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PwC brand and mid-level manager title increase competition, but niche payer healthcare specialization limits applicant pool.
Heavy payer healthcare, NCQA/CMS, and claims data expertise limits cross-industry transferability.
Explicit minimum six years of data science/ML experience and healthcare payer domain expectations enforce strict shortlisting.
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Lead application of advanced data science and machine learning to large-scale healthcare claims, clinical, and member data to identify cost reduction and health improvement opportunities.
Manage client accounts, lead teams, mentor junior staff, and ensure successful project execution with quality standards.
Collaborate with industry leaders to develop innovative healthcare analytics products and present findings to senior stakeholders including Chief Actuaries.
Bachelor's Degree required.
Minimum 6 years of experience in data science and machine learning.
Ability to travel up to 80%.
Work Experience Required: At least 6 years in data science and machine learning.
Master's degree in Statistics, Computer Science, Applied Mathematics, or Biotechnology preferred.
Prior consulting or advisory firm experience preferred, indicating familiarity with client-facing environments and strategic planning.
Experience with healthcare payer analytics, especially knowledge of NCQA HEDIS, CMS Star Ratings, government payer programs, Medicaid, NLP, clinical text, or social determinants of health integration.