Data Scientist

The Data Scientist leads the data science discovery process for the Claims Automation project. By interpreting historic claims and claims suspension data, the Data Science Specialist will uncover insights and transform them into actionable strategies and recommendations to support claims automation, claims classification, and the claims segmentation.

Responsibilities 

• Establish and implement a data science and analytics strategy for the claims automation project: Design a robust framework that supports the program's goals, setting clear objectives and KPIs to measure success and guide continuous improvement.
• Collaborate with the member services, Technology and Data Science teams to develop and automate claims processing rules.
• Use data insights to support and enhance ongoing straight through processing initiatives: Leverage insights derived from data analysis and modelling to drive personalised claiming efforts, ensuring that members receive relevant and impactful communications.
• Collaborate effectively with stakeholders across and beyond the Data Science team: Foster strong relationships with internal and external stakeholders, facilitating open communication and collaboration to achieve the program's objectives.
• Implement data-driven engagement strategies in collaboration with stakeholders: Work alongside stakeholders to translate analytical insights into practical strategies that enhance claims processing efforts, and enhance member experience.
• Prepare and deliver comprehensive reports that inform decision-making: Generate detailed and insightful reports that provide actionable recommendations, supporting strategic decision-making and driving continuous improvement
• Perform work in a manner that complies with relevant regulatory standards including Work Health & Safety (WHS) legislation

Essential Skills

• Tertiary qualifications in mathematical, statistical, computer science, or relevant post-graduate qualifications
• Strong experience in the delivery of business efficiency analytics.
• Must possess high attention to detail, can-do attitude and solution focused.
• Strong written and oral communications skills, particularly in the preparation of presentations and reporting documents.
• Strong presentation and influencing skills.
• Experience in Private Health Insurance
• Excellent organisational abilities, ability to multi-task, and work under pressure.
• Passionate and target-driven.

About HCF

At HCF, our purpose is to bring our human touch to healthcare. Since 1932 we've been putting our members and their health first. As Australia's largest not-for-profit health fund, we cover 2 million members with health, life, travel and pet insurance and our vision is to make healthcare understandable, affordable, high quality and member centric.

We want to be true health partners to our members, easily guiding the healthcare choices that are right for them. At HCF, our values are the way we do things and create the necessary culture to help us realise our purpose and deliver our  Strategy. Living our values in action we step forward, walk in their shoes, stay human, make it better and get there together.
 

Culture & Benefits 

Purpose-driven passion
We're united by a common purpose: to make healthcare affordable, understandable, high quality and member-focused.

Wellness and work-life balance
We'll empower you with the necessary skills and tools to support your personal wellbeing journey, ensuring you perform at your best. Our offerings include:

• 50% subsidy on HCF hospital and/or extras cover

• 18 weeks of parental leave for all new parents

• Mental health and wellbeing programs, including workshops, fitness classes, flu vaccinations, skin checks and more

• Discounts on HCF's products, including life, pet and travel Insurance, as well as discounts at Fitness First gyms and on our eyecare products.

Collaboration and inclusivity
We embrace diversity as our strength and are committed to maintaining an inclusive and collaborative work environment. Our workplace is welcoming and safe for all our employees, irrespective of their unique characteristics including age, ethnicity, cultural or spiritual background, gender identity, disability, education and socio-economic status.

Continuous learning and growth
We believe in lifelong learning. HCF provides opportunities for personal and professional development. From workshops to mentorship programs, we encourage your growth and curiosity.

Next steps

If you require any adjustments to assist you in making your application or during the recruitment or onboarding process, please reach out to Talent Acquisition –  to discuss.

We encourage applicants to submit their applications at their earliest convenience, as at HCF, we review applications as they are submitted, and may have filled the role prior to the job closing date.

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