Lead Decision 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 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 he...