CareFirst BlueCross BlueShield · 7 hours ago
Data Scientist- Value-Based Care Reporting (Hybrid)
CareFirst BlueCross BlueShield is seeking an experienced Data Scientist specializing in Value-Based Care Reporting. The role involves using advanced analytical techniques to solve business problems and support data science initiatives while collaborating with various teams and educating on AI and machine learning.
Health CareNon ProfitService Industry
Responsibilities
Mines and extracts data and applies algorithms to derive insights
Contribute to the analytics, reporting and data governance activity related to Attribution/Roster Management, Grouper and Data Validation, Budget/Target Reporting, Quality/Risk Coding Integration and Cost of Care/Opportunity reporting
Support items like AI implementations, partnerships with our IT/Data Management teams, vendor support (ex: Milliman MedInsight) and other related functions
Explores data to understand the data profile and its limitations
Assists business units in the innovation of organizational performance
Explores data patterns using existing data science tools
Translates business priorities to data science deliverables
Reviews trends in the ML/AI/DS space and assists with integrating new ML/AI designs into solutions and products
Qualification
Required
Bachelor's Degree in Statistics, Mathematics, Computer Science or related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience
3 years of relevant work experience
Ability to work independently without detailed guidance
Ability to communicate effectively and document objectives and procedures
Ability to leverage a variety of data science tools and frameworks
Knowledge in model evaluation, tuning and performance, operationalization, and scalability of scientific techniques
Knowledge of software engineering principles and practices
Proficiency in statistical modeling applications
Preferred
Prior healthcare analytics experience is a must
Experience in domains
Experience with delivering work consistently and transparently to our business partners, both internal and external
Benefits
Comprehensive benefits package
Various incentive programs/plans
401k contribution programs/plans
Company
CareFirst BlueCross BlueShield
CareFirst. It’s not just our name. It’s our promise.
Funding
Current Stage
Late StageLeadership Team
Recent News
2025-10-02
BCBSM, Inc., dba Blue Cross and Blue Shield of Minnesota
2025-09-09
2025-08-07
Company data provided by crunchbase