Data Scientist Ii - Fraud, Waste And Abuse

Centene

Base: $87,700 - $157,800 py; bonus/equity: not spe...
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Statistical analysis and machine learning modeling
Sql queries against complex relational databases
Python experience building ml/ai models
** Centene is seeking a Data Scientist II to develop scalable software solutions for detecting fraud, waste, and abuse in the healthcare sector. The ideal candidate should have a strong background in data science, particularly in machine learning and predictive modeling, with experience in fraud detection preferred. **

Job Summary

  • This role involves developing scalable software solutions using artificial intelligence and machine learning to detect fraud, waste, and abuse for 28 million members.
  • The position requires designing and testing predictive models to distinguish relevant content and recognize patterns within complex internal and external data sources.
  • Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K, stock purchase plans, and flexible work schedules.

Matching Summary

Match Score: 75

** Centene is seeking a Data Scientist II to develop scalable software solutions for detecting fraud, waste, and abuse in the healthcare sector. The ideal candidate should have a strong background in data science, particularly in machine learning and predictive modeling, with experience in fraud detection preferred. **

Salary

Base: $87,700 - $157,800 per year; Bonus/Equity: Not specified; Benefits: Competitive pay, health insurance, 401K, stock purchase plans, tuition reimbursement

Skills & Requirements

Must-have

  • Statistical analysis and machine learning modeling
  • SQL queries against complex relational databases
  • Python experience building ML/AI models
  • Cloud computing environments and Spark
  • Continuous integration/continuous deployment

Nice-to-have

  • Fraud waste abuse identification experience
  • Knowledge of Home Health or Behavioral Health billing
  • Experience with SAS and R tools
  • Provider data and clinical coding knowledge
  • Agile methodologies and JIRA usage

Key Requirements

  • Master's degree in Statistics, Math, CS, or related field with 3+ years experience
  • Bachelor's degree with 5+ years quantitative analysis experience
  • Must be authorized to work in the U.S. without visa sponsorship

Work Rights

Must be authorized to work in the U.S.

Tailored Resume

Cover Letter