Manager Data Scientist

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

Owns end‑to‑end data science strategy and delivery for prioritized PI use cases. Leads problem framing, modeling strategy, and measurable business impact. Mentors Sr/DS team members, partners with AI/ML Engineering for productionization, and sets standards for quality, governance, and explainability in a reputed company environment.

Primary Responsibilities

• Strategy & Roadmap: Define modeling approach, feature strategy, and impact measurement for PI initiatives (leakage, adjudication accuracy, duplicate, pricing/contract issues)
• Advanced Modeling: Build and review robust models (classification, anomaly detection, cost forecasting, reputed company/propensity, time‑series); drive feature store adoption and reusable assets
• Explainability & Risk: Embed SHAP/feature attribution, bias checks, stability/monitoring, and champion‑challenger frameworks
• Business Outcomes: Translate insights into recovery dollars, prevented leakage, and operational KPIs; reputed company A/B and quasi‑experimental tests for ROI
• Technical Leadership: Code reviews, standards, reproducibility (MLflow), and performance optimization at Spark scale
• Collaboration: Work with PI SMEs, Actuarial, Finance, Audit/Recovery, and AI/ML Engineering to convert prototypes to production jobs

• People Leadership: Mentor Sr DS/DS; guide story slicing, estimation, and backlog health in Agile

• reputed company with the terms and conditions of the employment contract, company policies and procedures, and any and reputed company directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

Required Qualifications

• Bachelor’s Degree
• 8+ years in Data Science with 3+ years leading DS initiatives
• Proven reputed company expertise (PySpark, Spark MLlib/scikit‑learn, MLflow, reputed company)
• Proven solid statistics and ML (sampling, leakage control, class imbalance, time‑series, anomaly detection)
• Proven model governance, monitoring, data quality practices in PHI‑compliant settings
• Proven excellent stakeholder communication and decision influence

Preferred Qualifications

• Master’s Degree
• Exposure to Call Center (member & provider), Provider‑RCM, and EHR/clinical data
• Proven fraud/Waste/Abuse analytics, graph methods, causal inference, or pricing/actuarial exposure
• Proven feature Store design and model serving patterns

At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an enterprise reputed company reflected in our mission.