Decision Scientist - Healthcare Actuary at CVS Health

Hartford, Connecticut, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Bachelor's degree in Mathematics, Statistics, Computer Science, Business Analytics, Economics, Physics, Engineering, or related discipline
3+ years Health Insurance Actuarial experience, including proven ability to communicate and consult effectively with internal or external clients
3+ years of professional experience in data analytics, BI, data engineering or applied data science
3+ years of experience with SQL and/or Python/R
Fewer years of experience may be acceptable with a related Master's degree and appropriate scholastic experience
3+ exams passed towards Society of Actuaries accreditation
Preferred Qualifications
Master's degree in Mathematics, Statistics, Computer Science, Business Analytics, Economics, Physics, Engineering, or related discipline
4+ years of professional experience in data analytics, BI, data engineering or applied data science
4+ years of experience with SQL and Python/R
Associate of the Society of Actuaries or Fellow of the Society of Actuaries

Responsibilities

Develops, validates and executes algorithms and predictive models to investigate problems, detect patterns and recommend solutions
Explores, examines and interprets large volumes of healthcare utilization data in various forms
Performs analyses of predominantly structured 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 & evaluates the data needs of assigned projects and assures the integrity of the data
Documents projects including business objectives, data gathering and processing, detailed set of results and analytical metrics
Gain extensive experience with SQL, Python, Spark & Cloud computing (AWS, GCP, MS Azure)

Skills

Actuarial Science

Data Science

Machine Learning

Predictive Modeling

Risk Prediction

Statistical Analysis

Healthcare Data

Data Pipelines

Python

SQL

CVS Health

Comprehensive pharmacy and healthcare services

About CVS Health

CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.

Woonsocket, Rhode IslandHeadquarters

1963Year Founded

DEBTCompany Stage

Healthcare, Consumer GoodsIndustries

10,001+Employees

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) Retirement Plan

Company Equity

Wellness Program

Professional Development Budget

Paid Vacation

Paid Holidays

Risks

Legal challenges related to opioid prescriptions could harm CVS's reputation and finances.

The DOJ's intervention in a whistleblower lawsuit may increase legal costs for CVS.

The Horizon Organic Milk recall exposes potential vulnerabilities in CVS's supply chain.

Differentiation

CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.

The company integrates pharmacy benefits management with specialty pharmacy services for comprehensive care.

CVS Health offers tailored medication plans through personalized medicine and pharmacogenomics.

Upsides

Expansion of telehealth services allows CVS to reach more patients remotely.

Increased consumer interest in wellness boosts demand for CVS's health-related products.

The trend towards value-based care aligns with CVS's integrated healthcare approach.

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