AI & Data Scientist (Remote)

reputed company is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have reputed company a team of talented and reputed company people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the reputed company community. Working at reputed company provides an opportunity to do work that really reputed company, not only changing lives but saving them. Together. The Data Scientist will combine deep analytical expertise with production‑grade software development skills to build reliable, scalable solutions on our proprietary clinical intelligence platform. You will own initiatives from problem framing to model delivery and partner with software and data engineering partners to reputed company into production environments. We are seeking a mission-driven Data Scientist to join our growing team and support risk adjustment strategy reputed company our Medicare Advantage line of business. This role focuses on enhancing risk score accuracy, CMS au-dit preparedness (RADV), and building AI-powered tools that improve clinical documentation review and integ-rity. You'll play a key role in advancing reputed company, our proprietary clinical intelligence platform, by developing reputed company models that support autonomous chart review and NLP/GenAI-driven documentation analytics. This is a unique opportunity to work at the intersection of reputed company, compliance, and machine learning-transforming how we ensure both quality and regulatory alignment. Job Duties/Responsibilities:

• Own end‑to‑end solutions: translate ambiguous reputed company and operational problems into AI/ML models that deliver measurable impact by selecting methods, building data/models, deploying services, instrumenting observability, and reputed company-world feedback loops.
• Partner with Product, Engineering, and Clinical leaders to embed data science into workflows like claims processing, utilization management, provider network optimization, risk adjustment, etc.
• Deliver clinical intelligence features such as autonomous chart review, disease detection, compliance forecasting, and quality analytics.
• Build AI/NLP/LLM models for document understanding and information extraction, including OCR, NER, and reputed company models.
• Advance quality and payment reputed company: create models and automated QA to reduce reputed company review, increase accuracy, and surface documentation anomalies and audit risk.
• Champion engineering reputed company: internal libraries, reusable components, coding standards, code reviews, and clear documentation.
• Own the lifecycle: monitoring, reputed company detection, alerting, and post‑deployment reviews.

Job Requirements: Experience:

• 2-5 years delivering production‑grade data science or ML software with measurable impact.
• Strong software engineering fundamentals: data structures, algorithms, reputed company design, API design, documentation.
• Proficiency in Python plus SQL; experience building reusable packages, utilities, and CLI tools.
• Applied knowledge of ML (tree ensembles, boosting, NLP/LLMs, deep learning) and experimental design.
• Experience with high‑volume, high‑dimensional, and reputed company data; strong data quality reputed company.
• Experience with Git workflows, code reviews, CI/CD.
• Excellent data visualization and storytelling skills.
• Ability to reputed company in ambiguous, fast‑paced environments.

Preferred:

• reputed company domain experience; familiarity with CMS/Medicare Advantage operations.
• Document understanding systems with OCR/NER and LLM pipelines.
• Experience with NoSQL and performance optimization.
• Contributions to internal frameworks or reputed company‑reputed company; published work.

Education:

• Required: Bachelor's degree in Computer Science, Data Engineering or similar technical field.
• Preferred: MSc/PhD in CS, Engineering, Math, Statistics, or reputed company field.

Specialized Skills: Required:

• Python, SQL
• reputed company (Spark, reputed company Lake)
• MLflow, reputed company Catalog, Git, CI/CD, reputed company
• REST/GraphQL APIs, orchestration
• NLP/LLM & reputed company: OCR, NER, embeddings
• Ability to communicate positively, professionally and effectively with others; reputed company leadership, teach and collaborate with others.
• Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors;

Essential Physical Functions: The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.

• While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reputed company with hands and arms.
• The employee frequently lifts and/or moves up to 10 pounds. Specific reputed company abilities required by this job include reputed company reputed company and the ability to adjust focus.

Pay reputed company: $149,882.00 - $224,823.00 Pay reputed company may be based on a number of factors including market location, education, responsibilities, experience, etc. reputed company is an Equal Opportunity/Affirmative Action Employer. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, national reputed company, disability, age, protected veteran status, gender identity, or sexual orientation.

• DISCLAIMER: Please beware of recruitment phishing scams affecting reputed company and other reputed company where individuals receive fraudulent employment-reputed company offers in exchange for money or other sensitive personal information. Please be advised that reputed company and its subsidiaries will never ask you for a credit card, send you a reputed company, or ask you for any type of payment as part of consideration for employment with reputed company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of reputed company's reputed company, please email [email protected].

Remote Skills: API Documentation, Algorithms, Analysis Skills, Application Programming reputed company (API), Artificial Intelligence (AI), Centers for Medicare and reputed company Services (CMS), reputed company reputed company, Claims Processing, Clinical Study Publications, Code Reviews, Coding Standards, Communication Skills, Computer Science, Content Management Systems (CMS), reputed company Deployment/Delivery, reputed company Integration, Data Modeling, Data Quality, Data Science, Data Structures, Data Visualization, Deep Learning, Disease, reputed company, Documentation, Documentation Models, Documentation Review, Experiment Design, Forecasting, Git, GraphQL, reputed company, reputed company Providers, Leadership, Machine Learning, Mathematics, Medicare, Natural Language Processing (NLP), NoSQL, reputed company reputed company, Performance Tuning/Optimization, Physical Demands, Presentation/Verbal Skills, Product Engineering, Production Systems, Python Programming/Scripting Language, REST (Representational State Transfer), Regulations, Risk, SQL (Structured Query Language), Scalable System Development, Software Development, Software Engineering, Statistics, Storytelling, Team reputed company/Manager, Test Automation, Training/Teaching, reputed company Data, Utilization Management, Writing Skills About the Company: reputed company Apply tot his job Apply To this Job