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. Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members.