LivantaLLC · 8 hours ago
Data Scientist- Medicare Part C
Annapolis Junction, MD
Full-time
Remote
Mid Level
3+ years exp
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Responsibilities
Analyze large datasets related to Medicare Part C to identify trends, patterns, and anomalies indicative of FWA.
Conduct statistical analyses and develop predictive models to support investigations and enhance program integrity.
Utilize machine learning techniques to detect and prevent fraudulent activities.
Collect, clean, and preprocess data from various sources to ensure data quality and integrity.
Maintain and update databases and data systems as necessary.
Create detailed reports and visualizations to communicate findings to stakeholders, including technical and non-technical audiences.
Present data insights and recommendations to CMS leadership and other relevant parties.
Work closely with cross-functional teams, including policy analysts, healthcare professionals, and IT specialists, to support data-driven decision-making.
Provide technical assistance and training to team members on data analysis tools and methodologies.
Ensure compliance with all relevant data privacy and security regulations, including HIPAA.
Implement best practices for data governance and management.
Qualification
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Required
Minimum of 3 years of experience in data science, with a focus on healthcare data analysis.
Experience in supporting data analysis within the context of fraud, waste, abuse, and investigations.
Proven experience working with Medicare Part C data.
Familiarity with CMS data systems and regulatory requirements.
Proficiency in programming languages such as Python, R, and SQL.
Experience with data visualization tools like Tableau, Power BI, or similar.
Knowledge of machine learning techniques and statistical modeling.
Familiarity with big data technologies such as Hadoop, Spark, and cloud platforms (e.g., AWS, Azure).
Strong analytical and problem-solving skills.
Excellent communication and presentation skills.
Ability to work independently and as part of a team.
Attention to detail and a commitment to data accuracy.
Experience with Medicare Advantage (Part C) risk adjustment and payment model.
Knowledge of healthcare policy and regulatory environments.
Certification in data science or related fields.
Bachelor’s degree in Data Science, Statistics, Computer Science, Applied Mathematics, or a related field.
Excellent written and verbal communication skills required.
Strong statistical and data analytical ability and problem-solving skills required.
Ability to manage others and work as a team member by maintaining good working relationships with co-workers, management, and customers.
Preferred
Master’s degree preferred.
Company
LivantaLLC
Livanta is a technology-enabled organization that touches key facets of the journeys of patients and caregivers through the healthcare system.
201-500 employees
Funding
Current Stage
Growth StageTotal Funding
unknown2024-11-13Acquired· undefined
Leadership Team
Roger Hebden
Chief Executive Officer
Randall Severy
Chief Technology Officer
Recent News
Washington Technology
2024-11-14
2023-03-04
Company data provided by crunchbase
