Data Scientist - Claims and Payment Integrity

Posted on Indeed on Jun 05, 2021
A bit about us:

We’re on a mission to change healthcare — how it’s paid for, delivered, experienced. We want to put people center stage, not process or profit. We are guided by a deep belief that every person on Medicare should be treated like we would treat a member of our own family: with loving care and a profound commitment to their health and well-being.

That’s why we’re gathering a whole bunch of smart, big-hearted people to create a new kind of healthcare company — one that combines compassion, health insurance, clinical care, and technology seamlessly.

"We want to partner with people we love for a cause we believe in. Life is short. Join us.

A bit about this role:

We are looking for a Data Scientist or Analyst who can serve as a liaison to our Claims and Payment Integrity Team. This role will answer important and timely questions about the health of the business; develop and manage strategic initiatives that improve the accuracy of payments; and drive a data-driven culture by using their technical expertise to identify opportunities and improve key outcomes and operational efficiency. This role will report into our Data Science team, and will work alongside Product Managers, Data Engineers, Software Engineers, and Business Leads to solve key challenges for the company.

Responsibilities will include:

    • Working closely with business stakeholders to improve the speed and accuracy of payments and support payment policy initiatives through analysis and monitoring
    • Serving as the claims data expert for the organization
    • Balancing rapid, iterative insights with long term sustainability of a trusted data warehouse and thoughtful dashboards and reports
    • Identifying patterns in claims and payment integrity analyses, and using those patterns to improve our data models, tools and processes so we can deliver results more quickly and accurately
    • Communicating priorities, methodology and results to an audience of mixed technical backgrounds

Required skills and experience:

    • Ability to work in a fast-paced startup environment
    • 4+ years of individual technical contributor experience with background in managed healthcare
    • Expert understanding of claims processing and user of claims data
    • Advanced SQL skills with demonstrated ability to independently analyze and draw inferences
    • Experience collaborating and communicating effectively with stakeholders
    • Equally comfortable building dashboards and reports for KPIs, and doing deep-dive statistical analysis to influence the business
If you love running towards complex challenges and transforming them into solutions, if you want to make a potentially huge impact on many lives, and if you are looking for a disruptive startup with an inspiring and talented team, Devoted Health may be the place for you!

Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.

As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.

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