Senior Data Scientist - Healthcare Claims

3 days ago

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General Dynamics Information Technology

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General Dynamics Information Technology is a company at the forefront of technological innovation, offering a wide range of services including consulting, digital modernization, and application services. The company is heavily involved in implementing solutions related to artificial intelligence, cloud computing, cybersecurity, high-performance computing, and quantum technologies. GDIT is committed to supporting government and defense sectors, providing mission-critical services such as logistics and supply chain management, intelligence, and homeland security. The company also focuses on diverse and inclusive hiring practices and actively promotes employee well-being. Through its digital accelerator solutions and pioneering use of emerging technologies, GDIT aims to propel agencies' missions forward and address complex technological challenges.

Enterprise IT • Network Systems Integration • Professional and Technical Services • Training and Simulation • Health

10,000+ employees

Founded 1954

🔒 Cybersecurity

🤖 Artificial Intelligence

📋 Description

• Support Centers for Medicare and Medicaid Services (CMS) anti-fraud activities • Collaborate with team to develop models and algorithms for fraud detection • Oversee development standards adherence and quality review on analytic outputs • Document processes, best practices, and strategies for FWA models • Direct design and maintenance of automated data pipelines • Guide and instruct a team of 4-6 Data Scientists

🎯 Requirements

• Masters Degree in Statistics or 7+ years of experience in statistical and computer-science related field(s) • Proven track record delivering presentations to clients, stakeholders, and HFPP partners • Ability to communicate insights and value propositions of TTP analytic outputs • Extensive experience using Python software for healthcare Fraud, Waste, and Abuse datamining and statistical modeling • Expertise using SQL software for healthcare Fraud, Waste, and Abuse datamining • Expertise using Tableau software for healthcare Fraud, Waste, and Abuse model presentation • 5+ years client relation activities, effectively communicating complex healthcare analytic outcomes • Experience successfully presenting FWA analytic outcomes to various audiences • Expertise in medical terminology and healthcare coding systems • Experience datamining for healthcare fraud in large databases • Experience researching and applying payer medical policies • Prior experience managing or leading data analytics teams

🏖️ Benefits

• Competitive pay and benefits • Flexible work schedule • Collaborative inter-disciplinary environment • 15 days of paid leave per calendar year • 10 paid holidays per year • Paid Family Leave program • Short and long-term disability benefits • Life, accidental death and dismemberment insurance • Personal accident, critical illness, and business travel insurance