Data Scientist - Claims & Appeals Analytics

CVS Health

CVS Health is committed to providing human-centric healthcare through innovation and transformation. The Data Scientist on the Analytics & Behavior Change team will drive data-driven solutions within a cross-functional setting, enhancing the healthcare experience by improving automation and efficiency.

In this role you can expect to have the responsibilities:

• Analyze vast datasets for competitive cost evaluation.
• Develop models and algorithms for Claims, Appeals, and Grievances processes.
• Enhance automation and operational efficiency using analytics.
• Create and validate predictive models to address complex business issues.
• Utilize data visualization for decision support.
• Document project objectives, processes, and outcomes.

This role comes with the following benefits:

• Medical, dental, and vision benefits
• 401(k) retirement savings plan
• Employee Stock Purchase Plan
• Fully-paid term life insurance
• Short-term and long-term disability benefits
• Well-being programs
• Education assistance
• Free development courses
• CVS store discount
• Paid Time Off (PTO) and holiday pay

This role requires you to have:

• 1+ years Data Science experience
• Python programming
• SQL programming
• Cloud Technology experience (GCP, AWS, Azure)
• Data scaling for Machine Learning models

You would benefit from having:

• Model deployment experience
• GitHub experience
• Google Cloud/BigQuery experience
• Strong problem-solving skills

The position will adhere to fair hiring practices in line with relevant laws regarding applicants with arrest or conviction records.