Clinical Operations Sr. Data Scientist

Lumeris Inc.; United States; Remote; USD 113,000 - 155,000; Full time

Job summary

Lumeris Inc. is seeking a Clinical Operations Sr. Data Scientist to lead healthcare data analysis and contribute to optimizing patient outcomes and operational efficiency. The ideal candidate will have extensive experience in healthcare informatics, data management, and advanced AI analytics. Join a collaborative team committed to transforming healthcare through value-based solutions.

Benefits

Medical, Vision and Dental Plans

Tax-Advantage Savings Accounts (FSA & HSA)

Life Insurance and Disability Insurance

Paid Time Off (PTO, Sick Time, Paid Leave)

401k with company match

Employee Assistance Program

Learning and Development Opportunities

Qualifications

• 5+ years of relevant data science or analytics experience.
• Experience in healthcare informatics including EMR/EHR and claims.
• Proficient in complex business logic development for healthcare metrics.

Responsibilities

• Lead the analysis and interpretation of complex healthcare data.
• Develop and implement advanced analytics using AI.
• Train and mentor junior team members.

Skills

Programming skills

Analytics

Critical thinking

Problem-solving

Interpersonal skills

Education

Bachelor's degree in healthcare informatics, mathematics, computer science, economics

Master's degree in analytics, mathematics, health administration

Tools

AWS

R

Excel

SQL

Tableau

Job description

Clinical Operations Sr. Data Scientist page is loaded

Clinical Operations Sr. Data Scientist

Apply locations Remote, USA time type Full time posted on Posted 9 Days Ago job requisition id R0006770

Your Future is our Future

At Lumeris,we believe that our greatest achievements are made possible by the talent and commitment of our team members. That's why we are actively seeking talented and collaborative individuals who are passionate about making a difference in the healthcare industry. Join us today as we strive to create a system of care that every doctor wants for their own family and become part of a community that values its people and empowers you to make an impact.

Position:

Clinical Operations Sr. Data Scientist

Position Summary:

Leads the collection, analysis, and interpretation of complex healthcare data to inform clinical and business decisions at a strategic level. Partnering with cross-functional teams, this role drives data-driven solutions that optimize patient outcomes and operational efficiency. Key responsibilities include managing large-scale data extraction and transformation, developing advanced analytics and predictive models, and ensuring the highest standards for data integrity, security, and regulatory compliance. The role also develops advanced analytics with AI, manages data extraction from databases, documents process, and creates training materials.

Job Description:

Primary Responsibilities

• Partners cross-functionally to understand business needs and identify solutions.
• Supports new client stand-ups through implementation efforts for payor and clinical data onboarding, ensuring the alignment with healthcare industry standards.
• Perform thorough UI validation and quality assurance of healthcare cost and utilization reports on the client-facing analytics platform.
• Assess and define data needs for product roadmap to support our client facing platform and make it available to our analytic population health clinical solutions.
• Proficiency in developing, implementing, and maintaining complex business logic to calculate healthcare cost and utilization metrics based on claims, eligibility, and clinical data.
• Analyze, manipulate and extract data from a variety of relational databases, ensuring accurate and efficient data processing.
• Documenting department onboarding processes and creating training materials.
• Creates and implements complex analytics using artificial intelligence and other techniques.
• Train and mentor junior team members, fostering knowledge sharing and professional growth.

Qualifications

• Bachelor's degree (healthcare informatics, mathematics, computer science, economics or equivalent
• 5+ years of relevant data science or analytics experience or the knowledge, skills, and abilities to succeed in the role.
• 5+ years of experience in healthcare informatics (including EMR/EHR, claims, eligibility and publicly available data such as CMS LDS).
• Strong skills in programming and analytics using the following tools: AWS, R, Excel, SQL & Tableau.
• Solid critical thinking, problem-solving, and interpersonal skills including the ability to communicate complicated and technical ideas to any audience.
• Demonstrated success collaborating with multi-disciplinary teams to develop innovative solutions, along with a strong working knowledge of the healthcare marketplace and key topics such as risk adjustment, quality measures, healthcare finance, Medicare Advantage, Accountable Care Organizations (ACOs), and Electronic Health Records (EHRs).

Preferred

• Master's degree in analytics, mathematics, health administration or equivalent preferred.

Working Conditions

• While performing the duties of this job, the employee works in normal office working conditions.

#LI-Remote

Pay Transparency:

Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. In addition to the base salary, certain roles may qualify for a performance-based incentive and/or equity, with eligibility depending on the position. These rewards are based on a combination of company performance and individual achievements.

The hiring range for this position is:

$113,800.00-$154,525.00

Benefits of working at Lumeris

• Medical, Vision and Dental Plans

• Tax-Advantage Savings Accounts (FSA & HSA)

• Life Insurance and Disability Insurance

• Paid Time Off (PTO, Sick Time, Paid Leave, Volunteer & Wellness Days)

• Employee Assistance Program

• 401k with company match

• Employee Resource Groups

• Employee Discount Program

• Learning and Development Opportunities

• And much more...

Be part of a team that is changing healthcare!

Member Facing Position:

No- Not Member or Patient Facing Position

Location:

Remote, USA

Time Type:

Full time

Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person. All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine. If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment.

Disclaimer:

• The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individual with disabilities to perform the essential job duties and responsibilities.

Lumeris is an EEO/AA employer M/F/V/D.

About Us

Join Our Growing Team!

Lumeris is bringing common sense back to the business of healthcare by empowering value-based care. We create the partnerships and perspectives that are making healthcare safer, more affordable and more personalized for providers, patients and payers alike.

We were founded on the belief that it should be easier to provide the right care, at the right time, at the right cost. Our model is bringing that belief to life, improving outcomes and empowering financial sustainability along the way.

Why Join Lumeris?

At Lumeris, you will be part of team that is focused on solving the nation’s healthcare problem, and you will be able to contribute to our purpose. Our environment is fast-paced, change-oriented and focused on growth and employee engagement. At Lumeris, we know that talent is best utilized when given the opportunity to succeed. That is why we have removed the boundaries that inhibit success and focus on fostering an environment that allows employees to utilize their talents.