Senior Data Scientist

Sagility
2dRemote

About The Position

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries. Job title: Senior Data Scientist Job Description: Building and handling analytical business healthcare transactions system; Building optimization models for healthcare transaction control systems including claim adjudication system and metavance system; Identifying and deriving data insights regarding payment integrity for healthcare billing, medical record management, audits, provider contracts, healthcare fraud, waste, and abuse; Handling and designing computer algorithms using R and Python and statistical and mathematical concepts; Performing exploratory data analysis and data visualization using a BI tool or MS Excel; Using Machine learning (ML), artificial intelligence (AI), natural language processing (NLP), neural network (NN), and time series forecasting for product scalability and automation and predictions; Maintaining data science projects using CRISP-DM, Agile, and Waterfall frameworks; and Database design and management. Location: Work@Home NationWideUnited States of America Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.

Responsibilities

  • Building and handling analytical business healthcare transactions system
  • Building optimization models for healthcare transaction control systems including claim adjudication system and metavance system
  • Identifying and deriving data insights regarding payment integrity for healthcare billing, medical record management, audits, provider contracts, healthcare fraud, waste, and abuse
  • Handling and designing computer algorithms using R and Python and statistical and mathematical concepts
  • Performing exploratory data analysis and data visualization using a BI tool or MS Excel
  • Using Machine learning (ML), artificial intelligence (AI), natural language processing (NLP), neural network (NN), and time series forecasting for product scalability and automation and predictions
  • Maintaining data science projects using CRISP-DM, Agile, and Waterfall frameworks
  • Database design and management

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

No Education Listed

Number of Employees

5,001-10,000 employees

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