Data Scientist II - Fraud, Waste and Abuse

Job description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Position Purpose: Develops scalable software solutions utilizing statistical, artificial intelligence (AI) and machine-learning (ML) modeling approaches in support of Fraud, Waste, & Abuse (FWA) detection . Identifies , accesses , compiles , and uses internal and external sources of relevant data. Performs research and testing to develop machine learning algorithms and predictive models. Conducts and reviews model training and evaluation. Integrates, tests, tunes, and monitors solutions. Design and develop data models to predict member outcomes or future impact of key member decisions. Design and construct analysis tools that ex...