Payer Healthcare Data Scientist, Manager
Overview
A career within Operations Consulting services will provide you with the opportunity to help our clients optimize all elements of their operations to move beyond the role of a cost effective business enabler and become a source of competitive advantages. We focus on product innovation and development, supply chain, procurement and sourcing, manufacturing operations, service operations and capital asset programs to drive both growth and profitability.
What does it take?
All our employees are recruited, developed and managed against the global PwC Professional framework that focuses on two dimensions: Trusted Leadership and Distinctive Outcomes. It guides us on “what to do” and “how to do it”, emphasizing impact and behaviors.
Benefits / Rewards
- Health Care: Comprehensive medical coverage, vision care, dental and health savings accounts.
- Retirement: PwC offers a 401(k) Savings Plan and a Wealth Builder retirement plan completely funded by PwC.
- Maternity / Paternity Leave: Eligible new parents receive, within the first year from birth or adoption/foster placement, 12 weeks of paid parental leave. Parents have the option to work 60% of hours, at full-time pay, for an additional four weeks immediately following paid parental leave.
- Paid Time Off: The Firm recognizes 13 paid holidays and provides extended Firm holidays around the July 4 holiday and Christmas and New Year holiday. You accrue vacation time of between three weeks (15 work days) and one month (22 work days) per year, based upon staff classification and length of service with PwC.
- Committing to growth: You’ll receive AI training and human skills you need to become a leader in today's workplace.
- Bring your best, every day: We empower our people and strive to provide a people experience grounded in care for you and your well-being.
The Opportunity
As part of the Operations Consulting team, you will apply advanced data science and machine learning techniques to large-scale claims, clinical, and member data to surface actionable insights that reduce cost of care and improve population health outcomes for our payer clients. As a Manager, you will lead teams and manage client accounts, focusing on strategic planning and mentoring junior staff while securing project success and maintaining exemplary standards. This role offers the chance to work on innovative analytics products and collaborate with industry leaders, making a significant impact in healthcare.
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
What You Must Have
- Bachelor's Degree
- At least 6 years of experience in data science and machine learning
What Sets You Apart
- 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