Healthcare Navigation Data Scientist

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🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $100k - $135k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📊 Data Scientist

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Alight Solutions

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2016

💼 Consulting

🏥 Healthcare

📦 Logistics

Consulting • Healthcare • Logistics

Alight Solutions is a leading cloud-based human capital technology and services provider serving some of the world's largest organizations and over 35 million people and dependents. The company focuses on transforming lives and organizations by enhancing health, financial, and work wellbeing. Alight offers a wide range of services, including customer care, technology roles, consulting, application services, and business support, with opportunities for virtual or work-from-home positions. The company emphasizes corporate social responsibility and providing a positive impact on clients, colleagues, and communities.

📋 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 for 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 • Partner with Product, Engineering, Clinical, and Business teams to translate analytical insights into actionable solutions and measurable business value

🎯 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 the United States in one of the 50 states or the District of Columbia • Proof of US citizenship required at time of hire • Work authorization that does not now or in the future require visa sponsorship in the Employing Country • Background check required if an offer is made • Advanced degree preferred

🏖️ 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 • Competitive total rewards package • Continuing education & training • Comprehensive benefits package • Reasonable accommodations for the hiring process