Pharmacy Data Scientist - Medicare Stars Analytics

Alignment Healthcare USA, LLC; Orange (CA); On-site; USD 150,000 - 225,000; Full time

Job summary

Alignment Health, LLC is seeking a Data Scientist to evolve the analytics engine behind pharmacy data and Part D Star measures in our Medicare Advantage line. You will develop predictive models, create dashboards, and collaborate with Pharmacy leadership to drive data-informed decisions.

The role emphasizes building scalable tools, aiding CMS methodology simulations, and delivering actionable insights to leadership while advancing enterprise AI-readiness across data and engineering teams.

Qualifications

• Experience in predictive modeling and data analysis.
• Ability to translate analytical findings into actionable insights.
• Strong programming and SQL skills with data visualization experience.

Responsibilities

• Partner with Pharmacy leadership to define problems and propose solutions.
• Convert models and business rules into scalable tools.
• Design dashboards and reports to track Stars trajectories and interventions.
• Build projection and simulation models for Star Rating outcomes.
• Lead end-to-end projects from definition to deployment and monitoring.

Skills

Python

SQL

Data visualization

Time-series

Machine learning

Communication

Collaboration

Problem solving

Education

Bachelor/Master in CS/Engineering/Math/Stats

Tools

Git

CI/CD

VMs

Hadoop

Spark

Azure

AWS

Job description

Alignment Health, LLC is seeking a Data Scientist to evolve the analytics engine behind pharmacy data and Part D Star measures in our Medicare Advantage line. You will develop predictive models, create dashboards, and collaborate with Pharmacy leadership to drive data-informed decisions.

The role emphasizes building scalable tools, aiding CMS methodology simulations, and delivering actionable insights to leadership while advancing enterprise AI-readiness across data and engineering teams.