Senior Data Scientist, Medicare Stars

🔥 2 minutes ago

🏈 Alabama, Arizona, +40 more states – Remote

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💵 $92.7k - $167.5k / year

⏰ Full Time

🟠 Senior

📊 Data Scientist

🦅 H1B Visa Sponsor

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👻 Ghost score 0%

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Logo of Health Care Service Corporation

Health Care Service Corporation

10,000+ employees

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Health Care Service Corporation is an independent licensee of the Blue Cross Blue Shield Association, serving nearly 23 million people across the United States with a wide range of health benefit solutions. The company provides health coverage options for various groups, including employers, individuals, families, as well as Medicare and Medicaid plans. In addition to health insurance, HCSC offers services such as pharmacy solutions, life and dental insurance, and health data technology. With nearly a century of experience, HCSC is dedicated to improving access to quality care, enhancing health outcomes, and reducing costs while maintaining a deep commitment to its members and local communities.

📋 Description

• Provide advanced mathematical and statistical methods to solve complex business problems supporting HCSC’s Medicare Stars analytics strategy • Collect, integrate, and analyze healthcare claims, clinical outcomes, quality measures, provider performance, member outcomes, and internal business-process data • Identify opportunities to improve Medicare Star Ratings • Perform complex statistical analysis to validate and quantify trends • Adapt machine learning, predictive modeling, and probabilistic methods to develop predictive algorithms • Verify model effectiveness based on real-world results • Design experiments and methodologies • Create visualizations and analytical applications • Translate findings into actionable recommendations for business decisions, program enhancements, and quality improvement initiatives • Collaborate with clinical, pharmacy, customer experience, product, and operations teams • Represent the data science perspective on cross-functional teams and contribute to decisions that improve member outcomes, Stars performance, affordability, and enterprise value

🎯 Requirements

• Bachelor’s degree and 3 years of work experience in a mathematical, statistical, computer science, engineering, physics, economics or related quantitative field; OR actuarial credential; OR master’s degree and 2 years of work experience in a related quantitative field; OR Ph.D. in a related quantitative field; OR 7 years of experience in a related quantitative field • Strong learning and growth mindset • Customer focus • Strong interpersonal, verbal and written communication skills • Proficiency in at least four of: data analysis and relational-style query languages; machine learning and/or statistical modeling; data visualization; a high-level programming language; distributed computing; understanding of healthcare • Experience with statistical software such as SAS, Dataiku, R and/or Python is required • Statistical and/or data mining experience in propensity score modeling, multivariate regression, and machine learning • Comprehension of healthcare data and healthcare delivery system processes • Sponsorship is not available • Must be based in the continental United States, excluding California, New York, Alaska, and Hawaii

🏖️ Benefits

• Curated development plans supporting professional development and career growth • Annual incentive bonus plan • Health and wellness benefits • 401(k) savings plan • Pension plan • Paid time off • Paid parental leave • Disability insurance • Supplemental life insurance • Employee assistance program • Paid holidays • Tuition reimbursement • Other incentives

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