Data Scientist III bei Medimpact

Summary

MedImpact is leading the way in helping our clients and running our operations by leveraging the power of data and analytics. We are looking for a Data Scientist III who will contribute to creating innovative solutions and developing groundbreaking products.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

• Process and analyze structured and unstructured data, perform statistical modeling, and develop predictive analytics for various use cases such as drug spend forecasting, insurance plan performance optimization, medication fraud/waste/abuse detection and prevention, preventive care, and personalized treatment planning.
• Fine-tune and customize LLMs to simplify manual processes in healthcare systems, e.g., prior authorization rule extraction from guideline documents, data exchange file checking and error handling.
• Collaborate with domain experts to validate results and model performance.
• Develop and test code at all layers to make AI systems work end to end.
• Participate in design and code reviews and incorporates review feedback. 
• Deploy and integrate AI systems into production environment.
• Build and maintain workflow frameworks that ensure AI performance monitoring and automated feedback loop for continuous improvement.
• Be curious and learn new technologies, keep skills current, stay on top of the industry’s best practices.
• Assist in mentoring and training less experienced team members.

Supervisory Responsibilities        

No supervisory responsibilities

Client Responsibilities

This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written).  One must be able to; manage difficult or emotional client situations; Respond promptly to client needs; Solicit client feedback to improve service; Respond to requests for service and assistance from clients; Meet commitments to clients.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience

BS/BA in Computer Science, Data Science, Statistics or related discipline and 6+ years’ experience or equivalent combination of education and experience, and 2 years of SME in respective areas.

Computer Skills

• Experience in developing and operating large-scale machine learning solutions.
• Experience with deep learning frameworks such as Pytorch, TensorFlow, MLP, Large Language Models, Generative AI, LangChain, HuggingFace.
• Exposure in Gen AI like transformers, LLMs, text embeddings.
• Experience in fine-tuning and customizing LLMs for healthcare use cases, e.g., extracting rules from prior authorization guideline documents.
• Familiarity with healthcare data and systems.
• Knowledge of prior authorization and pharmacy benefit adjudication processes.

Certificates, Licenses, Registrations

None required.

Other Skills and Abilities

• 5+ years of experience in statistical modeling, data wrangling, machine learning, and AI technologies.
• Extensive experience in database, SQL, and one or more programming languages like Python or Java.
• Thorough knowledge of data science methodology, software development life cycle, and agile development best practices.
• Solid understanding of AI/ML/NLP principles, specifically with generative models.
• Experience with AI automation platforms.
• Knowledge of reinforcement learning in addition to supervised and unsupervised machine learning paradigms.
• Excellent problem-solving skills, with the ability to think critically and creatively to develop innovative AI solutions.
• Strong communication skills, with the ability to effectively convey complex technical concepts to a diverse audience.
• Ability to prioritize and plan tasks to deliver results on time.

Reasoning Ability                                

• Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.

• Ability to define problems, collect data, establish facts, and draw valid conclusions.

Mathematical Skills     

• Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry. 

• Ability to apply mathematical operations to such tasks as frequency distribution, determination of test reliability and validity, analysis of variance, correlation techniques, sampling theory, and factor analysis.

Language Skills    

• Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents.    

• Ability to read, analyze, and interpret the most complex documents.   

Competencies To perform the job successfully, an individual should demonstrate the following competencies:

Composure

Decision Quality

Organizational Agility

Problem Solving

Customer Focus

Drive for Results

Peer Relations

Time Management

Dealing with Ambiguity

Learning on the Fly

Political Savvy

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee is regularly required to stand; walk; use hands to finger, handle, or feel and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

This position may regularly be exposed to or encounter moving mechanical parts, high, precarious places, fumes or airborne particles, toxic or caustic chemicals, outdoor weather conditions, risk of electrical shock or vibration. The noise level in the work environment is usually moderate (examples: business office with computers and printers, light traffic).

Work Location

This position must work on-site at the San Diego Headquarters for purposes of providing adequate support to internal clients; being available for face-to-face interactions and coordination of work with other employees, colleagues, clients, or vendors; as well as for facilitation of quick and effective decisions through collaboration with stakeholders.  Remote work is not an option for these purposes.

Working Hours

This is an exempt level position requiring the incumbent to work the hours required to fully accomplish job responsibilities and reasonably meet deadlines for work deliverables. The individual must have the flexibility to work beyond traditional hours and be able to work nights, at weekends or on holidays as required.  Work hours may be changed from time to time to meet the needs of the business.  Typical core business hours are Monday through Friday from 8:00am to 5:00pm.

Travel

This position requires domestic travel of up to 10% of the time.