Senior Informaticist
Core
Strategic analytics partner supporting Humana Clinical Pharmacy Review (HCPR) and pharmacy Prior Authorization (PA) processes to translate complex business challenges into analytical questions and actionable recommendations.
Role type
Senior IC healthcare informaticist (analytics & strategy)
Builds
Decision-support tools, reporting solutions, and analytical frameworks for HCPR leadership
Domain
Healthcare + Pharmacy Operations + Prior Authorization
Deliverable
dashboards & analysis
Required skills
Critical thinking, problem definition, data synthesis, stakeholder management, regulatory compliance, SQL, Databricks, Power BI, Python, Tableau, healthcare data analysis
Preferred skills
Pharmacy Prior Authorization experience, Medicare/Medicaid operations, enterprise reporting, advanced degree, informatics/consulting background
Technologies
Databricks, Power BI, SQL, Python, Tableau
Responsibilities
Lead complex analytical programs from problem identification to implementation; Translate ambiguous PA/clinical questions into structured analytical approaches; Analyze PA activity to identify trends, drivers, and process gaps; Partner with leadership for regulatory reporting; Develop frameworks and decision-support tools; Communicate complex findings to senior leadership; Drive improvements in PA reporting and data quality.
Seniority
Senior, hands-on IC