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About the Role

As a core member of the Performance Measurement and Improvement team, the Healthcare Data Scientist will collaborate with teams across the company to provide ongoing analytic support for the development and execution of the health plan’s healthcare quality and affordability strategy. This person will utilize data to map patients’ clinical journeys, identify key drivers of variations in clinical quality, and measure consumer experience for the BCBSMA covered population, including Medicare, and is able to turn disparate data streams into actionable insights and cohesive business cases. The successful candidate will have an established track record of identifying and executing data-driven solutions across a myriad of projects including, but not limited to, clinical quality, member satisfaction, and operational excellence.

Responsibilities

• Collaborates as part of cross-functional teams to clarify key business questions and desired outcomes, translating those questions into structured analytic hypotheses, data requirements, and reporting specifications.
• Leverages diverse data sources (quantitative, qualitative, transactional, member-reported, third-party, and public) to develop advanced analytic products that support strategic initiatives in improving patient healthcare access, quality, and affordability.
• Generates and tests working hypotheses by aggregating and mining data, conducting complex analyses, and extracting actionable results to formulate targeted recommendations for effective member and provider outreach strategies that improve healthcare outcomes and consumer experience.
• Develops and maintains analytical dashboards to track the execution, performance, and overall impact of various clinical and operational programs, with a specific focus on Commercial health plan quality and Medicare Star ratings improvement.
• Prepares and delivers compelling presentations of analytical findings to internal decision-makers, utilizing informative business metrics to influence strategic decision-making.

Requirements

• Experience mapping business needs to analytical planning and technical requirements.
• Proficiency working with large, complex, structured, and unstructured datasets.
• Demonstrated knowledge of, and practical experience in, applying statistical methods and analytical methodologies to support business decision-making.
• Proven ability to independently execute projects involving multiple stakeholders under tight deadlines.
• Strong business acumen with the ability to identify opportunities to enhance productivity, simplify processes, increase efficiency, and drive measurable tangible and intangible value.
• Hands-on data analytics experience is required, including advanced programming skills in SAS, R, Python, or equivalent analytical tools.
• Excellent communication skills, with a proven ability to clearly and concisely present analytical plans, complex findings, and strategic recommendations in verbal, written, and presentation formats to stakeholders at all levels of the organization.

Skills

• SAS
• R
• Python

Location

• Boston

Work Type

• Full time

Experience Level

• Five (5) or more years of experience in an applied analytics or quantitative research role

Education Level

• Bachelor’s degree in statistics, econometrics, applied mathematics, quantitative behavioral sciences, or a public health field is required. An advanced degree (MA, MS, or PhD) is highly preferred.

Salary/Compensations

• $116,190.00 - $142,010.00

Benefits

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

About the Company

• Blue Cross Blue Shield of Massachusetts is an Equal Employment Employer - veterans/disability.
• We understand that the confidence gap and imposter syndrome can prevent amazing candidates coming our way, so please don’t hesitate to apply. We’d love to hear from you. You might be just what we need for this role or possibly another one at Blue Cross Blue Shield of MA.
• The more voices we have represented and amplified in our business, the more we will all thrive, contribute, and be brilliant. We encourage you to bring us your true colors, , your perspectives, and your experiences. It’s in our differences that we will remain relentless in our pursuit to transform healthcare for ALL.
• As an employer, we are committed to investing in your development and providing the necessary resources to enable your success.
• Learn how we are dedicated to creating an inclusive and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path by visiting our Company Culture page.
• If this sounds like something you’d like to be a part of, we’d love to hear from you.
• You can also join our Talent Community to stay “in the know” on all things Blue.
• At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing.
• For more information on how we work and support that work/life balance visit our "How We Work" Page.

Equal Opportunity

• Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or expression, or any other characteristics protected by law.
• Blue Cross Blue Shield of Massachusetts will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with Blue Cross Blue Shield of Massachusetts's legal duty to furnish information.