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[Remote] Healthcare Statistical Data Scientist

Work from home Full-time role Hiring

Note: The job is a remote job and is open to candidates in USA. SmartLight Analytics is focused on improving cost efficiency and care quality in healthcare through advanced analytics. They are seeking a Healthcare Statistical Data Scientist to design, build, and deploy machine learning models that transform healthcare claims data into actionable insights.

Responsibilities

  • Develop, train, and deploy ML models for use cases such as:
  • Claims cost prediction and utilization forecasting
  • Fraud, waste, and abuse detection
  • Risk adjustment and member stratification
  • Provider performance and network optimization
  • Apply modern ML techniques including gradient boosting, deep learning, NLP, and probabilistic modeling
  • Capable of applying advanced predictive analytics to correlate disparate datasets and events and derive business value
  • Build scalable pipelines for feature engineering, model training, validation, and monitoring
  • Analyze and interpret medical, pharmacy, and dental claims (CPT/HCPCS, ICD‑10, DRG, NDC)
  • Translate domain knowledge into meaningful features and model strategies
  • Partner with clinicians, product managers, and business stakeholders to define problems and measure outcomes
  • Communicate complex analytical findings in clear, actionable terms

Skills

  • Strong proficiency in Python and ML libraries (scikit‑learn, XGBoost, TensorFlow/PyTorch)
  • Hands‑on experience with healthcare claims datasets and coding systems
  • Solid understanding of statistical modeling, machine learning algorithms, and data mining techniques
  • Strong knowledge and expertise working with SQL
  • Ability to translate business needs into analytical solutions
  • Must have demonstrated the ability to solve complex problems with minimal direction
  • Experience with NLP applied to clinical notes or unstructured healthcare data
  • Familiarity with actuarial concepts, risk scoring, or value‑based care models
  • Familiarity deploying models into production (MLOps, CI/CD)
  • Background in health economics, epidemiology, or biostatistics
  • Prior work with FHIR, HL7, or interoperability standards

Company Overview

  • SmartLight Analytics reduces health care costs for self-funded employers with analytics and results-oriented solutions. It was founded in 2016, and is headquartered in Plano, Texas, USA, with a workforce of 2-10 employees. Its website is https://smartlightanalytics.com.
  • Company H1B Sponsorship

  • SmartLight Analytics has a track record of offering H1B sponsorships, with 1 in 2024. Please note that this does not guarantee sponsorship for this specific role.
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