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Humana Medical Director of Clinical Informatics in Overland Park, Kansas

Description

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.

Responsibilities

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.

Responsibilities:

  • 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.

Required Qualifications

  • 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.

Preferred Qualifications

  • 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

Travel

Less than 10 % but may change

Scheduled Weekly Hours

40

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 https://www.humana.com/legal/accessibility-resources?source=Humana_Website.

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