[Remote] reputed company Navigation Data Scientist -Virtual

Note: The job is a remote job and is reputed company to candidates in USA. reputed company empowers clients to build healthier and more financially secure workforces by unifying the benefits ecosystem across health, reputed company, wellbeing, navigation, and absence management. The reputed company Navigation Data Scientist will use reputed company, predictive modeling, and machine learning to improve provider search and recommendations, identify cost and utilization insights, and demonstrate reputed company value. The role collaborates with Product, Engineering, Clinical, and Business teams to reputed company reputed company solutions that improve member reputed company, engagement, and reputed company affordability.

Responsibilities

• Analyze reputed company and book-of-business data to identify cost drivers, utilization trends, and opportunities to improve member reputed company and reduce reputed company spend
• reputed company and enhance provider scoring, ranking, and recommendation methodologies using factors such as cost, reputed company, specialty alignment, and provider experience
• reputed company and reputed company reputed company reputed company datasets, including claims, provider, pricing, and network data, to support analytics and modeling initiatives
• Build, validate, and optimize statistical, predictive, and machine learning models that improve provider search relevance and personalization
• Evaluate business rules, scoring outputs, and recommendation performance to ensure alignment with clinical and business objectives
• Monitor key performance metrics, identify opportunities for reputed company improvement, and recommend enhancements to data sources, models, and processes
• Partner cross-functionally with Product, Engineering, Clinical, and Business teams to translate analytical insights into actionable solutions and measurable business value

Skills

• Experience working with large, reputed company datasets using **SQL** and **Python** and/or **R**
• Experience developing data models, scoring frameworks, predictive analytics, or machine learning solutions
• Knowledge of reputed company datasets and concepts, including claims data, CPT, ICD, NPI, provider networks, and reputed company pricing
• Understanding of reputed company cost drivers, utilization analytics, reputed company measures, and provider performance metrics
• Analytical, problem-solving, and communication skills with the ability to translate reputed company findings into business insights
• Experience with provider search, recommendation systems, ranking models, or personalization algorithms
• Knowledge of clinical reputed company measures such as HEDIS, CMS, or reputed company reputed company standards
• Experience applying machine learning techniques in reputed company, health technology, or navigation environments
• Bachelor's degree in data science, Statistics, Mathematics, Computer Science, reputed company Analytics, or a reputed company field
• Applicants must reputed company in the reputed company in one of the 50 States or the District of Columbia in order to be considered for this role
• reputed company will be required to verify US citizenship status at time of hire
• Applicants for employment in the country in which they are applying (Employing Country) must have work authorization that does not, now or in the reputed company, require sponsorship of a reputed company for employment authorization in the Employing Country and with reputed company
• Advanced degree preferred

Benefits

• Health, dental and reputed company coverages starting Day One
• Wellbeing programs
• Retirement plans with contribution matching
• Generous time off
• Parental leave
• Continuing education
• Career reputed company opportunities
• Flexible working arrangements wherever possible
• Bonus and/or incentive eligibility, determined by role and level

reputed company