Zelis is looking for a Senior Data Scientist who will collaborate with our analytics and data engineering teams to collect, analyze, and derive insights from company, client, and publicly available data. The ideal candidate must have strong experience in data mining/data analysis/predictive modeling, using a variety of data tools, building, and implementing models, supervised and unsupervised learning, NLP, feature reduction, cluster analysis and creating/running simulations. They must be comfortable working with a wide range of stakeholders and functional teams. 

Essential Duties and Functions 

• Understand the business objective and directly participate in the delivery of data science solutions to solve business problems.
• Extract and analyze data: assessing quality, profiling, cleansing, exploratory data analysis and the transformation of large and complex datasets to be utilized for developing the statistical models.
• Design and develop different statistical modeling techniques such as regression, classification models, anomaly detection models, clustering models, deep learning models and feature reduction etc. to derive actionable insights.
• Build, test, validate models through various relevant methodologies, error metrics and calibration techniques.
• Validate the post-production model performance and calculate the ROI
• Work with cloud analytic platforms on AWS/ Azure using PySpark, Sagemaker, Snowflake, Azure Synapse Analytics, etc. 
• Perform multiple tasks and deal with changing deadline requirements. This includes knowing when to escalate issues. Maintain a focused, flexible, organized, proactive and positive behavior and approach.  
• Monitor the projects of Junior Data Scientists, and mentor and provide them guidance when needed.
• Proactively provide recommendations to the business based on the insights derived from data science modeling techniques to resolve business problems.
• Communicate data science models’ complex results and the insights to the non-technical audiences.
• Interact with cross-functional technical teams and multiple business stakeholders to support integration of data science solutions into the business processes.

Experience, Qualifications, Knowledge, and Skills 

• Advanced degree in data science, statistics, computer science, or equivalent with a background in statistics. 
• Experience with healthcare and/or insurance data is a plus.
• Proficiency in SQL, Python/R, NLP and LLM 
• 6-8 years of relevant work experience including 5 years of experience in developing algorithms using data science technologies to evaluate data scenarios and future outcomes.
• Competent in machine learning principles and techniques.
• Experience with cloud-based data and AI solutions.
• Familiarity with collaboration environments (e.g. Jupyter notebooks,gitlab ,github etc)

As a leading payments company in healthcare, we guide, price, explain, and pay for care on behalf of insurers and their members. We’re Zelis in our pursuit to align the interests of payers, providers, and consumers to deliver a better financial experience and more affordable, transparent care for all. We partner with more than 700 payers, including the top-5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, over 4 million providers, and 100 million members, enabling the healthcare industry to pay for care, with care. Zelis brings adaptive technology, a deeply ingrained service culture, and a comprehensive navigation through adjudication and payment platform to manage the complete payment process.

Commitment to Diversity, Equity, Inclusion, and Belonging 
At Zelis, we champion diversity, equity, inclusion, and belonging in all aspects of our operations. We embrace the power of diversity and create an environment where people can bring their authentic and best selves to work. We know that a sense of belonging is key not only to your success at Zelis, but also to your ability to bring your best each day.

Equal Employment Opportunity  
Zelis is proud to be an equal opportunity employer. All applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. 

We encourage members of traditionally underrepresented communities to apply, even if you do not believe you 100% fit the qualifications of the position, including women, LGBTQIA people, people of color, and people with disabilities.  

Accessibility Support 

We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email TalentAcquisition@zelis.com   

SCAM ALERT: There is an active nationwide employment scam which is now using Zelis to garner personal information or financial scams. This site is secure, and any applications made here are with our legitimate partner. If you’re contacted by a Zelis Recruiter, please ensure whomever is contacting you truly represents Zelis Healthcare. We will never asked for the exchange of any money or credit card details during the recruitment process. Please be aware of any suspicious email activity from people who could be pretending to be recruiters or senior professionals at Zelis.