The Director of Claims Analytics & Analysis will lead a highimpact analytics function focused ondeep investigative analysis of claims operationsto surface root cause drivers, emerging trends, and actionable insights for executive leadership. This role sitsbeyond dashboards and standard reportingand operates as a strategic thought partner to Claims and Enterprise leaders.
This leader will build and scale a team that translatessignals from existing dashboards, operational metrics, and claim detail dataintoearly insights, root cause diagnoses, and solution pathwaysthat improve cost, quality, efficiency, and member/provider experience.
We are seeking a dynamicDirector of Claims Analytics & Analysis to join the team!
The ideal candidate is a natural problem finder, intellectually curious, and operationally fluent in healthcare claims someone who instinctively asks why , knows where to dig, and can convert ambiguity into structured insight and action.
Key Outcomes of the Role
Identifyroot cause driversbehind claims performance trends (cost, leakage, rework, denials, timeliness, provider abrasion, member impact).
Claims Insight Generation & Root Cause Analytics
Investigate trends surfaced in claims dashboards and operational metrics to uncoverunderlying drivers, process failures, policy impacts, and behavioral patterns.
Lead structured root cause analyses across claim types, product lines, providers, vendors, and workflows.
Strategic Advisory & Executive Engagement
Frame findings in terms offinancial impact, operational risk, member experience, compliance, and scalability.
Advanced Analytics & Tooling (Applied, Not Academic)
Leverage AI, machine learning, and advanced analyticsas tools, not ends in themselves, to accelerate insight generation and pattern detection.
CrossFunctionalPartnership
Use your skills to make an impact
Required Qualifications
Advanced analytics literacy (SQL, Python, statistical techniques, AI-enabled analysis), applied pragmatically.
An advanced degree in Analytics, Data Science, Health Economics, Finance, or related field preferred (but notrequired).
Additional Information
This role is not eligible for work visa sponsorship.
Work at Home Requirements
To ensure Home or Hybrid Home/Office employees ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
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.
$184,800 - $254,100 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 07-06-2026
