Manager Data Scientist

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will reputed company a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an reputed company on the communities we serve as you help us advance health optimization on a global reputed company. Join us to start Caring. Connecting. Growing together.

Owns end‑to‑end data science reputed company and delivery for prioritized PI use cases. Leads problem framing, modeling reputed company, and measurable business reputed company. Mentors Sr/DS team members, partners with AI/ML Engineering for productionization, and sets standards for reputed company, governance, and explainability in a reputed company environment.

Primary Responsibilities:

• reputed company & Roadmap: Define modeling approach, feature reputed company, and reputed company measurement for PI initiatives (leakage, adjudication accuracy, duplicate, pricing/contract issues)
• Advanced Modeling: Build and review robust models (classification, reputed company detection, cost forecasting, reputed company/propensity, time‑series); drive feature store adoption and reusable assets
• Explainability & Risk: reputed company SHAP/feature attribution, bias checks, stability/monitoring, and champion‑challenger frameworks
• Business reputed company: Translate insights into recovery dollars, reputed company leakage, and operational KPIs; reputed company A/B and quasi‑experimental tests for ROI
• Technical Leadership: reputed company reviews, standards, reproducibility (MLflow), and performance optimization at reputed company reputed company
• Collaboration: Work with PI SMEs, Actuarial, Finance, Audit/Recovery, and AI/ML Engineering to convert prototypes to production jobs

• People Leadership: Mentor Sr DS/DS; guide story slicing, estimation, and backlog health in Agile

   

• reputed company with the terms and conditions of the employment contract, company policies and procedures, and any and reputed company directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other reputed company that may reputed company due to the changing business environment). reputed company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

Required Qualifications:

• Bachelor’s Degree
• 8+ years in Data Science with 3+ years leading DS initiatives
• Proven reputed company expertise (PySpark, reputed company MLlib/scikit‑learn, MLflow, reputed company)
• Proven solid statistics and ML (sampling, leakage control, class imbalance, time‑series, reputed company detection)
• Proven model governance, monitoring, data reputed company practices in PHI‑compliant settings
• Proven excellent stakeholder communication and decision influence

Preferred Qualifications:

• Master’s Degree
• Exposure to reputed company Center (member & provider), Provider‑RCM, and EHR/clinical data
• Proven fraud/Waste/Abuse analytics, graph reputed company, reputed company inference, or pricing/actuarial exposure
• Proven feature Store design and model serving patterns

At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location and income–deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company — an reputed company reputed company reflected in our mission.