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Senior Decision Scientist - Utilization Management

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States , Work at Home

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Contract Type:
Not provided

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Salary:

111240.00 - 222480.00 USD / Year

Job Description:

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. 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. The Analyst, Medical Cost Analytics / Utilization Management role will analytics to evaluate scenarios and make predictions on future outcomes to solve highly complex business problems and support decision making. The Analyst will be regarded as a specialist, analyzing large data sets in real-time databases and developing mathematical approaches to save medical costs. This role will share ideas and drive initiatives for medical cost savings.

Job Responsibility:

  • 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

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 have:

  • 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
What we offer:
  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access

Additional Information:

Job Posted:
March 03, 2026

Expiration:
March 27, 2026

Employment Type:
Fulltime
Work Type:
Remote work
Job Link Share:

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