Healthcare Navigation Data Scientist

Alight is seeking a Healthcare Navigation Data Scientist to strengthen provider search, recommendation, and value measurement capabilities within its Health Navigation platform. The role applies healthcare data analysis, predictive modeling, and analytics to improve provider recommendations, identify cost and utilization insights, and support measurable client value.

Responsibilities

• Analyze healthcare and book-of-business data to uncover cost drivers, utilization trends, and opportunities to improve member outcomes while reducing healthcare spend.
• Develop and enhance provider scoring, ranking, and recommendation approaches, including methods that consider cost, quality, specialty alignment, and provider experience.
• Integrate and transform complex healthcare datasets, including claims, provider, pricing, and network data, to enable analytics and modeling initiatives.
• Build, validate, and optimize statistical, predictive, and machine learning models that improve provider search relevance and personalization.
• Assess business rules, scoring outputs, and recommendation performance to ensure alignment with clinical and business objectives.
• Track key performance metrics, identify continuous improvement opportunities, and recommend enhancements to data sources, models, and processes.
• Collaborate cross-functionally with Product, Engineering, Clinical, and Business teams to convert analytical insights into actionable solutions and measurable business value.

Requirements

• Experience working with large, complex datasets using SQL and Python and/or R.
• Experience building data models, scoring frameworks, predictive analytics, or machine learning solutions.
• Knowledge of healthcare datasets and concepts, including claims data, CPT, ICD, NPI, provider networks, and healthcare pricing.
• Understanding of healthcare cost drivers, utilization analytics, quality measures, and provider performance metrics.
• Analytical, problem-solving, and communication skills with the ability to translate complex findings into business insights.
• Experience with provider search, recommendation systems, ranking models, or personalization algorithms.
• Knowledge of clinical quality measures such as HEDIS, CMS, or related healthcare standards.
• Experience applying machine learning techniques in healthcare, health technology, or navigation contexts.
• Bachelor’s degree in data science, Statistics, Mathematics, Computer Science, Healthcare Analytics, or a related field.
• Advanced degree preferred.

Technologies

• SQL
• Python
• R
• Machine learning

Compensation

• Salary pay range: USD 100,000 - 135,000 per year
• Minimum: 100,000.00 USD
• Maximum: 135,000.00 USD

Benefits

• Health, dental and vision coverages starting Day One
• Wellbeing programs
• Retirement plans with contribution matching
• Generous time off
• Parental leave
• Continuing education
• Career growth opportunities
• Competitive total rewards package
• Continuing education & training

Application and Interview Details

• Background check consistent with Alight’s employment policies may include SSN/SIN validation, education verification, employment verification, and criminal check, plus search against global sanctions and government watch lists, credit check, and/or drug test.
• Virtual interviews must be conducted on video.
• May require occasional travel to one of Alight’s physical office locations.

Location

Illinois (remote)

Authorization to Work

Applicants must have work authorization that does not, now or in the future, require sponsorship of a visa for employment authorization in the Employing Country and with Alight.

Our Commitment to Inclusion

Alight will ensure that persons with disabilities are provided reasonable accommodations for the hiring process. If reasonable accommodation is needed, contact [email protected].