Payer Healthcare Data Scientist, Manager
Core
Apply advanced data science and machine learning to large-scale claims, clinical, and member data to reduce cost of care and improve population health outcomes for payer clients.
Role type
Manager, Payer Healthcare Data Scientist
Builds
Innovative analytics products and strategies for payer clients
Domain
Healthcare / Insurance / Data Science
Deliverable
production ML models | dashboards & analysis
Required skills
Advanced data science, machine learning, team leadership, client relationship management, strategic planning, mentoring, project execution, stakeholder presentation
Preferred skills
Master's in Statistics/CS/Applied Math, consulting experience, commercial analytics product development, NCQA HEDIS/CMS Star Ratings knowledge, government payer programs/Medicaid knowledge, NLP/unstructured clinical text experience, social determinants of health data integration
Technologies
NLP, unstructured clinical text processing, claims data systems, clinical data systems
Responsibilities
Apply advanced data science and machine learning methodologies to analyze vast claims and clinical data, Generate actionable insights aimed at reducing healthcare costs and enhancing population health, Lead and mentor teams while managing client relationships and expectations, Secure successful project execution while upholding quality standards, Collaborate with industry leaders to develop innovative analytics solutions, Present findings and strategies to senior stakeholders, including Chief Actuaries, Play a key role in the development of new analytics products for payer strategies
Seniority
Manager, hands-on IC with team leadership