Data Scientist

The Financial and Evaluation Measurement team is seeking a Data Scientist with strong technical expertise and a background in a quantitative discipline. In this role, you’ll work with large, complex healthcare datasets to project and evaluate the financial impact of policy changes, clinical programs, and third-party solutions. You’ll design analytical models and compelling visualizations that inform key business decisions, helping shape strategies to lower costs and improve the quality of care for our members.

This role is eligible for our Flex Persona, with candidates local to our Boston or Hingham office preferred.

Your Day to Day

• Analyze large, complex datasets from a robust Enterprise Data Warehouse to identify drivers of healthcare cost trends, market pressures, and profitability.
• Design and execute advanced statistical models and predictive analytics to inform financial projections and evaluate cost/benefit of business initiatives.
• Create clear, compelling data visualizations and communicate actionable recommendations that reduce healthcare costs and improve member outcomes.
• Lead cross-functional analytic projects from design through implementation, ensuring consistent representation of financial performance across the organization.
• Partner closely with teams including Payment Integrity, Health and Medical Management, Provider Contracting, and others, to ensure alignment between analytics and business strategy.

We’re Looking For

• Bachelor’s degree in Mathematics, Statistics, Data Science, Economics, Healthcare Analytics, or related field required. Master’s degree preferred.
• 5+ years of professional experience in data science, healthcare analytics, or a related field.
• Proficiency in SQL, Python and/or R for data extraction, manipulation, and modeling.
• Experience with data visualization tools (e.g., Tableau, Power BI).
•  Familiarity with SAS is a plus but not required.
• Strong analytical and problem-solving skills with attention to detail.
• Excellent communication skills—able to distill complex analyses into clear, actionable insights for non-technical audiences.
• The proven ability to manage multiple projects and meet deadlines in a fast-paced environment.
•  A collaborative mindset and adaptability to shifting business priorities.

What You Bring

• A passion for using data to improve healthcare quality and affordability.
• A creative, solution-oriented approach to complex business problems.
• The ability to influence decision-making through clear data-driven insights and strong stakeholder partnerships.
• A team-first perspective with a proven record of driving projects to completion and measurable impact.

What You'll Gain

You will design and validate analytic frameworks, uncover emerging drivers of healthcare cost and utilization, and deliver insights that shape strategy in pricing, product development, financial planning, and forecasting.

The Financial and Evaluation Measurement team executes innovative analytics to inform corporate strategy in critical areas including competitiveness, affordability, profitability, provider payment reform and health care policy. As Data Scientist on this team, you will work with a rich dataset and a robust well-established Enterprise Data Warehouse to identify emerging drivers of health care trend and cost, market pressures, and profitability.

#LI-Hybrid

High school degree or equivalent required unless otherwise noted above

The job posting range is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting.  We may ultimately pay more or less than the posted range, and the range may be modified in the future.  An employee’s pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability.

This job is also eligible for variable pay.

We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees.

Note:  No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

WHY Blue Cross Blue Shield of MA?

We understand that the confidence gap and imposter syndrome can  prevent  amazing candidates coming our way, so please don’t hesitate to apply. We’d love to hear from you. You might be just what we need for this role or possibly another one at Blue Cross Blue Shield of MA. The more voices we have represented and amplified in our business, the more we will all thrive, contribute, and be brilliant. We encourage you to bring us your true colors, , your perspectives, and your experiences. It’s in our differences that we will remain relentless in our pursuit to transform healthcare for ALL.

As an employer, we are committed to investing in your development and providing the necessary resources to enable your success. Learn how we are dedicated to creating an inclusive and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path by visiting our Company Culture page. If this sounds like something you’d like to be a part of, we’d love to hear from you. You can also join our Talent Community to stay “in the know” on all things Blue.

At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing. For more information on how we work and support that work/life balance visit our "How We Work" Page.