Why Tufts Health Public Plans
FY2024 · Form 990Its mission and biggest programs, as filedArranges comprehensive healthcare services and integrated Medicare-Medicaid plans to improve the health and wellness of diverse, low-income, and dual-eligible communities.
- Detail of program service accomplishments - massachusetts medicaid mco and aco Plans Tufts Health together is the name of the organization's massachusetts medicaid mco and aco Plans that provide access to affordable Health care for qualified residents and their families…$1.14B spent in FY2024
- Detail of program service accomplishments - massachusetts qualified Health plan coverage Tufts Health direct is an individual and small group qualified Health plan ("qhp") established by the organization after the enactment of the affordable care act to provide access to…$1.07B spent in FY2024
- Detail of program service accomplishments - dual-eligible program Tufts Health one care is a medicare-medicaid plan ("mmp") for individuals age 21-64 who are eligible for both medicare and medicaid. Tufts Health one care is one of three massachusetts one care…$305.3M spent in FY2024
Before you apply
FY2024 · Form 990Independent: from IRS data, not the orgAbout the role
The org's own posting, as writtenWho 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’…
About Tufts Health Public Plans
From its Form 990- Budget $2.57B · Mutual & Membership Benefit
- Staff 666 · founded 2014
- Open jobs 38 · Jobs at Tufts Health Public Plans · Full 990 report