Data Scientist

CareFirst BlueCross BlueShield is hiring a Data Scientist on the Health Economics and Reporting team in Baltimore, MD (hybrid) to solve business problems using advanced analytics.

Responsibilities

• Mine and extract data, apply algorithms, and derive actionable insights across analytics, reporting, and data governance for Member Identification/Stratification (ID/STRAT) , Attribution/Program Assignment , Data Extracts/Sharing , Population Health Management , Predictive Modeling , and Program Evaluation .


• Support AI implementations and partner with IT/Data Management teams to enable execution.


• Provide vendor support for tools and services including Milliman MedInsights and related functions.


• Explore datasets to understand data profiles and limitations.


• Identify and evaluate data patterns using existing data science tools.


• Translate business priorities into data science deliverables.


• Review trends in the ML/AI/DS landscape and help integrate new ML/AI designs into solutions and products.


• Assist business units with innovation related to organizational performance.


• Act as a liaison between analytics, business units, and other departments, including communication and education on AI, machine learning, and statistical models.

Requirements

• Independent execution: ability to work independently without detailed guidance.


• Communication and documentation: ability to communicate effectively and document objectives and procedures.


• Tooling: ability to leverage a variety of data science tools and frameworks.


• Modeling expertise: knowledge in model evaluation, tuning and performance, operationalization, and scalability of scientific techniques.


• Engineering knowledge: knowledge of software engineering principles and practices.


• Statistical modeling: proficiency in statistical modeling applications.


• Healthcare analytics: prior healthcare analytics experience is required.


• Experience delivering: experience delivering work consistently and transparently to internal and external business partners.


• Deadlines and service excellence: meet established deadlines and handle multiple customer service demands from internal and external customers within set expectations.


• Customer service approach: communicate effectively and provide positive customer service to internal and external customers, including demanding or challenging customers.


• Additional experience: experience in relevant domains (as stated).

Purpose / Role Focus

• Data Scientist role focused on ID/STRAT and Program Evaluation within the Health Economics and Reporting team.


• Identifies and solves business problems using numerical techniques, algorithms, and models across statistical modeling, machine learning, operations research, and data mining.


• Supports data science initiatives with advanced analytical capabilities.


• Coordinates across product teams and with customers and educators on AI/ML/statistical models.

Supervisory Responsibility

• No direct reports, with expectation to assist in guiding and mentoring less experienced staff.


• May lead a team of matrixed resources.

Qualifications

• Education: Bachelor’s Degree in Statistics, Mathematics, Computer Science, or related field.


• Substitution: in lieu of a Bachelor’s degree, an additional 4 years of relevant work experience is required in addition to required work experience.


• Experience: 3 years of relevant work experience.

Salary

• USD 88,560 - 175,890 per year

Location and Work Model

• Must be located in the Maryland, Washington, DC, or Northern Virginia (DMV) area.


• Hybrid work model: part of the week working from home and part at a CareFirst location based on business needs and weekly deliverables.


• Location: Baltimore, MD (hybrid).

Benefits

• Comprehensive benefits package


• Various incentive programs/plans


• 401k contribution programs/plans

Eligibility and Compliance

• Must be eligible to work in the U.S. without sponsorship.


• Federal DISC/Physical Demand: incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

Physical Demands

• Primarily seated while performing the duties.


• Occasional walking or standing.


• Hands regularly used to write, type, key, and handle or feel small controls and objects.


• Must frequently talk and hear.


• Weights up to 25 pounds occasionally lifted.