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New York State Department of Health is seeking a senior data analytics leader to guide the unit's activities, establish goals, and provide technical mentorship across graph databases, Python, AI/ML, and cloud analytics. The role focuses on designing cloud-based graph data architectures and developing AI/ML models for FWA detection within Medicaid data ecosystems.
The position involves building ETL pipelines, securing scalable cloud infrastructure with Snowflake, and delivering analytics
Duties Description Lead and direct unit activities, including establishing goals, priorities, and operational procedures; provide technical guidance and mentorship to staff on graph databases, Python, AI/ML, and cloud analytics
Description Duties Description Lead and direct unit activities, including establishing goals, priorities, and operational procedures; provide technical guidance and mentorship to staff on graph databases, Python, AI/ML, and cloud analytics Design and maintain cloud-based graph database architectures to integrate provider, claims, and encounter data; define data models and schemas to reveal provider networks, referral patterns, and billing relationships indicative of FWA Develop and implement AI/ML models for FWA detection, including anomaly detection, predictive risk scoring, natural language processing, and network analysis to uncover collusive fraud schemes Build and maintain Python-based ETL pipelines and analytical tools for loading data into graph databases and Snowflake; develop scripts for pattern detection, risk scoring, data quality analysis, and automated alerting Architect scalable, secure cloud infrastructure using Snowflake and graph database platforms for real-time and batch fraud detection processing Research and evaluate emerging AI technologies for Medicaid FWA applicability; develop proof-of-concept solutions and present findings and recommendations to management Collaborate with program integrity units, program areas, and technical teams to translate investigative and program integrity needs into technical specifications Develop and maintain FWA dashboards, reporting tools, and alert systems; provide management with analytics, risk assessments, visualizations, and actionable intelligence to support program integrity decisions Maintain documentation for database schemas, AI/ML models, algorithms, data pipelines, and cloud architecture; establish coding standards and best practices for the unit Review and resolve data quality issues, system deficiencies, and integration challenges impacting FWA detection capabilities Perform the full range of supervisory responsibilities over Data Analysts and technical staff within the unit.
Qualifications Minimum Qualifications Nine years of experience in data visualization, and statistical models and data mining tools
Additional Comments When reviewing qualifications, omissions and vagueness cannot be interpreted in the candidate’s favor. Candidates are responsible for providing accurate and clear descriptions of their experience demonstrating how they meet the minimum qualifications.
We offer a work-life balance and a generous benefits package, worth 65% of salary, including:
The NYS Department of Health is committed to making New York a safer, healthier, and more equitable place to live. Understanding health equity, social determinants of health and health disparities is critical to accomplish our goal of eliminating health disparities. For more information on the NYS Department of Health’s Mission, Vision, Values and Strategic Plan, please visit: https://health.ny.gov/commissioner/index.htm
If you require reasonable accommodation to complete a job application, a job interview or to otherwise participate in the hiring process, please contact by phone 518-486-1812 or email doh.sm.Reasonable.Accommodation@health.ny.gov to make a request.
The NYS Department of Health does not participate in E-Verify and does not sponsor visa applications. For new State employees appointed to graded positions, the annual salary is the hiring rate of the position (beginning of the salary range). Promotion salaries are calculated by the NYS Office of the State Comptroller in accordance with NYS Civil Service Law, OSC Payroll rules and regulations, and negotiated union contracts.