Principal Data Scientist: Strategic Analytics Lead

Blue Cross and Blue Shield of North Carolina; Michigan; On-site; USD 144,000 - 230,000; Full time

Job summary

Blue Cross NC is seeking a Principal Data Scientist to lead strategic analyses translating data into organizational decisions across the enterprise. You will own delivery of multiple large and complex data science and engineering projects and partner with business and technical teams to deliver collaborative work aligned with enterprise strategy.

You will design scalable data pipelines and models using Python and R, develop data stores, and ensure data quality across multi-source datasets.

Qualifications

• Bachelor’s degree or advanced degree in a related field.
• 8+ years of experience in a related field.
• In lieu of degree, 10+ years of experience.
• Strong analytic/data science skills.
• Experience with Snowflake.
• Experience building AI Agents.
• Understand Bell curve analysis.
• Incorporate industry benchmarks into analysis.
• Perform outlier detection.
• Strong healthcare experience with Payment Integrity/FWA knowledge.
• CMS guidelines and Medical/Reimbursement Policy knowledge preferred.

Responsibilities

• Lead the development and testing of hypotheses across functional data sets.
• Lead requirements gathering with business and technical staff.
• Define and implement integrated data models for multi-source data.
• Design scalable data pipelines for ingestion, cleansing, transformation, integration and validation.
• Define data stores based on system and consumer needs.
• Design and develop models solving complex business problems using data mining, statistics, ML, stochastic modeling and network analysis.
• Develop production models using Python and R.
• Engineer new data sets, write SQL queries, ensure data quality.
• Apply advanced understanding of Big Data systems to data set engineering and models.
• Lead development and reviews of complex analytic models and algorithms.
• Identify actionable insights and communicate results to cross-functional groups.
• Document and test analytic processes with validation and verification.
• Engage with enterprise areas to incorporate feedback into audits (e.g., Payment Integrity, SIU, Provider, Behavioral Health, Med Policy, Claims, Pharmacy).
• Articulate analytic methods and drive business outcomes with leadership.
• Informally lead other analysts and synthesize information for executive leadership.

Education

Bachelor's degree or advanced degree

Tools

Snowflake

AI Agents

Job description

Blue Cross NC is seeking a Principal Data Scientist to lead strategic analyses translating data into organizational decisions across the enterprise. You will own delivery of multiple large and complex data science and engineering projects and partner with business and technical teams to deliver collaborative work aligned with enterprise strategy.

You will design scalable data pipelines and models using Python and R, develop data stores, and ensure data quality across multi-source datasets.