Data Scientist - Analytics Cost & Operations

CVS Health



Wellesley, MA

Why you should apply for a job to CVS Health:

  • 62% say women are treated fairly and equally to men
  • 52% say the CEO supports gender diversity
  • Ratings are based on anonymous reviews by Fairygodboss members.


    Position summary

    ng 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.

    This Data Scientist role will be working with Cost and Operations Analytics that focuses on improving unit cost, efficiency, automation and provider experience.

    You will be onsite 3 days a week, every other week, at our Wellesley, MA or SOHO, NY office.

    You will be working on:

    Analyzing large amounts of data to evaluate competitive cost positioning

    Implementing models, developing tool and algorithms to augment processes related to Claims ecosystem

    Identifying and sizing opportunities for analytics to improve efficiency and increase automation in claim adjudication, and claim rework

    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

    Explores existing data and recommends additional sources of data for improvements

    Documents projects including business objectives, data gathering and processing, detailed set of results and analytical metrics

    Leverage AI and analytics to drive efficiency and automation for Appeals and Grievances.

    Build solutions that help with tracking of operational processes and policies and identify opportunities for improvements

    Required Qualifications :

    1+ years of relevant analytics experience

    Experience in programming using Python or R

    Experience in SQL

    Preferred Qualifications :

    Experience in Google Cloud/BigQuery

    Experience in building solutions using machine learning and generative AI

    Education :

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

    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

    We anticipate the application window for this opening will close on: 04/08/2024

    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 [email protected] 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.

    Why you should apply for a job to CVS Health:

  • 62% say women are treated fairly and equally to men
  • 52% say the CEO supports gender diversity
  • Ratings are based on anonymous reviews by Fairygodboss members.