Data Scientist with 4 years of experience building machine learning, predictive analytics, and Generative AI solutions in healthcare and enterprise environments. Currently driving claims analytics, risk adjustment modeling, population health initiatives, and LLM-powered applications at UnitedHealth Group. Skilled in Python, PySpark, Databricks, Snowflake, AWS, and MLOps, delivering measurable improvements in risk adjustment accuracy, cost optimization, forecasting, and operational efficiency while maintaining HIPAA-compliant responsible AI practices.

HEMANTH KUMAR

Data Scientist with 4 years of experience building machine learning, predictive analytics, and Generative AI solutions in healthcare and enterprise environments. Currently driving claims analytics, risk adjustment modeling, population health initiatives, and LLM-powered applications at UnitedHealth Group. Skilled in Python, PySpark, Databricks, Snowflake, AWS, and MLOps, delivering measurable improvements in risk adjustment accuracy, cost optimization, forecasting, and operational efficiency while maintaining HIPAA-compliant responsible AI practices.

Available to hire

Data Scientist with 4 years of experience building machine learning, predictive analytics, and Generative AI solutions in healthcare and enterprise environments. Currently driving claims analytics, risk adjustment modeling, population health initiatives, and LLM-powered applications at UnitedHealth Group.

Skilled in Python, PySpark, Databricks, Snowflake, AWS, and MLOps, delivering measurable improvements in risk adjustment accuracy, cost optimization, forecasting, and operational efficiency while maintaining HIPAA-compliant responsible AI practices.

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Experience Level

Expert
Expert
Expert
Expert
Expert
Expert
Expert
Expert
Expert
Intermediate
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Work Experience

Data Scientist at UnitedHealth Group
March 1, 2025 - Present
Architected predictive healthcare analytics solutions using Python, PySpark, Databricks, and Snowflake across 120M+ claims records, improving risk adjustment accuracy by 28% while supporting CMS reporting. Developed ensemble models (XGBoost, scikit-learn) to identify high-cost member populations, reducing projected healthcare expenditures by $18M annually. Built population health forecasting frameworks with Apache Spark and Delta Lake, improving care management intervention effectiveness by 32%. Implemented LLM-based Retrieval Augmented Generation (RAG) with vector search to accelerate clinical documentation analysis by 55% while maintaining HIPAA compliance. Established MLOps standards using MLflow, Docker, Kubernetes, and CI/CD, cutting deployment timelines from weeks to days with 99.5% production reliability. Delivered Power BI executive dashboards and healthcare cost analytics, improving operational performance by 24%.
Data Scientist at Aspire Technolab
January 1, 2021 - July 1, 2023
Engineered scalable ML pipelines using Python, SQL, Pandas/NumPy, and Apache Spark to process 15TB+ enterprise data, improving predictive performance by 31%. Built classification/regression solutions with TensorFlow, PyTorch, and XGBoost to improve forecast precision by 27%. Created cloud analytics platforms using AWS S3, AWS Glue, Snowflake, and ETL/ELT architectures, reducing data preparation effort by 43% and improving reporting consistency. Delivered transformer-based NLP applications with prompt engineering to automate document intelligence and reduce manual review workloads by 58%. Developed Tableau/Power BI dashboards and KPI reporting ecosystems to improve executive visibility and accelerate decision cycles by 35%. Led model evaluation, monitoring, and governance using MLflow and responsible AI practices, improving production stability by 29%.

Education

Master of Science in Information Technology and Management at St. Francis College, Downtown Brooklyn
January 1, 2024 - August 1, 2025
Bachelor's in Computer Science and Engineering at Narasaraopeta Engineering College
August 1, 2019 - May 1, 2023
Master of Science in Information Technology and Management at St. Francis College, Downtown Brooklyn
January 1, 2024 - August 1, 2025
Bachelor's in Computer Science and Engineering at Narasaraopeta Engineering College
August 1, 2019 - May 1, 2023

Qualifications

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Industry Experience

Healthcare, Computers & Electronics, Professional Services, Financial Services, Software & Internet