Senior Program Integrity Data Scientist

RiseMe; Dayton (OH); Hybrid; USD 94,000 - 165,000; Full time

Job summary

CareSource, headquartered in the United States, is seeking a senior Data Scientist to lead the design, development, and deployment of advanced analytical solutions focused on payment accuracy, anomaly detection, and fraud, waste, and abuse (FWA) prevention. The role involves mentoring junior staff and guiding enterprise program integrity strategies across investigations and predictive modeling efforts.

Responsibilities include leading complex analytics, developing dashboards, and communicating

Qualifications

• Bachelor's degree in data-related field is required.
• 5 years data analysis or analytic programming experience required.
• Experience with Databricks or Snowflake preferred.
• Healthcare data experience preferred.
• Strong SQL and Python/R skills required.

Responsibilities

• Lead design, development, and deployment of advanced analytical solutions for payment integrity and FWA.
• Mentor analysts and data scientists through code reviews and best practices.
• Develop dashboards and reporting solutions to demonstrate model performance and program outcomes.
• Collaborate with legal to provide data analyses supporting proceedings.
• Present analytical findings and recommendations to leadership.

Skills

SQL

Python

R

Data analysis

Cloud services

Power BI

Statistical methods

Education

Bachelor's degree in Data Science

Tools

Databricks

Snowflake

Job description

CareSource, headquartered in the United States, is seeking a senior Data Scientist to lead the design, development, and deployment of advanced analytical solutions focused on payment accuracy, anomaly detection, and fraud, waste, and abuse (FWA) prevention. The role involves mentoring junior staff and guiding enterprise program integrity strategies across investigations and predictive modeling efforts.

Responsibilities include leading complex analytics, developing dashboards, and communicating