Remote Medicare Stars Data Scientist - Drive Quality

Health Care Service Corp.; United States; Remote; USD 93,000 - 168,000; Full time

Job summary

Health Care Service Corporation (HCSC) seeks a Senior Data Scientist to apply advanced mathematical and statistical methods to support the Medicare Stars program. You will collect, integrate, and analyze data from claims, clinical outcomes, quality measures, provider performance, and member outcomes, identifying opportunities to improve Star Ratings.

You will design experiments, build predictive models, create visualizations, and translate findings into actionable recommendations that inform

Qualifications

• Bachelor’s degree or higher in a quantitative field with relevant experience or credentials.
• Experience with multiple: data analysis, ML, visualization, and programming.
• Experience with healthcare data and delivery processes.

Responsibilities

• Provide advanced mathematical and statistical methods to solve complex business problems for the Medicare Stars program.
• Collect, integrate, and analyze data from claims, outcomes, quality measures, provider performance, and member data.
• Design experiments, develop predictive models, create visualizations, and translate findings into actionable business recommendations.
• Collaborate with clinical, pharmacy, customer experience, product, and operations teams to drive innovation and improve member outcomes and Stars performance.

Skills

Data analysis

Machine learning / statistics

Data visualization

Programming language

Distributed computing

Healthcare domain knowledge

SAS / Dataiku / R / Python

Education

Bachelor's degree in a quantitative field

Master's degree in a quantitative field

Ph.D. in a quantitative field

Actuarial credential

Tools

SAS

Dataiku

R

Python

Job description

Health Care Service Corporation (HCSC) seeks a Senior Data Scientist to apply advanced mathematical and statistical methods to support the Medicare Stars program. You will collect, integrate, and analyze data from claims, clinical outcomes, quality measures, provider performance, and member outcomes, identifying opportunities to improve Star Ratings.

You will design experiments, build predictive models, create visualizations, and translate findings into actionable recommendations that inform