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We are seeking a Senior Data Scientist to join the Enterprise Reporting and Analytics team within the larger Transformation Management organization in Personify Health. This role focuses on advanced analytics, machine learning, and data-driven insights to showcase member outcomes, evaluate member engagement, and identify cost management areas. The ideal candidate will have expertise in health data, statistical analysis, and predictive modeling to enhance both well-being engagement and benefits administration, as well as a passion for improving the health and wellbeing of our clients’ employees. The role requires a self-directed data scientist with strong skills in data modeling, analysis, and visualization to execute projects from start to finish.
Job Responsibility:
Data Analysis & Modeling: Design, conduct, and manage new analytical projects, starting with project planning, hypothesis development, and data gathering, then to analysis and modeling, and through to communications and recommendations
Research & Evaluation: Leverage existing studies, literature, and analyses into current research and analysis projects
Risk Stratification: Design risk models to assess member health risks and recommend proactive interventions for cost savings and better health outcomes through care recommendations
Delivery of Results: Build presentations, reports and dashboards that translate complex data into actionable insights for decision-making
Data Engineering & Integration: Work with data engineering and data development teams to optimize data pipelines, ensure data quality, and integrate diverse health datasets
Regulatory & Compliance Analysis: Ensure models comply with HIPAA, CMS, and other regulatory guidelines while supporting analytical insights and reporting
Collaboration & Leadership: Partner with operational and client teams to present results and to drive data-driven strategies and mentor junior data scientists
Requirements:
Bachelor’s, Master’s, or Ph.D. in Data Science, Computer Science, Statistics, Mathematics, Actuarial Science, or a related field
5-7+ years of experience in data science, with a strong focus on health data, claims analytics, or health insurance
Proven experience coding in either SQL and Python or R
Python preferred
Experience with health data risk models, and program evaluation statistical methodologies such as propensity score matching and difference in differences analyses
Troubleshoot and perform data audits to ensure and improve data integrity
investigate and resolve data discrepancies
Familiarity with predictive modeling, AI/ML algorithms, and working with large datasets
Understanding of healthcare regulations (HIPAA, ACA, CMS rules) (preferred)
Strong problem-solving and communication skills with the ability to translate technical findings into business strategies
Employee health management/health engagement industry preferred
Knowledge of data visualization tools preferred (i.e., MicroStrategy, R: Shiny, ggplot2)
Experience in managing medium and large-scale analytics projects from end to end
Nice to have:
Knowledge of care-based models, population health analytics, and clinical care management programs
Exposure to TPA operations, self-funded insurance models, and employer-sponsored health plans and digital wellbeing solutions
What we offer:
Comprehensive medical and dental coverage through our own health solutions
Mental health support and wellness programs designed by experts who get it
Flexible work arrangements that fit your life
Retirement planning support to help you build real wealth for the future
Basic Life and AD&D Insurance plus Short-Term and Long-Term Disability protection
Employee savings programs and voluntary benefits like Critical Illness and Hospital Indemnity coverage
Professional development opportunities and clear career progression paths
Mentorship from industry leaders who want to see you succeed
Learning budget to invest in skills that matter to your future
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