Senior Data Scientist

What We Need

The senior data scientist will lead high value workstreams within Actuarial and Analytics Solutions (AAS) department and be intimately involved all phases of development, from ideation to design to build and deployment. This work includes a variety of modeling and analytics to support medical economics, payment integrity, and various other areas of finance. Additionally, they will be responsible for implementing advanced program measurements leveraging statistical analysis and developing/executing on predictive modeling use cases. Finally, they will provide mentorship to junior data scientists and analysts.

Our ideal candidate is a subject matter expert in cutting edge data science techniques; experience with healthcare data, and especially claims, is a major plus.  We are looking for someone to work closely with other Business Owners, Product Managers, Data Scientists, and Software Engineers to understand problems and co-own solutions. Candidates should have a track record of effectively collaborating with experts and non-experts alike.

*This role is eligible for our FLEX persona.

Your Day-to-Day

• Lead the research, design, and implementation of data science solutions to support current/future business needs
• Anticipate and provide strategies/solutions to complex data problems or trends
• Evaluate and design new approaches and methodologies to solve business problems or improve efficiency
• Utilize statistical techniques to execute on advanced measurements of messy/noisy data
• Produce meaningful observations and recommendations through synthesizing data from internal and external sources
• Drive the design, building, and launching of new data models and data pipelines
• Manage the delivery of high impact dashboards and data visualizations
• Maintain knowledge on current and emerging developments/trends; assesses the impact and collaborates with management to incorporate new trends and development in current and future solutions
• Coordinate with other departmental leaders to ensure consistency and transparency in data trends, themes and findings, particularly across the areas of medical economics, trend measurement, pricing, financial planning and informatics.
• Effectively communicate customized views of analysis and financial impacts to senior leadership

*This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties.

What You Bring:

• Deep and broad understanding of health care delivery system and health plan operations, including knowledge of Medical Economics, Trend Management, Pricing, Forecasting, Provider Payment Methodologies, and industry benchmarks.
• Experience with machine learning algorithms, statistical techniques, data interpretation methodologies, and deploying Predictive Models in a variety of applications
• Proven ability to effectively communicate with all levels of the organization.
• Comfort managing multiple competing priorities
• Strong customer focus and ability to work effectively in matrix environment.
• Creative problem solver – able to assess problems, develop creative solutions and see solutions to completion.
• Ability to think strategically, ensure execution and influence others
• Proven ability to produce value in high performance environment.
• Familiarity of software for data analysis and modeling; specifically: Python, SQL, Tableau, statistical software (R, SAS etc)
• Proficiency working with modern data & analytics technologies and solutions on cloud platform (Snowflake preferred)
• Familiarity with working in an Agile Environment and partnering closely with IT

Education/Relevant Experience:

• Minimum of five years of health care experience in analysis, design, development and delivery of data solutions
• Direct experience with claims data a major plus
• BA/BS required; MS, MPH, PhD in relevant field considered in lieu of work experience.

It is our mission at Blue Cross Blue Shield of Massachusetts to foster a culture that enables associates to do their best work while living happy and healthy lives. That's why we offer you a variety of ways to support your best physical, emotional, financial, and social well-being. For more information on our benefit offerings, visit https://careers.bluecrossma.org/us/en/benefits

High school degree or equivalent required unless otherwise noted above

The job posting range is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting.  We may ultimately pay more or less than the posted range, and the range may be modified in the future.  An employee’s pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability.

This job is also eligible for variable pay.

We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees.

Note:  No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

WHY Blue Cross Blue Shield of MA?

We understand that the confidence gap and imposter syndrome can  prevent  amazing candidates coming our way, so please don’t hesitate to apply. We’d love to hear from you. You might be just what we need for this role or possibly another one at Blue Cross Blue Shield of MA. The more voices we have represented and amplified in our business, the more we will all thrive, contribute, and be brilliant. We encourage you to bring us your true colors, , your perspectives, and your experiences. It’s in our differences that we will remain relentless in our pursuit to transform healthcare for ALL.

As an employer, we are committed to investing in your development and providing the necessary resources to enable your success. Learn how we are dedicated to creating an inclusive and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path by visiting our Company Culture page. If this sounds like something you’d like to be a part of, we’d love to hear from you. You can also join our Talent Community to stay “in the know” on all things Blue.

At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing. For more information on how we work and support that work/life balance visit our "How We Work" Page.