Dir, Data Science & Analytics - AI Governance - Remote

Lensa; Bellevue (NE); 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 remote position involves leading strategic analysis, mentoring team members, and providing actionable insights to optimize healthcare operations. The ideal candidate will have extensive experience in healthcare analytics and a strong background in data science tools.

Qualifications

• 5+ years leading healthcare analytics functions.
• 7+ years preferred in healthcare settings.
• Strong knowledge of data science tools and methods.

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

Statistical methods

Data validation

Collaboration

Education

Bachelor's Degree in Data Science

Bachelor's Degree in Economics

Bachelor's Degree in Computer Science

Tools

Hadoop

Power BI

R

Python

SQL

Apache Superset

Job description

Dir, Data Science & Analytics - AI Governance - Remote

1 day ago Be among the first 25 applicants

Lensa is the leading career site for job seekers at every stage of their career. Our client, Molina Healthcare, is seeking professionals. Apply via Lensa today!

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 analytical experiments systematically to solve various problems and make a significant impact across healthcare domains.

Knowledge/Skills/Abilities

• Lead health plan strategic analysis and planning, coordinating across business units to meet data analysis objectives.
• 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 with teams to optimize revenue and meet enterprise goals.
• Monitor Medicaid/Medicare/Marketplace growth opportunities and new policy developments to support appropriate care and payments, developing analytical frameworks and presenting findings to stakeholders.
• Partner with health plans to design payment integrity campaigns, evaluate performance, develop insights, and recommend actions.
• Present complex analytical information clearly to all audience levels. Collaborate with analytics teams, managing project delivery.
• Perform other duties as business needs evolve, exploring data solutions and technology opportunities, and referring to appropriate teams for payment integrity solutions.
• Apply statistical and computational methods to provide actionable insights, identifying opportunities to improve quality, consumer experience, and costs.
• Develop scalable, automated processes for large-scale data analysis, model development, validation, and implementation.
• Design and utilize algorithms and models to analyze big data, perform error analysis, and ensure data quality.
• Create innovative approaches for exploration, analysis, and feature selection from large, multidimensional datasets.
• Methodically execute data science and analytical experiments to address various healthcare challenges.
• Analyze data trends and patterns, interpreting data with clear objectives.
• Use diverse tools and techniques to extract insights from industry trends.
• Utilize tools and languages such as Hadoop, Power BI, R, Python, SQL, Impala SQL, Toad, Apache Superset, and relevant Python packages.
• Implement Python packages to build patient population predictions, provider-specific activity outliers, etc.

Job Qualifications

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

Required Experience:

• 5+ years leading healthcare analytics functions.
• 7+ years preferred in healthcare settings.
• 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. Must be able to sit for long periods. Reasonable accommodations are available for individuals with disabilities.

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

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

Pay Range: $129,504 - $303,040 / year

• Actual compensation may vary based on location, experience, education, and skills.

Additional Information

• Seniority level: Director
• Employment type: Full-time
• Job function: Engineering and Information Technology
• Industries: IT Services and IT Consulting