Molina Healthcare

posted 12 days ago

Full-time - Senior
Remote
Insurance Carriers and Related Activities

About the position

The position is responsible for overseeing data science projects, managing and mentoring a team, and aligning data initiatives with business goals. The role involves leading the development and implementation of data models, collaborating with cross-functional teams, and ensuring ethical data use while communicating complex technical concepts to non-technical stakeholders. The candidate will also lead initiatives on model governance and model ops, focusing on generative AI healthcare solutions to enhance healthcare operations and member experience.

Responsibilities

  • Research and Development: Stay current with the latest advancements in AI and machine learning and apply these insights to improve existing models and develop new methodologies.
  • AI Model Deployment, Monitoring & Model Governance: Deploy AI models into production environments, monitor their performance, and adjust as necessary to maintain accuracy and effectiveness and meet all governance and regulatory requirements.
  • Innovation Projects: Lead pilot projects to test and implement new AI technologies within the organization.
  • Data Analysis and Interpretation: Extract meaningful insights from complex datasets, identify patterns, and interpret data to inform strategic decision-making.
  • Machine Learning Model Development: Design, develop, and train machine learning models using a variety of algorithms and techniques, including supervised and unsupervised learning, deep learning, and reinforcement learning.
  • Agentic Workflows Implementation: Develop and implement agentic workflows that utilize AI agents for autonomous task execution, enhancing operational efficiency and decision-making capabilities.
  • RAG Pattern Utilization: Employ retrieval-augmented generation patterns to improve the performance of language models, ensuring they can access and utilize external knowledge effectively to enhance their outputs.
  • Model Fine-Tuning: Fine-tune pre-trained models to adapt them to specific tasks or datasets, ensuring optimal performance and relevance in various applications.
  • Data Cleaning and Preprocessing: Prepare data for analysis by performing data cleaning, handling missing values, and removing outliers to ensure high-quality inputs for modeling.
  • Collaboration: Work closely with cross-functional teams, including software engineers, product managers, and business analysts, to integrate AI solutions into existing systems and processes.
  • Documentation and Reporting: Create comprehensive documentation of models, methodologies, and results; communicate findings clearly to non-technical stakeholders.
  • Mentor, coach, and provide guidance to newer data scientists.
  • Partner closely with business and other technology teams to build ML models which help in improving Star ratings, reduce care gap and other business objectives.
  • Present complex analytical information to all levels of audiences in a clear and concise manner.
  • Collaborate with the analytics team, assigning and managing delivery of analytical projects as appropriate.
  • Perform other duties as business requirements change, looking out for data solutions and technology-enabled solution opportunities and make referrals to the appropriate team members in building out payment integrity solutions.
  • Use a broad range of tools and techniques to extract insights from current industry or sector trends.

Requirements

  • Master's Degree in Computer Science, Data Science, Statistics, or a related field.
  • 10+ years' work experience as a data scientist preferably in a healthcare environment but candidates with suitable experience in other industries will be considered.
  • Knowledge of big data technologies (e.g., Hadoop, Spark).
  • Familiar with relational database concepts, and SDLC concepts.
  • Demonstrate critical thinking and the ability to bring order to unstructured problems.
  • Strong programming skills in languages such as Python and R, and experience with machine learning frameworks like TensorFlow, Keras, or PyTorch.
  • Excellent understanding of statistical methods and machine learning algorithms, including k-NN, Naive Bayes, SVM, and neural networks.
  • Familiarity with designing and implementing agentic workflows that leverage AI agents for autonomous operations.
  • Knowledge of retrieval-augmented generation techniques and their application in enhancing AI model outputs.
  • Proven experience in fine-tuning models for specific tasks, ensuring they meet the required performance metrics.
  • Proficiency in data visualization tools (e.g., Tableau, Power BI) to present complex data insights effectively.
  • Experience with SQL and NoSQL databases, data warehousing, and ETL processes.
  • Strong analytical and problem-solving abilities, with a focus on developing innovative solutions to complex challenges.

Nice-to-haves

  • PHD or additional experience.
  • Experience with cloud platforms (e.g., Databricks, Snowflake, Azure AI Studio etc.) for working with AI workflows and deploying models.
  • Familiarity with natural language processing (NLP) and computer vision techniques.

Benefits

  • Competitive benefits and compensation package.
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