Job Summary:
The Manager, Predictive Analytics and Data Science is responsible for serving as the leader, subject matter expert, teacher, and mentor of the Predictive Analytics and Data Science team.
Essential Functions:
- Lead a team of data scientists and analysts to develop and execute predictive analytics projects and initiatives
- Collaborate with cross-functional teams, including IT, healthcare operations, finance, and clinical teams, to identify opportunities for data-driven solutions and predictive modeling applications
- Develop and implement predictive models, algorithms, and statistical techniques to extract insights from large and complex healthcare datasets
- Utilize machine learning algorithms to identify patterns, trends, and opportunities for improving operational efficiency, cost containment, and patient care
- Utilize Natural Language Processing (NLP) algorithms and techniques to process and analyze unstructured healthcare data, such as clinical notes, patient feedback, and medical literature, to extract meaningful insights
- Conduct rigorous data analysis, including data cleansing, feature engineering, and exploratory data analysis, to derive meaningful insights and actionable recommendations
- Stay abreast of emerging trends, tools, and techniques in predictive analytics, data science, and healthcare informatics to drive innovation and continuous improvement
- Collaborate with stakeholders to define key performance indicators (KPIs), develop metrics, and create dashboards and reports that effectively communicate insights and support decision-making
- Provide strategic guidance and recommendations to senior leadership based on data analysis and predictive modeling results
- Mentor and develop team members, fostering a collaborative and innovative work environment
- Ensure compliance with data privacy and security regulations and maintain the highest standards of data integrity
Education and Experience:
- Bachelor’s Degree in Data Science, Mathematics, Statistics, Engineering, Computer Science, other related field, or equivalent years of relevant work experience is required
- Master’s degree or PhD is preferred
- Minimum of one (1) year of experience with cloud services (such as Azure, AWS or GCP) and modern data stack (such as Databricks or Snowflakes) is required
- Minimum of five (5) years of experience in predictive analytics, data science, or a related field, preferably within the healthcare industry or managed care organizations
Competencies, Knowledge and Skills:
- Strong expertise in statistical modeling, machine learning techniques, and predictive analytics tools such as Python, or R
- Proficiency in data manipulation, data visualization, and SQL for data extraction and analysis
- Proficient with MS office (Excel, PowerPoint, Word, Access)
- Ability to perform advanced statistical analysis and modeling such as liner and non-liner regression, sampling, and Markov chains
- Extensive knowledge of predictive modeling, machine learning algorithms such as clustering, decision trees, dimensionality reduction and NLP
- Expertise in NLP techniques and tools such as natural language understanding, sentiment analysis, named entity recognition, topic modeling, and text classification
- Expertise in Optical Character Recognition (OCR) technologies, including data extraction from scanned documents, forms, and invoices, and proficiency in OCR tools and libraries
- Experience with healthcare data sets, including claims data, electronic health records (EHR), and population health data
- Knowledge of healthcare operations, payer and provider models, and industry trends
- Proficient in feature engineering techniques and exploratory data analysis
- Working knowledge of optimization techniques and artificial intelligence methods
- Excellent analytical, problem-solving, and critical-thinking skills, with the ability to translate complex data into actionable insights
- Strong project management skills, with the ability to lead and prioritize multiple projects simultaneously.
- Excellent communication and presentation skills, with the ability to convey technical concepts to non-technical stakeholders
- Leadership qualities, including the ability to mentor and develop a team, foster collaboration, and drive results
- Comfortable reading academic research papers and applying them in the models
Licensure and Certification:
- None
Working Conditions:
- General office environment; may be required to sit or stand for extended periods of time
Compensation Range:
$94,100.00 - $164,800.00CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
SalaryOrganization Level Competencies
Fostering a Collaborative Workplace Culture
Cultivate Partnerships
Develop Self and Others
Drive Execution
Influence Others
Pursue Personal Excellence
Understand the Business
Top Skills
What We Do
Health Care with Heart. It is more than a tagline; it’s how we do business. CareSource has been providing life-changing health care to people and communities for nearly 30 years and we will continue to be a transformative force in the industry by placing people over profits.
CareSource is and will always be members first. Even as we grow, we remember the reason we are here – to make a difference in our members’ lives by improving their health and well-being. Today, CareSource offers a lifetime of health coverage to nearly 2 million members through plan offerings including Marketplace, Medicare Advantage and Medicaid. With our team of 4,000 employees located across the country, we continue to clear a path to better life for our members. Visit the "Life" section to see how we are living our mission in the states we serve.
CareSource is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, age, national origin, disability, sexual orientation, gender identity, genetic information, protected veteran status or any other characteristic protected by applicable federal, state or local law. If you’d like more information about your EEO rights as an applicant under the law, please click here: https://www.eeoc.gov/employers/upload/poster_screen_reader_optimized.pdf and here: https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf
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