CVS Health

Data Scientist – Utilization Management

CVS Health

full-time

Posted on:

Location Type: Remote

Location: IdahoMassachusettsUnited States

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Salary

💰 $64,890 - $173,040 per year

About the role

  • Build analytic solutions and machine learning models (e.g. classification, ranking) to optimize Utilization Management in healthcare and translate business logic or healthcare workflow into data-driven decisions
  • Develop data structures and processing pipelines to organize, collect, and standardize insights from both unstructured data (PDFs, texts, images) and structured data, to address both reporting needs and feature development
  • Explore and build LLM-powered pipelines and evaluate performance based on real-world feedback
  • Create and evaluates the data needs of assigned projects and assures the integrity of the data
  • Explore existing data and recommends additional sources of data for improvements
  • Document projects including business objectives, data gathering and processing, detailed set of results and analytical metrics

Requirements

  • 2+ years of experience in data science and machine learning
  • 2+ years of experience in SQL
  • 1+ year experience programming using Python (pandas, scikit-learn, PyTorch, etc.)
  • 1+ year of business experience leading analyses and initiatives with track record of business impact using data driven insights
  • Experience with Google Cloud Platform, big query, and other cloud-based tools (preferred)
  • Experience with delivering machine learning models end-to-end (preferred)
  • Experience with building AI solutions on multi-modal data and experiences with RAG, embeddings, or prompt engineering (preferred)
  • Exposure to model deployment (APIs, cloud platforms) and LLM packages such as LangChain, LangGraph, Langfuse (preferred)
  • Strong written and verbal communication skills
Benefits
  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs
  • Confidential counseling and financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
data sciencemachine learningSQLPythonpandasscikit-learnPyTorchdata structuresprocessing pipelinesmodel deployment
Soft Skills
communicationleadershipanalytical thinkingbusiness impact