Data Science & AI Manager – NLP is required

• Stay updated on the latest trends in NLP, Generative AI, and healthcare informatics, integrating these advancements into the team’s projects to drive continuous innovation
• Utilize NLP algorithms and other deep learning techniques to process and analyze unstructured healthcare data, such as clinical notes, patient feedback, and medical literature, to extract meaningful insights
• Lead a team specializing in NLP and predictive analytics, ensuring the successful delivery of projects that align with organizational goals
• Work closely with interdisciplinary teams across IT, risk adjustment, program integrity, HEDIS, healthcare operations, finance, and clinical departments to identify and capitalize on opportunities for data-driven innovative solutions using cutting-edge emerging technologies
• Develop and implement predictive models, algorithms, and statistical techniques to extract insights from large and complex healthcare datasets
• Utilize machine learning algorithms to identify patterns, trends, and opportunities for improving operational efficiency, cost containment, and patient care
• Conduct rigorous data analysis, including data cleansing, feature engineering, and exploratory data analysis, to derive meaningful insights and actionable recommendations
• Collaborate with stakeholders to define key performance indicators (KPIs), develop metrics, and create dashboards and reports that effectively communicate insights and support decision-making
• Provide strategic guidance and recommendations to senior leadership based on data analysis and predictive modeling results
• Ensure compliance with data privacy and security regulations and maintain the highest standards of data integrity
• Lead cross-functional projects as a hands-on leader, with occasional light project management across teams to deliver results
• Lead by example – motivating, mentoring, and collaborating with teammates to further the department’s objectives
• Represent the department in project meetings and other meetings that require subject matter knowledge and input
• Perform any other job duties as requested

• Bachelor’s Degree in Data Science, Mathematics, Statistics, Engineering, Computer Science, other related field, or equivalent years of relevant work experience is required
• Master’s degree or PhD is preferred
• Minimum of eight (8) years of experience in predictive analytics, data science, or a related field, preferably within the healthcare industry or managed care organizations required
• Minimum of five (5) years of experience in the healthcare industry required
• Minimum of one (1) year of experience with cloud services (such as Azure, AWS or GCP) and modern data stack (such as Databricks or Snowflakes) is required
• Minimum of one (1) years of experience in development and deployment of an NLP and Generative AI solution in the healthcare industry is required
• Project management experience preferred

• Strong expertise in statistical modeling, machine learning techniques, and predictive analytics tools such as Python, or R
• Expert in data manipulation, data visualization, and SQL for data extraction and analysis
• Expert in MS office (Excel, PowerPoint, Word, Access)
• Ability to perform advanced statistical analysis and modeling such as liner and non-liner regression, sampling, and Markov chains
• Expertise in emerging technologies and tools such as large language models, natural language understanding, sentiment analysis, named entity recognition, topic modeling, and text classification
• Expertise in Optical Character Recognition (OCR) technologies, including data extraction from scanned documents, forms, and invoices, and proficiency in OCR tools and libraries
• Experience with web app and API development and deployment in production environment
• Detailed knowledge of healthcare data, including medical and pharmacy claims, EMR data, HIE data, UM data, and demographic and population data
• Knowledge of healthcare operations, payer and provider models, and industry trends
• Proficient in feature engineering techniques and exploratory data analysis
• Knowledge of optimization techniques and artificial intelligence methods
• Excellent analytical, problem-solving, and critical-thinking skills, with the ability to translate complex data into actionable insights
• Strong project management skills, with the ability to lead and prioritize multiple projects simultaneously in a fast-paced environment
• Excellent written and verbal communication and presentation skills, with the ability to convey technical concepts to non-technical stakeholders
• Leadership qualities, including the ability to mentor and develop a team, foster collaboration, and drive results
• Comfortable reading academic research papers and applying them in the models

• None

• General office environment; may be required to sit or stand for extended periods of time

$108,600.00 – $190,000.00

Salary

• Create an Inclusive Environment
• Cultivate Partnerships
• Develop Self and Others
• Drive Execution
• Influence Others
• Pursue Personal Excellence
• Understand the Business