CVS Health

Senior Data Scientist - Payment Accuracy

CVS Health$111K — $222K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 5+ years of relevant experience in data science
  • Proficiency in SQL, Python, and machine learning techniques
  • Ability to effectively communicate technical concepts to non-technical stakeholders
  • Proactive in anticipating challenges and preventing issues
  • Strong knowledge of advanced analytics tools for large data analysis
  • Expertise in mathematical analysis, statistical methods, and predictive modeling

Responsibilities

  • Lead the development of algorithms and statistical models to address complex problems
  • Apply predictive modeling and statistical techniques to analyze potential outcomes
  • Conduct analyses on diverse data forms using advanced statistical methods
  • Collaborate with business partners to enhance data-driven decision-making
  • Deliver detailed presentations on analytics findings and solutions
  • Leverage programming skills to analyze large datasets effectively

Benefits

  • Medical, dental, and vision coverage
  • Paid time off
  • Retirement savings options
  • Wellness programs
  • Resources supporting colleagues' physical, emotional, and financial well-being
Full Job Description
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 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 Sr Data Scientist on the Payment Optimization Analytics 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
  • Leads and participates in the development, validation and delivery of algorithms, statistical models, and reporting tools. Solves complex analytical problems.
  • Develops and/or uses algorithms and statistical predictive models and determines analytical approaches and modeling techniques to evaluate scenarios and potential future outcomes.
  • Performs analyses of structured and unstructured data to solve multiple and/or complex business problems utilizing advanced statistical techniques and mathematical analyses and broad knowledge of the organization and/or industry.
  • Collaborates with business partners to understand their problems and goals, develop predictive modeling, statistical analysis, data reports and performance metrics.
  • Develops and participates in presentations and consultations to existing and prospective constituents on analytics results and solutions. Interacts with internal and external peers and managers to exchange complex information related to areas of specialization.
  • Use strong knowledge in algorithms and predictive models to investigate problems, detect patterns and recommend solutions.
  • Use strong programming skills to explore, examine and interpret large volumes of data in various forms.


Required Qualifications
  • 5 or more years of progressively complex related experience
  • Experience in SQL (BigQuery, complex CTEs, window functions), Python (pandas, NumPy, scikit-learn), machine learning (model development, feature engineering, evaluation), and AI/LLM integration (prompt engineering, RAG, agent frameworks) for end-to-end data science workflows.
  • Demonstrates strong ability to communicate technical concepts and implications to business partners.
  • Anticipates and prevents problems and roadblocks before they occur.
  • Strong knowledge of advanced analytics tools and languages to analyze large data sets from multiple data sources.
  • Demonstrates proficiency in most areas of mathematical analysis methods, machine learning, statistical analyses, and predictive modeling and in-depth specialization in some areas.


Preferred Qualifications
  • Healthcare industry work experience is preferred


Education

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

Anticipated Weekly Hours
40

Time Type
Full time

Pay Range

The typical pay range for this role is:

$111,240.00 - $222,480.00

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.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/31/2026

About CVS Health

Omnicare provides comprehensive pharmaceutical services to patients and providers across the United States. As the market-leader in professional pharmacy, related consulting and data management services for skilled nursing, assisted living and other chronic care settings, Omnicare leverages its unparalleled clinical insight into the geriatric market along with some of the industry's most innovative technological capabilities to the benefit of its long-term care customers. Omnicare also provides key commercialization services for the bio-pharmaceutical industry through its Specialty Care Group.

CVS Health Careers

Joining CVS Health presents a unique opportunity to advance your career in a company where innovation, leadership, and growth go hand in hand. As a leader in the healthcare industry, CVS Health is more than just a pharmacy. We are a team of professionals dedicated to improving lives and optimizing health outcomes.

Work You’ll Do

At CVS Health, you will be part of a culture that values diversity and inclusivity, fostering an environment where every team member’s contribution is valued. Engage in meaningful work that directly impacts lives, driving innovation in healthcare services and solutions.

Explore Job Opportunities

Whether you’re looking for a position in pharmacy services, corporate leadership, or in-store management, CVS Health offers a variety of employment opportunities that will help you harness your skills and thrive professionally. Our job opportunities span across a wide range of professional fields and geographic locations, ensuring that your career at CVS Health aligns with your professional goals and lifestyle.

Internship Programs

Kickstart your career with CVS Health through our internship programs. These opportunities are designed for ambitious students eager to develop their skills in a real-world setting. Internships at CVS Health are not only about gaining work experience but also about making meaningful contributions to our ongoing projects.

Professional Growth and Development

CVS Health is committed to the professional growth of our employees. With access to cutting-edge technology, industry-leading experts, and comprehensive diversity training, our team members are equipped to lead and innovate. We support career advancement through professional development programs, leadership training, and opportunities for networking and internal mobility.

Benefits and Culture

Our employees enjoy a range of benefits that reflect our commitment to their well-being and success. From health and wellness benefits to professional development programs, CVS Health is dedicated to ensuring our team members have the resources they need. Our inclusive culture encourages collaboration and continuous learning, making CVS Health a place where you can grow and succeed.

Join Our Team

Ready to take the next step in your career? Explore the open positions at CVS Health that match your skills and interests. We are continuously hiring and looking for passionate, curious, and solution-driven team players.

Stay Connected

Keep up to date with the latest news, career tips, and industry insights from CVS Health. Personalize your experience by subscribing to job alert emails, tailored to your preferences and professional interests. Discover the rewarding opportunities that await at CVS Health, where your career development is always a priority.

Search CVS Health Jobs

Don’t just look for a job. Look for a place where you can be a part of something bigger. Visit our careers page to find the position that’s right for you and join a team that values innovation and leadership in healthcare.

READ CAREERS BLOG

Stay ahead in your career with insights from those who know CVS Health best – our team. Learn from their experiences and get insider tips that can help you succeed in your next interview, craft a standout resume, and build a career you’re proud of at CVS Health.
Learn more about CVS Health
Size
300,000 employees
Market Cap
$122 billion
Industry
Net Income
$7.1 billion
Founded
1963
5 Year Trend
+10.5%
Revenue
$268.7 billion
NASDAQ

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