Data Scientist Manager

Data Scientist Manager in Indiana (onsite) with a salary range of USD 129,813 to 167,900 per year, leads a team to develop fraud, waste, and abuse analytics for CMS HFPP, leveraging SAS and Python to analyze healthcare claims and deliver actionable insights to multiple payers.

Responsibilities

• Lead a team of Data Scientists within a multidisciplinary group that includes Business Intelligence Analysts and FWA Subject Matter Experts.
• Plan, direct, and oversee the development and deployment of FWA models and algorithms across multi-payer environments.
• Draft, review, and maintain statistical analysis plans.
• Interpret data insights and trends to inform decisions.
• Generate reports to answer research questions.
• Foster collaboration among the Data Science team, FWA SMEs, BI Developers, and clients to develop meaningful analyses and provide predictive analytic support.
• Oversee design and maintenance of automated data pipelines with data engineers and BI Developers, delivering analytic outputs to the HFPP partner server for access.
• Present findings clearly to clients and stakeholders, articulating the value of TTP analytic outputs.
• Balance responsibilities with management at 40 percent and hands-on coding at 60 percent.
• Oversee quality reviews of analytic outputs to ensure methodological integrity, adherence to protocol, and compliance with access standards.
• Document processes, best practices, and strategies for current and future FWA models and algorithms to improve efficiency and effectiveness.
• Manage a team of five to eight Data Scientists.

Requirements

• Master's degree in Statistics or a related field, or an equivalent combination of education and experience.
• 7+ years of experience in statistical and computer science related fields.
• Experience using SQL and Python for healthcare FWA data mining and statistical modeling.
• Experience managing client interactions, gathering and synthesizing requirements, and communicating complex analytic outcomes clearly.
• Proven experience presenting FWA analytic outcomes to clients, stakeholders, or conferences.
• Expertise in medical terminology and healthcare coding systems (ICD-10, CPT, HCPCS, DRG, etc.).
• Experience conducting FWA data mining in large, multi-payer databases spanning commercial insurance and public plans (Medicare and Medicaid).
• Experience researching, interpreting, and applying payer medical policies (LCDs, NCDs, private carrier policies) and industry claim edits (NCCI).
• Prior experience managing analytics teams, with strong supervisory and mentorship capabilities.
• Proficiency with the Microsoft Office Suite, including Word, Excel, and PowerPoint (portfolio samples or practicum assignments may be requested).

Technologies

• SAS
• Python
• SQL
• AWS
• Snowflake
• Microsoft Office Suite

Benefits

• Competitive pay and benefits
• Flexible schedule
• Collaborative, interdisciplinary environment where innovation thrives

Work requirements

• 7+ years of related experience
• May vary based on technical training, certification(s), or degree
• Travel required: 10-25%