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CVS Health Healthcare Benefits Data Scientist - Senior Advisor in Wellesley, Massachusetts

Job Description

CVS Health is the nation's premier health innovation company helping people on their path to better health. We are building a new health care model that is easier to use, less expensive, and puts the consumer at the center of their care. Data Science is one of the foundational pillars driving CVS Health into a data centric company. You will be part of a large group of highly accomplished data scientists to help build innovative solutions and manage data using the latest tools and technology. Whether you specialize in Machine Learning, Optimization & Simulations, Statistical Analysis, or Natural Language Processing, you will have ample opportunity to contribute, grow and achieve your best working for Fortune 5’s largest healthcare company.Who we are: CVS Health Enterprise Analytics organization has several teams, Retail Analytics, Pharmacy Personalization Analytics, PBM Finance Analytics and Data Strategy and Engineering, helping lead the effort to transform healthcare and provide better outcomes for patients by leveraging solutions in a particular business analytic area and deliver new insights to leaders that manage the roadmap for enhancements that drive new development on existing or new solutions. What you will do: The Data Scientist role within CVS Health is on the front line of driving innovation and directly impacting business decisions. This role falls within the Healthcare Benefits team and will focus on building & deploying analytic models and reporting that help the Aetna business scale up its Utilization & Care Management, network design and reporting and other programs. You are collaborating with a diverse set of talented team members to help solve multidimensional problems as it relates to government programs and commercial data, analytics and reporting. Your extensive Medicaid and Medicare expertise will help us better demonstrate the value of our services to our clients.You have strong analytical and critical thinking skills and the ability to solve complex problems and communicate those findings effectively and convincingly. You have 5+ years' experience in the US Healthcare Payer market with experience in value-based care and insurance company operations.

Required Qualifications

5+ years of professional experience in:• Data analysis that helps demonstrate the value of our services• Leading project management activities, including communications within project teams, stakeholder management, and leadership updates • Extracting actionable insights from the analysis and interpreting outcomes of complex models to present to business audiences including technical, non-technical, and senior leaders • Preparing data for analysis, working with data engineering team to create modeling dataset, assess completeness and quality of data, and perform feature engineering• Managing design implementation and cross functional initiatives, and communicating effectively and confidently with business partners, project team members, and senior management • Working with data and have a strong understanding of analytics and how it is leveraged within the healthcare/retail industry• Designing and implementing end-to-end solutions using Machine Learning, Optimization, or other advanced technologies and managing live deployments• 5+ years experience in the Healthcare industry with 5+ years' experience in Healthcare data analytics and interpretation• 3+ years experience with statistical measurements including experimental design, test and control selection, propensity matching, etc.

Preferred Qualifications

• You must have good commercial acumen in how to show value through data for Medicaid / Medicare• You will understand the strategic direction set by senior management.• Experience in systems and processes required to support health plans.• Experience working with claims data and Medicare and/or Medicaid members, preferably with formal consulting experience.• Experience applying modern machine learning techniques for both classification and regression problems, general linear models, mix models, etc. • Experience coding in Python, R, or other modeling environments • Must be well versed with the key principles of value-based care (lowering total cost of care, improving quality and improving patient/member satisfaction) and understand frequently used quality measurement programs (Stars, CAHPS, HEDIS, Adult Core Set)• Familiarity with FHIR, HL7, CCDA and other common standards for data sharing• Experience analyzing clinical data sets.• Experience working with client executives and presenting to executive audiences both internally and externally.• Familiarity with principles and practices of quality management strongly preferred.• High degree of computer literacy required, including ability to learn new software and systems.• Preferred experience with Health Plan reporting

Education

Master’s Degree in Statistics, Data Science, Computer Science, Applied Math, Health Policy, or other related field

Business Overview

At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

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