Note: The job is a remote job and is open to candidates in USA. Genesis10 is currently seeking a Data Scientist for a fully remote position with a Major Healthcare Company located in Irvine, CA. The role involves leading AI/ML solution architecture for Medicare Risk Adjustment initiatives and mentoring data scientists while ensuring best practices in data science solutions.
Responsibilities
- Define analytics and AI strategy for assigned problem areas, ensuring scalability, robustness, regulatory compliance, and measurable business impact
- Drive design decisions across data ingestion, feature engineering, model selection, evaluation, deployment, and monitoring
- Establish and enforce engineering, modeling, and MLOps best practices across data science solutions
- Lead development of advanced ML, deep learning, and LLM‐based solutions (e.g., clinical reasoning, evidence extraction, summarization, coding intelligence)
- Evaluate and operationalize emerging AI approaches (agentic workflows, hybrid ML + rules, LLM orchestration, model ensembles)
- Ensure responsible AI usage—model explainability, bias monitoring, auditability, and CMS compliance
- Lead, mentor, and coach senior and junior data scientists, building strong technical depth and domain expertise within the team
- Set technical direction, conduct design reviews, and guide complex problem solving
- Support hiring, onboarding, and performance development for data science talent
- Act as a primary AI/ML advisor to senior business, clinical, and technology leaders
- Translate complex analytics outcomes into clear, executive‐level insights, risks, and recommendations
- Partner with product, engineering, and operations teams to ensure successful adoption and downstream impact of AI solutions
- Drive adoption of cloud-native, big‐data, and MLOps frameworks across Python, Spark, Hive, Databricks, and cloud platforms
- Own model lifecycle management, including versioning, performance tracking, drift detection, and continuous improvement
- Ensure solutions meet enterprise standards for reliability, security, and scalability
Skills
- Bachelor's or Master's degree in Computer Science, Engineering, Statistics, Mathematics, Economics, or related quantitative field from a reputed institution
- Around 6 years of experience in Data Science, AI/ML, or Advanced Analytics
- Demonstrated experience leading complex, production‐grade AI/ML systems at scale
- Prior experience mentoring or leading data scientists (formal or informal)
- Expert proficiency in Python and PySpark
- Deep hands‐on experience with Spark, Hive, distributed data processing, and cloud platforms
- Strong command of ML algorithms, ensemble methods, and advanced feature engineering
- Proven hands‐on experience with deep learning frameworks (PyTorch and/or TensorFlow)
- Strong working knowledge of LLMs and Generative AI, including prompt design, orchestration, and evaluation
- Extensive experience with NLP/NLU (NER, summarization, classification, entity extraction), preferably on clinical or healthcare data
- Strong understanding of statistical modeling, experimentation, and model validation
- Proven ability to drive ambiguity to clarity and own outcomes
- Strong executive communication and storytelling skills
- Ability to balance hands‐on technical depth with strategic leadership
- Demonstrated ownership mindset with high accountability and bias for action
- Deep understanding of Medicare Risk Adjustment and CMS programs
- Hands‐on experience with CMS datasets (MMR, MOR, EDPS, Encounter data)
- Experience working with clinical, coding, or claims data in healthcare environments
Benefits
- Access to hundreds of clients, most who have been working with Genesis10 for 5-20+ years
- The opportunity to have a career-home in Genesis10; many of our consultants have been working exclusively with Genesis10 for years
- Access to an experienced, caring recruiting team (more than 7 years of experience, on average)
- Behavioral Health Platform
- Medical, Dental, Vision
- Health Savings Account
- Voluntary Hospital Indemnity (Critical Illness & Accident)
- Voluntary Term Life Insurance
- 401K
- Sick Pay (for applicable states/municipalities)
- Commuter Benefits (Dallas, NYC, SF, and Illinois)
Company Overview