Blue Cross Blue Shield of Massachusetts

Data Scientist

Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Mathematics, Statistics, Data Science, Economics, Healthcare Analytics, or related field required; Master's preferred.
  • 5+ years of professional experience in data science, healthcare analytics, or a related field.
  • Proficiency in SQL, Python and/or R for data extraction, manipulation, and modeling.
  • Experience with data visualization tools (e.g., Tableau, Power BI).
  • Strong analytical and problem-solving skills with attention to detail.
  • Excellent communication skills to distill complex analyses into clear insights.

Responsibilities

  • Analyze large datasets to identify drivers of healthcare cost trends and profitability.
  • Design and execute statistical models and predictive analytics for financial projections.
  • Create clear data visualizations and communicate actionable recommendations.
  • Lead cross-functional analytic projects from design through implementation.
  • Partner with various teams to align analytics with business strategy.

Benefits

  • Comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k).
  • Eligibility for variable pay based on performance.
  • Suite of well-being benefits available to employees.
Full Job Description


The Financial and Evaluation Measurement team is seeking a Data Scientist with strong technical expertise and a background in a quantitative discipline. In this role, you'll work with large, complex healthcare datasets to project and evaluate the financial impact of policy changes, clinical programs, and third-party solutions. You'll design analytical models and compelling visualizations that inform key business decisions, helping shape strategies to lower costs and improve the quality of care for our members.

This role is eligible for our Flex Persona, with candidates local to our Boston or Hingham office preferred.

Your Day to Day
  • Analyze large, complex datasets from a robust Enterprise Data Warehouse to identify drivers of healthcare cost trends, market pressures, and profitability.
  • Design and execute advanced statistical models and predictive analytics to inform financial projections and evaluate cost/benefit of business initiatives.
  • Create clear, compelling data visualizations and communicate actionable recommendations that reduce healthcare costs and improve member outcomes.
  • Lead cross-functional analytic projects from design through implementation, ensuring consistent representation of financial performance across the organization.
  • Partner closely with teams including Payment Integrity, Health and Medical Management, Provider Contracting, and others, to ensure alignment between analytics and business strategy.


We're Looking For
  • Bachelor's degree in Mathematics, Statistics, Data Science, Economics, Healthcare Analytics, or related field required. Master's degree preferred.
  • 5+ years of professional experience in data science, healthcare analytics, or a related field.
  • Proficiency in SQL, Python and/or R for data extraction, manipulation, and modeling.
  • Experience with data visualization tools (e.g., Tableau, Power BI).
  • Familiarity with SAS is a plus but not required.
  • Strong analytical and problem-solving skills with attention to detail.
  • Excellent communication skills-able to distill complex analyses into clear, actionable insights for non-technical audiences.
  • The proven ability to manage multiple projects and meet deadlines in a fast-paced environment.
  • A collaborative mindset and adaptability to shifting business priorities.


What You Bring
  • A passion for using data to improve healthcare quality and affordability.
  • A creative, solution-oriented approach to complex business problems.
  • The ability to influence decision-making through clear data-driven insights and strong stakeholder partnerships.
  • A team-first perspective with a proven record of driving projects to completion and measurable impact.


What You'll Gain

You will design and validate analytic frameworks, uncover emerging drivers of healthcare cost and utilization, and deliver insights that shape strategy in pricing, product development, financial planning, and forecasting.

The Financial and Evaluation Measurement team executes innovative analytics to inform corporate strategy in critical areas including competitiveness, affordability, profitability, provider payment reform and health care policy. As Data Scientist on this team, you will work with a rich dataset and a robust well-established Enterprise Data Warehouse to identify emerging drivers of health care trend and cost, market pressures, and profitability.

#LI-Hybrid

Minimum Education Requirements:

High school degree or equivalent required unless otherwise noted above

Location
BostonTime Type
Full time

Salary Range: $116,190.00 - $142,010.00

The job posting range is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employee's pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability.

This job is also eligible for variable pay.

We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees.

Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

About Blue Cross Blue Shield of Massachusetts

Blue Cross Blue Shield of Massachusetts (BCBSMA) is a state licensed private health insurance company under the Blue Cross Blue Shield Association with headquarters in Boston. It is the largest health plan in Massachusetts, serving 2.8 million members. BCBSMA is committed to providing access to high-quality, affordable health care to help improve the health and well-being of its members and the communities it serves.
Learn more about Blue Cross Blue Shield of Massachusetts
Size
3,700 employees
Industry
Founded
1937

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