Vālenz Health®

About the Company

Valenz Health(r) is the platform to simplify healthcare - the destination for employers, payers, providers, and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey - from member experience to payment integrity, plan performance, and provider quality. Valenz elevates expectations to a new level of efficiency, effectiveness, and transparency where smarter, better, faster healthcare is possible. For more information, visit valenzhealth.com.

Listed Jobs

Company Name

Vālenz Health®

Job Title

Healthcare Data Scientist – Claims, Quality, & Provider Performance

Job Description

**Job Title:** Healthcare Data Scientist – Claims, Quality, & Provider Performance **Role Summary:** Analyze and cleanse large, complex healthcare claims and provider datasets to support accurate provider performance scoring, quality measurement, and risk assessment models. Deliver statistical insights and data‑driven recommendations to improve care outcomes and operational efficiency. **Expectations:** - Maintain data integrity with rigorous validation and root‑cause analysis. - Communicate analytical findings clearly to stakeholders and clients. - Independently manage multiple projects while collaborating cross‑functionally. **Key Responsibilities:** - Validate, reconcile, and enrich claims and provider data using SQL and Python. - Identify and resolve data anomalies, discrepancies, and quality issues. - Design and maintain retrospective and predictive models for performance and risk analysis. - Translate analytical outcomes into actionable insights and executive summaries. - Optimize claim‑matching processes and improve data reliability through systematic enhancements. - Document root‑cause findings and recommend process improvements. - Collaborate on tool development, methodology refinement, and scalable analytical solutions. **Required Skills:** - Advanced SQL for data extraction, transformation, and loading. - Proficiency in Python or equivalent data‑science libraries (pandas, NumPy, scikit‑learn). - Advanced Excel (PivotTables, complex formulas) for modeling and reporting. - Strong statistical analysis and modeling capabilities. - Knowledge of healthcare network rosters, provider data standards, and quality metrics. - Excellent problem‑solving, critical thinking, and attention to detail. - Self‑motivated organization with ability to manage competing priorities. **Required Education & Certifications:** - Bachelor’s degree in Statistics, Mathematics, Engineering, Computer Science, Finance, Economics, or related quantitative field. - 7+ years of experience working with healthcare claims data (complex, imperfect datasets). - Master’s degree preferred (optional).

Phoenix, United states

Remote

16-10-2025