Senior Health Data Scientist (Payer Claims Data)

Overview: The Senior Health Data Scientist will lead and serve as subject matter expert to highly complex data extracts, programming, and analytical modeling capabilities in support of the team’s services to internal and external clients. The Senior position provides guidance and support as needed to junior staff. The team consists of staff with specialized experience, such as research scientists, health service researchers, health economists, clinicians, and project managers, who conceptualize, execute, and deliver qualitative, analytical, and strategy-based work products for clients. We also work closely with other practices, applying the full scope of the firm’s knowledge base to the development of multi-disciplinary, creative solutions on behalf of our clients.

Business Unit: Insights - Health Data Science Team
This team is the data SME within the Insights BU. Their role is to support teams across the organization to bridge the gap between product and engineering. Assist with translating the high-level product vision from the product owner by:
1) writing detailed logic/algorithm requirements
2) building prototypes
3) best practices consulting, and
4) UAT. This also involves data profiling, data investigation, root-cause analyses, etc.

Duties and Responsibilities:

• Serve as lead when working collaboratively with teams of health services researchers and business analysts to draw insight and intelligence from large administrative claims datasets, electronic medical records and various healthcare registry datasets;
• Identify and develop solutions that can be implemented to key strategic business problems using high-level modeling and statistical analyses techniques;
• Utilize SQL to perform advanced-level data extraction, transformation and data management; fully document and manage library of source code and algorithms for future use;
• Identify, develop and test hypotheses in support of research and product offerings, and communicate findings in a clear, precise, and actionable manner to our clients;
• Respond to and lead highly complex operational data requests and create ad-hoc queries to support research projects;
• Serve as lead when working closely with Inovalon’s Enterprise Data Management, Data Integration, MORE2 Registry®, and iPORT+™ teams to identify, understand, and resolve data issues and improve the efficiency, productivity and scalability of Avalere and Inovalon Product and production data processes;
• Troubleshoot complex production-related issues and coordinate successful resolution;
• Assist with the evaluation of data analytic vendors and tools;
• Maintain compliance with Inovalon’s policies, procedures and mission statement;
• Adhere to all confidentiality and HIPAA requirements as outlined within Inovalon’s Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position;
• Fulfill those responsibilities and/or duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of the Company;
• Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function; and
• We reserve the right to change this job description from time to time as business needs dictate and will provide notice of such.

Job Requirements:

• 5 + years of professional experience in healthcare or pharmaceutical industries working with administrative claims data and big data;
• Strong SQL programming skills in addition to working knowledge and experience using statistical analysis tools such as SAS, R, SPSS, Stata, and/or MatLab;
• Demonstrated problem solving, analytical reasoning and decision-making skills;
• Strong understanding and experience in researching and resolving data issues with a logical, instinctive, and problem-solving mentality working with large, complex and incomplete sources;
• Business analytical skills (process flows, procedures, spreadsheets, modeling, etc.) and good understanding of design and architecture principles;
• Exhibit strong project management skills, with an ability to work independently on multiple projects with competing priorities and a strong commitment to meeting goals and deadlines;
• Understanding of database management tools (e.g., Hadoop, Hive or MapReduce);
• Excellent analytical skills and ability to understand and interpret results based on advanced statistical techniques;
• Strong written and verbal communication skills in IT and business environments; ability to communicate to technical and non-technical audiences;
• Ability to work under minimal supervision in a fast-paced multidisciplinary environment;
• Advanced knowledge of health care, health policy, pharmaceutical, medical device, and related issues;
• Superior customer service in the form of first-rate work product and project management;
• Strong ability to manage challenging client situations;
• Strong ability to troubleshoot and recommend solutions; and
• Strong ability to translate complex information for a wide range of clients.

Education:

• Master’s degree in computer science, machine learning, applied mathematics, econometrics, statistics, engineering, physics, or related discipline; or equivalent combination of education and experience

Physical Demands and Work Environment:

• Sedentary work (i.e. sitting for long periods of time);
• Exerting up to 10 pounds of force occasionally and/or negligible amount of force;
• Frequently or constantly to lift, carry push, pull or otherwise move objects and repetitive motions;
• Subject to inside environmental conditions; and
• Travel for this position will include less than 5% locally usually for training purposes.