We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Role Overview
Aetna, a CVS Health company, is a leading health innovation organization focused on transforming healthcare delivery and improving outcomes. As part of the growing Medicare Stars organization, we are seeking a Principal Data Scientist to lead advanced analytics, forecasting, and scientific modeling efforts that drive enterprise-level Star Ratings performance.
This role is a senior individual contributor and thought leader responsible for defining and scaling the next generation of Stars forecasting, cutpoint analytics, and performance modeling. The individual will lead development of predictive models, statistical frameworks, and AI-enabled analytics solutions to inform strategic decision-making across Medicare Stars domains.
This position will own end-to-end analytic strategy—from data engineering and model design to executive insights and business impact—and will serve as a key partner to leadership across Product, Clinical, Quality, and Data organizations.
Position Summary
- Designs, develops, and maintains complex Tableau reports for scalability, manageability, extensibility, performance, and re-use.
- Interacts directly with key high-level stakeholders, end-users, and colleagues to design and develop Dashboards in Tableau.
- Works with other teams to create useful reports and dashboards that provide insight, improve/automate processes, or otherwise add value to team.
- Strong experience of data extracts, data blending, publishing dashboards.
- Apply advanced technical, analytical and consultative skills utilizing an extensive knowledge of healthcare data, Tableau and information systems to develop and deliver reporting components that satisfy business needs within defined SLAs.
- Expertise in working with BigQuery and Cloud SQL services offered by GCP eco system.
- Experience in GCP Looker to create and maintain enterprise dashboards and derive insights.
- Extensive knowledge of data visualization techniques and visual design concepts using Tableau
- Lead, design and develop user friendly dashboards using complex health care datasets from different Medicare data sources.
- Creates high performance Tableau reports that address strategic and tactical business needs.
- Proficient in Python, Jupyter Notebooks, GitHub version controls, and SQL
- Experience in Data Processing, expertise in developing Queries.
- Good Knowledge in various phases of SDLC, Requirement Analysis, Design, Development and Testing on various developments and enhancement projects.
- Implements best practices to ensure dashboard design consistency across all dashboards for best user experience.
- Very good understanding of relational data structures and skilled in writing complex data analysis queries.
- Provides technical expertise in areas of development, design, and implementation.
- Communicate findings and insights to stakeholders through clear, understandable presentations.
- Ensure data quality and integrity in dashboards and reports.
Education
- Education: A bachelor's degree in a related field such as Statistics, Mathematics, Data Science, Economics, Computer Science, or related field. Advanced degrees (Master's or Ph.D.) in these fields are highly desirable.
Required Qualifications
- 7+ years in data science, analytics, or forecasting roles
- Significant experience in Medicare Stars or healthcare quality analytics preferred
- Experience leading large-scale forecasting or Stars performance programs
- Proven track record of delivering enterprise-scale analytics solutions and business impact
Preferred Qualifications
- Certifications: Professional certifications in data science, machine learning, or business analytics can be beneficial.
- Experience with CMS Stars regulatory interpretation and analytics
- Prior work in Medicare Advantage or healthcare quality organizations
Pay Range
The typical pay range for this role is:
$118,450.00 - $284,280.00
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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Skills Required
- Bachelor's degree in Statistics, Mathematics, Data Science, Economics, Computer Science, or related field
- Advanced degree (Master's or Ph.D.) in a related field
- 7+ years in data science, analytics, or forecasting roles
- Significant experience in Medicare Stars or healthcare quality analytics
- Experience leading large-scale forecasting or Stars performance programs
- Proven track record of delivering enterprise-scale analytics solutions and business impact
- Expertise designing, developing, and maintaining complex Tableau dashboards and reports
- Experience with BigQuery and Cloud SQL (GCP)
- Experience with GCP Looker to create and maintain enterprise dashboards
- Proficient in Python and Jupyter Notebooks
- Experience with GitHub version control and SQL
- Experience in data processing and developing complex queries
- Good knowledge of SDLC phases including requirement analysis, design, development, and testing
- Strong understanding of relational data structures and complex data analysis queries
- Ability to communicate findings and present insights to stakeholders
- Ensure data quality and integrity in dashboards and reports
- Professional certifications in data science, machine learning, or business analytics
- Experience with CMS Stars regulatory interpretation and analytics
- Prior work in Medicare Advantage or healthcare quality organizations
What We Do
CVS Health is the leading health solutions company that delivers care in ways no one else can. We reach people in more ways and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners. Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day.
