Please NOTE: Applicants must reside in the United States in one of the 50 States or the District of Columbia in order to be considered for this role. *
**US Citizenship requirements- as this role supports services provided to the federal government and/or a federal government contractor, proof will be required to verify US citizenship status at time of hire.
Key Responsibilities**
Analyze healthcare and book-of-business data to identify cost drivers, utilization trends, and opportunities to improve member outcomes and reduce healthcare spend.
Develop and enhance provider scoring, ranking, and recommendation methodologies using factors such as cost, quality, specialty alignment, and provider experience.
Integrate and transform complex healthcare datasets, including claims, provider, pricing, and network data, to support analytics and modeling initiatives.
Build, validate, and optimize statistical, predictive, and machine learning models that improve provider search relevance and personalization.
Evaluate business rules, scoring outputs, and recommendation performance to ensure alignment with clinical and business objectives.
Monitor key performance metrics, identify opportunities for continuous improvement, and recommend enhancements to data sources, models, and processes.
Partner cross-functionally with Product, Engineering, Clinical, and Business teams to translate analytical insights into actionable solutions and measurable business value.
Requirements
Experience working with large, complex datasets using SQL and Python and/or R .
Experience developing data models, scoring frameworks, predictive analytics, or machine learning solutions.
Knowledge of healthcare datasets and concepts, including claims data, CPT, ICD, NPI, provider networks, and healthcare pricing.
Understanding of healthcare cost drivers, utilization analytics, quality measures, and provider performance metrics.
Analytical, problem-solving, and communication skills with the ability to translate complex findings into business insights.
Experience with provider search, recommendation systems, ranking models, or personalization algorithms.
Knowledge of clinical quality measures such as HEDIS, CMS, or related healthcare standards.
Experience applying machine learning techniques in healthcare, health technology, or navigation environments.
Bachelor's degree in data science, Statistics, Mathematics, Computer Science, Healthcare Analytics, or a related field. Advanced degree preferred.
Application and Interview
By applying for a position with Alight, you understand that, should you be made an offer, it will be contingent on your undergoing and successfully completing a background check consistent with Alight's employment policies. Background checks may include some or all the following based on the nature of the position: SSN/SIN validation, education verification, employment verification, and criminal check, search against global sanctions and government watch lists, credit check, and/or drug test. You will be notified during the hiring process which checks are required by the position.
Alight requires all virtual interviews to be conducted on video. Please be aware that Alight is a camera-on culture and may require occasional travel to one of our physical office locations.
Our commitment to Inclusion
We celebrate differences and believe in fostering an environment where everyone feels valued, respected, and supported. We know that diverse teams are stronger, more innovative, and more successful.
At Alight, we welcome and embrace all individuals, regardless of their background, and are dedicated to creating a culture that enables every employee to thrive. Join us in building a brighter, more inclusive future.
As part of this commitment, Alight will ensure that persons with disabilities are provided reasonable accommodations for the hiring process. If reasonable accommodation is needed, please contact alightcareers@alight.com .
Equal Opportunity Policy Statement
Alight is an Equal Employment Opportunity employer and does not discriminate against anyone based on sex, race, color, religion, creed, national origin, ancestry, age, physical or mental disability, medical condition, pregnancy, marital or domestic partner status, citizenship, military or veteran status, sexual orientation, gender, gender identity or expression, genetic information, or any other legally protected characteristics or conduct covered by federal, state, or local law. In addition, we take affirmative action to employ disabled persons, disabled veterans, and other covered veterans.
Alight provides reasonable accommodations to the known limitations of otherwise qualified employees and applicants for employment with disabilities and sincerely held religious beliefs, practices and observances, unless doing so would result in undue hardship. Applicants for employment may request reasonable accommodations/modifications by contacting their recruiter.
Authorization to work in the Employing Country
Applicants for employment in the country in which they are applying (Employing Country) must have work authorization that does not, now or in the future, require sponsorship of a visa for employment authorization in the Employing Country and with Alight.
Note, this job description does not restrict management's right to assign or reassign duties and responsibilities of this job to other entities; including but not limited to subsidiaries, partners, or purchasers of Alight business units.
LI-remote
We offer you a competitive total rewards package, continuing education & training, and tremendous potential with a growing worldwide organization.
Salary Pay Range
Minimum :
100,000.00 USD
Maximum :
135,000.00 USD
Pay Transparency Statement: Alight considers a variety of factors in determining whether to extend an offer of employment and in setting the appropriate compensation level, including, but not limited to, a candidate's experience, education, certification/credentials, market data, internal equity, and geography. Alight makes these decisions on an individualized, non-discriminatory basis. Bonus and/or incentive eligibility are determined by role and level. Alight also offers a comprehensive benefits package; for specific details on our benefits package, please visit: Wellbeing and Benefits Selector Page - Alight (https://leplb0920.upoint.ap.alight.com/ah-angular-afirst-web/#/web/alight/cp/wellbeing\and\benefits\selector\page)
DISCLAIMER:
Nothing in this job description restricts management's right to assign or reassign duties and responsibilities of this job to other entities; including but not limited to subsidiaries, partners, or purchasers of Alight business units.
Alight Solutions provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, pregnancy, childbirth or related medical condition, veteran, marital, parental, citizenship, or domestic partner status, or any other status protected by applicable national, federal, state or local law. Alight Solutions is committed to a diverse workforce and is an affirmative action employer.
