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Sr. Data Scientist (Closed)

Data Scientists produce innovative solutions driven by exploratory data analysis from complex and high-dimensional datasets. Apply knowledge of statistics, data modeling, and advanced mathematics to recognize patterns, identify opportunities, pose business questions, and make valuable discoveries. Use a flexible, analytical approach to design, develop, and evaluate predictive models. Generate and test hypotheses. The Data Scientist proactively seeks to develop their skillsets and provide value-added support within the Data Science team.

Essential functions:
Communication & Project Ownership
• Support large projects, and manage smaller projects in their entirety
• Partner with senior team members to assess customer needs and define business questions. Emerging ability to influence customers to take action on analytical insights.
• Communicate results and insights, both verbally and written (including visual graphics), in a clear and concise manner to a non-technical audience.
• Identify and communicate roadblocks.
• Work on multiple concurrent projects and accommodate frequent interruptions and changing priorities
• Effectively participate in meetings with customers and emerging ability to guide discussion and decision making.

Data Analysis
• Acquire and bring structure to data so that it can be used in existing and new data systems.
• Build tools that help you and the other Data Scientists translate insights into action at scale.
• Identify, define and translate business needs/problems into analytical questions.
• Design and execute experiments, models, algorithms, and visualizations
• Understand data sources and limitations, warehousing system and the impact of the data on business decisions.
• Identify, retrieve, and manipulate data from internal and external datasets.
• Apply statistical and computational methodologies to provide actionable insights and identify opportunities that optimize quality, consumer experience, and healthcare costs.
• Develop scalable, efficient, and automated processes for large scale data analyses and model development, validation, and implementation.

Reporting & Other
• Contribute to technical reports, white papers, and publications.
• Stay current on new processes and technology in Data Science and communicate findings to team
• Perform all other tasks as assigned

Job Requirements:
• Strong programming experience in Python
• Requires expert proficiency in SQL
• Strong analytical and problem-solving skills
• Experience in supporting large projects, and manage smaller projects in their entirety
• Ability to partner with senior team members to assess customer needs and define business questions. Emerging ability to influence customers to take action on analytical insights.
• Ability to communicate results and insights, both verbally and written (including visual graphics), in a clear and concise manner to a non-technical audience.
• Must have applied experience with advanced analytics e.g. predictive analytics models
• Must have applied experience in Machine Learning
• Experience in Big Data - e.g. s3/presto is a plus
• Business Intelligence tool development
• Other programming experience - Java, Perl, UNIX/Linux scripting
• Healthcare, medical, or pharmaceutical work experience
• Experience with analysis around quality, consumer experience, and healthcare costs
• Experience in consumer analytics
• Experience in business analytics

Required Experience:
5-8 years related work experience in advanced analytics or equivalent combination of transferable experience and education
Minimum five years' experience as a Data Scientist
PhD or Masters in a quantitative discipline: Computer Science, Statistics, Applied Mathematics, Operations Research, Engineering
Working knowledge of health care systems and healthcare terminology
Expert in various healthcare datasets.
Expert in analyzing large complex, multi-dimensional data sets with a variety of tools
Ability to thrive and demonstrate constant applied learning in highly complex, interdisciplinary, and dynamic work environment
Design anomaly detection models to detect and eliminate FWA in claim payments.
Experience in implementing Machine Learning Models to gain efficiencies in Claims Prepay / Post Pay reviews


Required Education:
Related Bachelor’s degree in Data Science, Applied Mathematics, Computer science (e.g. specialization: Machine learning/Artificial Intelligence /Visualization, databases, and Big Data), Statistics, Epidemiology, Health Services Research, or closely related field with Data Science specialization or additional related equivalent work experience

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