Strategic Data Scientist Leader – Healthcare Analytics

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

Job summary

Blue Cross NC seeks a Principal Data Scientist to lead multiple large and complex data science projects, translating data into sound organizational decisions. You will own delivery of analyses and partner with cross-functional teams to align with enterprise strategy.

You will drive production models using Python and R, build scalable data pipelines, and deliver insights to executive leadership across Payment Integrity, SIU, Provider, and Behavioral Health.

Qualifications

• Bachelor's degree or advanced degree (where required).
• 8+ years of experience in related field.
• In lieu of degree, 10+ years of experience in related field.
• 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.

Responsibilities

• Lead in the development and testing of hypotheses across all functional data sets.
• Lead requirements gathering sessions with business and technical staff to distill technical requirements from business requests.
• Define and implement integrated data models, allowing integration of data from multiple sources.
• Design and develop scalable, efficient data pipeline processes for ingestion, cleansing, transformation, integration and validation.
• Define and implement data stores based on system requirements and consumer requirements.
• Design and develop models to solve complex business solutions using data mining, statistical analysis, predictive modeling and more.
• Design and implement production models leveraging technologies such as Python and R.
• Leverage existing data sets and engineer new data sets including SQL queries and data integration.
• Apply advanced understanding of Big Data systems to data set engineering and analytic model implementation.
• Lead development and reviews of complex analytic models and algorithms.
• Identify actionable insights, suggest recommendations, and influence business direction by communicating results to cross functional groups.

Skills

Analytics/Data Science

Snowflake

AI agents

Bell curve analysis

Industry benchmarks

Outlier detection

Education

Bachelor's degree or advanced degree

Tools

Snowflake

Job description

Blue Cross NC seeks a Principal Data Scientist to lead multiple large and complex data science projects, translating data into sound organizational decisions. You will own delivery of analyses and partner with cross-functional teams to align with enterprise strategy.

You will drive production models using Python and R, build scalable data pipelines, and deliver insights to executive leadership across Payment Integrity, SIU, Provider, and Behavioral Health.