Healthcare Navigation Data Scientist

🔥 0 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $100k - $135k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📊 Data Scientist

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Alight Solutions

WebsiteLinkedInAll Job Openings

10,000+ employees

🤝 B2B

🏥 Healthcare

☁️ SaaS

💰 $22.5M Post-IPO Secondary - Alight Solutions on 2023-08

B2B • Healthcare • SaaS

Alight Solutions is a leading benefits administration provider that delivers health, wealth, leave, and related HR point solutions for large organizations and their employees. The company helps manage benefits administration and human capital-related processes for enterprises, serving many of the world’s largest organizations and over 30 million people. Alight also emphasizes product and technology roles, corporate sustainability, total rewards, and a focus on transforming lives and organizations by maximizing health, financial and work wellbeing.

📋 Description

• Analyze healthcare and book-of-business data to identify cost drivers, utilization trends, and opportunities to improve member outcomes and reduce healthcare spend • Develop and enhance provider scoring, ranking, and recommendation methodologies using cost, quality, specialty alignment, and provider experience • Integrate and transform claims, provider, pricing, and network data for analytics and modeling initiatives • Build, validate, and optimize statistical, predictive, and machine learning models to improve provider search relevance and personalization • Evaluate business rules, scoring outputs, and recommendation performance against clinical and business objectives • Monitor key performance metrics and recommend enhancements to data sources, models, and processes • Collaborate with Product, Engineering, Clinical, Value Engineering, and Business teams to translate insights into actionable solutions and measurable value • Enhance provider search, recommendation, and value measurement capabilities across the Health Navigation platform

🎯 Requirements

• Experience working with large, complex datasets using SQL and Python and/or R • Experience developing data models, scoring frameworks, predictive analytics, or machine learning solutions • Knowledge of healthcare datasets and concepts, including claims data, CPT, ICD, NPI, provider networks, and healthcare pricing • Understanding of healthcare cost drivers, utilization analytics, quality measures, and provider performance metrics • Analytical, problem-solving, and communication skills to translate complex findings into business insights • Experience with provider search, recommendation systems, ranking models, or personalization algorithms • Knowledge of clinical quality measures such as HEDIS, CMS, or related healthcare standards • Experience applying machine learning techniques in healthcare, health technology, or navigation environments • Bachelor’s degree in data science, Statistics, Mathematics, Computer Science, Healthcare Analytics, or a related field • Applicants must reside in one of the 50 United States or the District of Columbia • Proof of US citizenship required at time of hire • Must have work authorization that does not now or in the future require visa sponsorship • Successful completion of a background check required if offered employment • Virtual interviews must be conducted on video

🏖️ Benefits

• Health, dental and vision coverages starting Day One • Wellbeing programs • Retirement plans with contribution matching • Generous time off • Parental leave • Continuing education • Career growth opportunities • Flexible working arrangements wherever possible • Competitive total rewards package • Continuing education and training • Occasional travel to physical office locations may be required