Dir, Data Science & Analytics - AI Governance - Remote

Lensa; Jacksonville (FL); Remote; USD 129,000 - 304,000; Full time

Job summary

A leading healthcare company is seeking a Data Analyst to perform strategic analysis and model development aimed at improving healthcare outcomes. The role involves extensive data analysis, collaboration across business units, and mentoring team members. Candidates should have a Bachelor's degree in a related field and significant experience in healthcare analytics, utilizing tools like Hadoop and Python.

Benefits

Competitive benefits

Equal Opportunity Employer

Qualifications

• Minimum 5 years leading healthcare analytics functions.
• Proficiency with statistical tools and programming languages.
• Demonstrated critical thinking skills in unstructured problem-solving.

Responsibilities

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

Skills

Data analysis

Statistical methods

Critical thinking

Communication

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

Job Responsibilities

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, providing recommendations based on findings. Execute data science and statistical experiments systematically to address various healthcare challenges.

Knowledge/Skills/Abilities

• Lead strategic analysis and planning for health plans, coordinating across business units to meet data analysis goals.
• Mentor and guide team members, setting departmental priorities aligned with operational plans, budgets, and regulations.
• Conduct deep dive analyses across health plans, offering actionable insights to optimize revenue and meet enterprise goals.
• Identify growth opportunities within Medicaid/Medicare/Marketplace, develop analytical frameworks, and present findings to stakeholders.
• Collaborate on Payment Integrity campaigns, evaluate performance, and develop insights for future improvements.
• Communicate complex analytical findings clearly to diverse audiences and manage analytical project delivery.
• Explore data solutions and technological opportunities, referring to appropriate teams for implementation.
• Apply statistical and computational methods to provide actionable healthcare insights.
• Develop automated processes for large-scale data analysis, model development, validation, and deployment.
• Design and utilize algorithms for big data mining, data error analysis, and model enhancement.
• Innovate approaches for data exploration, feature selection, and analysis from multidimensional datasets.
• Analyze data trends and patterns, interpreting results with clear objectives.
• Utilize tools such as Hadoop, Power BI, R, Python, SQL, Impala SQL, Toad, Apache Superset, and relevant Python packages.
• Build patient-focused population predictions and provider activity outlier detection models.

Job Qualifications

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

Experience: Minimum 5 years leading healthcare analytics functions; 7 years preferred in healthcare settings. Proficiency with Hadoop, Power BI, R, Python, SQL, Impala SQL, Toad, and Apache Superset. Familiarity with relational databases and SDLC. Demonstrated critical thinking skills in unstructured problem-solving.

Physical Demands

Work is generally performed in an office environment with adequate lighting and temperature. Must be able to sit for extended periods. Reasonable accommodations can be provided for individuals with disabilities.

Additional Information

If you are a current Molina employee, please apply through the intranet. Molina Healthcare offers competitive benefits. We are an Equal Opportunity Employer. Salary range: $129,504 - $303,040 annually. Location: Miami, FL or Remote. This role involves strategic healthcare data analysis and model development to support cost containment and quality improvement initiatives.