Lead Data Scientist
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Sagility
VT
Summary
Collaborate with stakeholders to analyze business requirements and develop data-driven solutions for decision-making. Design and implement predictive models and machine learning algorithms to improve operational efficiency, fraud detection, and customer experience.
Job Description
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.
DUTIES: Collaborate with business stakeholders to understand and analyze business requirements to develop solutions that will assist management with decision-making. Gather and analyze data from various disparate sources, which may include RDBMS, Web APIs or any other customized system. Organize large datasets to extract actionable insights and innovative ways to integrate datasets. Perform exploratory data analysis to analyze datasets and make broad conclusions based on initial evaluations. Evaluate various options in terms of appropriate modelling technique/algorithm and apply the best fit for the overall business and technical environment. Apply predictive modeling and machine learning to improve customer experiences, revenue generation, fraud detection, and cost saving, as well as other business benefits. Design and build meaningful data visualizations that explain model outcomes and link the findings with insights to describe business impact in an effective manner. EOE
REQTS: Must have a Bachelor’s degree or foreign equivalent in Engineering (Any), Data Analytics, or a related field plus five (5) years of experience in the position offered, as a Data Analyst, or a related position. Must have three (3) years of experience with all of the following: Functional domain experience in healthcare; Forming data-driven insights, designing and building analytical solutions, and validating model performance; Developing Machine Learning/AI models, statistical analysis, and data explorative techniques using Python, SAS, PowerBI, Oracle DB, and Excel; Bridging analytical insights to visualizations using dashboards, PowerBI, or Tableau; Structuring and building data-centric solutions; Building predictive models that improve savings and operational efficiency in Payment integrity (pre- and post-payment cycles); Researching and developing machine learning models to identify social determinants for population health management; Determining population health performance by coding and computing HEDIS measures (NCQA), while translating requirements and data-driven insights for annual NCQA certification; and Performing total cost of care assessments for aging populations and determining individuals at high risk for long term care utilization.
Job title:
Lead Data Scientist
Job Description:
EMPLOYER: Sagility LLC
TITLE: Lead Data Scientist
LOCATION: Atlanta, GA, and various and unanticipated locations throughout the U.S. (Must be willing to work anywhere in the U.S. as the position may involve relocation to various and unanticipated client site locations; any relocation to be paid by employer pursuant to internal policy.)
DUTIES: Collaborate with business stakeholders to understand and analyze business requirements to develop solutions that will assist management with decision-making. Gather and analyze data from various disparate sources, which may include RDBMS, Web APIs or any other customized system. Organize large datasets to extract actionable insights and innovative ways to integrate datasets. Perform exploratory data analysis to analyze datasets and make broad conclusions based on initial evaluations. Evaluate various options in terms of appropriate modelling technique/algorithm and apply the best fit for the overall business and technical environment. Apply predictive modeling and machine learning to improve customer experiences, revenue generation, fraud detection, and cost saving, as well as other business benefits. Design and build meaningful data visualizations that explain model outcomes and link the findings with insights to describe business impact in an effective manner. EOE
REQTS: Must have a Bachelor’s degree or foreign equivalent in Engineering (Any), Data Analytics, or a related field plus five (5) years of experience in the position offered, as a Data Analyst, or a related position. Must have three (3) years of experience with all of the following: Functional domain experience in healthcare; Forming data-driven insights, designing and building analytical solutions, and validating model performance; Developing Machine Learning/AI models, statistical analysis, and data explorative techniques using Python, SAS, PowerBI, Oracle DB, and Excel; Bridging analytical insights to visualizations using dashboards, PowerBI, or Tableau; Structuring and building data-centric solutions; Building predictive models that improve savings and operational efficiency in Payment integrity (pre- and post-payment cycles); Researching and developing machine learning models to identify social determinants for population health management; Determining population health performance by coding and computing HEDIS measures (NCQA), while translating requirements and data-driven insights for annual NCQA certification; and Performing total cost of care assessments for aging populations and determining individuals at high risk for long term care utilization.
TRAVEL REQT: 10% domestic and international travel is required to various and unanticipated company and client sites.
SALARY: $141,107 to $147,000 per year
HOURS: 40 hours per week, Monday-Friday
Location:
Work@Home NationWideUnited States of America
Sagility is the foremost expert in healthcare operations with over 25 years of experience across the entire value chain—upstream, midstream, and downstream. We combine deep domain expertise, tech-led transformation, and trusted collaboration to help healthcare organizations achieve operational excellence and deliver better outcomes.
• 𝐃𝐞𝐞𝐩 𝐃𝐨𝐦𝐚𝐢𝐧 𝐄𝐱𝐩𝐞𝐫𝐭𝐢𝐬𝐞: We understand healthcare operations like no one else. Our knowledge is embedded in every process, enabling us to create meaningful value for payers, providers, and other stakeholders.
• 𝐓𝐞𝐜𝐡-𝐋𝐞𝐝 𝐓𝐫𝐚𝐧𝐬𝐟𝐨𝐫𝐦𝐚𝐭𝐢𝐨𝐧: Transformation is more than deploying point solutions or isolated AI use cases. We reimagine end-to-end workflows, architecting integrated designs that drive efficiency, scalability, and innovation.
• 𝐓𝐫𝐮𝐬𝐭𝐞𝐝 𝐂𝐨𝐥𝐥𝐚𝐛𝐨𝐫𝐚𝐭𝐢𝐨𝐧: We build on the trust our clients place in us by fostering a robust ecosystem of partners—including consulting firms, software providers, platform companies, system integrators, and cloud innovators—to deliver comprehensive solutions delivering higher ROI.
At Sagility, we are mastering the art of leading with AI-first mindset that is grounded in compliance powered by the passion of our people to deliver value across the continuum of healthcare operations. With a presence across 5 countries and a strong workforce of nearly 45,000 employees, we bring global scale and expertise to every engagement.
Company size
10,001+ employees
Industry
Information Technology
Org type
Privately Held
Headquarters
Atlanta, Georgia
Sagility is the foremost expert in healthcare operations with over 25 years of experience across the entire value chain—upstream, midstream, and downstream. We combine deep domain expertise, tech-led transformation, and trusted collaboration to help healthcare organizations achieve operational excellence and deliver better outcomes.
• 𝐃𝐞𝐞𝐩 𝐃𝐨𝐦𝐚𝐢𝐧 𝐄𝐱𝐩𝐞𝐫𝐭𝐢𝐬𝐞: We understand healthcare operations like no one else. Our knowledge is embedded in every process, enabling us to create meaningful value for payers, providers, and other stakeholders.
• 𝐓𝐞𝐜𝐡-𝐋𝐞𝐝 𝐓𝐫𝐚𝐧𝐬𝐟𝐨𝐫𝐦𝐚𝐭𝐢𝐨𝐧: Transformation is more than deploying point solutions or isolated AI use cases. We reimagine end-to-end workflows, architecting integrated designs that drive efficiency, scalability, and innovation.
• 𝐓𝐫𝐮𝐬𝐭𝐞𝐝 𝐂𝐨𝐥𝐥𝐚𝐛𝐨𝐫𝐚𝐭𝐢𝐨𝐧: We build on the trust our clients place in us by fostering a robust ecosystem of partners—including consulting firms, software providers, platform companies, system integrators, and cloud innovators—to deliver comprehensive solutions delivering higher ROI.
At Sagility, we are mastering the art of leading with AI-first mindset that is grounded in compliance powered by the passion of our people to deliver value across the continuum of healthcare operations. With a presence across 5 countries and a strong workforce of nearly 45,000 employees, we bring global scale and expertise to every engagement.
Company size
10,001+ employees
Industry
Information Technology
Org type
Privately Held
Headquarters
Atlanta, Georgia