Senior Data Scientist - AI Services and Platforms

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Data Science

Senior Data Scientist - AI Services and Platforms

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Senior Data Scientist - AI Services and Platforms

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PA, Working at Home - Pennsylvania

Company :

Highmark Health

Job Description :

JOB SUMMARY

• Entirely Remote Work From Anywhere Role!*

We are seeking an experienced data scientist to join our AI Services and Platforms (AIPS) team and drive the development of innovative AI (generative and predictive) based solutions for our enterprise stakeholders. The AIPS team is a critical enabler of AI-driven innovation within the company, functioning as an internal service provider to deliver cutting-edge AI solutions and infrastructure. In this role, you will be instrumental in translating business needs into AI solutions that align with strategic goals and enable long-term success across the organization.

As a Senior Data Scientist, you will leverage your expertise in AI and data to solve diverse business challenges. You will design and build best-in-class AI and agent evaluation capabilities, acting as a technical subject matter expert within cross-functional teams including Business Stakeholders, Data Science, Engineering, Responsible AI & Governance, and Product. You will be essential in laying the foundational R&D work for responsible and scalable AI solutions.

The ideal candidate will have a proven track record of successfully applying Generative AI and Predictive AI to solve complex business problems. This role will play a pivotal role in driving our organization"s digital transformation by harnessing the power of Generative AI and data science to extract valuable insights from vast and diverse datasets. We are looking for an individual with a deep understanding of AI techniques, as well as strong data science and problem-solving skills. A successful candidate will have experience with designing and implementing end-to-end evaluations of AI/ML solutions, incorporating principles of Responsible AI and building robust evaluation pipelines. Candidates should also have a strong interest in research and development and be eager to explore new ideas and contribute to the advancement of AI, GenAI, and agentic AI in the healthcare technology space. This role requires a professional dedicated to staying on top of the latest Gen AI research like RAG, fine-tuning, agents, etc., and is adept at applying them to create innovative products and services. The candidate will also be an excellent communicator, who is able to clearly articulate their findings to business stakeholders.

ESSENTIAL RESPONSIBILITIES

• Work directly with the business to understand their business processes and aims, then identify how analytical solutions could help deliver value for them. This would include being accountable for:
• Outlining complex new use cases + creating high level impact estimates
• Identifying data elements needed and where to get them (including proxies)
• Assembling data sets independently using knowledge of Highmark operational and analytic data structures
• Deliver the analytical solution to a complex business problem
• Documenting objectives, assumptions and processes in line with our standards
• Select and apply the appropriate advanced modeling/machine learning techniques to these data sets to deliver business insight, ensuring that the final analysis is well researched, accurate, and documented. This requires: Experience with a substantial number of advanced analytical techniques and proficiency in a few, evidenced by in-depth knowledge and delivery record (for example regression models, tree-based learning, neural networks, clustering techniques, natural language processing)
• Consult with the business to contextualize and translate the results of our analysis in a form which the business can understand and act upon. This will include: Written reports, presentation and data visualizations, and draws clear lines between the high-level problem specifications for colleagues and stakeholders, the analyses performed, and how the results link directly back to business objectives, and work with colleagues to deliver implementation which drives frontline workflow.
• Plan, prepare and deliver/coordinate all elements of the analysis at the direction of a manager in such a way that it is delivered on time, to a high standard and ready to implement on a production basis (including dissemination through the Organization"s user systems). This includes identifying the best route to implementation (developing the analytical solution accordingly).
• Research self- directed new analytical skills and approaches, building relationships internally and externally to transfer knowledge and maintain their position as subject matter experts, consult with fellow data scientists and analysts to guide analysis and deliver larger projects.
• Other duties as assigned or requested.

EDUCATION

Required

• Master"s Degree in Analytics, Mathematics, Physics, Computer and Information Science, Engineering or closely related field OR Bachelor"s degree in Analytics, Mathematics, Physics, Computer and Information Science, Engineering plus 3 years of experience in lieu of Master"s degree

Preferred

• None

EXPERIENCE

Required

• 2 years Data Science
• 0 (if PhD Education)

Preferred

• Ability to stay abreast of the latest research in the field and identify new opportunities for innovation, experiment with new approaches and contribute to the development of novel applications of Generative AI and AI agents.
• 3+ years of experience with using Python for AI/ML development
• Any experience with developing and deploying AI/ML models on AWS Sagemaker, Azure ML, Vertex AI (preferred)
• Experience or knowledge in building applications that leverage LLMs as a service, like Vertex AI LLM APIs (Gemini), Azure OpenAI API, Amazon Bedrock, OpenAI API (e.g., GPT-3.5, GPT-4), and/or Anthropic Claude API.
• Familiarity with LLM orchestration tools like LangChain, llamaindex for developing RAG based applications.
• Experience with designing and implementing end-to-end evaluations of AI/ML solutions, incorporating principles of Responsible AI and building evaluation pipelines
• Ability to think creatively and collaborate to apply AI to solve business problems with multiple capabilities, including experience design, change management, and process reengineering.
• Excellent communication and presentation skills to explain AI solutions to stakeholders

LICENSES AND CERTIFICATIONS

Required

• None

Preferred

• None

SKILLS

• Analysis of business problems/needs
• Analytical and Logical Reasoning/Thinking
• Collaborative Problem Solving
• Data Analysis with SQL, BigQuery
• Statistical Analysis with Python, R
• Written & Oral Presentation Skills
• Basic proto-typing/front end skills

Language (other than English)

None

Travel Requirement

0% - 25%

PHYSICAL, MENTAL DEMANDS AND WORKING CONDITIONS

Position Type

Office-Based

Teaches / trains others regularly

Rarely

Travel regularly from the office to various work sites or from site-to-site

Never

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

No

Lifting: up to 10 pounds

Frequently

Lifting: 10 to 25 pounds

Ocassionally

Lifting: 25 to 50 pounds

Rarely

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

$102,700.00

Pay Range Maximum:

$164,600.00

Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

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Job Details

• Job category Data Science
• Position Type Full Time
• Posted 04/29/2026
• Location(s) PA, Working at Home - Pennsylvania
• Line of Business
• Entity
• Recruiter
• Hiring Manager
• Experience Level
• Job Family Data Science-HM
• Req ID J280112

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Highmark Health is an independent licensee of the Blue Cross Blue Shield Association.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org.

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