Staff Data Scientist

Job Summary

To advance machine learning models for healthcare claims auditing, the remote Staff Data Scientist will build best-in-class models, create technical frameworks, and enhance data pipelines, optimizing business outcomes for health plan clients.

Key responsibilities

• Dive into clinical and coding audits to unpack data driving audit decisions and understand past outcomes
• Curate labeled data, hypothesize new features, and develop ML models targeting claims for audit with greater precision
• Measure model performance rigorously, translating outcomes into operational insights and recommendations for clients

Required qualifications

• Proven experience in solving real-world business problems using data-driven optimization and ML modeling
• Strong skills in SQL and handling large-scale data, with proficiency in at least one programming language (Python, R, etc.)
• Experience building ML models using modern approaches like Neural Nets or Tree-ensembles from scratch
• Ability to measure and optimize the direct business impact of modeling work
• Familiarity with healthcare data and its nuances is a plus