976 Aetna jobs in the United States
Analyst, Investigator (Aetna SIU)
Posted 9 days ago
Job Viewed
Job Description
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
**Position Summary**
- Conducts investigations to effectively pursue the prevention, investigation, and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with state regulations mandating fraud plans and practices.
- Conducts investigations of known or suspected acts of healthcare fraud and abuse.
- Communicates with federal, state, and local law enforcement agencies as appropriate in matters pertaining to the prosecution of specific healthcare fraud cases.
- Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, customer members, etc.
- Facilitates the recovery of company and customer money lost as a result of fraud matters.
- Provides input regarding controls for monitoring fraud related issues within the business units.
- Delivers educational programs designed to promote deterrence and detection of fraud and minimize losses to the company
- Maintains open communication with constituents within and external to the company.
- Uses available resources and technology in developing evidence, supporting allegations of fraud and abuse.
- Researches and prepares cases for clinical and legal review.
- Documents all appropriate case activity in tracking system.
- Makes referrals and deconflictions, both internal and external, in the required timeframe.
- Cost effectively manages use of outside resources and vendors to perform activities necessary for investigations.
**Required Qualifications**
- Must be located in Maryland.
- Knowledge of Maryland Medicaid - State Of Maryland- Maryland Department of Health (MDH), and the Code of Maryland Regulations, often referred to as COMAR.
-
- Over 3 years in healthcare field working in fraud, waste and abuse investigations and audits.
- Strong analytical and research skills.
- Proficient in researching information and identifying information resources.
- Strong verbal and written communication skills
- Strong customer service skills.
- Ability to interact with different groups of people at different levels and provide assistance on a timely basis.
- Proficiency in Word, Excel, MS Outlook products,
- Database search tools, and use in the Intranet/Internet to research information.
- Ability to utilize company systems to obtain relevant electronic documentation.
- Ability to travel and participate in legal proceedings, arbitrations, depositions, etc.
**Preferred Qualifications**
- Credentials such as a certification from the Association of Certified Fraud Examiners (CFE)
- An accreditation from the National Health Care Anti-Fraud Association (AHFI).
- Billing and Coding certifications such as CPC (AAPC) and/or CCS (AHIMA)
- Knowledge of Aetna's policies and procedures
**Education**
- Bachelor's degree and/or an Associate's degree with three additional years working in health care fraud, waste, and abuse investigations and audits.
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$43,888.00 - $93,574.00
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.
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 our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit anticipate the application window for this opening will close on: 07/24/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Principal Data Scientist - Aetna Medicare
Posted 1 day ago
Job Viewed
Job Description
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary
We are looking for a Principal Data Scientist to join our Aetna Medicare (STARS Portfolio) team at CVS Health. This high-level individual contributor will partner closely with the Executive Director of Aetna STARS Analytics to drive hands on technical excellence across the most complex projects in the portfolio, lead a culture of technical rigor and excellence, and define key standards across an organization of ~30 data scientists and engineers.
Description / Fundamental Components:
Hands-On Data Science Excellence in High Complexity Projects (60%)
-
Anticipates and solves strategic and high-risk business problems with broad impact to the business area by applying leading-edge theories and techniques to investigate problems, detect patterns and recommend solutions
-
Leads development and execution of new and/or highly complex algorithms and statistical predictive models and determines analytical approaches and modeling techniques to evaluate scenarios and potential future outcomes
-
Establishes analytical rigor and statistical methods to analyze large amounts of data, using advanced statistical techniques and mathematical analyses
-
Evaluates advanced industry-leading approaches and determine which to incorporate into CVSH technical approach
-
Works across 2-3 highly complex projects at a time (50/30/20), with a combination of hands-on, problem solving, and coaching
Technical Development & Mentorship (25%)
-
Holds team-wide office hours regarding technical challenges and problem solving
-
1:1 technical coaching with 10-20 individual contributor teammates
Defines Data Science Standards & Best Practices (15%)
-
Identify opportunities to implement improved best practices
-
Provides guidance to develop enterprise-wide analytics strategy and roadmap
Required Qualifications
-
10+ years of progressively complex related analytics experience
-
8+ years' experience leading analytics project from concept to delivery, coordinating across a diverse group of stakeholders, anticipating and preventing roadblock and driving business impact
-
8+ years' experience with advanced analytics tools and languages, analyzing large data sets from multiple data sources
-
8+ years' experience solving analytics problems using advanced statistics, machine learning, mathematical algorithms and predictive modeling
-
8+ years' experience with: Python, SQL, Cloud applications (GCP, AWS, Azure), machine learning, casual inference and experimental design
-
5+ years' industry experience demonstrating strong written and verbal communication skills, including the ability to present complex ideas to various audiences
Preferred Qualifications
-
Excellent analytical and problem-solving skills
-
Strong organizational, management and leadership skills
-
Knowledge of the health care industry, products, systems, business strategies and products
-
Experience in large, matrixed corporate environment
-
Experience working with end-users
Education:
-
Bachelor's degree in Mathematics, Statistics, Computer Science, Economics, Physics, Operations Research, Engineering, or related discipline
-
Master's degree or PhD preferred
Pay Range
The typical pay range for this role is:
$144,200.00 - $288,400.00
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 our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
-
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan .
-
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
-
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit
We anticipate the application window for this opening will close on: 07/14/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Principal Data Scientist - Aetna Medicare
Posted 1 day ago
Job Viewed
Job Description
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary
We are looking for a Principal Data Scientist to join our Aetna Medicare (STARS Portfolio) team at CVS Health. This high-level individual contributor will partner closely with the Executive Director of Aetna STARS Analytics to drive hands on technical excellence across the most complex projects in the portfolio, lead a culture of technical rigor and excellence, and define key standards across an organization of ~30 data scientists and engineers.
Description / Fundamental Components:
Hands-On Data Science Excellence in High Complexity Projects (60%)
-
Anticipates and solves strategic and high-risk business problems with broad impact to the business area by applying leading-edge theories and techniques to investigate problems, detect patterns and recommend solutions
-
Leads development and execution of new and/or highly complex algorithms and statistical predictive models and determines analytical approaches and modeling techniques to evaluate scenarios and potential future outcomes
-
Establishes analytical rigor and statistical methods to analyze large amounts of data, using advanced statistical techniques and mathematical analyses
-
Evaluates advanced industry-leading approaches and determine which to incorporate into CVSH technical approach
-
Works across 2-3 highly complex projects at a time (50/30/20), with a combination of hands-on, problem solving, and coaching
Technical Development & Mentorship (25%)
-
Holds team-wide office hours regarding technical challenges and problem solving
-
1:1 technical coaching with 10-20 individual contributor teammates
Defines Data Science Standards & Best Practices (15%)
-
Identify opportunities to implement improved best practices
-
Provides guidance to develop enterprise-wide analytics strategy and roadmap
Required Qualifications
-
10+ years of progressively complex related analytics experience
-
8+ years' experience leading analytics project from concept to delivery, coordinating across a diverse group of stakeholders, anticipating and preventing roadblock and driving business impact
-
8+ years' experience with advanced analytics tools and languages, analyzing large data sets from multiple data sources
-
8+ years' experience solving analytics problems using advanced statistics, machine learning, mathematical algorithms and predictive modeling
-
8+ years' experience with: Python, SQL, Cloud applications (GCP, AWS, Azure), machine learning, casual inference and experimental design
-
5+ years' industry experience demonstrating strong written and verbal communication skills, including the ability to present complex ideas to various audiences
Preferred Qualifications
-
Excellent analytical and problem-solving skills
-
Strong organizational, management and leadership skills
-
Knowledge of the health care industry, products, systems, business strategies and products
-
Experience in large, matrixed corporate environment
-
Experience working with end-users
Education:
-
Bachelor's degree in Mathematics, Statistics, Computer Science, Economics, Physics, Operations Research, Engineering, or related discipline
-
Master's degree or PhD preferred
Pay Range
The typical pay range for this role is:
$144,200.00 - $288,400.00
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 our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
-
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan .
-
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
-
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit
We anticipate the application window for this opening will close on: 07/14/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Principal Data Scientist - Aetna Medicare
Posted 1 day ago
Job Viewed
Job Description
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary
We are looking for a Principal Data Scientist to join our Aetna Medicare (STARS Portfolio) team at CVS Health. This high-level individual contributor will partner closely with the Executive Director of Aetna STARS Analytics to drive hands on technical excellence across the most complex projects in the portfolio, lead a culture of technical rigor and excellence, and define key standards across an organization of ~30 data scientists and engineers.
Description / Fundamental Components:
Hands-On Data Science Excellence in High Complexity Projects (60%)
-
Anticipates and solves strategic and high-risk business problems with broad impact to the business area by applying leading-edge theories and techniques to investigate problems, detect patterns and recommend solutions
-
Leads development and execution of new and/or highly complex algorithms and statistical predictive models and determines analytical approaches and modeling techniques to evaluate scenarios and potential future outcomes
-
Establishes analytical rigor and statistical methods to analyze large amounts of data, using advanced statistical techniques and mathematical analyses
-
Evaluates advanced industry-leading approaches and determine which to incorporate into CVSH technical approach
-
Works across 2-3 highly complex projects at a time (50/30/20), with a combination of hands-on, problem solving, and coaching
Technical Development & Mentorship (25%)
-
Holds team-wide office hours regarding technical challenges and problem solving
-
1:1 technical coaching with 10-20 individual contributor teammates
Defines Data Science Standards & Best Practices (15%)
-
Identify opportunities to implement improved best practices
-
Provides guidance to develop enterprise-wide analytics strategy and roadmap
Required Qualifications
-
10+ years of progressively complex related analytics experience
-
8+ years' experience leading analytics project from concept to delivery, coordinating across a diverse group of stakeholders, anticipating and preventing roadblock and driving business impact
-
8+ years' experience with advanced analytics tools and languages, analyzing large data sets from multiple data sources
-
8+ years' experience solving analytics problems using advanced statistics, machine learning, mathematical algorithms and predictive modeling
-
8+ years' experience with: Python, SQL, Cloud applications (GCP, AWS, Azure), machine learning, casual inference and experimental design
-
5+ years' industry experience demonstrating strong written and verbal communication skills, including the ability to present complex ideas to various audiences
Preferred Qualifications
-
Excellent analytical and problem-solving skills
-
Strong organizational, management and leadership skills
-
Knowledge of the health care industry, products, systems, business strategies and products
-
Experience in large, matrixed corporate environment
-
Experience working with end-users
Education:
-
Bachelor's degree in Mathematics, Statistics, Computer Science, Economics, Physics, Operations Research, Engineering, or related discipline
-
Master's degree or PhD preferred
Pay Range
The typical pay range for this role is:
$144,200.00 - $288,400.00
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 our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
-
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan .
-
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
-
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit
We anticipate the application window for this opening will close on: 07/14/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Principal Data Scientist - Aetna Medicare
Posted 1 day ago
Job Viewed
Job Description
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary
We are looking for a Principal Data Scientist to join our Aetna Medicare (STARS Portfolio) team at CVS Health. This high-level individual contributor will partner closely with the Executive Director of Aetna STARS Analytics to drive hands on technical excellence across the most complex projects in the portfolio, lead a culture of technical rigor and excellence, and define key standards across an organization of ~30 data scientists and engineers.
Description / Fundamental Components:
Hands-On Data Science Excellence in High Complexity Projects (60%)
-
Anticipates and solves strategic and high-risk business problems with broad impact to the business area by applying leading-edge theories and techniques to investigate problems, detect patterns and recommend solutions
-
Leads development and execution of new and/or highly complex algorithms and statistical predictive models and determines analytical approaches and modeling techniques to evaluate scenarios and potential future outcomes
-
Establishes analytical rigor and statistical methods to analyze large amounts of data, using advanced statistical techniques and mathematical analyses
-
Evaluates advanced industry-leading approaches and determine which to incorporate into CVSH technical approach
-
Works across 2-3 highly complex projects at a time (50/30/20), with a combination of hands-on, problem solving, and coaching
Technical Development & Mentorship (25%)
-
Holds team-wide office hours regarding technical challenges and problem solving
-
1:1 technical coaching with 10-20 individual contributor teammates
Defines Data Science Standards & Best Practices (15%)
-
Identify opportunities to implement improved best practices
-
Provides guidance to develop enterprise-wide analytics strategy and roadmap
Required Qualifications
-
10+ years of progressively complex related analytics experience
-
8+ years' experience leading analytics project from concept to delivery, coordinating across a diverse group of stakeholders, anticipating and preventing roadblock and driving business impact
-
8+ years' experience with advanced analytics tools and languages, analyzing large data sets from multiple data sources
-
8+ years' experience solving analytics problems using advanced statistics, machine learning, mathematical algorithms and predictive modeling
-
8+ years' experience with: Python, SQL, Cloud applications (GCP, AWS, Azure), machine learning, casual inference and experimental design
-
5+ years' industry experience demonstrating strong written and verbal communication skills, including the ability to present complex ideas to various audiences
Preferred Qualifications
-
Excellent analytical and problem-solving skills
-
Strong organizational, management and leadership skills
-
Knowledge of the health care industry, products, systems, business strategies and products
-
Experience in large, matrixed corporate environment
-
Experience working with end-users
Education:
-
Bachelor's degree in Mathematics, Statistics, Computer Science, Economics, Physics, Operations Research, Engineering, or related discipline
-
Master's degree or PhD preferred
Pay Range
The typical pay range for this role is:
$144,200.00 - $288,400.00
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 our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
-
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan .
-
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
-
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit
We anticipate the application window for this opening will close on: 07/14/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Principal Data Scientist - Aetna Medicare
Posted 1 day ago
Job Viewed
Job Description
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. **Position Summary** We are looking for a Principal Data Scientist to join our Aetna Medicare (STARS Portfolio) team at CVS Health. This high-level individual contributor will partner closely with the Executive Director of Aetna STARS Analytics to drive hands on technical excellence across the most complex projects in the portfolio, lead a culture of technical rigor and excellence, and define key standards across an organization of ~30 data scientists and engineers. Description / Fundamental Components: **_Hands-On Data Science Excellence in High Complexity Projects (60%)_** + Anticipates and solves strategic and high-risk business problems with broad impact to the business area by applying leading-edge theories and techniques to investigate problems, detect patterns and recommend solutions + Leads development and execution of new and/or highly complex algorithms and statistical predictive models and determines analytical approaches and modeling techniques to evaluate scenarios and potential future outcomes + Establishes analytical rigor and statistical methods to analyze large amounts of data, using advanced statistical techniques and mathematical analyses + Evaluates advanced industry-leading approaches and determine which to incorporate into CVSH technical approach + Works across 2-3 highly complex projects at a time (50/30/20), with a combination of hands-on, problem solving, and coaching **_Technical Development & Mentorship (25%)_** + Holds team-wide office hours regarding technical challenges and problem solving + 1:1 technical coaching with 10-20 individual contributor teammates **_Defines Data Science Standards & Best Practices (15%)_** + Identify opportunities to implement improved best practices + Provides guidance to develop enterprise-wide analytics strategy and roadmap **Required Qualifications** + 10+ years of progressively complex related analytics experience + 8+ years' experience leading analytics project from concept to delivery, coordinating across a diverse group of stakeholders, anticipating and preventing roadblock and driving business impact + 8+ years' experience with advanced analytics tools and languages, analyzing large data sets from multiple data sources + 8+ years' experience solving analytics problems using advanced statistics, machine learning, mathematical algorithms and predictive modeling + 8+ years' experience with: Python, SQL, Cloud applications (GCP, AWS, Azure), machine learning, casual inference and experimental design + 5+ years' industry experience demonstrating strong written and verbal communication skills, including the ability to present complex ideas to various audiences **Preferred Qualifications** + Excellent analytical and problem-solving skills + Strong organizational, management and leadership skills + Knowledge of the health care industry, products, systems, business strategies and products + Experience in large, matrixed corporate environment + Experience working with end-users **Education:** + Bachelor's degree in Mathematics, Statistics, Computer Science, Economics, Physics, Operations Research, Engineering, or related discipline + Master's degree or PhD preferred **Pay Range** The typical pay range for this role is: $144,200.00 - $288,400.00 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 our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit We anticipate the application window for this opening will close on: 07/14/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Principal Data Scientist - Aetna Medicare
Posted 1 day ago
Job Viewed
Job Description
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary
We are looking for a Principal Data Scientist to join our Aetna Medicare (STARS Portfolio) team at CVS Health. This high-level individual contributor will partner closely with the Executive Director of Aetna STARS Analytics to drive hands on technical excellence across the most complex projects in the portfolio, lead a culture of technical rigor and excellence, and define key standards across an organization of ~30 data scientists and engineers.
Description / Fundamental Components:
Hands-On Data Science Excellence in High Complexity Projects (60%)
-
Anticipates and solves strategic and high-risk business problems with broad impact to the business area by applying leading-edge theories and techniques to investigate problems, detect patterns and recommend solutions
-
Leads development and execution of new and/or highly complex algorithms and statistical predictive models and determines analytical approaches and modeling techniques to evaluate scenarios and potential future outcomes
-
Establishes analytical rigor and statistical methods to analyze large amounts of data, using advanced statistical techniques and mathematical analyses
-
Evaluates advanced industry-leading approaches and determine which to incorporate into CVSH technical approach
-
Works across 2-3 highly complex projects at a time (50/30/20), with a combination of hands-on, problem solving, and coaching
Technical Development & Mentorship (25%)
-
Holds team-wide office hours regarding technical challenges and problem solving
-
1:1 technical coaching with 10-20 individual contributor teammates
Defines Data Science Standards & Best Practices (15%)
-
Identify opportunities to implement improved best practices
-
Provides guidance to develop enterprise-wide analytics strategy and roadmap
Required Qualifications
-
10+ years of progressively complex related analytics experience
-
8+ years' experience leading analytics project from concept to delivery, coordinating across a diverse group of stakeholders, anticipating and preventing roadblock and driving business impact
-
8+ years' experience with advanced analytics tools and languages, analyzing large data sets from multiple data sources
-
8+ years' experience solving analytics problems using advanced statistics, machine learning, mathematical algorithms and predictive modeling
-
8+ years' experience with: Python, SQL, Cloud applications (GCP, AWS, Azure), machine learning, casual inference and experimental design
-
5+ years' industry experience demonstrating strong written and verbal communication skills, including the ability to present complex ideas to various audiences
Preferred Qualifications
-
Excellent analytical and problem-solving skills
-
Strong organizational, management and leadership skills
-
Knowledge of the health care industry, products, systems, business strategies and products
-
Experience in large, matrixed corporate environment
-
Experience working with end-users
Education:
-
Bachelor's degree in Mathematics, Statistics, Computer Science, Economics, Physics, Operations Research, Engineering, or related discipline
-
Master's degree or PhD preferred
Pay Range
The typical pay range for this role is:
$144,200.00 - $288,400.00
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 our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
-
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan .
-
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
-
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit
We anticipate the application window for this opening will close on: 07/14/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
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Principal Data Scientist - Aetna Medicare
Posted 1 day ago
Job Viewed
Job Description
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary
We are looking for a Principal Data Scientist to join our Aetna Medicare (STARS Portfolio) team at CVS Health. This high-level individual contributor will partner closely with the Executive Director of Aetna STARS Analytics to drive hands on technical excellence across the most complex projects in the portfolio, lead a culture of technical rigor and excellence, and define key standards across an organization of ~30 data scientists and engineers.
Description / Fundamental Components:
Hands-On Data Science Excellence in High Complexity Projects (60%)
-
Anticipates and solves strategic and high-risk business problems with broad impact to the business area by applying leading-edge theories and techniques to investigate problems, detect patterns and recommend solutions
-
Leads development and execution of new and/or highly complex algorithms and statistical predictive models and determines analytical approaches and modeling techniques to evaluate scenarios and potential future outcomes
-
Establishes analytical rigor and statistical methods to analyze large amounts of data, using advanced statistical techniques and mathematical analyses
-
Evaluates advanced industry-leading approaches and determine which to incorporate into CVSH technical approach
-
Works across 2-3 highly complex projects at a time (50/30/20), with a combination of hands-on, problem solving, and coaching
Technical Development & Mentorship (25%)
-
Holds team-wide office hours regarding technical challenges and problem solving
-
1:1 technical coaching with 10-20 individual contributor teammates
Defines Data Science Standards & Best Practices (15%)
-
Identify opportunities to implement improved best practices
-
Provides guidance to develop enterprise-wide analytics strategy and roadmap
Required Qualifications
-
10+ years of progressively complex related analytics experience
-
8+ years' experience leading analytics project from concept to delivery, coordinating across a diverse group of stakeholders, anticipating and preventing roadblock and driving business impact
-
8+ years' experience with advanced analytics tools and languages, analyzing large data sets from multiple data sources
-
8+ years' experience solving analytics problems using advanced statistics, machine learning, mathematical algorithms and predictive modeling
-
8+ years' experience with: Python, SQL, Cloud applications (GCP, AWS, Azure), machine learning, casual inference and experimental design
-
5+ years' industry experience demonstrating strong written and verbal communication skills, including the ability to present complex ideas to various audiences
Preferred Qualifications
-
Excellent analytical and problem-solving skills
-
Strong organizational, management and leadership skills
-
Knowledge of the health care industry, products, systems, business strategies and products
-
Experience in large, matrixed corporate environment
-
Experience working with end-users
Education:
-
Bachelor's degree in Mathematics, Statistics, Computer Science, Economics, Physics, Operations Research, Engineering, or related discipline
-
Master's degree or PhD preferred
Pay Range
The typical pay range for this role is:
$144,200.00 - $288,400.00
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 our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
-
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan .
-
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
-
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit
We anticipate the application window for this opening will close on: 07/14/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Principal Data Scientist - Aetna Medicare
Posted 1 day ago
Job Viewed
Job Description
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary
We are looking for a Principal Data Scientist to join our Aetna Medicare (STARS Portfolio) team at CVS Health. This high-level individual contributor will partner closely with the Executive Director of Aetna STARS Analytics to drive hands on technical excellence across the most complex projects in the portfolio, lead a culture of technical rigor and excellence, and define key standards across an organization of ~30 data scientists and engineers.
Description / Fundamental Components:
Hands-On Data Science Excellence in High Complexity Projects (60%)
-
Anticipates and solves strategic and high-risk business problems with broad impact to the business area by applying leading-edge theories and techniques to investigate problems, detect patterns and recommend solutions
-
Leads development and execution of new and/or highly complex algorithms and statistical predictive models and determines analytical approaches and modeling techniques to evaluate scenarios and potential future outcomes
-
Establishes analytical rigor and statistical methods to analyze large amounts of data, using advanced statistical techniques and mathematical analyses
-
Evaluates advanced industry-leading approaches and determine which to incorporate into CVSH technical approach
-
Works across 2-3 highly complex projects at a time (50/30/20), with a combination of hands-on, problem solving, and coaching
Technical Development & Mentorship (25%)
-
Holds team-wide office hours regarding technical challenges and problem solving
-
1:1 technical coaching with 10-20 individual contributor teammates
Defines Data Science Standards & Best Practices (15%)
-
Identify opportunities to implement improved best practices
-
Provides guidance to develop enterprise-wide analytics strategy and roadmap
Required Qualifications
-
10+ years of progressively complex related analytics experience
-
8+ years' experience leading analytics project from concept to delivery, coordinating across a diverse group of stakeholders, anticipating and preventing roadblock and driving business impact
-
8+ years' experience with advanced analytics tools and languages, analyzing large data sets from multiple data sources
-
8+ years' experience solving analytics problems using advanced statistics, machine learning, mathematical algorithms and predictive modeling
-
8+ years' experience with: Python, SQL, Cloud applications (GCP, AWS, Azure), machine learning, casual inference and experimental design
-
5+ years' industry experience demonstrating strong written and verbal communication skills, including the ability to present complex ideas to various audiences
Preferred Qualifications
-
Excellent analytical and problem-solving skills
-
Strong organizational, management and leadership skills
-
Knowledge of the health care industry, products, systems, business strategies and products
-
Experience in large, matrixed corporate environment
-
Experience working with end-users
Education:
-
Bachelor's degree in Mathematics, Statistics, Computer Science, Economics, Physics, Operations Research, Engineering, or related discipline
-
Master's degree or PhD preferred
Pay Range
The typical pay range for this role is:
$144,200.00 - $288,400.00
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 our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
-
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan .
-
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
-
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit
We anticipate the application window for this opening will close on: 07/14/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Principal Data Scientist - Aetna Medicare
Posted 1 day ago
Job Viewed
Job Description
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary
We are looking for a Principal Data Scientist to join our Aetna Medicare (STARS Portfolio) team at CVS Health. This high-level individual contributor will partner closely with the Executive Director of Aetna STARS Analytics to drive hands on technical excellence across the most complex projects in the portfolio, lead a culture of technical rigor and excellence, and define key standards across an organization of ~30 data scientists and engineers.
Description / Fundamental Components:
Hands-On Data Science Excellence in High Complexity Projects (60%)
-
Anticipates and solves strategic and high-risk business problems with broad impact to the business area by applying leading-edge theories and techniques to investigate problems, detect patterns and recommend solutions
-
Leads development and execution of new and/or highly complex algorithms and statistical predictive models and determines analytical approaches and modeling techniques to evaluate scenarios and potential future outcomes
-
Establishes analytical rigor and statistical methods to analyze large amounts of data, using advanced statistical techniques and mathematical analyses
-
Evaluates advanced industry-leading approaches and determine which to incorporate into CVSH technical approach
-
Works across 2-3 highly complex projects at a time (50/30/20), with a combination of hands-on, problem solving, and coaching
Technical Development & Mentorship (25%)
-
Holds team-wide office hours regarding technical challenges and problem solving
-
1:1 technical coaching with 10-20 individual contributor teammates
Defines Data Science Standards & Best Practices (15%)
-
Identify opportunities to implement improved best practices
-
Provides guidance to develop enterprise-wide analytics strategy and roadmap
Required Qualifications
-
10+ years of progressively complex related analytics experience
-
8+ years' experience leading analytics project from concept to delivery, coordinating across a diverse group of stakeholders, anticipating and preventing roadblock and driving business impact
-
8+ years' experience with advanced analytics tools and languages, analyzing large data sets from multiple data sources
-
8+ years' experience solving analytics problems using advanced statistics, machine learning, mathematical algorithms and predictive modeling
-
8+ years' experience with: Python, SQL, Cloud applications (GCP, AWS, Azure), machine learning, casual inference and experimental design
-
5+ years' industry experience demonstrating strong written and verbal communication skills, including the ability to present complex ideas to various audiences
Preferred Qualifications
-
Excellent analytical and problem-solving skills
-
Strong organizational, management and leadership skills
-
Knowledge of the health care industry, products, systems, business strategies and products
-
Experience in large, matrixed corporate environment
-
Experience working with end-users
Education:
-
Bachelor's degree in Mathematics, Statistics, Computer Science, Economics, Physics, Operations Research, Engineering, or related discipline
-
Master's degree or PhD preferred
Pay Range
The typical pay range for this role is:
$144,200.00 - $288,400.00
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 our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
-
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan .
-
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
-
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit
We anticipate the application window for this opening will close on: 07/14/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.