Are you ready to make a difference? Choose to work for one of the most trusted companies in Kansas.
You Belong At Blue
Why Join Us?
Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans.
FamilyComes First: Total rewards package that promotes the idea of family first for all employees. Paid vacation and sick leave with paid maternity and paternity available immediately upon hire
Professional Growth Opportunities: Advance your career with ongoing training and development programs.
Dynamic Work Environment: Collaborate with a team of passionate and driven individuals in a work environment that promotes flexibility.
Trust and Stability: Work for one of the most trusted companies in Kansas with over 80 years of commitment, compassion and community.
Inclusive Work Environment: We pride ourselves on fostering a workplace where everyone is valued and respected.
Benefits & Perks
Base compensation is only one component of your competitive Total Rewards package
Incentive pay program (EPIP)
Health/Vision/Dental insurance
6 weeks paid parental leave for new mothers and fathers
Fertility/Adoption assistance
2 weeks paid caregiver leave
401(k) plan matching up to 5%
Tuition reimbursement
Health & fitness benefits, discounts and resources
Job Summary
The Risk Adjustment Data Scientist is responsible for analyzing and interpreting complex data, developing models and algorithms, and deriving actionable insights to support the business. The Data Scientist will work closely with cross-functional teams to understand business needs and deliver data-driven solutions.
What you'll do
Data Analysis & Interpretation: Analyze large and complex data sets from various sources to identify trends, patterns, and correlations. Translate data findings into actionable insights and recommendations.
Model Development: Develop, test, and deploy predictive and prescriptive models and scenario forecasting using machine learning and statistical techniques. Continuously evaluate and improve model performance.
Data Visualization: Create compelling data visualizations and dashboards to communicate findings and insights to both technical and non-technical stakeholders.
Collaborate & Communicate: Work with business stakeholders to understand their needs and translate them into data-driven solutions. Present findings and recommendations in a clear and concise manner. Support teammates by maintaining up-to-date, thorough, and clear documentation on data sources, preparation processes, mathematical models, dashboards, and other business intelligence activities.
Data Management: Ensure data quality, integrity, and security. Develop and implement processes for data collection, cleaning, and preparation.
Research & Innovation: Stay current with the latest industry trends, tools, and technologies. Explore and implement new methodologies to enhance data analysis capabilities.
Data Submission: Ensure accurate and timely collection of all risk adjustment data in compliance with applicable regulatory guidelines. Validate the completeness and integrity of data prior to submission, including diagnoses, demographic information, and provider documentation. Coordinate with internal teams and external partners to resolve data discrepancies or errors identified during the submission process.
What you need
Education and Experience:
High school diploma or equivalent required. Bachelor's degree in computer science, statistics, mathematics, engineering, or a related field preferred. In lieu of degree, a minimum of an additional 3 years' experience as a data analyst, data scientist, or related role required.
Minimum of 3 years' experience as a data analyst, data scientist, or related role required.
Experience with and knowledge of the healthcare delivery system and the health insurance industry preferred.
Master's degree preferred.
Experience with the federal risk adjustment model and CMS (Centers for Medicare and Medicaid Services) reporting requirements preferred.
Familiarity with EDGE (external data gathering environment) server hardware and software specifications and experience with EDGE server data submissions preferred.
Understanding of data warehousing concepts and best practices preferred.
Knowledge/Skills/Abilities
Technical Skills: Proficiency in programming languages such
Numbers & Facts
Location
Topeka, Kansas
Skills
Algorithmsunmatched
Analysis Skillsunmatched
Best Practicesunmatched
Business Intelligenceunmatched
Business Supportunmatched
Centers for Medicare and Medicaid Services (CMS)unmatched
Communication Skillsunmatched
Computer Scienceunmatched
Continuous Improvementunmatched
Cross-Functionalunmatched
Data Analysisunmatched
Data Cleaningunmatched
Data Collectionunmatched
Data Managementunmatched
Data Modelingunmatched
Data Processingunmatched
Data Qualityunmatched
Data Scienceunmatched
Data Setsunmatched
Data Visualizationunmatched
Data Warehousingunmatched
Demographicsunmatched
Dental Insuranceunmatched
Documentationunmatched
EDGE (Enhanced Data for GSM Evolution)unmatched
Fitnessunmatched
Forecastingunmatched
Health Insuranceunmatched
Healthcareunmatched
High School Diplomaunmatched
Identify Issuesunmatched
Incentive Programsunmatched
Industry/Trade Analysisunmatched
Machine Learningunmatched
Mathematical Modelingunmatched
Mathematicsunmatched
Needs Assessmentunmatched
Performance Managementunmatched
Performance Modelingunmatched
Predictive Modelingunmatched
Problem Solving Skillsunmatched
Process Modelingunmatched
Programming Languagesunmatched
Regulatory Complianceunmatched
Reporting Dashboardsunmatched
Riskunmatched
Risk Modelingunmatched
Server Hardwareunmatched
Software Specificationunmatched
Statisticsunmatched
Team Playerunmatched
Test Plan/Scheduleunmatched
Time Managementunmatched
Training Programunmatched
Training/Teachingunmatched
Trend Analysisunmatched
Vision Planunmatched
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