CVS Health

HC Quality & Population Health Data Scientist

Illinois, United States

Not SpecifiedCompensation
Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Health InsuranceIndustries

Requirements

Candidates must have at least 5 years of experience in the analytics industry and at least 3 years of demonstrated healthcare analytics experience within the Medicaid/Medicare space. Advanced knowledge of data science principles, techniques such as inferential statistics, machine learning, algorithms, data modeling, statistical significance testing, and forecasting is required. A strong understanding of identifying appropriate data science methods based on existing data and research questions, evaluation research, longitudinal trending, and population monitoring is also necessary. Proficiency in effectively communicating data verbally and visually to diverse audiences and advanced knowledge of data-appropriate visualization techniques are essential.

Responsibilities

The Data Scientist will apply rigorous data science principles to continuous quality improvement and evaluation of HEDIS and Population Health interventions, synthesizing data analytics into actionable stories for performance improvement. They will lead data science infrastructure development and automation using SQL, Python, Excel, R, and Power BI, and develop custom analytics for regulatory requirements. Responsibilities include leading end-to-end evaluation research for population health interventions, developing fact/dimensional data models in Power BI, and continuously monitoring HEDIS and population health performance metrics. The role involves leading KPI design, custom algorithms, machine learning, and continuous quality improvement techniques, as well as managing and communicating cross-functional data science infrastructure projects. Additionally, the Data Scientist will conduct in-depth program evaluation analytics, generate custom data insights for senior leadership and regulatory reporting, and develop iterative Power BI solutions for staff and leadership. They will transform manual data intake and reporting into automated processes, effectively communicate data insights to stakeholders, and train colleagues in advanced data science principles and Power BI solutions.

Skills

Data Science
SQL
Python
Excel
R
Power BI
Data Modeling
Machine Learning
Quality Improvement
HEDIS
Population Health
Analytics
Evaluation Research
KPI Design
Algorithm Development

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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