Senior Data Scientist, Claims Audit & Modeling

Machinify; United States; Remote; USD 180,000 - 230,000; Full time

Benefits offered by this job

Work from anywhere in the US

Top Medical/Dental/Vision

FSA/HSA

401(k) with company match

Unlimited PTO

Health and wellness benefits

Job summary

Machinify, a leading healthcare intelligence company, is seeking a Sr. Data Scientist | Modeling to advance our ML models for claim audits across major health plans in the US.

You will build scalable ML frameworks, curate labeled data, and develop models to identify claims for audit with greater precision. You will measure performance, refine data pipelines, and collaborate with clients and internal experts to ensure insights align with business needs.

Qualifications

• Experience with SQL and handling large-scale data.
• Ability to build ML models using modern approaches (neural nets, tree ensembles).
• Experience deploying models for production environments.

Responsibilities

• Dive into clinical and coding audits and extract data drivers for audit decisions.
• Develop ML models to target claims for audit with greater precision.
• Measure model performance and translate outcomes into actionable insights for clients.
• Refine complex data pipelines and modeling infrastructure for scalability.
• Collaborate with teams to improve data tools and decision-making.

Skills

SQL

Python

R

ML modeling

Neural nets

Tree-ensembles

Data pipelines

Tools

Python libraries

Job description

Machinify, a leading healthcare intelligence company, is seeking a Sr. Data Scientist | Modeling to advance our ML models for claim audits across major health plans in the US.

You will build scalable ML frameworks, curate labeled data, and develop models to identify claims for audit with greater precision. You will measure performance, refine data pipelines, and collaborate with clients and internal experts to ensure insights align with business needs.