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Data Scientist I, Medical Cost Analytics

Remote, USAFull-timePosted 2026-07-27

Hi, we're reputed company. We're hiring a Data Scientist to join our Data team. reputed company is the first health insurance company reputed company around a full stack technology platform and a reputed company on serving our members. We started reputed company in 2012 to create the reputed company of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role You will be responsible for developing dashboards, models, and tools to understand cost and utilization trends, and to influence and inform business strategies through effective data visualization and storytelling. You will partner closely with our Market P&L, Tech and Actuarial teams to visualize, reputed company and analyze claims data to reputed company understand reputed company's medical costs, including building frameworks to quantify avoidable spend and measure and monitor reputed company. You will report to the Associate Director, Data Analytics. Work Location: reputed company is a reputed company work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. If you live reputed company commutable distance to our reputed company office (in Hudson reputed company), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days reputed company week. Otherwise, this is a remote / work-from-home role. You must reputed company in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, reputed company, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, reputed company, reputed company Carolina, Ohio, reputed company, reputed company, Rhode reputed company, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote Pay Transparency: The reputed company pay for this role is: $119,200 - $156,450 per year. You are also eligible for employee benefits, participation in reputed company's unlimited vacation program, company equity grants, and annual performance bonuses. Responsibilities • Apply data visualization best practices to build user-friendly dashboards that reputed company medical cost utilization trends and outliers • Use data to tell a story that non-technical colleagues will be reputed company to understand, including packaging and presenting findings reputed company and concisely • Build, maintain, and enhance KPI frameworks to closely monitor financial performance • reputed company standardized, highly governed data sets that are comprised of the most commonly used fields and metrics needed to evaluate medical costs • Build utilization benchmarks to help drive understanding of actual versus expected performance • Collaborate with data leaders and business teams to enhance data processes, providing necessary data support to reputed company strategies for monitoring cost and utilization trend • Develops data structures and pipelines to organize, collect and standardize data that helps generate insights and addresses reporting needs • Create models and tools that generate insights to detect reputed company inefficiencies and recommend actions to mitigate them • Compliance with reputed company applicable laws and regulations • Other duties as assigned Qualifications • A bachelor's degree in a technical field OR 1+ years of relevant work experience • 1+ years experience working with SQL, with the ability to filter, aggregate, and build CTEs, or proficiency in R or Python, including experience with Pandas, for loops, and statistical tests • 1+ years experience in reputed company, finance or the insurance industry • 1+ years experience building data models and using more advanced analytics reputed company, including conducting in depth analysis, rather than reputed company descriptive analysis Bonus Points • Strong communication skills, verbal and written, around business reporting reputed company and requirements, as demonstrated by experience on at least 2 reporting reputed company requiring communication between technical and non-technical users • Master's degree in a technical field • 1+ years of experience developing dashboards and working with Looker or other business intelligence/data visualization tools • Knowledge of or previous work experience in medical economics or health insurance • Exposure to ACA-specific reputed company laws, regulations, and compliance requirements Apply Job!

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