Consultant, Development
6 days ago
ROLES & RESPONSIBILITIES
Key Responsibilities:
Claims Data Analytics & Modeling
- Analyze medical, pharmacy, and hospital claims data (e.g., CPT, HCPCS, ICD-10, DRG, NPI, etc.).
- Identify fraud, waste, and abuse (FWA) patterns in claims data.
- Develop predictive models for risk stratification, readmission prediction, and cost forecasting.
- Work on value-based care models, risk adjustment, and population health analytics.
- Perform longitudinal analysis of patient journeys across different providers and payers.
Data Engineering & Management
- Work with large-scale healthcare databases
- Work with SQL, Python, R, PySpark, and cloud-based big data solutions (AWS, Azure, GCP).
Required Skills & Qualifications:
- 4-6 years of experience in healthcare data science, with a strong focus on medical claims analytics.
- Knowledge of US healthcare claims datasets (Medicare, Medicaid, commercial payers).
- Proficiency in SQL, Python, and PySpark for data analysis and modeling.
- Hands-on experience with ML frameworks (TensorFlow, Scikit-learn, XGBoost).
- Strong expertise in statistical modeling, predictive analytics, and NLP techniques.
- Familiarity with healthcare regulatory requirements (HIPAA, CMS guidelines, FWA detection).
- Familiarity with BI tools like Tableau, Power BI, Looker.
EXPERIENCE
4.5-6 Years
SKILLS
Primary Skill: Data Science
Sub Skill(s): Python (Data Science)
ABOUT THE COMPANY
Infogain is a human-centered digital platform and software engineering company based out of Silicon Valley. We engineer business outcomes for Fortune 500 companies and digital natives in the technology, healthcare, insurance, travel, telecom, and retail & CPG industries using technologies such as cloud, microservices, automation, IoT, and artificial intelligence. We accelerate experience-led transformation in the delivery of digital platforms. Infogain is also a Microsoft (NASDAQ: MSFT) Gold Partner and Azure Expert Managed Services Provider (MSP).
Infogain, an Apax Funds portfolio company, has offices in California, Washington, Texas, the UK, the UAE, and Singapore, with delivery centers in Seattle, Houston, Austin, Kraków, Noida, Gurgaon, Mumbai, Pune, and Bengaluru.
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