Hybrid Payer Healthcare Data Scientist, Manager

Posted 2 hours ago

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About the role

  • Manager leading data science and machine learning initiatives for healthcare payer clients. Focused on operational efficiency, mentoring teams, and actionable insights to reduce costs and improve health outcomes.

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
  • Foster a culture of continuous improvement and knowledge sharing within the team

Requirements

  • Bachelor's Degree
  • At least 6 years of experience in data science and machine learning
  • Master's Degree in Statistics, Computer Science, Applied Mathematics, Biotechnology preferred
  • Prior consulting or advisory firm experience preferred
  • Contributing to commercial analytics product development
  • Familiarity with NCQA HEDIS specifications and CMS Star Ratings
  • Knowledge of government payer programs and Medicaid
  • Experience with NLP or unstructured clinical text
  • Exposure to social determinants of health data integration

Benefits

  • medical
  • dental
  • vision
  • 401k
  • holiday pay
  • vacation
  • personal and family sick leave
  • more

Job title

Payer Healthcare Data Scientist, Manager

Job type

Experience level

Mid levelSenior

Salary

$99,000 - $232,000 per year

Degree requirement

Bachelor's Degree

Location requirements

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