Job Description

Role: Data Scientist

Location- 10 Exchange Place, Suite 2200, Jersey City, NJ 

Full time position

1. – 2 positions where Healthcare claims experience is mandatory & in 1 position, we need Health Equity concepts in Medicare Stars. JD attached

Senior Data Scientist to join our healthcare analytics team. The ideal candidate will have a strong background in data science, with specific expertise in Healthcare Effectiveness Data and Information Set (HEDIS) and Medicare STAR ratings. You will play a key role in analyzing complex healthcare data, developing predictive models, and providing actionable insights to improve healthcare outcomes, quality, and efficiency
Role and Responsibilities: ? Analyze large and complex healthcare datasets to identify trends, patterns, and insights. ? Develop predictive models and algorithms to forecast healthcare outcomes, patient risks, and quality measures. ? Conduct advanced statistical analysis to support healthcare quality improvement initiatives. ? Lead the development and implementation of analytics solutions related to HEDIS and STARS measures. ? Collaborate with clinical and quality teams to enhance the accuracy and effectiveness of HEDIS measures. ? Provide strategic insights and recommendations to improve STARS ratings based on data analysis ? Strong experience working on US Healthcare industry - prior experience on Medicare STARS, Health Equity, and Clinical Data preferred. ? Integrate and manage diverse healthcare data sources, including claims, electronic health records (EHR), and patient surveys. ? Ensure data integrity, quality, and accuracy in all analytics projects ? Work closely with cross-functional teams, including clinical, IT, and operations, to align data science efforts with organizational goals. ? Communicate complex analytical findings to non-technical stakeholders through clear and concise reports, visualizations, and presentations Candidate Profile: Required Qualification and Skills: ? Strong experience on analysis of Medicare claims based on ICD Codes, Risk factors and Medical Adherence, Proc Codes, LOINC Codes and others. ? 5-7 years of experience on Python, SQL and Tableau ? Experience with big data technologies (e.g., Hadoop, Spark) and cloud platform GCP ? Experience with DevOps practice, CI/CD pipelines ? Experience in Designing, developing, and deployment of advanced predictive models, machine learning algorithms, and statistical analyses to solve complex healthcare problems, such as patient risk prediction, treatment optimization, and resource allocation ? Excellent verbal and written communication skills, with the ability to convey complex information to diverse audiences.
What we offer: ? EXL Analytics offers an exciting, fast paced and innovative environment, which brings together a group of sharp and entrepreneurial professionals who are eager to influence business decisions.
EXL Service 10 Exchange Place, Suite 2200, Jersey City, NJ T: +1.201.748.4700
From your very first day, you get an opportunity to work closely with highly experienced, world class analytics consultants. ? You can expect to learn many aspects of businesses that our clients engage in. You will also learn effective teamwork and time- management skills - key aspects for personal and professional growth ? Analytics requires different skill sets at different levels within the organization. At EXL Analytics, we invest heavily in training you in all aspects of analytics as well as in leading analytical tools and techniques. ? We provide guidance/ coaching to every employee through our mentoring program wherein every junior level employee is assigned a senior level professional as advisors. ? Sky is the limit for our team members. The unique experiences gathered at EXL Analytics sets the stage for further growth and development in our company and beyond.

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