Data Scientist - Payment Accuracy, Medicaid

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
 
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary

It’s a new day in healthcare!

Looking for opportunities to use cutting edge technologies analyzing petabytes of data on Google Cloud Platform? Interested in generating analytical insights that inform provider networks and engagement strategies that support members on their individualized health and wellness journey? CVS's Analytics & Behavior Change team delivers strategically impactful programs and tools that expand convenient access to high-quality and affordable care for all members across multiple channels across all stages of life.

At CVS, 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 that inform network strategy and design, improve network performance and provider engagement, develop new provider offerings, and enhance consumer experience.

You will be part of a fast-paced, innovative, collaborative team, helping solve problems, drive impact, and deliver key insights to our customers by leveraging innovations in data science, machine & deep learning, and predictive modeling techniques.  You will derive meaning from data and deploy robust solutions through provider-directed engagement channels (e.g., digital) that helps consumers identify affordable care, when they need it, and with whom.

FUNDAMENTAL COMPONENTS

• Participates in the development, validation and delivery of algorithms, statistical models, and reporting tools. Solves moderately complex analytical problems.

• Develops, validates, and executes algorithms and predictive models to investigate problems, detect patterns and recommend solutions.

• 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.

• Demonstrates good written and verbal communication skills.

• Able to present information to various audiences.

• Effectively resolves problems and roadblocks as they occur.

• Demonstrates proficiency in several areas of data modeling, machine learning algorithms, statistical analysis, data engineering and data visualization.

• Ability to work with large data sets from multiple data sources.

Required Qualifications

• 1+ years of relevant programming or analytic experience.

• Experience in programming using Python or R

• Experience in SQL

Preferred Qualifications

• Healthcare industry work experience is preferred

Education

• Bachelor's degree or equivalent work experience in Mathematics, Statistics, Computer Science, Business Analytics, Economics, Physics, Engineering, or related discipline.

•  Master’s degree preferred

Pay Range

The typical pay range for this role is:

$82,915.00 - $175,100.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.  The Company offers a full range of medical, dental, and vision benefits.  Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.  The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.  As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.  
 
For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

We anticipate the application window for this opening will close on: 04/10/2024

CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. 

You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through ColleagueRelations@CVSHealth.com If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.