Senior Data Scientist – Payment Accuracy
Core
Build industry-leading analytics, data, and technology solutions to inform network strategy, improve provider engagement, and develop new provider offerings for healthcare members.
Role type
Senior Data Scientist (LLM & Predictive Modeling)
Builds
Provider-directed engagement channels, predictive models, and network strategy tools
Domain
Healthcare / Insurance / AI & Machine Learning
Deliverable
production ML models
Required skills
LLM-based solutions design, RAG applications, Vertex AI, Python, SQL, classical machine learning, statistical analysis, predictive modeling
Preferred skills
Healthcare industry experience, technical communication
Technologies
GCP, Vertex AI, Python, pandas, scikit-learn, LLM frameworks
Responsibilities
Develop and validate algorithms and statistical models; analyze structured and unstructured data; collaborate with business partners to define problems and metrics; present analytics results to stakeholders; investigate patterns and recommend solutions.
Seniority
Senior, hands-on IC
