Payer Healthcare Data Scientist-Technical Architect Job at SFE, Florida

  • SFE
  • Florida

Job Description

Key Responsibilities

  • Analyze large-scale healthcare claims and clinical datasets using advanced data science and machine learning techniques.
  • Develop predictive models and actionable insights to reduce healthcare costs and improve population health.
  • Design and implement healthcare analytics solutions for payer strategies.
  • Apply NLP and AI techniques to extract insights from unstructured clinical data.
  • Support healthcare quality measurement initiatives, including HEDIS and CMS Star Ratings.
  • Work with government payer programs, including Medicare and Medicaid.
  • Contribute to analytics product development and innovative AI-driven solutions.
  • Collaborate with cross-functional teams, mentor team members, and manage client expectations.
  • Present analytical findings and recommendations to senior stakeholders, including Chief Actuaries.
  • Ensure data quality, governance, and successful project delivery.

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