Senior Data Scientist, Clinical Intelligence

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🔥 0 minutes ago

🦌 Connecticut, Florida, +2 more states – Remote

🦌 Connecticut – Remote 🐊 Florida – Remote 🌲 North Carolina – Remote ⚓ Rhode Island – Remote

💵 $83.4k - $203.9k / year

⏰ Full Time

🟠 Senior

📊 Data Scientist

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Translate Caremark and Retail Pharmacy claims, dispensing, adjudication, and related data into clinically meaningful measures and actionable analyses • Evaluate medication access, affordability, adherence, persistence, utilization, formulary performance, safety, and outcomes • Contribute to recurring dashboards and key performance indicators • Conduct focused therapy-class, program, and product analyses • Apply SQL, statistical programming, and visualization tools to analyze large pharmacy datasets and solve clinical and business problems • Develop and maintain analytical frameworks, key metrics, and dashboard content • Translate stakeholder questions into documented analytic specifications • Work with PBM, client, member, drug, pharmacy, prescriber, prior-authorization, and payment data • Create and validate medication cohorts using drug reference information • Analyze formulary compliance, preferred product use, generic and biosimilar adoption, exceptions, prior authorization, approval and overturn patterns, out-of-pocket cost, and specialty utilization • Partner with Clinical Evidence Development on feasibility assessments, exposure definitions, comparator selection, adherence measures, outcomes, confounding assessment, validation, and interpretation • Collaborate with the Sr. BI Engineer to operationalize validated measures and analytic datasets in governed, automated reporting products • Follow privacy, client-data segregation, security, access, and data governance requirements for protected health information and confidential business data • Work under the direction of the VP, Data Strategy & Clinical Intelligence and partner with cross-functional stakeholders

🎯 Requirements

• 2 to 4 years of relevant experience in pharmacy analytics, PBM analytics, healthcare data science, pharmacoepidemiology, outcomes research, clinical informatics, or a related field • Experience working with pharmacy claims, dispensing data, medication utilization, or adherence measures • Proficiency in SQL and working proficiency in R, Python, SAS, or another statistical programming language • Working knowledge of drug identifiers and classifications such as NDC, GPI, generic product, brand, and therapeutic class • Experience developing dashboards, KPI frameworks, analytic datasets, or decision-support analyses • Working knowledge of problem solving and decision making, with strong attention to data detail and analytic accuracy • Ability to communicate technical and clinical findings to nontechnical stakeholders • Bachelor's degree or equivalent specialized training or relevant professional qualification preferred • Advanced training in biostatistics, epidemiology, pharmacoepidemiology, health services research, public health, pharmacy, data science, informatics, statistics, or a related field is desirable • Preferred: Experience with PBM data • Preferred: Knowledge of claims adjudication, prior authorization, formulary operations, specialty pharmacy, retail pharmacy, rebates, or net-cost concepts • Preferred: Experience implementing PDC, persistence, PQA, CMS Star medication, formulary, biosimilar, or member-affordability measures • Preferred: Experience with Google Cloud Platform, Tableau, Power BI, or Strategy

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • CVS Health bonus, commission or short-term incentive program in addition to base pay