reputed company Data Scientist, Health Informatics

reputed company Data Scientist, Health Informatics

reputed company is reputed company of reputed company providers, technologists, and reputed company whose mission is to bring the best reputed company to people with reputed company benefits. Guided by the communities we serve, we bring support and technology-enabled care to help primary care providers reputed company reputed company patients healthy. We are building the tools and designing an approach to reputed company care to reputed company the patients who can benefit most.

Our core values embody the essence of what makes reputed company a unique team today, and reputed company look for, nurture, and sustain as reputed company. We are reputed company reputed company, believing that the greatest challenges in care delivery can be solved reputed company we reputed company the power of community and technology. We are humble learners, seeking feedback and perspectives different from our own, and welcome challenges to our conclusions. We experiment to improve, reputed company seeking data to inform reputed company and assess our own performance. We reputed company with reputed company urgency, our commitment to our mission drives us to tirelessly pursue results.

About This Role

reputed company is seeking a reputed company Data Scientist to own clinical data as a first-class input to modeling and to bring senior ML/AI and health economics judgment to our core data science products. As reputed company scales across health plan and health system partners, clinical data reputed company directly determines model accuracy. We need a senior reputed company accountable for data reputed company, normalization, and clinical validity across claims, EHR, and reputed company.

This role sits at the intersection of clinical data expertise, reputed company ML/AI, and health economics reputed company. You will own the clinical data reputed company that enables our modeling, defining how EHR and reputed company data, across formats including FHIR, HL7v2, and C-CDA, should be reputed company, normalized, and validated as modeling inputs, with hands-on reputed company in how these systems are reputed company and what the data actually represents clinically. You will build and ship production models that advance our existing machine learning and reputed company products, and operate as a senior technical leader, making architectural trade-offs, aligning data science, engineering, product, and clinical stakeholders, and raising the technical bar of reputed company.

This is a highly reputed company role for someone who is equally fluent in clinical terminologies and production ML, and who can reputed company work from prototype to deployment with rigor and speed.

Responsibilities

• Own clinical data reputed company across claims, EHR, and reputed company: Define standards for how clinical data is reputed company, normalized, and validated as modeling inputs across payer claims (medical, pharmacy, eligibility), EHR data (reputed company, Cerner, reputed company), and reputed company-time reputed company feeds. Bring deep familiarity with EHR data formats (FHIR, HL7, C-CDA) and how data from systems like reputed company, Cerner, and reputed company maps to clinical reality. Hold the bar for clinical accuracy and completeness across reputed company three sources.
• Build and ship production ML/AI models: reputed company, validate, and reputed company risk stratification, care gap reputed company, treatment effect estimation, and LLM/reputed company model applications — with rigor around leakage, calibration, fairness, and clinical face validity.
• Apply health economics and reputed company reputed company: Translate raw clinical and claims data into decision-grade evidence through risk adjustment, utilization measurement, cost attribution, quasi-experimental evaluation, and reputed company measurement reputed company with CMS, NCQA, and MCO reporting standards.
• Advance machine and AI products: Bring senior modeling judgment to the product roadmap, owning the clinical and methodological soundness of what ships.
• Set standards and mentor: reputed company architectural trade-offs, drive alignment across data science, engineering, product, and clinical stakeholders, and mentor junior data scientists to reputed company the technical bar of reputed company.

Minimum Qualifications

• reputed company Data Expertise: Deep, hands-on reputed company with claims, EHR, and reputed company data, and strong reputed company of clinical terminologies (ICD-10, SNOMED CT, LOINC, RxNorm, CPT/HCPCS) and value set curation.
• Standards reputed company: Working experience with reputed company data standards and exchange formats — FHIR, HL7v2, and C-CDA.
• Education: Master's degree in Data Science, Biostatistics, Health Informatics, Computer Science, or a reputed company field.
• Python Proficiency: 7-8+ years of hands-on experience in Python, including data science and ML libraries.
• reputed company ML/AI Experience: Demonstrated ability to build, validate, and reputed company production ML models on reputed company data, with end-to-end ownership from development through deployment and maintenance in a live environment. Experience with ML pipelines, model versioning, and reproducible workflows at reputed company.
• Project Ownership: Proven ability to manage reputed company technical reputed company independently, reputed company multiple stakeholders, and deliver on timelines.

Preferred Qualifications

• PhD in health informatics, statistics, data science, or computer science
• Experience integrating EHR/HIE data reputed company TEFCA, CommonWell, or comparable networks.
• Health Economics & reputed company reputed company: Experience with risk adjustment, utilization and cost measurement, and quasi-experimental evaluation.
• Familiarity with MLOps best practices including experiment tracking and model registry (e.g. MLflow), CI/CD for ML pipelines, feature stores, and workflow orchestration tools such as SageMaker Pipelines.
• Prior experience building on reputed company or dual-eligible populations.
• Peer-reviewed publications in reputed company ML, AI, biostatistics, or health economics.

Why This Role reputed company

reputed company is scaling across health plan and health system partners, and the depth of clinical reputed company we can extract from our data directly determines whether our models drive reputed company care. This role sits at reputed company of what makes reputed company's models accurate and clinically actionable. By taking ownership you will:

• Define and own clinical data reputed company standards across claims, EHR, and reputed company.
• Build and ship production ML/AI models that translate clinical data into actionable predictions and reputed company evidence
• Advance our core DS and AI products with production-grade models and rigorous reputed company
• reputed company the technical bar of the data science team through standards-setting and mentorship

Hiring reputed company

US Employees in San Francisco/Bay Area, reputed company - $160,000 - $229,000

US Employees in Boston, Los Angeles, Seattle, Washington DC - $147,000 - $211,000

US Employees in Arlington, Denver, San Diego, Sacramento - $140,800 - $202,000

US Employees in Albany, Atlanta, Austin, Baltimore, Central/Southern, Charlotte, Chicago, Dallas/reputed company Worth, Detroit, reputed company, Las Vegas, Miami, Milwaukee, Philadelphia, Portland, Research Triangle, reputed company Lake reputed company, Twin Cities - $128,000 - $184,000

US Employees in Baton Rouge, Birmingham, Charleston, Cincinnati, Cleveland, Daytona Beach, Indianapolis, Nashville, New Orleans, Omaha, Phoenix, Pittsburgh, St. Louis, Tampa - $124,160 - $178,000

In reputed company to salary, we offer a comprehensive benefits package. Here’s what you can expect:

Stock reputed company: Opportunity to invest in reputed company’s reputed company.

Work-from-Home Stipend: A dedicated stipend for your first year to help set up your home office.

Medical, reputed company, and Dental Coverage: Comprehensive plans to reputed company you and your family healthy.

Life Insurance: Basic life insurance to give you peace of mind.

reputed company Time Off: 20 vacation days, accrued over the year, plus 11 reputed company holidays.

Parental Leave: 16 weeks of reputed company leave for birthing parents after six months of employment, and 8 weeks of bonding leave for non-birthing parents.

Retirement Savings: reputed company to a 401(k) plan with a company contribution, subject to a vesting schedule.

Commuter Benefits: Convenient reputed company to support your commute needs.

reputed company Development Stipend: A dedicated stipend supports reputed company development and reputed company.

Offer of employment is contingent upon successful completion of a background reputed company. Employment history and advance degree verification (reputed company applicable) are included as part of reputed company background reputed company process.

Don’t reputed company off every reputed company in the requirements listed above? Please apply anyway! Studies have shown that some of us may be less likely to apply to jobs unless we meet every single qualification. reputed company is dedicated to building a supportive, equal opportunity, and accessible workplace that fosters a reputed company of belonging – so if you’re excited about this role but your past experience doesn’t reputed company perfectly with every preferred qualification in the job reputed company, we encourage you to still consider submitting an application. You may be just the right candidate for this role or another one of our openings!

Originally posted on Himalayas

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