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For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.
Your career starts now. We’re looking for the next generation of health care leaders.
At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Discover more about us at www.amerihealthcaritas.com.
Job Summary
The Director, Data Science leads an analytics function or center of excellence and owns enterprise-wide clinical reporting strategy for a line of business or region. This role drives clinical and operational decisions through data and oversees key domains such as HEDIS, Stars, utilization management analytics, risk adjustment, and population health.
Work Arrangement
- 100% remote
- Must be able to work in Eastern Time
- Monday through Friday, 8:30 AM EST to 5:00 PM EST
- Travel to our corporate campus in Newtown Square, PA up to 6x a year
Responsibilities
- Lead a clinical analytics function or center of excellence
- Own enterprise-wide clinical reporting strategy for a line of business or region
- Drive decisions across clinical and operational areas through data and insight
- Drive vendor strategy, technology oversight, and cross-enterprise alignment on priorities
- Oversee major analytic domains of UM and CM analytics and population health
- Manage team structure, budget, operating model, and leadership communications
- Monitor workload, quality, and stakeholder satisfaction while improving team processes
- Deliver executive-level insight and presentations to population health leadership
- Partner directly with senior clinical and executive stakeholders to frame analytical priorities and interpret results
- Own advanced analytics supporting Stars, risk adjustment, utilization management, or similar strategic areas
Education/Experience
- Bachelor’s degree required in Biostatistics, Public Health, Health Analytics, Data Science, or related field. Master's Degree preferred
- Minimum of 10 years of data science experience using mathematics, statistics, modeling, business analysis, and technology to transform high volumes of complex data into advanced analytic solutions
- Minimum of 5 years of experience leading a cross-functional, remote team
Other Skills:
- Executive communication, multi-domain analytics ownership, budget management, regulatory depth, and ROI framing.
- Demonstrated ability to influence senior leaders without formal authority.
- Skills in people management, project delivery, SQL/BI tools, and HEDIS/Stars functional knowledge.
- Strong communication, stakeholder management, and business translation skills.
- Experience with cloud data environments, APIs, ETL/ELT pipelines, semantic models, and governed reporting layers.
- Experience with Python and at least one scripting or ML-oriented toolchain
- Strong consultative problem-framing, cross-functional collaboration, and change management skills
- Comfort operating in ambiguity and shaping solutions across business, clinical, and technology teams
- Demonstrated success leading transformation across payer clinical analytics domains.
- Ability to connect enterprise analytics decisions to financial, operational, and regulatory outcomes.
- Strong problem-solving, project ownership, and stakeholder management
Our Comprehensive Benefits Package
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.
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