Principal Data Scientist, Claims & Payment Integrity jobs in United States
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Devoted Health · 4 days ago

Principal Data Scientist, Claims & Payment Integrity

Devoted Health is a healthcare company focused on improving the health and well-being of older Americans. The Principal Data Scientist will lead efforts in Claims and Payment Integrity, building data pipelines and driving payment accuracy initiatives while collaborating with various teams to implement scalable solutions.

Elder CareElderlyHealth Care
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Comp. & Benefits
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H1B Sponsor Likelynote

Responsibilities

Leverage domain knowledge of claims data and provider billing behavior to drive meaningful cost savings and improve operational decision-making
Define high-impact analytical problems in Claims and PI, collaborating with business leads, product managers, engineers, and technical teammates
Collaborate closely with engineering and business partners to ensure scalable, maintainable data pipelines, and determine our most impactful work to scale our payment accuracy program with new opportunities and technology
Scope, communicate, and implement technical solutions collaboratively, delivering value iteratively while independently executing
Advise stakeholders on evaluating and implementing internally developed LLM based agents to improve workflows, and perform data extraction to leverage output of those agents in feature stores and analysis

Qualification

SQLPythonData pipelinesClaims experiencePayment IntegrityStatistical analysisPredictive modelingExperimental designLLM integrationCross-functional collaboration

Required

Ability to thrive in a fast-paced, high-growth environment
7+ years of individual technical contributor experience
Strong background in SQL, with fluency in modern data ecosystems (Snowflake, dbt, Looker, Python)
Skilled at collaborating with cross-functional teams and influencing decisions with data-driven insights
Comfort with both building scalable, maintainable data pipelines, and doing deep-dive statistical analysis, predictive modeling and/or experimental design to drive business strategies

Preferred

Claims, Payment Integrity, or Medical Economics experience, especially in Medicare Advantage
LLM integrated into personal development workflows or to support operations

Benefits

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 eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
Parental leave program
401K program
And more....

Company

Devoted Health

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Devoted Health is a healthcare company serving seniors and giving them a health care plan with personal guides and world-class technology.

H1B Sponsorship

Devoted Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2021 (1)

Funding

Current Stage
Late Stage
Total Funding
$2.26B
Key Investors
Andreessen HorowitzVenrock
2024-08-02Series E· $112M
2023-12-29Series E· $175M
2021-10-08Series D· $1.15B

Leadership Team

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Todd Park
Co-Founder, Executive Chairman
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Adam Baratz
Technologist
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Recent News

Company data provided by crunchbase