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 Lead, Senior Decision Scientist serves as a strategic analytics and ideation leader supporting Payment Integrity Affordability initiatives with a primary focus on Fraud, Waste & Error (FWE) and Special Investigations Unit (SIU) programs. This role provides leadership and guidance to a team of Decision Scientists while driving the development, evaluation, and implementation of innovative opportunities that improve affordability outcomes and strengthen Payment Integrity capabilities. The Lead Decision Scientist is responsible for establishing analytical frameworks, managing ideation pipelines, defining success metrics, and identifying cross-functional opportunities that create enterprise value across Payment Integrity programs. Required Qualifications 7+ years of experience in healthcare analytics, Payment Integrity, Fraud, Waste & Error (FWE), Special Investigations, or related healthcare operations. 5+ years of experience leading analytical projects or providing technical leadership within a healthcare environment. Demonstrated experience working with healthcare claims platforms including ACAS, QNXT, HRP, or comparable systems. Experience using SAS, SQL, Python, R, or other analytical and statistical programming languages. Experience performing advanced data analysis, opportunity identification, trend analy
C
Salary not disclosed
Check market pay for comparable Data Scientist roles before applying.
Role overview
Job description
Senior Data Scientist - AI - Specialty Operations — Work At Home-New York. Apply via Workday.
What they are looking for
Skills & requirements
C
Hiring company
Cvshealth
Explore this employer's active roles, salary signals and company profile on Jobiba.
Keep exploring
Similar active roles
Fresh roles matched to this title and market.
C
📍 Hartford Farmington Ave Atrium, United States
PE
📍 Vienna, Virginia, United States· Full-time· Hybrid
G
G
L
📍 San Francisco, Canada· Full-time
L
📍 San Francisco, Canada· Full-time
🔔 Get job alerts
New Senior Data Scientist - AI - Specialty Operations jobs in Work At Home-New York, straight to your inbox.
No spam · Unsubscribe anytime