend opportunities related to patient health outcomes, to investigate root cause analyses of trend opportunities and identify interventions and best practices to directly impact trend and patient health outcomes
Monitor relevant clinical research and publicly available news and reports in the healthcare industry, performing any ad hoc analyses and horizon scanning as needed
Collaborate closely with leaders and associates in Retail business, Clinical Strategy and Analytics, IT, Clinical Operations, Business Strategy and Product Management to develop data-driven, technology-enabled enterprise-wide solutions to improve health outcomes, member experience at lower cost.
Clinical degree (MD or DO)
3+ clinical practice experience
2+ years of experience with clinical informatics
Robust experience applying evidence-based medicine tools and practice (systematic reviews, risk of bias assessment, etc.)
2+ years experience with clinical analytics
Experience working 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
Familiarity with various clinical terminologies e.g. ICD10, SNOMED, RxNorm etc.
Board certification in clinical informatics
Completion of a clinical informatics fellowship
Experience with development of digital health solutions
Master's degree + in a quantitative (health services research, public health, epidemiology, biomedical informatics or biostatistics)
Experience with payor claims data analysis
Operational experience at healthcare provider
Less than 10 % but may change
Scheduled Weekly Hours
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