Data Scientist

CareFirst BlueCross BlueShield; Baltimore (MD); Hybrid; USD 89,000 - 176,000; Full time

Benefits offered by this job

Comprehensive benefits package

401k contribution programs

Incentive programs

Job summary

CareFirst BlueCross BlueShield is hiring a Data Scientist in Baltimore, MD (hybrid) to solve business problems using advanced analytics within the Health Economics and Reporting team.

The role emphasizes ID/STRAT and program evaluation, with collaboration across IT/Data Management, analytics, and business units to operationalize ML/AI models and deliver actionable insights.

Qualifications

• Bachelor’s degree in Statistics, Mathematics, Computer Science, or related field.
• Substitution: 4 years of relevant work experience in lieu of a degree.

Responsibilities

• Mine and extract data, apply algorithms, and derive actionable insights across analytics, reporting, and data governance for ID/STRAT, Attribution/Program Assignment, Data Extracts/Sharing, Population Health Management, Predictive Modeling, and Program Evaluation.
• Support AI implementations and partner with IT/Data Management teams to enable execution.
• Provide vendor support for tools and services including Milliman MedInsights and related functions.
• Explore datasets to understand data profiles and limitations.
• Identify and evaluate data patterns using existing data science tools.
• Translate business priorities into data science deliverables.
• Review trends in the ML/AI/DS landscape and help integrate new ML/AI designs into solutions and products.
• Assist business units with innovation related to organizational performance.
• Act as a liaison between analytics, business units, and other departments, including communication and education on AI, machine learning, and statistical models.

Skills

Independent execution

Communication

Tooling

Modeling expertise

Engineering knowledge

Statistical modeling

Healthcare analytics

Delivery to stakeholders

Deadlines & service

Customer service mindset

Education

Bachelor’s Degree in Statistics/ Mathematics/ CS

Tools

Milliman MedInsights

SQL

Python

R

Job description

CareFirst BlueCross BlueShield is hiring a Data Scientist on the Health Economics and Reporting team in Baltimore, MD (hybrid) to solve business problems using advanced analytics.

Responsibilities

• Mine and extract data, apply algorithms, and derive actionable insights across analytics, reporting, and data governance for Member Identification/Stratification (ID/STRAT), Attribution/Program Assignment, Data Extracts/Sharing, Population Health Management, Predictive Modeling, and Program Evaluation.


• Support AI implementations and partner with IT/Data Management teams to enable execution.


• Provide vendor support for tools and services including Milliman MedInsights and related functions.


• Explore datasets to understand data profiles and limitations.


• Identify and evaluate data patterns using existing data science tools.


• Translate business priorities into data science deliverables.


• Review trends in the ML/AI/DS landscape and help integrate new ML/AI designs into solutions and products.


• Assist business units with innovation related to organizational performance.


• Act as a liaison between analytics, business units, and other departments, including communication and education on AI, machine learning, and statistical models.

Requirements

• Independent execution: ability to work independently without detailed guidance.


• Communication and documentation: ability to communicate effectively and document objectives and procedures.


• Tooling: ability to leverage a variety of data science tools and frameworks.


• Modeling expertise: knowledge in model evaluation, tuning and performance, operationalization, and scalability of scientific techniques.


• Engineering knowledge: knowledge of software engineering principles and practices.


• Statistical modeling: proficiency in statistical modeling applications.


• Healthcare analytics: prior healthcare analytics experience is required.


• Experience delivering: experience delivering work consistently and transparently to internal and external business partners.


• Deadlines and service excellence: meet established deadlines and handle multiple customer service demands from internal and external customers within set expectations.


• Customer service approach: communicate effectively and provide positive customer service to internal and external customers, including demanding or challenging customers.


• Additional experience: experience in relevant domains (as stated).

Purpose / Role Focus

• Data Scientist role focused on ID/STRAT and Program Evaluation within the Health Economics and Reporting team.


• Identifies and solves business problems using numerical techniques, algorithms, and models across statistical modeling, machine learning, operations research, and data mining.


• Supports data science initiatives with advanced analytical capabilities.


• Coordinates across product teams and with customers and educators on AI/ML/statistical models.

Supervisory Responsibility

• No direct reports, with expectation to assist in guiding and mentoring less experienced staff.


• May lead a team of matrixed resources.

Qualifications

• Education: Bachelor’s Degree in Statistics, Mathematics, Computer Science, or related field.


• Substitution: in lieu of a Bachelor’s degree, an additional 4 years of relevant work experience is required in addition to required work experience.


• Experience: 3 years of relevant work experience.

Salary

• USD 88,560 - 175,890 per year

Location and Work Model

• Must be located in the Maryland, Washington, DC, or Northern Virginia (DMV) area.


• Hybrid work model: part of the week working from home and part at a CareFirst location based on business needs and weekly deliverables.


• Location: Baltimore, MD (hybrid).

Benefits

• Comprehensive benefits package


• Various incentive programs/plans


• 401k contribution programs/plans

Eligibility and Compliance

• Must be eligible to work in the U.S. without sponsorship.


• Federal DISC/Physical Demand: incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

Physical Demands

• Primarily seated while performing the duties.


• Occasional walking or standing.


• Hands regularly used to write, type, key, and handle or feel small controls and objects.


• Must frequently talk and hear.


• Weights up to 25 pounds occasionally lifted.