Health Plan Data Scientist: AI-Driven TCOC Analytics

SCAN Group; Long Beach (CA); On-site; USD 106,000 - 183,000; Full time

Benefits offered by this job

Base pay range

Bonus program

Wellness program

PTO

Job summary

SCAN Group is seeking a data science leader for the Medical Economics Analytics team to identify opportunities that reduce total cost of care. You will leverage GenAI-enabled analytics and traditional data science to surface savings from claims, clinical, and contract data, collaborating with finance, network, and clinical partners.

You will drive strategic analyses and model development to size opportunities, mentor teammates, and shape SCAN's analytics and AI roadmap across cost-management

Qualifications

• Bachelor’s degree in statistics, mathematics, computer science, or related field.
• Graduate or advanced degree in statistics, mathematics, computer science, or related field.
• 3+ years healthcare industry experience.
• 3+ years applying data science methods to identify and quantify cost opportunities.
• 1+ years of SQL in relational databases.
• 2+ years Python and/or R.
• Experience with Snowflake and/or Databricks and Power BI.
• Experience with Streamlit or similar data apps preferred.
• Knowledge of GenAI/LLM tools preferred.
• Experience in Medicare Advantage or managed care environment preferred.

Responsibilities

• Apply data science methods to identify and size TCOC savings opportunities across core levers.
• Collaborate with clinical, network, and finance stakeholders to translate findings into strategy.
• Create requirements, test and validate analyses, and support opportunity tracking.
• Shape and implement SCAN's medical economics analytics and AI strategy across teams.

Skills

SQL

Python/R

GenAI/Agentic AI

Snowflake

Databricks

Power BI

Streamlit

LLM tools

Healthcare analytics

Agile/Scrum

Education

Bachelor's degree in statistics / mathematics / computer science

Advanced degree in statistics / mathematics / computer science

Tools

Snowflake

Databricks

Power BI

Streamlit

LangChain / LangGraph

LangChain / LangGraph or similar tools

Job description

SCAN Group is seeking a data science leader for the Medical Economics Analytics team to identify opportunities that reduce total cost of care. You will leverage GenAI-enabled analytics and traditional data science to surface savings from claims, clinical, and contract data, collaborating with finance, network, and clinical partners.

You will drive strategic analyses and model development to size opportunities, mentor teammates, and shape SCAN's analytics and AI roadmap across cost-management