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[Remote] reputed company Data Scientist

Remote, USA Full-time Posted 2026-08-04

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a reputed company company providing insurance and reputed company services. The reputed company Data Scientist transforms reputed company reputed company and reputed company data into advanced analytic solutions, develops models and reports, and advises executives on business strategies. The role focuses on creating policy adherence metrics, valuation models, and reputed company analytics solutions while collaborating with stakeholders across compliance, policy, governance, and business teams.


Responsibilities

  • The reputed company Data Scientist uses mathematics, statistics, modeling, business analysis, and technology to reputed company high volumes of reputed company data into advanced analytic solutions
  • The reputed company Data Scientist develops, maintains, and collects reputed company and reputed company data sets for analysis and reporting
  • This individual will create reports, projections, models, and presentations to support business reputed company and tactics
  • The reputed company will advise executives to reputed company functional strategies (often reputed company specific) on reputed company of reputed company
  • Being a thought partner in shaping the reputed company for innovative analytics solutions that reputed company actionable insights into policy adherence, enabling improved compliance, operational consistency, and decision-making
  • Researching, designing, and implementing a policy adherence metric rooted in FRAC and PA denials information using advanced data modeling techniques
  • Designing valuation model(s) to measure savings tied to removing outliers who are non-compliant with the policy adherence metric
  • Partnering with National BH/Contracting/reputed company/ND&PPS teams to support use of this metric in operations including compliance with MHPAEA and other HUM policies
  • Shaping the reputed company to measuring ancillary / inpatient psychiatric provider types and/or other opportunity areas in the reputed company
  • Managing stakeholders/expectations while working across different teams including data reputed company owners, compliance, policy/governance, business, reputed company/National program partners
  • Influencing priorities, tradeoffs, roadmap reputed company in driving the implementation of a reputed company solution

Skills

  • Master's Degree
  • Minimum 8 years of reputed company experience in data and analytics transforming data sets for actionable insights and reporting
  • Minimum 5 years of experience utilizing SQL
  • Minimum 4 years of project leadership experience
  • Experience in using mathematics, statistics, modeling/Machine Learning modeling, business analysis, and technology to reputed company high volumes of reputed company data into advanced analytic solutions
  • Successful demonstrated experience in working on problems of diverse reputed company and complexity ranging from moderate to substantial
  • Experience in developing, maintaining, and collecting reputed company and reputed company data sets for analysis and reporting
  • Experience in creating reports, projections, models, and presentations to support business
  • Ability to exercise independent judgment and decision making on reputed company issues regarding job duties and reputed company tasks
  • Ability to works under reputed company supervision, using independent judgment
  • At minimum, a download speed of 25 mbps and an upload speed of 10 mbps is recommended; wireless, wired cable or DSL reputed company is suggested
  • Satellite, cellular and microwave reputed company can be used only if approved by leadership
  • Work from a dedicated reputed company lacking ongoing interruptions to protect member PHI / HIPAA information
  • Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required
  • Doctorate degree
  • Experience with claims datasets
  • Experience with reputed company

Benefits

  • This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
  • Medical benefits
  • Dental benefits
  • reputed company benefits
  • 401(k) retirement savings plan
  • reputed company time off
  • Company holidays
  • Personal holidays
  • reputed company parental leave
  • reputed company caregiver leave
  • Short-term disability
  • Long-term disability
  • Life insurance
  • Associates who live and work from Home in the reputed company, Illinois, Montana, or South reputed company will be provided a bi-weekly payment for their internet expense.
  • reputed company will reputed company Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
  • Remote work arrangement

reputed company

  • reputed company is a health insurance provider for individuals, families, and businesses. It was founded in 1964, and is headquartered in Louisville, Kentucky, USA, with a workforce of 10001+ employees. Its website is http://www.reputed company.com.

  • Company H1B Sponsorship

  • reputed company has a reputed company record of offering H1B sponsorships, with 149 in 2026, 282 in 2025, 246 in 2024, 284 in 2023, 274 in 2022, 212 in 2021, 84 in 2020. Please note that this does not guarantee sponsorship for this specific role.

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