Decision Scientist - Utilization Management

CVS Health•Wellesley, MA

2d•$86,520 - $173,040•Remote

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary At CVS/Aetna, we're pioneering a total approach to health and wellness. As a Decision Scientist on the Analytics & Behavior Change team, you'll build industry-leading analytics, data, and technology platforms to help reimagine health care. This position will play a critical role within a cross-functional team, delivering powerful solutions. Utilization Management (UM) ensures consistent delivery of the right care, in the right setting, by the right people. The UM Data Science team leverage data, analytics and AI solutions to transform UM operations and optimize provider and member experience.

Requirements

1+ years of relevant analytic experience
Experience in SQL
Experience programming using R or Python

Nice To Haves

Experience with Google Cloud Platform, big query, and other tools in cloud
Demonstrates good written and verbal communication skills. Able to present information to various audiences
Effectively resolves problems and roadblocks as occur
Demonstrates interests in several areas of statistical analysis, data engineering and data visualization
Ability to work with large data sets from multiple data sources

Responsibilities

Develop analytic solutions to optimize Utilization Management in healthcare
Explores, examines and interprets large volumes of data in various forms
Performs analyses of structured and unstructured data to solve moderately complex business problems
Utilizing advanced statistical techniques and mathematical analyses
Develops data structures and pipelines to organize, collect and standardize data that helps generate insights and addresses reporting needs
Uses data visualization techniques to effectively communicate analytical results and support business decisions
Creates and evaluates the data needs of assigned projects and assures the integrity of the data
Explores existing data and recommends additional sources of data for improvements
Documents projects including business objectives, data gathering and processing, detailed set of results and analytical metrics