Dir, Data Science & Analytics - AI Governance - Remote

Lensa; Meridian (ID); Remote; USD 129,000 - 304,000; Full time

Job summary

A leading company in healthcare analytics is seeking a Manager, Software Engineer - AI Governance to lead data analysis efforts. The role involves directing strategic analysis, mentoring team members, and applying statistical methodologies to optimize healthcare quality and costs. Candidates should possess a Bachelor's degree in a relevant field and extensive experience in healthcare analytics.

Benefits

Competitive benefits

Equal Opportunity Employer

Qualifications

• Minimum 5 years leading healthcare analytics functions; 7+ years preferred.
• Strong knowledge of data analysis tools and languages.
• Experience in healthcare environments is essential.

Responsibilities

• Perform data and error analysis to improve models.
• Evaluate and present healthcare utilization reports.
• Manage analytical projects ensuring timely delivery.

Skills

Critical thinking

Data analysis

Statistical methodologies

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

Dir, Data Science & Analytics - AI Governance - Remote

Molina Healthcare

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Manager, Software Engineer - AI Governance

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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 experiments to help solve various problems and make an 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 guides team members.
• Sets departmental priorities aligned with operational plans, budgets, and regulations.
• Performs deep dive analyses across health plans, providing actionable insights to optimize revenue and meet enterprise goals.
• Identifies growth opportunities and new policy rules for appropriate care and payments, developing analytical frameworks and presenting findings to stakeholders.
• Collaborates 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.
• Manages analytical projects and teams, ensuring timely delivery.
• Seeks data solutions and technology-enabled opportunities, referring to teams for implementation.
• Applies statistical and computational methodologies to provide actionable insights and optimize healthcare quality and costs.
• Develops scalable, automated processes for large-scale data analyses, model development, validation, and deployment.
• Devises algorithms and models to mine big data, perform error analysis, and validate data for accuracy.
• Develops novel exploratory and feature selection approaches for large, multidimensional data sets.
• Executes experiments methodically to solve healthcare problems.
• Analyzes data for trends and patterns, interpreting findings with clear objectives.
• Utilizes tools and languages such as Hadoop, Power BI, R, Python, SQL, Impala SQL, Toad, Apache Superset, and relevant Python packages.
• Builds patient-focused population predictions, provider activity outliers, and other models using Python packages.

Job Qualifications

• Bachelor's Degree in Data Science, Economics, Finance, Computer Science, Information Systems/Technology, or related fields.
• Minimum 5 years leading healthcare analytics functions; 7+ years preferred 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

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

Interested Molina employees should apply through the intranet. Molina Healthcare offers competitive benefits. We are an Equal Opportunity Employer (EOE M/F/D/V).

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

Location: Miami, Remote

Salary Package: Competitive