At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary
- Leads development and execution of new and/or highly complex algorithms and statistical predictive models and determines analytical approaches and modeling techniques to transform Aetna’s utilization management (i.e., prior authorization) process
- Establishes analytical rigor and statistical methods to analyze large amounts of data, using advanced statistical techniques and mathematical analyses
- Manages highly complex analytical projects from data exploration, model building, performance evaluation and testing
- Applies in-depth knowledge of systems and products to consult and advise on additional efforts across organization/enterprise
- Motivates team members and probes into technical details, and mentor's others to do the same
- Provides thought leadership and direction for analytic solutions, tools and studies
- Anticipates and solves strategic and high-risk business problems with broad impact on the business area by applying leading-edge theories and techniques to investigate problems, detect patterns and recommend solutions
- Provides guidance to develop enterprise-wide analytics strategy and roadmap
- Interacts with internal and external peers and management to share highly complex information/solutions related to areas of expertise and/or to gain acceptance of new or enhanced technology/ business solutions
Required Qualifications
- 10 or more years of progressively complex related experience
- Expertise in advanced analytics tools and languages to analyze large data sets from multiple data sources
- Expertise in innovating and implementing novel machine learning and/or Generative AI techniques
- Experience coding in both SQL and Python
Preferred Qualifications
- Excellent analytical and problem-solving skills
- Strong organizational, management and leadership skills
- Comprehensive knowledge of the health care industry, products, systems, business strategies and products
- Demonstrates advanced in-depth specialization in mathematical analysis methods, machine learning, statistical analyses, and predictive modeling
- Superior ability to communicate technical ideas and results to non-technical clients in written and verbal form
- Superior skills to effectively communicate and negotiate across business and in the external health care environment
Education
Bachelor's degree or equivalent work experience in Mathematics, Statistics, Computer Science, Business Analytics, Economics, Physics, Engineering, or related discipline.
Master’s degree or PhD preferred
Pay Range
The typical pay range for this role is:
$144,200.00 - $288,400.00
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. This position also includes an award target in the company’s equity award program.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan .
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit
We anticipate the application window for this opening will close on: 09/01/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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