Alight Solutions

Healthcare Navigation Data Scientist -Virtual

Alight Solutions$100K — $135K *
US-Anywhere
+ 2 other locationsRemote
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 5-7 years of experience with large datasets using SQL and Python/R.
  • Familiarity with healthcare datasets, including claims and provider data.
  • Ability to develop predictive models and machine learning solutions.
  • Solid understanding of healthcare cost drivers and utilization analytics.
  • Proficient in translating complex data insights into actionable business intelligence.
  • Experience with recommendation systems and personalization algorithms in healthcare settings.
  • Bachelor's degree in relevant fields; advanced degree preferred.

Responsibilities

  • Analyze healthcare data to identify cost drivers and improve member outcomes.
  • Develop methodologies for provider scoring and recommendations based on multiple factors.
  • Transform complex healthcare datasets for various analytical initiatives.
  • Build and optimize predictive and machine learning models for provider search.
  • Evaluate and enhance performance metrics to align with business goals.
  • Monitor and recommend data model improvements for continuous enhancement.
  • Collaborate with cross-functional teams to convert analytics into business solutions.

Benefits

  • Competitive total rewards package with comprehensive benefits.
  • Opportunities for continuing education and professional training.
  • Growth potential within a worldwide organization.
  • Remote work flexibility within the U.S. and requirement for occasional travel to offices.
  • Inclusive virtual culture with a focus on maintaining communication and engagement.
Full Job Description
We're seeking a Data Scientist to help enhance provider search, recommendation, and value measurement capabilities across our Health Navigation platform. In this role, you'll leverage healthcare data, analytics, and predictive modeling to improve provider recommendations, uncover cost and utilization insights, and demonstrate measurable client value. You will collaborate with Product, Engineering, Clinical, and Value Engineering teams to develop scalable, data-driven solutions that improve member outcomes, increase engagement, and support healthcare affordability. ** Please NOTE: Applicants must reside in the United States in one of the 50 States or the District of Columbia in order to be considered for this role. ** **US Citizenship requirements- as this role supports services provided to the federal government and/or a federal government contractor, proof will be required to verify US citizenship status at time of hire.** Key Responsibilities • Analyze healthcare and book-of-business data to identify cost drivers, utilization trends, and opportunities to improve member outcomes and reduce healthcare spend. • Develop and enhance provider scoring, ranking, and recommendation methodologies using factors such as cost, quality, specialty alignment, and provider experience. • Integrate and transform complex healthcare datasets, including claims, provider, pricing, and network data, to support analytics and modeling initiatives. • Build, validate, and optimize statistical, predictive, and machine learning models that improve provider search relevance and personalization. • Evaluate business rules, scoring outputs, and recommendation performance to ensure alignment with clinical and business objectives. • Monitor key performance metrics, identify opportunities for continuous improvement, and recommend enhancements to data sources, models, and processes. • Partner cross-functionally with Product, Engineering, Clinical, and Business teams to translate analytical insights into actionable solutions and measurable business value. Requirements • Experience working with large, complex datasets using SQL and Python and/or R. • Experience developing data models, scoring frameworks, predictive analytics, or machine learning solutions. • Knowledge of healthcare datasets and concepts, including claims data, CPT, ICD, NPI, provider networks, and healthcare pricing. • Understanding of healthcare cost drivers, utilization analytics, quality measures, and provider performance metrics. • Analytical, problem-solving, and communication skills with the ability to translate complex findings into business insights. • Experience with provider search, recommendation systems, ranking models, or personalization algorithms. • Knowledge of clinical quality measures such as HEDIS, CMS, or related healthcare standards. • Experience applying machine learning techniques in healthcare, health technology, or navigation environments. • Bachelor's degree in data science, Statistics, Mathematics, Computer Science, Healthcare Analytics, or a related field. Advanced degree preferred. Application and Interview By applying for a position with Alight, you understand that, should you be made an offer, it will be contingent on your undergoing and successfully completing a background check consistent with Alight's employment policies. Background checks may include some or all the following based on the nature of the position: SSN/SIN validation, education verification, employment verification, and criminal check, search against global sanctions and government watch lists, credit check, and/or drug test. You will be notified during the hiring process which checks are required by the position. Alight requires all virtual interviews to be conducted on video. Please be aware that Alight is a camera-on culture and may require occasional travel to one of our physical office locations. We offer you a competitive total rewards package, continuing education & training, and tremendous potential with a growing worldwide organization. Salary Pay Range Minimum : 100,000.00 USD Maximum : 135,000.00 USD Pay Transparency Statement: Alight considers a variety of factors in determining whether to extend an offer of employment and in setting the appropriate compensation level, including, but not limited to, a candidate's experience, education, certification/credentials, market data, internal equity, and geography. Alight makes these decisions on an individualized, non-discriminatory basis. Bonus and/or incentive eligibility are determined by role and level. Alight also offers a comprehensive benefits package; for specific details on our benefits package, please visit: Wellbeing and Benefits Selector Page - Alight DISCLAIMER: Nothing in this job description restricts management's right to assign or reassign duties and responsibilities of this job to other entities; including but not limited to subsidiaries, partners, or purchasers of Alight business units.

About Alight Solutions

Alight Solutions is a leading provider of integrated benefits, payroll and cloud solutions. With more than 15,000 professionals across 29 countries, Alight provides leading-edge benefits administration and ERP technology and services to more than 3,250 clients including 50% of the Fortune 500. Alight?s combination of data-driven insights and technology expertise creates unique value for clients.
Learn more about Alight Solutions
Market Cap
$3.8 billion
Industry
Founded
2017
NASDAQ

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