Healthcare Data Science Leader

4 weeks ago

Windsor Mill, United States Insight Global Full time
Job Summary

Insight Global is seeking a Senior Healthcare Claims Data Scientist to lead their team in performing scientific work that leverages analytical, statistical, and programming skills to collect, analyze, and interpret large data sets. The ideal candidate will develop data-driven solutions to complex business challenges, contribute to major programs, and take on project leadership roles.

The successful candidate will utilize advanced tools and computational techniques to interpret, connect, predict, and uncover insights from complex data, providing actionable recommendations for business and analytical decisions. They will collaborate with stakeholders across the organization to identify opportunities for leveraging company data to drive business solutions.

The candidate will also coach and review the work of less-experienced professionals and serve as a team or task leader, though not as a people manager. They will design, research, and develop highly advanced processes, potentially leading to new product or business opportunities for the company.

Key Responsibilities:

  • Lead a team of data scientists in performing scientific work that leverages analytical, statistical, and programming skills
  • Develop data-driven solutions to complex business challenges
  • Contribute to major programs and take on project leadership roles
  • Utilize advanced tools and computational techniques to interpret, connect, predict, and uncover insights from complex data
  • Collaborate with stakeholders across the organization to identify opportunities for leveraging company data to drive business solutions
  • Coach and review the work of less-experienced professionals and serve as a team or task leader
  • Design, research, and develop highly advanced processes, potentially leading to new product or business opportunities for the company

Requirements:

  • Masters Degree in IT, Data, Statistics, or related field or a bachelors and 8+ years of experience
  • 7+ years of experience datamining for healthcare fraud, waste, and abuse in large, multi-payer databases with diverse health care benefit structures and claim processing systems
  • Experience using Python for healthcare Fraud, Waste and Abuse datamining and statistical modeling
  • Experience utilizing SQL / SnowSQL to query data and Tableau for visualization
  • Experience conducting analysis of Big Data to identify trends, anomalies, and outliers
  • Strong communication / presentation skills to operate in a client facing capacity
  • Experience in Amazon Web Services (AWS) cloud and/or Snowflake data warehouse environments
  • Skilled at explaining technical outcomes precisely to technical audiences and clearly to non-technical audiences
  • Experience adhering to 508 Compliance standards
  • Experience supporting Medicare / Medicaid FWA claims data efforts

Benefits:

  • Competitive compensation package
  • Medical, dental, and vision insurance
  • HSA, FSA, and DCFSA account options
  • 401k retirement account access with employer matching
  • Paid sick leave and/or other paid time off as provided by applicable law

Equal Opportunity Employer:

Insight Global is an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances.

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