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Data Scientist – HOS Analytics
Alignment Health. Collaborate with Stars, clinical, and care management leaders to understand HOS performance drivers and translate them into analytical solutions .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in predictive modeling and analysis, particularly in healthcare outcomes, with a strong foundation in statistical methods and data science. Proficient in building analytical solutions that align with CMS guidelines and improve HOS performance metrics.
Highest-signal resume keywords
Predictive ModelingCMS HOS Survey MethodologyPython ProgrammingSQL ProficiencyData Visualization
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Predictive ModelingStatistical AnalysisMachine LearningData StructuresAlgorithmsSQLPythonJavaRC++
Soft Skills
Analytical SkillsCommunication SkillsCollaborative Problem-Solving
Tools & Technologies
GitCI/CD PipelinesAzureAWS
Certifications & Qualifications
PhD in Computer SciencePhD in EngineeringPhD in MathematicsPhD in Statistics
Industry Keywords
HealthcareMedicare AdvantageHOS Composite MeasuresStar RatingsCohort DesignCase-Mix AdjustmentPsychometrics
Tech Stack
Tools & technologiesAWSAzureCloudJavaPythonScalaSQLC++
About the role
Key responsibilities & impact- Collaborate with Stars, clinical, and care management leaders to understand HOS performance drivers and translate them into analytical solutions
- Segment members by likelihood to respond to the HOS survey and predicted physical or mental health trajectory to prioritize outreach and intervention
- Build and fine-tune models predicting member-level risk of HOS composite decline
- Analyze item-level HOS survey data to identify survey questions driving measure performance
- Build pipelines tracking HOS survey administration cycles, cohorts, sampling, fielding, and response rates
- Validate case-mix adjustment logic against CMS methodology
- Model statistical significance and year-over-year variance to distinguish performance shifts from survey noise or sampling error
- Coordinate with HOS survey vendors on cohort tracking, sampling methodology, fielding timelines, and case-mix adjustment specifications
- Collaborate with engineering teams to version, test, and deploy models using Git, CI/CD pipelines, and VM environments
- Partner with clinical, care management, Compliance, and Legal teams to align outputs and interventions with CMS guidance
- Build dashboards tracking measure-level HOS performance against Star Rating cut points and prior-year trends
- Standardize definitions, documentation logic, and reporting workflows for enterprise-wide HOS analytics
Requirements
What you’ll need- 2+ years of relevant experience in predictive modeling and analysis, with demonstrated application to longitudinal or outcomes-based member data
- Required: PhD in Computer Science, Engineering, Mathematics, Statistics, or related field
- Demonstrated experience with CMS HOS survey methodology, including baseline/follow-up cohort design, case-mix adjustment, and item response theory or other psychometric methods
- Working knowledge of individual HOS composite measures: Improving/Maintaining Physical Health, Improving/Maintaining Mental Health, Monitoring Physical Activity, and Reducing the Risk of Falling
- Working knowledge of CMS Star Ratings procedures, including how HOS measures are weighted, cut-point determined, and incorporated into the overall Star Rating
- Strong programming skills in one of: Python, Java, R, Scala, or C++
- Demonstrated proficiency in SQL and relational databases
- Experience building end-to-end data science solutions and applying machine learning methods to real-world problems with measurable outcomes
- Solid data structures and algorithms background
- Experience with data visualization and presentation
- Experience setting experimental or analytical frameworks for complex, ambiguous scenarios, including longitudinal/cohort study design
- Understanding of confidence intervals, significance of error measurement, and development/evaluation data sets
- Experience manipulating and analyzing complex, high-volume, high-dimensionality, and unstructured data from varying sources
- Excellent communication, analytical, and collaborative problem-solving skills
- Preferred: Healthcare experience, particularly within Medicare Advantage
- Preferred: Experience with functional status, frailty, or geriatric outcomes modeling
- Preferred: Experience in cloud ecosystems such as Azure or AWS
- Preferred: Published work related to survey methodology, psychometrics, or health outcomes measurement
- Preferred: Track record of handling ambiguity, prioritizing needs, and delivering results in an agile, dynamic environment