Lead Data Scientist

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 We are seeking a candidate with a keen sense of natural curiosity who will play a crucial role in enhancing claim and appeal operation and driving innovation through the application of data science. In this position, you will be responsible for leveraging advanced analytics including machine learning and large language model techniques to develop products that significantly improve the efficiency and accuracy of the claim and appeal operation process. You will be working on Engaging various business stakeholders to translate complex business problems into technical requirements, define data science solutions fitting into the business process, and define the steps to build the solution Leading and guiding junior data scientists, working along with product managers and data engineers to jointly build the solution and achieve business goal Implementing models, developing tool and algorithms to augment processes related to Claims, Appeals and Grievances ecosystem Leveraging analytics to build accurate and efficient solutions and enable automation Identifying and sizing opportunities for analytics to improve efficiency and increase automation in claim and appeal adjudication Developing, validating and executing algorithms and predictive models to investigate problems, detect patterns and recommend solutions Exploring, examining and interpreting large volumes of data in various forms , both structured and unstructured Utilizing advanced statistical techniques and mathematical analyses develops data structures and pipelin...