Senior Program Integrity Data Scientist - Healthcare Job at CareSource, Oregon State

  • CareSource
  • Oregon State

Job Description

CareSource is seeking a Program Integrity Data Scientist III to advance its mission of improving health outcomes for members and communities. In this role, you will analyze Medicaid, Medicare, and Marketplace data to identify unusual patterns, detect potential fraud, waste, and abuse, and develop predictive models that strengthen program integrity. Partner with clinical, claims, compliance, and technology teams to translate findings into actionable recommendations, clear reports, and practical improvements. Apply statistical methods and tools such as SQL, Python, or R to complex healthcare datasets, while communicating insights to technical and nontechnical stakeholders. Join a compassionate, inclusive, collaborative organization where your expertise can improve access to care and make a measurable difference.

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