Payer Healthcare Data Scientist

Job Title: Payer Healthcare Data Scientist

Location: Tampa, FL (Hybrid)

Job Description:

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.

Tech/Background:

• Bachelor's Degree.
• Master's Degree in Statistics, Computer Science, Applied Mathematics, or 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.