Lead Decision Scientist

Reposted 10 Hours Ago
Be an Early Applicant
Hiring Remotely in Home, Klouékanmè, Kouffo, BEN
Remote
130K-261K Annually
Senior level
Fitness • Healthtech • Retail • Pharmaceutical
The Role
The Lead Decision Scientist oversees the complete analytics lifecycle to deliver data-driven insights for Aetna's Utilization Management, working closely with leadership and stakeholders to enhance healthcare outcomes.
Summary Generated by Built In

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.

Position Summary
The UM Analytics team provides data-driven insights that directly influence clinical and operational decision-making across Aetna's Utilization Management organization. We partner with Medical Affairs leadership, Medical Directors, and operational teams to evaluate care models, identify cost and quality improvement opportunities, and translate complex healthcare data into actionable recommendations.

 
This Lead Decision Scientist will be embedded within the Medical Affairs analytics pod, serving as the primary analytics partner for care model leadership and clinical stakeholders. You will own the end-to-end analytics lifecycle — from intake and problem framing through data extraction, analysis, insight generation, and stakeholder presentation — for a portfolio of Medical Affairs projects. This is not a "run-the-report" role: you will be expected to proactively identify opportunities, shape the analytical agenda, and drive projects to completion, ensuring that insights translate into measurable business and clinical outcomes.
 
You will work closely with Medical Directors, care model leads, and cross-functional operational teams to prioritize, scope, and deliver high-impact analyses spanning areas such as care model performance evaluation, clinical program effectiveness, utilization trend analysis, and exploratory research to support new initiatives.

Required Qualifications

- 7+ years of professional experience in data analytics, decision science, or a quantitative analytics role
- 3+ years of experience working with healthcare data (claims, clinical, enrollment, or similar)
- Advanced proficiency in SQL, including complex query design across large-scale datasets (e.g., BigQuery, Teradata, or similar enterprise data platforms)
- Demonstrated experience leading analytics projects end-to-end — from stakeholder problem definition through final deliverable and recommendation
- Experience building dashboards, reports, or data visualizations using tools such as Tableau, Power BI, Looker, or similar
- Track record of presenting analytical findings and recommendations to senior leadership or cross-functional business partners
- Proficiency in at least one programming language for data analysis (Python or R)
- Experience working in a matrixed environment with multiple concurrent stakeholder groups

Preferred Qualifications

- Strong understanding of managed care, utilization management, or health plan operations (e.g., familiarity with concepts such as DRG, clinical claim review, care model design, or medical policy)
- Ability to translate ambiguous business questions into structured analytical frameworks without heavy direction
- Proven ability to push projects forward independently — proactively managing timelines, escalating blockers, and driving stakeholders toward decisions
- Excellent communication and storytelling skills — can distill complex analytical findings into clear, concise narratives for both technical and non-technical audiences, including Medical Directors and operational leaders
- Strong consultative mindset — comfortable pushing back on requests to reframe problems, prioritize effectively, and ensure the right questions are being asked
- Experience mentoring or guiding junior analysts on analytical methodology and professional development
- Familiarity with statistical modeling, A/B testing, or causal inference methods applied to healthcare program evaluation
- Comfort working with ambiguity and evolving priorities in a fast-paced environment

Education

Bachelor's degree or equivalent work experience in Mathematics, Statistics, Computer Science, Analytics, Engineering, Public Health, Health Informatics, or related quantitative discipline. Master's degree preferred.

Pay Range

The typical pay range for this role is:

$130,295.00 - $260,590.00


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.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on
Benefits Moments.

We anticipate the application window for this opening will close on: 07/31/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Skills Required

  • 7+ years of professional experience in data analytics, decision science, or a quantitative analytics role
  • 3+ years of experience working with healthcare data
  • Advanced proficiency in SQL
  • Experience building dashboards and data visualizations
  • Proficiency in at least one programming language for data analysis
  • Experience leading analytics projects end-to-end
Am I A Good Fit?
beta
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

The Company
HQ: Woonsocket, RI
119,959 Employees
Year Founded: 1963

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.

Similar Jobs

CVS Health Logo CVS Health

Lead Director - Mainframe Systems Engineering

Fitness • Healthtech • Retail • Pharmaceutical
In-Office or Remote
27 Locations
119959 Employees
144K-288K Annually
Remote
Home, Klouékanmè, Kouffo, BEN
699 Employees
93K-138K Annually
Remote
Home, Klouékanmè, Kouffo, BEN
27738 Employees
32-43 Hourly
Remote
Home, Klouékanmè, Kouffo, BEN
2581 Employees
140K-140K Annually

Similar Companies Hiring

Granted Thumbnail
Mobile • Insurance • Healthtech • Financial Services • Artificial Intelligence
New York, New York
23 Employees
Scotch Thumbnail
Artificial Intelligence • eCommerce • Fintech • Payments • Retail • Software • Analytics
US
35 Employees
Golden Pet Brands Thumbnail
Digital Media • eCommerce • Information Technology • Marketing Tech • Pet • Retail • Social Media
El Segundo, California
178 Employees

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account