Dir, Data Science & Analytics - AI Governance - Remote

Lensa; City of Albany (NY); Remote; USD 129,000 - 304,000; Full time

Job summary

A leading company in healthcare analytics is seeking a Director of Data Science & Analytics. The role involves performing data analysis to enhance healthcare models and reporting, mentoring team members, and collaborating across business units to optimize outcomes. Candidates should have a Bachelor's degree and extensive experience in healthcare analytics, with strong skills in various data analysis tools and methodologies.

Qualifications

• At least 5 years leading healthcare analytics; 7+ years preferred.
• Strong knowledge of data analysis tools and methodologies.
• Demonstrates critical thinking and problem-solving skills.

Responsibilities

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

Skills

Critical Thinking

Problem Solving

Data Analysis

Statistical Methodologies

Education

Bachelor's Degree in Data Science, Economics, Finance, Computer Science, Information Systems/Technology

Tools

Hadoop

Power BI

R

Python

SQL

Apache Superset

Job description

Dir, Data Science & Analytics - AI Governance - Remote

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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 and make recommendations based on relevant findings. Execute data science and statistical analytical experiments methodically to help solve various problems and make a true impact across healthcare domains.

Knowledge/Skills/Abilities

• Directs health plan strategic analysis and planning, coordinating across business units to meet data analysis needs.
• Mentors, coaches, and provides guidance to team members.
• Identifies and sets departmental priorities aligned with the operating plan, budget, and regulatory requirements. Performs deep dive analyses across health plans, provides actionable insights, and collaborates with cross-functional teams to optimize revenue outcomes.
• Observes Medicaid/Medicare/Marketplace growth opportunities and new policy rules; develops analytical frameworks to support business cases and presents findings to stakeholders.
• Partners with health plans to design Payment Integrity campaigns, evaluate performance, and develop insights for future campaigns.
• Communicates complex analytical information clearly to all audience levels. Collaborates with analytics team to manage analytical projects.
• Performs other duties as business needs evolve, identifying data solutions and technology opportunities, and referring to appropriate teams for implementation.
• Applies statistical and computational methodologies to provide actionable insights and identify opportunities to improve quality, consumer experience, and healthcare costs.
• Develops scalable, efficient, and automated processes for large-scale data analyses, model development, validation, and deployment.
• Devises and utilizes algorithms and models to mine big data, perform error analysis, and improve data quality.
• Develops novel approaches for exploration, analysis, and feature selection from large, multidimensional data sets.
• Executes data science and statistical experiments systematically to solve problems across healthcare domains.
• Analyzes data for trends and patterns, interpreting findings with clear objectives.
• Uses various tools and techniques to extract insights from industry trends.
• Utilizes tools and languages such as Hadoop, Power BI, R, Python, SQL, Impala SQL, Toad, Apache Superset, and relevant Python packages.
• Implements Python packages for patient population predictions, provider activity outliers, etc.

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; 7+ years preferred. Strong knowledge of Hadoop, Power BI, R, Python, SQL, Impala SQL, Toad, Apache Superset, and Python healthcare/data science packages. Familiar with relational databases and SDLC. Demonstrates critical thinking and problem-solving skills.

Physical Demands

Office environment with adequate lighting and temperature. Ability to sit for long periods. Reasonable accommodations 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 / year. Actual compensation varies 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