Senior Claims Data Analyst
Centivo$95,000 - $105,000/year
Full Time
Junior (1 to 2 years)
[Remote] Principal Data Scientist, Claims & Payment Integrity at Devoted Health
United States
Not SpecifiedCompensation
Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries
Requirements
- Ability to thrive in a fast-paced, high-growth environment
- 7+ years of individual technical contributor experience
- Strong background in SQL, with fluency in modern data ecosystems (Snowflake, dbt, Looker, Python)
- Skilled at collaborating with cross-functional teams and influencing decisions with data-driven insights
- Comfort with both building scalable, maintainable data pipelines, and doing deep-dive statistical analysis, predictive modeling and/or experimental design to drive business strategies
Responsibilities
- Leverage domain knowledge of claims data and provider billing behavior to drive meaningful cost savings and improve operational decision-making
- Define high-impact analytical problems in Claims and PI, collaborating with business leads, product managers, engineers, and technical teammates
- Collaborate closely with engineering and business partners to ensure scalable, maintainable data pipelines, and determine our most impactful work to scale our payment accuracy program with new opportunities and technology
- Scope, communicate, and implement technical solutions collaboratively, delivering value iteratively while independently executing
- Advise stakeholders on evaluating and implementing internally developed LLM based agents to improve workflows, and perform data extraction to leverage output of those agents in feature stores and analysis
Skills
Key technologies and capabilities for this role
Questions & Answers
Common questions about this position
What is the salary range for the Principal Data Scientist role?
The salary range is $128,057 - $187,083 annually, plus eligibility for a discretionary performance-based bonus with a 10% target. Total compensation ranges from $140,862 - $205,791 including base plus bonus.
Is this position remote?
Yes, this is a remote position.
What skills are required for this Principal Data Scientist position?
Required skills include 7+ years of individual technical contributor experience, strong background in SQL with fluency in modern data ecosystems (Snowflake, dbt, Looker, Python), ability to thrive in a fast-paced high-growth environment, and skilled collaboration with cross-functional teams using data-driven insights.
What is the team structure like for this role?
The role reports into the Data Science team and works alongside Product Managers, Software Engineers, Business Intelligence Analysts, and Operation Leaders to design scalable solutions.
What experience makes a strong candidate for this role?
Candidates with claims, payment integrity, or medical economics experience especially in Medicare Advantage, and experience integrating LLMs into workflows or operations are desired.
Devoted Health
Medicare Advantage plans with personalized support
About Devoted Health
Devoted Health provides Medicare Advantage plans aimed at simplifying and making healthcare more affordable for seniors aged 65 and older. Their plans include services like provider and pharmacy searches, prescription drug coverage, and preventive care rewards. Members pay premiums for these plans, and the company may also receive government payments for managing Medicare benefits. What sets Devoted Health apart from competitors is their high level of customer service, featuring Devoted Health Guides who assist members in navigating their healthcare options and addressing common issues with traditional insurance. Additionally, they promote preventive care through the Devoted Dollars program, which rewards members for engaging in health activities. The goal of Devoted Health is to create a more compassionate and accessible healthcare experience for its members.
Waltham, MassachusettsHeadquarters
2017Year Founded
$2,194.5MTotal Funding
SERIES_ECompany Stage
HealthcareIndustries
1,001-5,000Employees
Benefits
Comprehensive health plan
401(k) retirement plan
Generous vacation and holiday time
Lyra mental health resources
Time off to vote
Risks
Increased competition from Medicare Advantage providers like Clover Health and Oscar Health.
Potential regulatory changes affecting Medicare Advantage plans by CMS.
Rising healthcare costs could impact the affordability of Devoted Health's plans.
Differentiation
Devoted Health offers personalized assistance through Devoted Health Guides for member support.
The company emphasizes preventive care with its Devoted Dollars rewards program.
Devoted Health integrates virtual and in-home care with top local providers.
Upsides
Devoted Health raised $287 million in Series E funding in 2024.
The company expanded Medicare Advantage plans to eight new states in 2023.
Devoted Health achieved a 5-star Medicare Advantage rating in Ohio in 2023.
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