Data Scientist

Blue Cross and Blue Shield of Massachusetts, Inc.; Boston (MA); On-site; USD 116,000 - 142,000; Full time

Benefits offered by this job

Medical/dental/vision insurance

401(k) plan

Well-being benefits

Paid time off

Job summary

Blue Cross Blue Shield of Massachusetts is seeking a Healthcare Data Scientist to support its Performance Measurement and Improvement team. You will map clinical journeys, identify drivers of quality variation, and measure consumer experience for BCBSMA populations including Medicare, turning disparate data into actionable insights.

You will work with cross-functional teams to develop analytics used to improve access, quality, and affordability, and to enhance member and provider outreach.

Qualifications

• Experience applying statistical methods to support business decisions.
• Proven ability to translate business questions into analytic hypotheses and data requirements.
• Strong communication of complex findings to stakeholders at all levels.

Responsibilities

• Collaborate with cross-functional teams to clarify business questions and outcomes.
• Leverage diverse data sources to build analytic products supporting healthcare quality and affordability.
• Generate hypotheses, perform analyses, and deliver actionable recommendations for outreach strategies.
• Develop and maintain analytical dashboards tracking program performance and impact.
• Present analytical findings and recommendations to decision-makers.

Skills

Analytical thinking

Cross-functional collaboration

Data visualization

Communication

Statistical methods

Education

Bachelor's degree in statistics / related field

MA / MS / PhD preferred

Tools

SAS

R

Python

Job description

Ready to help us transform healthcare? Bring your true colors to blue.

The Role

As a core member of the Performance Measurement and Improvement team, theHealthcare Data Scientistwill collaborate with teams across the company to provide ongoing analytic supportforthe development and execution of the health plan's healthcare quality and affordability strategy. This person will utilize data to map patients' clinical journeys, identify key drivers of variations in clinical quality, and measure consumerexperiencefor the BCBSMA covered population, including Medicare, and is able to turndisparate data streamsinto actionable insights and cohesive business cases.

The successful candidate will have an established track record of identifying and executingdata-drivensolutions across a myriad of projects including, but not limited to, clinical quality, member satisfaction, and operational excellence.

Day-to-Day

• Collaboratesas part of cross-functional teams to clarify key business questions and desired outcomes, translating those questions into structured analytic hypotheses, data requirements, and reporting specifications.
• Leveragesdiverse data sources (quantitative, qualitative, transactional, member-reported, third-party, and public) to develop advanced analytic products that support strategic initiatives in improving patient healthcare access, quality, and affordability.
• Generates and testsworking hypotheses by aggregating and mining data, conducting complex analyses, and extracting actionable results to formulate targeted recommendations for effective member and provider outreach strategies that improve healthcare outcomes and consumer experience.
• Develops and maintainsanalytical dashboards to track the execution, performance, and overall impact of various clinical and operational programs, with a specific focus on Commercial health plan quality and Medicare Star ratings improvement.
• Prepares and deliverscompelling presentations of analytical findings to internal decision-makers, utilizing informative business metrics to influence strategic decision-making.

What We're Looking For

• Experience mappingbusiness needs to analytical planning and technical requirements.
• Proficiency working withlarge, complex, structured, and unstructured datasets.
• Demonstrated knowledge of, and practical experience in, applying statistical methods and analytical methodologies to support business decision-making.
• Proven abilityto independently execute projects involving multiple stakeholders under tight deadlines.
• Strong business acumenwith the ability to identify opportunities to enhance productivity, simplify processes, increase efficiency, and drive measurable tangible and intangible value.
• Hands-on data analytics experience is required, including advanced programming skills inSAS, R, Python, or equivalent analytical tools.
• Excellent communication skills, with a proven ability to clearly and concisely present analytical plans, complex findings, and strategic recommendations in verbal, written, and presentation formats to stakeholders at all levels of the organization.

What You Bring

• Bachelor's degreein statistics, econometrics, applied mathematics, quantitative behavioral sciences, or a public health field is required.An advanced degree (MA, MS, or PhD)is highly preferred.
• Five (5) or more yearsof experience in an applied analytics or quantitative research role, with a proven track record ofimproving population health, access to care, and consumer experience.
• Experience supporting Commercial health plan quality and Medicare Star ratings improvementis strongly preferred.
• Collaborative problem-solving skillswith a strong capacity to address complex data and analytical challenges through teamwork and open communication.

Minimum Education Requirements:

High school degree or equivalent required unless otherwise noted above

Location

Boston

Time Type

Full time

Salary Range: $116,190.00 - $142,010.00

The job posting range is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employee's pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability.

This job is also eligible for variable pay.

We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees.

Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

WHY Blue Cross Blue Shield of MA?

We understand that theconfidence gapandimposter syndromecan prevent amazing candidates coming our way.

As an employer, we are committed to investing in your development and providing the necessary resources to enable your success. Learn how we are dedicated to creating an inclusive and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path by visiting ourCompany Culturepage.

At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing. For more information on how we work and support that work/life balance visit our "How We Work" Page.