Job · Canton, MA · Full time

Sr Data Scientist - Payment Integrity

Tufts Associated Health Maintenance Organization · $2.56B budget · 582 staff · Since 1979

Why Tufts Associated Health Maintenance Organization

FY2024 · Form 990Its mission and biggest programs, as filed

Provides affordable, coordinated health care coverage for low-income seniors eligible for both Medicare and Medicaid.

  • Program service accomplishments - massachusetts medicare product tahmo also offers products to medicare eligible enrollees. Tufts Health plan medicare preferred (Tufts medicare preferred) provides affordable Health coverage to its members in massachusetts. Tufts medicare preferred strives to provide coverage options…$1.84B spent in FY2024
  • Program service accomplishments - dual-eligible program the Organization also provides access to affordable care through a dual-eligible program. Tahmo provides coverage for people age 65 or older who are eligible for masshealth standard, have both medicare part a and b…$405.7M spent in FY2024
  • PROGRAM SERVICE ACCOMPLISHMENTS - COMMERCIAL HMO PRODUCT ONE OF TAHMO'S LARGEST PRODUCTS IS ITS COMMERCIAL HMO WHICH PROVIDES AFFORDABLE HEALTH COVERAGE TO ITS MEMBERS. TAHMO STRIVES TO PROVIDE HMO COVERAGE THAT IS AFFORDABLE, AND PROVIDES ACCESS TO TOP QUALITY HEALTH…$305.5M spent in FY2024

Before you apply

FY2024 · Form 990Independent: from IRS data, not the org
Pays its leaders
$5K
1 officer reported
Fine: from the org's Form 990.
Pt VII · Sec A
Budget
$2.76B
spent in FY2024
Fine: from the org's Form 990.
Pt I · Ln 18
Staff
582
employees
Fine: from the org's Form 990.
Pt I · Ln 5–6
Spent on programs
93%
of spending
Looks good: 93% of spending went to programs; 75% or more.
Pt IX · Ln 25 · col B
Surplus or deficit
−8%
of revenue, FY2024
Concern: revenue was below expenses in the latest filing.
Pt I · Ln 19
Cash reserves
2 mo
of spending, in cash and securities
Fine: 1.7 months of spending in cash; 1 to 3.
Pt X · Ln 1–2 · Pt I · Ln 18
Latest return
FY2024
latest Form 990
Looks good: the latest return is for FY2024, 2 tax years back; within 2 tax years.
IRS e-file
IRS status
501(c)(4)
tax-exempt since 1979
Looks good: listed by the IRS.
IRS BMF
Looks goodFineWorth a lookConcernTap a box for the reason.

About the role

The org's own posting, as written

Who We Are Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We’ve had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it’s at the core of who we are.

We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work. We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point32Health .

Job Summary

Position will report into Payment Integrity’s Sr Manager Provider Audit. The Sr Data Scientist is responsible for delivering innovative, data-driven solutions through the analysis of complex, high-dimensional datasets. This role leverages exploratory data analysis, advanced statistical techniques, and AI-powered technologies to uncover patterns, identify opportunities, and generate actionable business insights. The Sr Data Scientist translates complex data into strategic recommendations, formulates critical business questions, and develops advanced analytical and AI-driven products that address key business challenges and drive measurable value.

Job Description

Design, develop and orchestrate experiments, models, algorithms, and visualizations. Lead multiple and concurrent projects and manage project phases or smaller projects in their entirety. Communicate results and insights in a clear and concise manner to a non-technical audience. Identify, define, and translate business needs/problems into analytical questions. Apply advanced machine learning, natural language processing, statistical and computational methodologies to provide actionable insights and identify strategic opportunities that optimize quality, consumer experience, and healthcare costs.

Lead and develop scalable, efficient, and automated processes for large scale data analyses and model development, validation, and implementation. Provide supervision and mentorship to junior team members and create/adhere to governance and ethical norms. Other duties and projects as assigned. Certification and Licensure Relevant certifications are a plus.

Education

Master’s degree in data science, Applied Mathematics, Computer science, Statistics, Epidemiology, or equivalent combination of experience and education. Experience (minimum years required) : 8 - 10 years of work experience in a Data Scientist or similar role, or equivalent combination of transferrable experience and education 8 - 10 years’…

Read the full posting

About Tufts Associated Health Maintenance Organization

From its Form 990

More like this