Payer Healthcare Data Scientist, Manager

About the role

The role involves applying advanced data science and machine learning methodologies to analyze vast claims and clinical data. The goal is to generate actionable insights aimed at reducing healthcare costs and enhancing population health. You will lead and mentor teams while managing client relationships and expectations, securing successful project execution, and upholding quality standards.

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

Requirements

• Bachelor's Degree
• At least 6 years of experience in data science and machine learning

Qualifications

• 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

Skills

• Analyse and identify the linkages and interactions between the component parts of an entire system
• Take ownership of projects, ensuring their successful planning, budgeting, execution, and completion
• Partner with team leadership to ensure collective ownership of quality, timelines, and deliverables
• Develop skills outside your comfort zone, and encourage others to do the same
• Effectively mentor others
• Use the review of work as an opportunity to deepen the expertise of team members
• Address conflicts or issues, engaging in difficult conversations with clients, team members and other stakeholders, escalating where appropriate
• Uphold and reinforce professional and technical standards (e.g. refer to specific PwC tax and audit guidance), the Firm's code of conduct, and independence requirements

Benefits

• Health Care: Comprehensive medical coverage, vision care, dental and health savings accounts
• Retirement: PwC 401(k) Savings Plan and Wealth Builder retirement plan
• Maternity / Paternity Leave: 12 weeks of paid parental leave with the option to work 60% of hours for an additional four weeks
• Paid Time Off: 13 paid holidays and extended Firm holidays, accrue vacation time based on staff classification and length of service
• Committing to growth: AI training and human skills to become a leader in today's workplace
• Bring your best, every day: Empowerment and care for your well-being

Pay

The salary range for this position is: $99,000 - $232,000. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws.

Schedule

Up to 80%