Quality Data Scientist

Job Summary

A company is looking for a Quality Data Scientist to analyze and validate healthcare claims data.

Key Responsibilities

• Ensure accuracy and integrity of healthcare claims data using advanced validation techniques
• Develop and maintain predictive models for identifying high-risk patients and optimizing coverage accuracy
• Collaborate with cross-functional teams to enhance analytical tools and implement scalable solutions

Required Qualifications

• Bachelor's degree in a quantitative field or equivalent professional experience
• Five or more years of experience analyzing healthcare claims data
• Proficiency in SQL and advanced Excel skills for data modeling and reporting
• Knowledge of healthcare network rosters and quality measurement methodologies
• Highly organized and self-motivated with the ability to manage multiple priorities