Senior Decision Scientist – Affordability & Ideation Leader

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

Benefits offered by this job

Medical, dental, vision coverage

Paid time off

Retirement savings options

Job summary

CVS Health Corporation seeks a Lead, Senior Decision Scientist to guide analytics for Payment Integrity focused on Fraud, Waste & Error and Special Investigations Unit programs. You will lead a team of decision scientists, shape ideation pipelines, and deliver data-driven affordability opportunities that strengthen capabilities.

Collaborate with SIU, Analytics & Behavior Change, Clinical Policy, Medical Economics, and Payment Integrity leaders to establish frameworks, measure outcomes, and

Qualifications

• 7+ years of experience in healthcare analytics or related fields.
• 5+ years of experience leading analytical projects or teams.
• Experience with healthcare claims platforms (ACAS, QNXT, HRP) or similar systems.
• Proficiency in SAS, SQL, Python, or R for analytics.

Responsibilities

• Provide day-to-day leadership, coaching, and mentorship to Decision Scientists.
• Develop and manage ideation pipelines and governance for affordability opportunities.
• Collaborate with SIU, Analytics & Behavior Change, Clinical Policy, Medical Economics, and Payment Integrity leaders.
• Present analyses and recommendations to senior leadership.

Skills

Healthcare analytics

FWE

Leadership

SQL

Python

R

SAS

Communication

Education

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

Tools

ACAS

QNXT

HRP

Job description

CVS Health Corporation seeks a Lead, Senior Decision Scientist to guide analytics for Payment Integrity focused on Fraud, Waste & Error and Special Investigations Unit programs. You will lead a team of decision scientists, shape ideation pipelines, and deliver data-driven affordability opportunities that strengthen capabilities.

Collaborate with SIU, Analytics & Behavior Change, Clinical Policy, Medical Economics, and Payment Integrity leaders to establish frameworks, measure outcomes, and