Senior Healthcare Data Scientist – Medicare/Medicaid
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Job Description
Senior data scientist developing generative AI and predictive models for GDIT’s Medicare and Medicaid fraud detection programs. Analyzing claims and CMS data to improve program integrity.
Responsibilities:
- Analyze Medicare and Medicaid claims data using statistical and machine learning techniques
- Develop generative AI-powered solutions and agent-based systems to enhance fraud, waste, and abuse detection, investigate complex patterns, and optimize business processes
- Build predictive and anomaly detection models to improve insights, efficiencies, and program integrity outcomes
- Identify opportunities to leverage large-scale CMS data with modern AI/ML methods, including LLMs, embeddings, vector databases, and retrieval-augmented pipelines
- Present findings to technical and non-technical audiences and various levels of leadership
- Perform additional duties as assigned
Requirements:
- Bachelor’s degree with an analytical or technical focus, such as Statistics, Computer Engineering, or Applied Mathematics, or related area
- Minimum 5 years of experience in Data Science
- Minimum 2 years of experience conducting advanced analyses of Medicare and/or Medicaid data
- Familiarity with R or Python for data science, including machine learning
- Familiarity and experience with Pandas, NumPy, TensorFlow, Scikit-learn, Seaborn, GGplot, or Matplotlib
- Familiarity with SQL, Databricks, Snowflake, and Spark technologies
- Hands-on experience with generative AI technologies such as LangChain, LangGraph, Hugging Face Transformers, vector databases, agent frameworks, or LLM orchestration tools
- Understanding of statistics and basic analytic model development principles, including feature engineering, attribute selection, threshold setting, and train/test split
- Ability to create data visualizations to present complex analyses and illustrate trends
- Strong curiosity, problem-solving abilities, and ability to simplify and explain complex data and AI systems
- US citizenship is not required
- NACI (T1) public trust requirement
Benefits:
- Medical plan options, including plans with Health Savings Accounts
- Dental plan options
- Vision plan
- 401(k) plan with pre-tax and post-tax contributions up to IRS annual limits and company match
- Full flex work weeks where possible
- Paid vacation, sick, personal time, holidays, parental, military, bereavement, and jury duty leave
- Typically 15 days of paid leave per calendar year for new employees
- 10 paid holidays per year
- Up to 160 hours of paid family leave in a rolling 12-month period for eligible employees
- Short- and long-term disability benefits
- Life insurance
- Accidental death and dismemberment insurance
- Personal accident insurance
- Critical illness insurance
- Business travel and accident insurance
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