Overview
Skills
Job Details
Description:
Our audit and governance functions require a centralized data leader who can:
Architect scalable, secure, compliant data pipelines
Translate complex datasets into actionable insights for regulatory and operational decisions
Build intuitive, low?maintenance tools that empower non?technical users across the PA experience
Responsibilities:
Data Collection & Cleaning - They gather data from various sources and clean it to ensure it's usable removing errors, filling in missing values, and standardizing formats.
Exploratory Data Analysis (EDA) - They explore the data to understand patterns, trends, and relationships using statistical techniques and visualizations.
Model Building - They build predictive models using machine learning algorithms to forecast outcomes or classify data.
Interpretation & Communication - They translate complex results into actionable insights and communicate them to stakeholders through reports, dashboards, or presentations.
Deployment & Monitoring - In some cases, they help deploy models into production systems and monitor their performance over time.
Ideal Background:
Healthcare specific background would be helpful.
But candidate must be experienced in elements of statistics, computer science, and domain expertise to help organizations make data-driven decisions.
As well as, build and maintain artificial intelligence (AI) driven platforms/solutions.
Required:
Programming: Python, R, SQL
Statistics & Mathematics
Machine Learning & AI
Data Visualization: Tools like Tableau, Power BI, or libraries like Matplotlib and Seaborn
Big Data Tools: Spark, Hadoop (for large-scale data)
Preferred:
Advanced SQL and Python for analytics, ETL, and automation
Data modeling, warehousing, and pipeline orchestration (cloud?native stack)
Dashboarding (Power BI; Streamlit or similar) and reproducible analytics (versioning, CI/CD preferred)
Healthcare data familiarity (claims, PA & appeals, pharmacy) and regulatory contexts (CMS, NCQA, URAC, ERISA, state rules)
Data security, privacy, and compliance best practices.