Job Details
Senior Informaticist
**Become a part of our caring community**
The Senior Informaticist coordinates with other analytics and teams across the organization to ensure work is completed with insights from knowledge SMEs. The Senior Informaticist work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The Senior Informaticist applies advanced analytical knowledge to support data analysis, forecasting, and financial impact modeling projects within the Pharmacy Analytics organization. You will focus on Medicaid drug pipeline forecasting, estimating utilization and cost for new-to-market and latest high-cost therapies.
You will support enterprise planning and decision-making by analyzing pharmacy claims and related datasets, developing utilization and cost forecasts, and translating findings into applicable insights. The Senior Informaticist works collaboratively with Actuarial and Clinical partners and is expected to exercise sound judgment, structured problem-solving, and clear communication, working in partnership with other team members.
**Use your skills to make an impact**
**Main Responsibilities**
+ Support Medicaid pharmacy pipeline forecasting for new?to?market brand and specialty therapies
+ Develop utilization, cost, and PMPM forecasts using claims data and clinical assumptions
+ Conduct scenario and sensitivity analyses to assess financial risk and trend drivers for high?cost drugs
+ Analyze pharmacy claims data to identify important trends, risks, and cost drivers within the Medicaid population
+ Deliver clear analytical insights, summaries, and visualizations to partners
+ Collaborate with cross?functional partners to understand our needs and analytical requirements
+ Develop reproducible code to support analysis, forecasting, and reporting
+ Ensure analytical quality through documentation, data integrity, and process improvement
**Required Qualifications**
+ Bachelor's degree and 5 or more years of data analytics experience OR Master's degree and 3 years of experience
+ Experience using data to inform outcomes and decision-making
+ Working knowledge of healthcare or pharmacy data, including claims data
+ Analytical, problem-solving, and attention-to-detail skills
+ Effective verbal and written communication, with the ability to explain analytical results clearly
+ Experience with SQL, Python, PowerBI, Databricks, or similar analytics platforms
+ Experience with contributing to an organization focused on improving consumer and member experiences
**Preferred Qualifications**
+ Advanced degree in a quantitative field
+ Experience supporting pharmacy analytics, Medicaid populations, or drug cost forecasting
+ Exposure to pipeline forecasting, specialty drugs, or high-cost therapies
+ Demonstrated experience with statistical analysis or financial modeling
+ Experience with Databricks
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$97,900 - $133,500 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, 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.
Application Deadline: 04-22-2026
**About us**
About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient's well-being.
About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at?CenterWell.com.
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**Equal Opportunity Employer**
It 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.
Centerwell, a wholly owned subsidiary of 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 full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources
The Senior Informaticist coordinates with other analytics and teams across the organization to ensure work is completed with insights from knowledge SMEs. The Senior Informaticist work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The Senior Informaticist applies advanced analytical knowledge to support data analysis, forecasting, and financial impact modeling projects within the Pharmacy Analytics organization. You will focus on Medicaid drug pipeline forecasting, estimating utilization and cost for new-to-market and latest high-cost therapies.
You will support enterprise planning and decision-making by analyzing pharmacy claims and related datasets, developing utilization and cost forecasts, and translating findings into applicable insights. The Senior Informaticist works collaboratively with Actuarial and Clinical partners and is expected to exercise sound judgment, structured problem-solving, and clear communication, working in partnership with other team members.
**Use your skills to make an impact**
**Main Responsibilities**
+ Support Medicaid pharmacy pipeline forecasting for new?to?market brand and specialty therapies
+ Develop utilization, cost, and PMPM forecasts using claims data and clinical assumptions
+ Conduct scenario and sensitivity analyses to assess financial risk and trend drivers for high?cost drugs
+ Analyze pharmacy claims data to identify important trends, risks, and cost drivers within the Medicaid population
+ Deliver clear analytical insights, summaries, and visualizations to partners
+ Collaborate with cross?functional partners to understand our needs and analytical requirements
+ Develop reproducible code to support analysis, forecasting, and reporting
+ Ensure analytical quality through documentation, data integrity, and process improvement
**Required Qualifications**
+ Bachelor's degree and 5 or more years of data analytics experience OR Master's degree and 3 years of experience
+ Experience using data to inform outcomes and decision-making
+ Working knowledge of healthcare or pharmacy data, including claims data
+ Analytical, problem-solving, and attention-to-detail skills
+ Effective verbal and written communication, with the ability to explain analytical results clearly
+ Experience with SQL, Python, PowerBI, Databricks, or similar analytics platforms
+ Experience with contributing to an organization focused on improving consumer and member experiences
**Preferred Qualifications**
+ Advanced degree in a quantitative field
+ Experience supporting pharmacy analytics, Medicaid populations, or drug cost forecasting
+ Exposure to pipeline forecasting, specialty drugs, or high-cost therapies
+ Demonstrated experience with statistical analysis or financial modeling
+ Experience with Databricks
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$97,900 - $133,500 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, 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.
Application Deadline: 04-22-2026
**About us**
About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient's well-being.
About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at?CenterWell.com.
?
**Equal Opportunity Employer**
It 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.
Centerwell, a wholly owned subsidiary of 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 full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources
Job #NLX290620160