AI & Data Scientist; Remote

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most. It takes an entire team of passionate and caring people united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve.

In this fast‑growing company, you will find ample room for growth and innovation alongside the Alignment Health community.

The Data Scientist will combine deep analytical expertise with production‑grade software development skills to build reliable, scalable solutions on our proprietary clinical intelligence platform. You will own initiatives from problem framing to model delivery and partner with software and data engineering partners to deploy into production environments. This role focuses on enhancing risk score accuracy, CMS audit preparedness (RADV), and building AI‑powered tools that improve clinical documentation review and integrity.

• Own end‑to‑end solutions: translate ambiguous healthcare and operational problems into AI/ML models that deliver measurable impact by selecting methods, building data and models, deploying services, instrumenting observability, and establishing real‑world feedback loops.
• Partner with Product, Engineering, and Clinical leaders to embed data science into workflows such as claims processing, utilization management, provider network optimization, risk adjustment, and more.
• Deliver clinical intelligence features including autonomous chart review, disease detection, compliance forecasting, and quality analytics.
• Build AI/NLP/LLM models for document understanding and information extraction, including OCR, NER, and vision models.
• Advance quality and payment integrity by creating models and automated QA to reduce manual review, increase accuracy, and surface documentation anomalies and audit risk.
• Champion engineering excellence through internal libraries, reusable components, coding standards, code reviews, and clear documentation.
• Own the lifecycle of deployed models: monitoring, drift detection, alerting, and post‑deployment reviews.

• 2‑5 years delivering production‑grade data science or ML software with measurable impact.
• Strong software engineering fundamentals: data structures, algorithms, modular design, API design, and documentation.
• Proficiency in Python plus SQL; experience building reusable packages, utilities, and CLI tools.
• Applied knowledge of ML (tree ensembles, boosting, NLP/LLMs, deep learning) and experimental design.
• Experience with high‑volume, high‑dimensional, and unstructured data; strong data quality mindset.
• Experience with Git workflows, code reviews, and CI/CD.
• Excellent data visualization and storytelling skills.
• Ability to thrive in ambiguous, fast‑paced environments.

• Healthcare domain experience; familiarity with CMS/Medicare Advantage operations.
• Document understanding systems with OCR/NER and LLM pipelines.
• Experience with No
  
  SQL and performance optimization.
• Contributions to internal frameworks or open‑source; published work.

• Required:
  
  Bachelor’s degree in Computer Science, Data Engineering or similar technical field.
• Preferred: MSc/PhD in CS, Engineering, Math, Statistics, or related field.

• Required:
  
  Python, SQL, Databricks (Spark, Delta Lake), MLflow, Unity Catalog, Git, CI/CD, Docker, REST/Graph
  
  QL APIs, orchestration.
• NLP/LLM & Vision: OCR, NER, embeddings.
• Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others.
• Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
2. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

$ – $

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.