Job Description

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 .

Role Overview

The Data Scientist independently delivers recurring and ad hoc analyses to support clinical performance, utilization trends, readmissions, care gaps, and risk adjustment reporting. This role applies intermediate analytical tools to identify patterns and produce actionable business insight.

Work Arrangement

• Monday through Friday, 8:30 AM EST to 5:00 PM EST

• Remote role

Responsibilities

• Produce independent analyses on utilization, readmission patterns, care gaps, and related clinical trends.

• Develop and maintain recurring reports and ad hoc analyses for operational and quality stakeholders.

• Support HEDIS supplemental data efforts and risk adjustment reporting.

• Translate business questions into clear analytical approaches and summarize findings for non-technical audiences.

• Contribute to dashboard development and documentation of metric definitions.

• Translate complex data into executive-ready insights, dashboards and decision support

• Experience designing KPI frameworks and operational reporting assets

Education and Experience

• Bachelor's Degree in analytics, public health, health informatics, mathematics, economics or a related field required

• Minimum of 4 years of experience analyzing claims, care management, quality, or utilization management data in a relevant capacity.

• Experience with AI copilots, natural-language BI, agentic workflows or autonomous analytics assistants

Skills and Abilities

• Strong written communication and ability to present trends, drivers, and implications clearly.

• Familiarity with Python or R and working knowledge of HEDIS/Stars concepts.

• Familiarity with AI/BI tooling such as Genie Rooms, agentic AI enabled coding platforms (Claude, CoPilot)

• Ability to evaluate when AI should assist analysis versus when human review/judgement is required

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.

As a company, we support internal diversity through:

Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.

Job Tags

Similar Jobs