Senior Data Scientist - Utilization Management

CVS Health • Wellesley, MA

2d

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 Data 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

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

Nice To Haves

• Demonstrates strong ability to communicate technical concepts and implications to business partners
• Anticipates and prevents problems and roadblocks before they occur
• Strong knowledge of advanced analytics tools and languages to analyze large data sets from multiple data sources
• Demonstrates proficiency in most areas of mathematical analysis methods, machine learning, statistical analyses, and predictive modeling and in-depth specialization in some areas
• Hand on experience with LLMs and Generative AI strongly preferred.
• Healthcare experience a plus.

Responsibilities

• Collaborates with business partners to shape the analytics approach to address business priorities (through predictive modeling, statistical analysis, or metric evaluation) as a thought leader
• Owns and manages an analytics workstream, leading other analysts and data scientists to build end to end analytical products.
• Uses strong knowledge in algorithms and predictive models to propose approaches, investigate problems, detect patterns and recommend solutions
• Performs analyses of structured and unstructured data to solve multiple and/or complex business problems utilizing advanced statistical techniques and mathematical analyses and broad knowledge of the organization and/or industry
• Develops and participates in presentations and consultations to existing and prospective constituents on analytics results and solutions
• Use strong programming skills to explore, examine and interpret large volumes of data in various forms

Benefits

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level