Sr Data Scientist - Risk Adjustment

$100,500 - $182,700/Yr

BlueCross BlueShield North Carolina - Durham, NC

Full-time - Mid Level

Durham, NC

About the position

The Senior Data Scientist will play a crucial role in delivering high-quality analyses that inform sound organizational decisions. This position involves leading complex data science projects, developing and testing hypotheses, and implementing integrated data models to enhance data-driven decision-making across the organization.

Responsibilities

• Own delivery of large and/or complex data science and engineering projects
• Lead in the development and testing of hypotheses across all functional data sets
• Lead requirements gathering sessions with business and technical staff to distill technical requirements from business requests
• Define and implement integrated data models, allowing integration of data from multiple sources
• Design and develop scalable, efficient data pipeline processes to handle data ingestion, cleansing, transformation, integration, and validation
• Define and implement data stores based on system requirements and consumer requirements
• Design and develop models to understand and solve complex business solutions using various methods including data mining, statistical analysis, predictive modeling, stochastic modeling, pattern recognition, probability analysis, and network analysis
• Design and implement production models leveraging technologies such as SAS, Python, and R
• Leverage existing data sets and engineer new data sets including development of SQL queries (Snowflake), data integration, and resolution of data quality issues
• Apply advanced conceptual understanding of Big Data systems to data set engineering and analytic model implementation
• Lead reviews of analytic models and algorithms
• Identify actionable insights, suggest recommendations, and influence business direction by effectively communicating results to cross-functional groups
• Document and test analytic processes including performance and thorough data validation and verification

Requirements

• Bachelor's degree or advanced degree (where required)
• 5+ years of experience in related field
• In lieu of degree, 7+ years of experience in related field

Nice-to-haves

• Risk Adjustment experience
• Healthcare data experience

Benefits

• Annual Incentive Bonus
• 401(k) with employer match
• Paid Time Off (PTO)
• Competitive health benefits
• Wellness programs