Senior Decision Scientist - Utilization Management

CVS Health•Wellesley, MA

About The Position

CVS Health is building a world of health around every individual, aiming to shape a more connected, convenient, and compassionate health experience. The company fosters a passionate, innovative, and accountable environment, prioritizing safety and quality. The core purpose is to deliver enhanced human-centric healthcare. The Senior Decision Scientist, specifically in the Utilization Management role, will leverage analytics to evaluate scenarios, predict future outcomes, and solve complex business problems to support decision-making. This specialist will analyze large datasets in real-time databases, develop mathematical approaches to achieve medical cost savings, and drive initiatives for these savings.

Requirements

5+ years' experience consulting with internal clients, identifying opportunities to implement data science and analytics solutions to make a business impact
4+ years' experience using SQL to extract, manipulate and analyze large datasets
3+ years experience working in Healthcare industry, with Healthcare data
3+ years' experience in strategic consulting or on strategy teams in a large company, providing actionable insights and recommendations to senior leaders and stakeholders to support strategic decision making
3+ years' experience with the Microsoft Office Suite including MS Excel and PowerPoint
2+ years' experience identifying trends and opportunities for cost savings initiatives and evaluating the effectiveness of programs
2+ year experience communicating and presenting complex data findings to a variety of stakeholders
2+ year experience organizing and managing multiple projects simultaneously
Bachelor's degree in Finance, Economics, Medical Economics, Math, Actuarial Science, Data Science or related field required

Nice To Haves

Collaborative with a growth mindset and excellent interpersonal skills
Demonstrated ability to communicate technical concepts and implications to business partners
Knowledge of healthcare industry trends and regulatory changes
Demonstrated proficiency in most areas of mathematical analysis methods, machine learning, statistical analyses, and predictive modeling and in-depth specialization in some areas
Anticipates and prevents problems and roadblocks before they occur
Master's degree in quantitative field or MBA strongly preferred

Responsibilities

Consulting on the creation of analytics solutions that effectively weigh business and technical tradeoffs using an advanced understanding of business strategy as well as relevant big data environment topics.
Translating business needs into analytics projects and actions.
Collaborating with business partners to understand their problems and goals, performing statistical analysis, developing data reports and performance metrics.
Consulting with internal clients to identify opportunities to implement data science solutions to business problems.
Structuring data analysis, driving analytics insights and analytical solutions to help data scientists determine the best analytical solution.
Understanding key drivers of business value.
Translating business problems into analytical solutions by knowing appropriate models to suggest to data scientists.
Presenting recommendations to senior staff and internal clients.