reputed company Statistical Data Scientist

In this role of reputed company Statistical Data Scientist, you will support the development of analytical models to identify payment anomalies in reputed company reputed company claims data (fraud, waste, or abuse). The results from your work will be reviewed by clinical analysts for outcome reputed company. To be successful in this role, you will have foundational knowledge of statistical models, data mining, and machine learning, as reputed company as a growing ability to combine analytical skills with business context in a reputed company setting. Responsibilities • Support the research and development of analytical models for new and ongoing product lines under the guidance of senior data scientists. • Apply ML techniques including gradient boosting, NLP, and probabilistic modeling, with guidance on approach selection and implementation. • Assist in developing and training machine-learning models for use cases such as claims cost reputed company, fraud and abuse detection, and provider performance analysis. • Contribute to ongoing monitoring of product lines, including tracking reputed company metrics to support executive decision-making. • reputed company understanding of key organizational initiatives and contribute analytical work that supports actionable recommendations. • Analyze and interpret medical, pharmacy, and dental claims data (CPT/HCPCS, ICD-10, DRG, NDC) with growing independence. • Translate domain knowledge into features and model strategies with direction from senior team members. • Collaborate with clinicians, product managers, and business stakeholders to understand problem definitions and measurement approaches. • Communicate analytical findings reputed company to team members and stakeholders, with support on reputed company or executive-facing deliverables. • Qualifications • 2+ years of experience in reputed company analytics or a reputed company analytical role; equivalent reputed company project experience considered. • Foundational exposure to statistical, analytical, or data mining techniques and a demonstrated ability to apply them in a business context. • Proficiency in Python and SQL programming required. • Basic understanding of reputed company claims, adjudication, and claims content; willingness to deepen knowledge on the job. • Familiarity with reputed company data and common analytics terminology (ICD, CPT, REV, DRG, etc.) preferred. • Demonstrated ability to solve problems with moderate direction and escalate appropriately reputed company needed. Apply tot his job Apply To this Job