Payer Healthcare Data Scientist, Manager
PwC · Philadelphia, PA · 2 wk ago
Engineering$99k–$232k/yrFull-time
Job Details
Payer Healthcare Data Scientist, Manager
Level: Manager
Travel: Up to 80%
Responsibilities
- Apply advanced data science and machine learning methodologies to analyze vast claims and clinical data
- Generate actionable insights aimed at reducing healthcare costs and enhancing population health
- Lead and mentor teams while managing client relationships and expectations
- Secure successful project execution while upholding quality standards
- Collaborate with industry leaders to develop innovative analytics solutions
- Present findings and strategies to senior stakeholders, including Chief Actuaries
- Play a key role in the development of new analytics products for payer strategies
- Foster a culture of continuous improvement and knowledge sharing within the team
Qualifications
- Bachelor's Degree
- At least 6 years of experience in data science and machine learning
- Master's Degree in Statistics, Computer Science, Applied Mathematics, Biotechnology preferred
- Prior consulting or advisory firm experience preferred
- Contributing to commercial analytics product development
- Familiarity with NCQA HEDIS specifications and CMS Star Ratings
- Knowledge of government payer programs and Medicaid
- Experience with NLP or unstructured clinical text
- Exposure to social determinants of health data integration
Benefits
- Health Care
- Retirement
- Maternity / Paternity Leave
- Paid Time Off
- Committing to Growth