Senior Decision Scientist: Affordability & Ideation

CVS Health Corporation; Tampa (FL); On-site; USD 93,000 - 222,000; Full time

Job summary

CVS Health is seeking a Lead Senior Decision Scientist to guide analytics initiatives within Payment Integrity, with a focus on FWE and SIU programs. You will lead a team of decision scientists, shape ideation pipelines, and drive research to improve affordability outcomes and enterprise value.

Responsibilities include establishing analytic frameworks, partnering with SIU, Analytics & Behavior Change, and Medical Economics, and communicating insights to senior leaders.

Qualifications

• 7+ years in healthcare analytics, Payment Integrity, or related fields.
• 5+ years leading analytical projects or technical leadership in healthcare.

Responsibilities

• Provide day-to-day leadership, coaching, and mentorship to Decision Scientists.
• Monitor workload prioritization and ensure timely progression of ideation concepts.
• Establish and monitor performance expectations, milestones, and quality standards.
• Lead ideation sessions and facilitate opportunity-generation activities.
• Develop business cases and value assessments for affordability opportunities.
• Present analyses and recommendations to senior leadership.

Skills

Healthcare analytics

Leadership

Healthcare claims data

SAS/SQL/Python/R

Data analysis

Communication

AI/Advanced analytics

Education

Bachelor's degree in Business Analytics, Data Science, Healthcare Administration, Statistics, Economics, Computer Science

Tools

ACAS

QNXT

HRP

Job description

CVS Health is seeking a Lead Senior Decision Scientist to guide analytics initiatives within Payment Integrity, with a focus on FWE and SIU programs. You will lead a team of decision scientists, shape ideation pipelines, and drive research to improve affordability outcomes and enterprise value.

Responsibilities include establishing analytic frameworks, partnering with SIU, Analytics & Behavior Change, and Medical Economics, and communicating insights to senior leaders.