Senior Director, Data Science, Core Insurance & Network
Core
Leads data science strategy and execution for Core Insurance and Network businesses (Claims, Authorization, Pharmacy, Payment Integrity, Network) to improve affordability, operational performance, and member/provider experience.
Role type
Senior Director, Data Science (Strategy & Leadership)
Builds
Scalable, reliable, and explainable data science solutions embedded in business workflows for health insurance operations.
Domain
Health Insurance / Data Science
Deliverable
production ML models
Required skills
Data science strategy, team leadership, SQL, Python/R, advanced analytics, experimentation, statistical modeling, machine learning, healthcare data, stakeholder management, people management
Preferred skills
Master's or Ph.D. in quantitative/technical field, leadership in health insurance or regulated industry, experience in claims/authorization/pharmacy/payment integrity/provider networks/care navigation/cost estimation
Technologies
SQL, Python, R
Responsibilities
Set strategy, roadmap, outcomes, and resource allocation for the data science portfolio; Lead multi-team organization through managers and senior technical leaders; Partner with cross-functional leaders to align priorities; Own measurable portfolio impact using analytics and ML; Guide delivery of scalable data science solutions; Establish decision rights and planning cadences; Define success measures and communicate to executives
Seniority
Senior Director, hands-on IC with heavy leadership