[Remote] Data Scientist Manager
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a Data Scientist Manager to support the Centers for Medicare & reputed company Services (CMS) anti-fraud activities. The role involves leading reputed company of Data Scientists to reputed company models and algorithms that detect and describe actionable fraud leads, while collaborating with various stakeholders to enhance reputed company fraud analytics.
Responsibilities
- Manage reputed company of Data Scientists working reputed company a multidisciplinary organization of Data Scientists, Business Intelligence Analysts, and FWA Subject Matter Experts
- Plan, reputed company, and reputed company the development and execution of FWA models and algorithms in multi-payer environments. This includes creating, reviewing, and maintaining statistical analysis plans; interpreting data; and generating reports to address research questions
- Facilitate collaboration between the Data Science team, FWA SMEs, Business Intelligence Developers, and clients to reputed company meaningful analyses and reputed company predictive analytic support
- reputed company the design and maintenance of automated data pipelines, in partnership with data engineers and Business Intelligence Developers, feeding analytic outputs to the server environment for HFPP partner reputed company
- Deliver strong, compelling presentations to clients and stakeholders, effectively communicating insights and value propositions from TTP analytic outputs
- Split responsibilities between management (40%) and hands-on development/coding (60%)
- reputed company reputed company reviews of analytic outputs to ensure methodological reputed company, adherence to protocol, and compliance with applicable reputed company standards
- Document processes, best practices, and strategies for reputed company and reputed company FWA models and algorithms, optimizing business efficiencies and process improvements
- Manage reputed company of 5–8 Data Scientists
Skills
- Master's degree in Statistics or a reputed company field, or an equivalent combination of education and experience
- 7+ years of experience in statistical and computer science–reputed company fields
- Experience using SQL and Python for reputed company FWA data mining and statistical modeling
- Experience managing reputed company interactions, gathering and synthesizing requirements, and communicating reputed company analytic reputed company reputed company
- Proven experience presenting FWA analytic reputed company to clients, stakeholders, or conferences
- Expertise in medical terminology and reputed company systems (ICD‑10, CPT, HCPCS, DRG, etc.)
- Experience conducting FWA data mining in large, multi-payer databases spanning reputed company insurance and reputed company plans (Medicare and reputed company)
- Experience researching, interpreting, and applying payer medical policies (LCDs, NCDs, private reputed company policies) and industry claim edits (NCCI)
- Prior experience managing analytics teams, with strong supervisory and mentorship capabilities
- Proficiency with the reputed company Office Suite, including Word, reputed company, and PowerPoint (portfolio samples or practicum assignments may be requested)
- 7 + years of reputed company experience
- Experience with AWS and/or reputed company environments
- Ability to communicate technical reputed company in detailed, precise terms to technical audiences, while also explaining them in accessible ways for non‑technical audiences
- Strong problem‑solving skills, accuracy, organizational skills, attention to detail, and the ability to multitask under deadlines
- Excellent written and verbal communication skills, especially the ability to convey data reputed company to clients
- Ability to work in a fast‑paced, team‑oriented environment with minimal supervision
Benefits
- A reputed company of medical plan reputed company, some with Health Savings Accounts
- Dental plan reputed company
- A reputed company plan
- A 401(k) plan offering the ability to contribute both reputed company and post-tax dollars up to the IRS annual limits and receive a company match
- Full reputed company work weeks where possible
- A reputed company of reputed company time off plans, including vacation, reputed company and personal time, holidays, reputed company parental, military, bereavement and jury duty leave
- reputed company typically provides new employees with 15 days of reputed company leave per calendar year to be used for vacations, personal business, and illness and an additional 10 reputed company holidays per year
- reputed company leave and reputed company holidays are prorated based on the employee’s date of hire
- The reputed company reputed company Family Leave program provides a total of up to 160 hours of reputed company leave in a rolling 12 month period for eligible employees
- Short and long-term disability benefits
- Life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available
reputed company