Lead Data Scientist (Medicare Sales Strategy)
About The Position
CVS Health is seeking a Lead Data Scientist to own the analytical strategy and data science roadmap for its Medicare sales organization and champion AI adoption across the Sales Center of Excellence (SCOE). The role sets technical direction, leads a team of data scientists and analysts, and partners with sales leadership on data-driven and AI-enabled growth initiatives across Medicare Advantage and Part D markets. The Lead Data Scientist oversees the sales data ecosystem and end-to-end modeling pipelines, including lead scoring, enrollment forecasting, agent performance, and retention risk. The position translates business questions from Sales, Marketing, and Finance into analytical programs, establishes standards for model development and deployment, and works with Engineering and IT to put models and insights into sales workflows. It also presents recommendations to senior executives and represents data science and AI in cross-functional planning, budgeting, and roadmap discussions.
Requirements
- At least 5 years in data science or advanced analytics.
- At least 3 years in a lead, staff, or principal capacity.
- At least 1 year supporting Medicare, Medicare Advantage, or Part D sales or distribution organizations.
- Demonstrated track record leading and mentoring a team of data scientists or analysts.
- Experience advocating for and driving AI or advanced analytics adoption within a business unit or center of excellence.
- Expert-level SQL skills.
- Advanced proficiency in Python or R for modeling, automation, and pipeline development.
- Deep experience with CMS data assets, including enrollment files, landscape files, and MCMG-regulated data.
- Experience integrating CRM platforms such as Salesforce or similar, broker/FMO data, and BI platforms such as Power BI, Tableau, or Looker.
- Strong communication skills and ability to translate complex models and AI concepts into executive-level narratives.
- Bachelor's degree or equivalent experience.
Nice To Haves
- At least 8 years of experience in data science or advanced analytics and 3 years in a Medicare-related team.
- Experience with MLOps practices, including model versioning, monitoring, drift detection, and retraining workflows.
- Hands-on experience with generative AI, LLM integration, or AI product development in an enterprise setting.
- Background in territory optimization, GIS analysis, or market sizing for Medicare-eligible populations.
- Master's or PhD in Statistics, Data Science, Computer Science, or a related field, or equivalent experience.
Responsibilities
- Define and drive data science and AI strategy supporting Medicare sales, distribution, and enrollment growth.
- Champion AI adoption across SCOE by identifying high-value use cases, building investment cases, and guiding teams through adoption of AI-powered tools and workflows.
- Lead, prioritize, review the work of, and develop a team of data scientists and analysts.
- Architect and oversee modeling pipelines for lead scoring, enrollment forecasting, agent performance, and retention risk.
- Own the sales data ecosystem, including governance, quality standards, and integration across CRM, CMS, and internal platforms.
- Translate ambiguous business questions from Sales, Marketing, and Finance leadership into structured analytical programs.
- Establish best practices for model development, validation, deployment, and monitoring, including for generative AI and LLM-based applications.
- Present findings and recommendations to VP and C-suite stakeholders and influence strategic decisions with data.
- Partner with Engineering and IT to productionize models and embed insights into sales workflows and tools.
- Represent the data science and AI function in cross-functional planning, budgeting, and roadmap discussions.
Benefits
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting colleagues' physical, emotional, and financial well-being, based on eligibility
- Eligible for a CVS Health bonus, commission, or short-term incentive program
- Equity award program
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What This Job Offers
Job Type
Full-time
Career Level
Senior
