Dir, Data Science & Analytics - AI Governance - Remote

Lensa; Augusta (GA); Remote; USD 129,000 - 304,000; Full time

Job summary

A leading company in healthcare analytics is seeking a Director of Data Science & Analytics. This role involves leading strategic analysis, mentoring team members, and applying statistical methods to derive insights. The ideal candidate will have extensive experience in healthcare analytics and proficiency in data analysis tools. Join a dynamic team and make a significant impact in healthcare through innovative data solutions.

Qualifications

• At least 5 years leading healthcare analytics functions.
• Strong knowledge of data analysis tools and techniques.

Responsibilities

• Perform data and error analysis to improve models.
• Evaluate and present healthcare utilization reports.
• Develop scalable processes for large-scale data analysis.

Skills

Critical Thinking

Data Analysis

Collaboration

Education

Bachelor's Degree in Data Science

Bachelor's Degree in Economics

Bachelor's Degree in Finance

Bachelor's Degree in Computer Science

Bachelor's Degree in Information Systems/Technology

Tools

Hadoop

Power BI

R

Python

SQL

Impala SQL

Toad

Apache Superset

Job description

Dir, Data Science & Analytics - AI Governance - Remote

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Job Description

Job Summary

Perform data and error analysis to improve models, and clean and validate data for uniformity and accuracy. Evaluate, write, and present healthcare utilization and cost containment reports, making recommendations based on relevant findings. Execute data science and statistical experiments systematically to solve various problems and make a significant impact across healthcare domains.

Knowledge/Skills/Abilities

• Lead strategic analysis and planning for Health Plans, coordinating across business units to meet data analysis needs.
• Mentor, coach, and guide team members.
• Identify and set departmental priorities aligned with operational plans, budgets, and regulations. Conduct deep dive analyses across health plans, providing actionable insights and collaborating to optimize revenue outcomes.
• Monitor Medicaid/Medicare/Marketplace growth opportunities and policy developments, develop analytical frameworks, and present findings to support business decisions.
• Partner with health plans to design Payment Integrity campaigns, evaluate performance, and recommend improvements.
• Present complex analytical information clearly to diverse audiences and collaborate with analytics teams to manage project delivery.
• Identify data solutions and technology opportunities, referring to appropriate teams for implementation.
• Apply statistical and computational methods to derive actionable insights and identify opportunities for quality and cost improvements.
• Develop scalable, automated processes for large-scale data analysis, model development, validation, and deployment.
• Design algorithms and models to analyze big data, perform error analysis, and enhance model accuracy.
• Create innovative approaches for data exploration, analysis, and feature selection from multidimensional datasets.
• Conduct methodical data science and statistical experiments to address healthcare challenges.
• Analyze data trends and patterns, interpreting data with clear objectives.
• Utilize tools and techniques like Hadoop, Power BI, R, Python, SQL, Impala SQL, Toad, Apache Superset, and relevant Python packages.
• Implement Python packages for patient population predictions and provider activity outliers.

Job Qualifications

Education: Bachelor's Degree in Data Science, Economics, Finance, Computer Science, Information Systems/Technology, or related field.

Experience:

• At least 5 years leading healthcare analytics functions.
• Preferably 7+ years in healthcare environments.
• Strong knowledge of Hadoop, Power BI, R, Python, SQL, Impala SQL, Toad, Apache Superset, and Python data science packages.
• Familiarity with relational databases and SDLC concepts.
• Critical thinking skills and ability to organize unstructured problems.

Physical Demands

The work environment is generally office-based with adequate lighting and temperature. Ability to sit for long periods is required. Reasonable accommodations are available for individuals with disabilities.

Current Molina employees interested in this position should apply through the intranet.

Molina Healthcare offers competitive benefits and compensation. We are an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $129,504 - $303,040 annually. Actual compensation may vary based on location, experience, education, and skills.

Additional Details

• Seniority Level: Director
• Employment Type: Full-time
• Job Function: Engineering and Information Technology
• Industries: IT Services and Consulting