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Senior Data Science Analyst - Payment Integrity Analytics

Job Requisition Number:  7991
Date:  01-Jun-2022


Will you actively create a healthier future for tomorrow?


At Medibank we’re encouraged to think big. We have a clear purpose to impact better health outcomes for our customers, patients and our community.


We celebrate diversity of thought because we want to make better decisions for our customers. As we work towards our goal of better health for better lives, we value the knowledge and contribution of Aboriginal and Torres Strait Islanders. We are working hard to create an inclusive workplace and develop Indigenous careers.


The Opportunity


Reporting to the Payment Integrity Analytics Manager within the Data Science team, the purpose of this role is to support the Payment Integrity Program strategy for both Medibank and ahm. This includes both prepayment and recovery strategies across hospital, medical, and ancillary claims- for both provider and members. Now is a great time to join Medibank and the Commercial Excellence and Insights space as there is a multi-year roadmap in place to uplift current capabilities and technology; as well as an opportunity to develop whilst being in a team with a wide range of data science experience.


How will you add value?


  • Understanding the business problems and opportunities to assist the Analytics Manager in developing analytical solutions and recommendations to address specific business problems
  • End to end analytics - problem definition, background analysis, proof of concept, solution building, impact assessments, strategy recommendations, embedding of solution, validation/monitoring, and presentation
  • Develop and maintain statistical models within the areas of fraud, abuse, waste and error identification.
  • Stakeholder engagement - working with the Payment Integrity team to define problems and ensure that the analytical solution meets the business need. Educate stakeholders on the solutions/recommendations and help them embed this in their work.
  • Evaluation of new data sources, new data science tools, techniques and software to improve ways of working
  • Working with internal and external stakeholders to define, test and execute the Payment Integrity Analytics  roadmap
  • Keeping up to date with industry best practice, evolving data science tools and techniques, and supporting the growth of a world class platform for rapid research, development, deployment and improvement of analytics-based solutions


What are we looking for?


We are looking for a highly proficient technical Senior Data Science Analyst with a passion to continue to learn and grow.

The skills we are looking for are as follows.

  • Demonstrated success in statistical and data analysis using Python, SAS, SQL and Tableau. Other equivalent experiences will be considered.
  • Advanced experience in predictive modelling, trend analysis, clustering, data mining and other quantitative techniques. Demonstrated success in building and deploying a model to meet a business need.
  • Demonstrated experience in management of large datasets to ensure integrity, quality, accuracy and privacy of data for analysis.
  • Demonstrated success in structured problem solving that includes problem definition, hypotheses testing, analysis plan and execution; as well as presentation of results


A career with us

At Medibank, we believe work is something we do, not somewhere we go. Our modes of working – Collaboration, Connection and Concentration – help inform how your day is structured and where you choose to work will vary, depending on your role and requirements.


The wellbeing of our employees is our priority. We encourage you to talk to us about any adjustments or additional support you may require during the recruitment process, as well as how this role can be flexible for you. Virtual interviews are always on offer and will not adversely impact your application.


All employees who may attend a worksite or any face-to-face work-related activity will be required to be fully vaccinated for COVID-19 as a condition of employment.


We offer a range of great benefits such as subsidised private health insurance, rewards and discounts, and health and wellbeing initiatives. To find out more, click here.


To start small and impact bigger.

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