Data Scientist

CareFirst BlueCross BlueShield is hiring a Data Scientist on the Health Economics and Reporting team in Baltimore, MD (hybrid) to solve business problems using advanced analytics.

Responsibilities

• Mine and extract data, apply algorithms, and derive actionable insights across analytics, reporting, and data governance for Member Identification/Stratification (ID/STRAT), Attribution/Program Assignment, Data Extracts/Sharing, Population Health Management, Predictive Modeling, and Program Evaluation.
• Support AI implementations and partner with IT/Data Management teams to enable execution.
• Provide vendor support for tools and services including Milliman MedInsights and related functions.
• Explore datasets to understand data profiles and limitations.
• Identify and evaluate data patterns using existing data science tools.
• Translate business priorities into data science deliverables.
• Review trends in the ML/AI/DS landscape and help integrate new ML/AI designs into solutions and products.
• Assist business units with innovation related to organizational performance.
• Act as a liaison between analytics, business units, and other departments, including communication and education on AI, machine learning, and statistical models.

Requirements

• Independent execution: ability to work independently without detailed guidance.
• Communication and documentation: ability to communicate effectively and document objectives and procedures.
• Tooling: ability to leverage a variety of data science tools and frameworks.
• Modeling expertise: knowledge in model evaluation, tuning and performance, operationalization, and scalability of scientific techniques.
• Engineering knowledge: knowledge of software engineering principles and practices.
• Statistical modeling: proficiency in statistical modeling applications.
• Healthcare analytics: prior healthcare analytics experience is required.
• Experience delivering: experience delivering work consistently and transparently to internal and external business partners.
• Deadlines and service excellence: meet established deadlines and handle multiple customer service demands from internal and external customers within set expectations.
• Customer service approach: communicate effectively and provide positive customer service to internal and external customers, including demanding or challenging customers.
• Additional experience: experience in relevant domains (as stated).

Purpose / Role Focus

• Data Scientist role focused on ID/STRAT and Program Evaluation within the Health Economics and Reporting team.
• Identifies and solves business problems using numerical techniques, algorithms, and models across statistical modeling, machine learning, operations research, and data mining.
• Supports data science initiatives with advanced analytical capabilities.
• Coordinates across product teams and with customers and educators on AI/ML/statistical models.

Supervisory Responsibility

• No direct reports, with expectation to assist in guiding and mentoring less experienced staff.
• May lead a team of matrixed resources.

Qualifications

• Education: Bachelor’s Degree in Statistics, Mathematics, Computer Science, or related field.
• Substitution: in lieu of a Bachelor’s degree, an additional 4 years of relevant work experience is required in addition to required work experience.
• Experience: 3 years of relevant work experience.

Salary

• USD 88,560 - 175,890 per year

Location and Work Model

• Must be located in the Maryland, Washington, DC, or Northern Virginia (DMV) area.
• Hybrid work model: part of the week working from home and part at a CareFirst location based on business needs and weekly deliverables.
• Location: Baltimore, MD (hybrid).

Benefits

• Comprehensive benefits package
• Various incentive programs/plans
• 401k contribution programs/plans

Eligibility and Compliance

• Must be eligible to work in the U.S. without sponsorship.
• Federal DISC/Physical Demand: incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

Physical Demands

• Primarily seated while performing the duties.
• Occasional walking or standing.
• Hands regularly used to write, type, key, and handle or feel small controls and objects.
• Must frequently talk and hear.
• Weights up to 25 pounds occasionally lifted.