Staff Data Scientist, Utilization Management

Staff Data Scientist, Utilization Management

This job is no longer open

At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States.  And we've just started. So join us on this mission!

Job Description


Why Devoted:

Make a difference... a big difference. You will have the opportunity, in a unique and dynamic culture, to be a part of something incredibly meaningful. We’re a disruptive startup with an inspiring mission. Learn and grow alongside our world-class team of healthcare, technology, and data leaders, dedicated to building a health plan and clinical services that care for everyone like they were our own mothers or fathers. Our team and board members have decades of experience in health care entrepreneurship, data, technology, services, and policy. With their support, we look forward to building a health plan and clinical services that will give seniors easy access to the high-quality care they deserve.

A bit about this role:

The Staff Data Scientist will serve as a crucial partner to the Utilization Management business area, using data to help the operations teams achieve excellence in operations. This individual will build robust data pipelines that underpin our products and operations. They will foster a data-driven culture by using their technical expertise to identify opportunities to improve key outcomes and operational efficiency. This individual will report into our Data Science team, and will work alongside Product Managers, Software Engineers, and Business Leads to solve key challenges for the company. This is a high profile role that is critical to Devoted Health’s success.

In this role, you will become an expert in utilization management operations data and build pipelines that improve accuracy of key utilization metrics that drive our business. You will serve as a key advisor on critical utilization and medical management trends and patterns that help to power all areas of our business including Provider Performance, Stars, Clinical, and Medical Economics. You will support the organization in measuring the impact and effectiveness of utilization management programs and partner with the team to scale critical workflows as we grow. You will support the team on improving data capture to enable the utilization management team and provider partners to better care for our members. Critical to our success, you will partner with compliance ensuring the data that is generated from the workflows is compliant with our CMS guidelines and you will identify opportunities within the workflow to improve the operation.

Experience with utilization management or medical economics is a PLUS. 

Responsibilities will include:

  • Working closely with key business stakeholders to meet the analytical needs of the business, and providing insight in a rapid, iterative, and collaborative process

  • Developing thoughtful reports and dashboards that help operations teams improve their business decision-making

  • Identifying patterns in the analyses you conduct, and using those patterns to improve the speed and accuracy of our processes

  • Communicating results to an audience of mixed technical backgrounds

Required skills and experience:

  • Ability to work in a fast-paced startup environment

  • 5+ years of individual technical contributor experience

  • 3+ years of working on Data Science initiatives in clinical or medical economics

  • Experience collaborating effectively with stakeholders

  • Advanced SQL skills

  • Experience with Python or R

  • Equally comfortable building dashboards and reports for KPIs, and doing deep-dive statistical analysis; such as predictive modeling and experimental design to influence the business

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Salary range: $130,000 - $156,000 per year

Our Total Rewards package includes:

  • Employer sponsored health, dental and vision plan with low or no premium

  • Generous paid time off

  • $100 monthly mobile or internet stipend

  • Stock options for all employees

  • Bonus or commission eligibility for all roles

  • Parental leave program

  • 401K program

  • And more....

*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.

The salary and/or hourly range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, years of relevant experience, education, credentials, budget and internal equity).

Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.

As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.

This job is no longer open
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