Senior Healthcare Data Scientist – Medicare/Medicaid

This is a fully remote position, open to applicants in United States.

📋 Description

• Evaluate Medicare and Medicaid claims data utilizing statistical methods and machine learning techniques.

• Create generative AI-driven solutions and agent-based systems aimed at improving the detection of fraud, waste, and abuse, analyzing intricate patterns, and optimizing business processes.

• Develop predictive models and anomaly detection systems to enhance insights, boost efficiencies, and improve program integrity outcomes.

• Discover opportunities to utilize expansive CMS data with contemporary AI/ML techniques, including LLMs, embeddings, vector databases, and retrieval-augmented pipelines.

• Communicate results to both technical and non-technical audiences, as well as various levels of leadership.

• Undertake additional responsibilities as required.

⛳️ Requirements

• Bachelor’s degree in an analytical or technical discipline, such as Statistics, Computer Engineering, or Applied Mathematics, or a related field.

• At least 5 years of experience in Data Science.

• A minimum of 2 years of experience performing advanced analyses of Medicare and/or Medicaid data.

• Proficiency in R or Python for data science, particularly in machine learning.

• Experience with Pandas, NumPy, TensorFlow, Scikit-learn, Seaborn, GGplot, or Matplotlib.

• Knowledge of SQL, Databricks, Snowflake, and Spark technologies.

• Practical experience with generative AI technologies such as LangChain, LangGraph, Hugging Face Transformers, vector databases, agent frameworks, or LLM orchestration tools.

• Understanding of statistical principles and basic analytic model development concepts, including feature engineering, attribute selection, threshold setting, and train/test splits.

• Ability to produce data visualizations that convey complex analyses and highlight trends.

• Strong curiosity, problem-solving skills, and the capacity to clarify and simplify intricate data and AI systems.

• US citizenship is not mandatory.

• NACI (T1) public trust requirement.

🏝️ Benefits

• Options for medical plans, including those with Health Savings Accounts.

• Choices for dental plans.

• Vision plan options available.

• 401(k) plan featuring pre-tax and post-tax contributions up to IRS annual limits along with company matching.

• Full flexibility in work weeks when feasible.

• Paid leave for vacation, sick days, personal time, holidays, parental leave, military service, bereavement, and jury duty.

• Typically, 15 days of paid leave each calendar year for new hires.

• 10 paid holidays annually.

• Up to 160 hours of paid family leave over a rolling 12-month period for eligible employees.

• Coverage for short- and long-term disability benefits.

• Life insurance provided.

• Accidental death and dismemberment insurance included.

• Personal accident insurance available.

• Critical illness insurance offered.

• Business travel and accident insurance provided.