Lead Data Scientist

Cotiviti-posted 3 months ago

$195,000 - $235,000/Yr

Full-time • Senior

5,001-10,000 employees

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Cotiviti is seeking an experienced Lead Data Scientist to drive the architectural design and implementation of advanced analytics and machine learning solutions for healthcare claims processing. This role will provide technical leadership in developing predictive analytics systems that enhance operational efficiency and decision-making capabilities across our healthcare analytics platforms.

Lead the design and architecture of advanced machine learning and AI solutions for complex healthcare data challenges
Develop and implement scalable data pipelines and analytical workflows to support enterprise level predictive modeling initiatives
Provide strategic leadership for the design and architecture of advanced machine learning and AI solutions across complex healthcare data environments
Develop and oversee enterprise-scale data pipelines and analytical workflows that enable predictive modeling initiatives impacting multiple business units
Drive technology strategy and selection, establishing technical roadmaps for AI/ML capabilities with long-term business alignment
Drive technology selection and establish technical roadmaps for AI/ML capabilities
Design and oversee implementation of feature engineering strategies and model deployment frameworks
Mentor and guide team members in machine learning best practices and advanced analytical techniques
Collaborate with cross functional teams to translate business requirements into technical solutions
Define and implement model evaluation frameworks and performance optimization strategies
Lead the development of predictive modeling systems for complex pattern recognition and classification tasks
Ensure compliance with healthcare data governance and regulatory requirements
Drive innovation in analytical approaches and champion adoption of emerging technologies including generative AI models to assist in development and analysis
Increase team output and efficiency through innovation and adoption of assistive AI technologies
Provide technical leadership in solving complex data science challenges
Complete all responsibilities as outlined in the annual performance review and/or goal setting
Complete all special projects and other duties as assigned
Must be able to perform duties with or without reasonable accommodation.

Minimum of 12 years of related experience with a Bachelor's degree; 8 years with a Master's degree; or 5 years with a PhD; or an equivalent combination of education and experience
8+ years of hands-on experience in machine learning, artificial intelligence, and predictive analytics, with proven proficiency in statistical modeling
Deep expertise in distributed computing frameworks and big data technologies
Expert level proficiency in Python and experience with ML frameworks (TensorFlow, PyTorch, scikit-learn)
Strong experience with cloud-based ML platforms and services
Proven track record of deploying production grade machine learning solutions at scale
Experience with healthcare claims data and understanding of healthcare industry workflows
Demonstrated leadership skills with experience managing and mentoring technical teams
Strong understanding of MLOps practices, model lifecycle management, and the additional requirements generative AI brings to MLOps
Excellent communication skills with ability to present complex technical concepts to diverse audiences
Experience with compliance frameworks and data governance in regulated industries
Experience in using assistive AI to improve quality and efficiency of analytics and modeling processes
Demonstrated use of agentic AI constructs including retrieval augmented generation (RAG), prompt security and management, and model context protocols (MCP’s)

Medical, dental, vision, disability, and life insurance coverage
401(k) savings plans
Paid family leave
9 paid holidays per year
17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti

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