Payer Healthcare Data Scientist

Advanced Data ScientistApply 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.Bachelor's Degree Tech/Background: Master's Degree in Statistics, Computer Science, Applied Mathematics, Biotechnology preferred. At least 6 years of experience in data science and machine learning. 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.