Senior Data Scientist

Senior Data Scientist at Sagility focusing on healthcare programs, applying mathematical modeling, ML/NLP, and predictive analytics to build cross-client ML/AI solutions and analyze program performance.

Responsibilities

• Develop and interpret information using mathematical modeling and optimization techniques to support clients' strategic decisions.
• Assess population health management program performance using propensity matching; analyze baseline and study periods for test and control groups with Python, SAS, Power BI, and Excel.
• Implement advanced statistical, machine learning, and natural language processing models.
• Use fraud, waste, and abuse analysis methods to generate actionable insights for end users.
• Analyze lift in care management programs, medication adherence, and clinical visits with propensity-based approaches to measure operational impact on key program metrics.
• Produce probabilistic models aligned with Home Health and Long-Term Care business contexts.
• Build predictive models to improve savings and operational efficiency across pre and post-payment cycles for multiple payment types.
• Design and deliver ML/AI solutions on cross-client platforms to identify inappropriate provider behavior and stratify social risk.

Requirements

• Bachelor's degree or foreign equivalent in Engineering (Any), Data Analytics, or a related field, with at least five years of experience in the offered role or a similar data-focused position.
• Five years of experience with statistical and predictive modeling techniques including machine learning and natural language processing; data mining and conducting statistical studies; evaluating program performance; and programming in Python, R, SQL, and SAS to extract and transform data from multiple data sources.
• Three years of experience with healthcare data modeling, covering both insurance and providers; knowledge of healthcare economics, managing care plans, billing requirements, subscriber and provider responsibilities, utilization management, risk identification and adjustment, and long-term care.

Technologies

• Python
• SAS
• Power BI
• Excel
• R
• SQL

Compensation

Salary: USD 92,901 - 95,000 per year

Location

Remote

About Sagility

Sagility combines technology and transformation-driven business process management with deep healthcare domain expertise to bring clients closer to their members. The company optimizes the member and patient experience through clinical services, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility employs more than 25,000 professionals across five countries.