Dir, Data Science & Analytics - AI Governance - Remote

Lensa; Fort Worth (TX); Remote; USD 129,000 - 304,000; Full time

Job summary

A leading company is seeking a Director of Data Science & Analytics to enhance healthcare analytics. The role focuses on data analysis, model improvement, and strategic insights to optimize healthcare costs. The ideal candidate will have extensive experience in healthcare environments and proficiency in data science tools.

Qualifications

• 5+ years leading healthcare analytics; 7+ years preferred in healthcare environments.
• Strong knowledge of data science packages and relational databases.

Responsibilities

• Perform data and error analysis to improve models and validate data.
• Evaluate healthcare utilization and cost containment reports.
• Develop scalable, efficient, and automated data analysis processes.

Skills

Data Analysis

Statistical Analysis

Critical Thinking

Problem Solving

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 scripts

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 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

• Direct health plan strategic analysis and planning, 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. Perform deep dive analyses across health plans, providing actionable insights to optimize revenue and meet enterprise goals.
• Observe Medicaid/Medicare/Marketplace growth opportunities and policy changes; develop analytical frameworks to support business cases and address process gaps.
• 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 to manage project delivery.
• Identify data solutions and technology opportunities, referring to appropriate teams for building payment integrity solutions.
• Apply statistical and computational methods to provide actionable insights, optimize quality, and reduce healthcare costs.
• Develop scalable, efficient, and automated data analysis and modeling processes.
• Devise algorithms and models to mine big data, perform error analysis, and validate models.
• Create novel approaches for data exploration, analysis, and feature selection from large, multidimensional datasets.
• Execute systematic data science and statistical experiments to solve healthcare problems.
• Analyze data for trends and patterns, interpreting data with clear objectives.
• Utilize tools and techniques like Hadoop, Power BI, R, Python, SQL, Impala SQL, Toad scripts, 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: 5+ years leading healthcare analytics; 7+ years preferred in healthcare environments. Strong knowledge of Hadoop, Power BI, R, Python, SQL, Impala SQL, Toad scripts, Apache Superset, and data science packages. Familiarity with relational databases and SDLC. Demonstrated critical thinking and problem-solving skills.

Physical Demands

The working environment is generally favorable, with adequate lighting and temperature. Work is performed mostly in an office setting with minimal exposure to hazards. 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 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 IT Consulting