- Career Center Home
- Search Jobs
- Data Scientist IV - Medicare, ACA, Risk Adjustment
Results
Job Details
Explore Location
Kaiser
Oakland, California, United States
(on-site)
Posted
1 day ago
Kaiser
Oakland, California, United States
(on-site)
Job Type
Full-Time
Data Scientist IV - Medicare, ACA, Risk Adjustment
The insights provided are generated by AI and may contain inaccuracies. Please independently verify any critical information before relying on it.
Data Scientist IV - Medicare, ACA, Risk Adjustment
The insights provided are generated by AI and may contain inaccuracies. Please independently verify any critical information before relying on it.
Description
Remote from any KP location in CA, OR, CO, WA, GA, MD, VA, HI or D.C. Only.** PLEASE NOTE: Salary ranges are geographically based and the posted range reflects the Northen CA region. Lower salary ranges will apply for other labor markets outside of NCAL
Overview:
The Prospective Risk Adjustment Operations team is seeking a Data Scientist to support scoping, deploying, and reporting out on projects to support prospective risk adjustment projects. This pivotal role will support the development of foundational reporting and analytical frameworks crucial for identifying and prioritizing prospective risk initiatives, developing and supporting comprehensive reporting and insightful visualization of opportunities and outcomes, and directly supporting strategic decision-making and operational excellence. Ideal candidates will possess robust analytical skills and a proven ability to translate complex data into actionable business intelligence within a dynamic healthcare environment. This position offers a significant opportunity to contribute to the organization's continued success in risk adjustment.
This role requires a background in technical coding (i.e SQL, Python, R etc.) or other statistical modeling programs. Familiarity with data science disciplines (i.e machine learning, predictive analytics, data visualization etc.), data modeling is preferred.
Job Summary:
This individual contributor is primarily responsible for designing and developing data pipelines and automation for data acquisition and ingestion of raw data from multiple data sources and data formats by transforming, cleansing, and storing data for consumption. This role is also responsible for developing detailed problem statements outlining hypotheses and their effect on target clients/customers, analyzing and investigating complex data sets and summarizing key characteristics, selecting, manipulating and transforming data into features used in machine learning algorithms, training statistical models, deploying and maintaining reliable and efficient models through production, verifying model performance, and collaborating with internal and external stakeholders across domains to develop and deliver statistical driven outcomes.
Essential Responsibilities:
- Promotes learning in others by proactively providing and/or developing information, resources, advice, and expertise with coworkers and members; builds relationships with cross-functional/external stakeholders and customers. Listens to, seeks, and addresses performance feedback; proactively provides actionable feedback to others and to managers. Pursues self-development; creates and executes plans to capitalize on strengths and develop weaknesses; leads by influencing others through technical explanations and examples and provides options and recommendations. Adopts new responsibilities; adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; champions change and helps others adapt to new tasks and processes. Facilitates team collaboration to support a business outcome.
- Completes work assignments autonomously and supports business-specific projects by applying expertise in subject area and business knowledge to generate creative solutions; encourages team members to adapt to and follow all procedures and policies. Collaborates cross-functionally and/or externally to achieve effective business decisions; provides recommendations and solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Supports the development of work plans to meet business priorities and deadlines; identifies resources to accomplish priorities and deadlines. Identifies, speaks up, and capitalizes on improvement opportunities across teams; uses influence to guide others and engages stakeholders to achieve appropriate solutions.
- Develops detailed problem statements outlining hypotheses and their effect on target clients/customers by defining scope, objectives, outcome statements and metrics.
- Designs and develops data pipelines and automation for data acquisition and ingestion of raw data from multiple data sources and data formats by transforming, cleansing, and storing data for consumption by downstream processes; writing and optimizing diverse SQL queries; and demonstrating advanced knowledge of database fundamentals.
- Analyzes and investigates complex data sets and summarizes key characteristics by employing data visualization methods; and determining how best to manipulate data sources to discover patterns, spot anomalies, test hypotheses, and/or check assumptions.
- Selects, manipulates, and transforms data into features used in machine learning algorithms by leveraging techniques to conduct dimensionality reduction, feature importance, and feature selection.
- Trains statistical models by using algorithms and data mining techniques; testing models with various algorithms to assess the input dataset and related features; and applying techniques to prevent overfitting such as cross-validation.
- Deploys and maintains reliable and efficient models through production.
- Verifies model performance by demonstrating expertise in the practice of a variety of model validation techniques to assess and discriminate the goodness of model fit; and leveraging feedback and output to manage and strengthen model performance.
- Collaborates with internal and external stakeholders across domains to develop and deliver statistical driven outcomes by delivering insights and values from heterogeneous data to investigate complex problems for multiple use cases; driving informed decision-making; and presenting findings to both technical and non-technical audiences.
- Minimum three (3) years experience working with Exploratory Data Analysis (EDA) and visualization methods.
- Minimum three (3) years machine learning and/or algorithmic experience.
- Minimum three (3) years statistical analysis and modeling experience.
- Minimum three (3) years programming experience.
- Minimum one (1) year experience in a leadership role with or without direct reports.
- Bachelors degree in Mathematics, Statistics, Computer Science, Engineering, Economics, Public Health, or related field AND Minimum five (5) years experience in data science or a directly related field. Additional equivalent work experience in a directly related field may be substituted for the degree requirement. Advanced degrees may be substituted for the work experience requirements.
- Knowledge, Skills, and Abilities (KSAs): Advanced Quantitative Data Modeling; Algorithms; Applied Data Analysis; Data Extraction; Data Visualization Tools; Machine Learning; Relational Database Management; Microsoft Excel; Design Thinking; Business Intelligence Tools; Data Manipulation/Wrangling; Data Ensemble Techniques; Feature Analysis/Engineering; Open Source Languages & Tools; Model Optimization; Strategic Thinking; Deep Learning/Neural Networks; Project Management
Preferred Qualifications:
- One (1) year experience working with Kubernetes.
- One (1) year experience working with Docker.
Primary Location: California,Oakland,Ordway
Scheduled Weekly Hours: 40
Shift: Day
Workdays: Mon, Tue, Wed, Thu, Fri
Working Hours Start: 08:00 AM
Working Hours End: 05:00 PM
Job Schedule: Full-time
Job Type: Standard Worker Location: Flexible
Employee Status: Regular
Employee Group/Union Affiliation: NUE-PO-01|NUE|Non Union Employee
Job Level: Individual Contributor
Department: MSSA Admin Offices - Medicare LOB Admin - 0308
Pay Range: $166100 - $214940 / year Kaiser Permanente is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not include the value of our total rewards package. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills and geographic location along with a review of current employees in similar roles to ensure that pay equity is achieved and maintained across Kaiser Permanente. Travel: Yes, 5 % of the Time Flexible: Work location is on-site at a KP location, with the flexibility to work from home. Worker location must align with Kaiser Permanente's Authorized States policy. Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.
Requisition #: 1395713
bx2d9wfr1
Job ID: 81664685

Kaiser
California
,
United States
Kaiser Permanente's mission is to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve.
View Full Profile
More Jobs from Kaiser
Physical Therapist, Outpatient Ortho/MSK, Part Time, 32 Hours
Sacramento, California, United States
7 hours ago
Clinical Lab Scientist
North Hollywood, California, United States
7 hours ago
Administrative Coordinator III
Harbor City, California, United States
7 hours ago
