We’re a health insurance company that acts like a technology company. We’re using software, data science and telemedicine to make health insurance more affordable, easier to access and more of a delightful experience
Job Title: Data Scientist
Reports To: Team Lead, Claims and Analytics
Expected Start Date: Q2 2020
Key Responsibilities
Identifying, analyzing, and interpreting claims, provider and enrollee data trends or patterns based on past or historical data
Collate and interpret data, analyzing results from varied sources
Generates periodic reports (daily, weekly and monthly) such as Claims frequency reports, Provider Quality Assurance reports, Enrollee / Client usage reports etc. as may be required by the management team.
Monitor Claims team performance relative to set targets by tracking MLRs and reporting to the Business
Research and develop statistical learning models for claims data analysis
Collaborate with product management and engineering departments to understand company needs and devise possible solutions
Keep up-to-date with latest technology trends that has direct impact on claims management and claims data analytics
Implement new statistical or other mathematical methodologies as needed for specific models or analysis
Optimize joint development efforts through appropriate database use and project design
Selecting features, building and optimizing classifiers using machine learning techniques
Data mining using state-of-the-art methods
Extending company’s data with third party sources of information when needed
Enhancing data collection procedures to include information that is relevant for building analytic systems
Processing, cleansing, and verifying the integrity of data used for analysis
Doing ad-hoc analysis and presenting results in a clear manner
Creating automated anomaly detection systems and constant tracking of its performance
Perform any other duty as may be communicated by Management Team.