Principal Data Scientist - Aetna Medicare
Posted 2 days 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.
Associate Account Manager (Aetna International)

Posted today
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**
The Associate Account Manager position with Aetna International works with the Account Manager to retain customers by providing day to day support to producers, plan sponsors, and external constituents. The AAM will work closely with internal business partners in support of their assigned customers. The AAM role provides proactive account service management in support of business objectives and to achieve customer satisfaction.
Aetna International is looking for a motivated, energetic individual to join our Government Segment Account Management Team. Preferred work location in Washington DC/Virginia area. Alternate locations in New York City or Philadelphia may be considered. Applicants should be comfortable working with international diplomats and staff in a dynamic, multi-cultural environment.
The Associate Account Manager for this important position will be assigned a specific book of business, and will be responsible for managing the day to day incoming requests from producers, plan sponsors, in addition to supporting the Account Manager as requested.
As the Associate Account Manager, the candidate will:
+ Develop and maintain mutually-favorable relationships with Aetna International clients (plan sponsors and producers) through superior account service.
+ Communicate and present information to audiences at all levels, both internally and externally.
+ Meet both virtually and, at times, directly with customers and brokers, as needed.
+ Work to develop and maintain proficient understanding of the international employee benefit business environment.
+ Respond to customer benefits questions, and clarifications on billing, eligibility, and claims processes.
+ Retain and grow the client relationship and effectively position our products with an emphasis on expanding our book of business.
**Required Qualifications**
+ 2-5 years industry experience, with experience in Self- funded customers preferred.
+ Customer service experience, preferably with complex accounts. Includes multi-functional experience, e.g., underwriting or sales support.
+ Must be able to Travel up to 20% (Possible out of state travel).
+ Proficiency with Microsoft Office products (Word, Excel, PowerPoint, Teams).
+ Insurance license, as required by state law, is a plus but not required upon hire.
+ Ability to work independently and with a team to deliver outcomes and drive results.
**Preferred Qualifications**
+ Bilingual.
+ 2-3 years Account Management experience.
**Education**
+ Bachelor' Degree or equivalent work experience (HS diploma + 4 years relevant experience).
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$43,888.00 - $102,081.00
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: 07/18/2025
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 today
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**
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 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.
Sales Executive (Aetna Dental/Vision)

Posted today
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** :
Sales Executives are professionals who help us build our Aetna's Specialty Division business via the broker distribution channels for Dental/Vision products covering for the small group segment (employer groups with 2-100 employees). Their goal is to understand and meet customer needs using Aetna's and CVS' combined products and services.
This position is eligible to participate in our sales incentive compensation program.
Fundamental Components:
+ Builds strategic partnerships with assigned producers and customers to achieve profitable growth and cross sell/standalone objectives for assigned business or customer segments, products, and assigned geographies.
+ Strong understanding of customer needs and expectations across multiple market segments.
+ Moderate influence on the sale and retention of business.
+ Oversees targeted business prospects to develop new opportunities and cross sell business to ensure profitable customers and help grow the business through consultative consulting, issue resolution, and superior service.
+ Manages and builds producer relations as needed depending on book of business or market segment(s) being supported.
+ Identifies opportunities to partner with the client by drawing from the entire spectrum of product lines, illustrating a keen understanding of clients' multifaceted needs and benefits utilizing Aetna's full product array (e.g., fully vs. self-insured, product combinations and/or product specializations by industry).
+ Develops, executes, and communicates company objectives that are aligned with prospect's objectives, financial position, and employee benefits strategy.
+ Coordinates sales materials, testimonials, and support from SME's to put together presentations for clients.
+ Delivers organized polished presentations of solutions with benefits tied to constituents' needs.
+ Collaborates with underwriting to prepare competitive quotes for targeted prospects.
+ Creates open enrollment plan with producer and plan sponsor to maximize enrollment.
+ Monitors industry information and competitive environment of the marketplace to position Aetna's strength accordingly.
+ Ensures product, pricing and services meet client's needs while meeting Aetna revenue growth and profit objectives.
+ Collaborates with internal and external partners to uncover profitable growth and cross-sell opportunities within new or existing customers and to support post-sale activities.
+ Coordinates sales materials, testimonials, and subject matter expert involvement in support of the successful delivery of constituent presentations. May participate in constituent meetings including finalist presentations, educational presentations, and capabilities presentations.
+ Manages/coordinates the integration of client's and Aetna's internal organizations and partners cross-functionally to complete sales, installation, and servicing.
**Required Qualifications** :
+ 3+ years of relevant industry experience (Sales experience within employee health benefits).
+ Must be willing to travel within the Market.
+ Must reside in commuting distance of the Market.
+ Health & Life Insurance license.
+ Proficiency in Microsoft Office, Excel and PowerPoint.
+ Strong business acumen, presentation skills and ability to work independently.
**Preferred Qualifications**
+ Established relationships with Broker Channel.
+ Carrier Sales experience.
+ Salesforce experience.
+ Prior Dental/Vision Sales Experience.
**Education** :
Bachelor's degree or equivalent experience (HS diploma + 4 years relevant experience).
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$56,855.00 - $111,414.00
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.
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: 08/11/2025
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.
Behavioral Health Clinical Consultant, Disability Claims Insurance

Posted today
Job Viewed
Job Description
**You are:**
A highly motivated and reliable individual who can work with varying levels of supervision- independently or collaboratively. You are detail-oriented and a decisive decision maker who can manage multiple priorities at the same time.
**You have**
+ A minimum of 5 years in direct patient care settings
+ BSN with strong Behavioral Health background preferred. Will consider LCSW or other licensed Behavioral Health professional with disability experience.
+ Excellent verbal and written communication skills and presentation skills
+ Ability to exercise independent & sound judgment in decision making
+ Strong problem-solving, analytical, clinical, and information research skills
+ Excellent time management & organizational skills
+ Demonstrated ability to multi-task with the ability to manage continually changing priorities and the ability to prioritize work based on customer service needs and departmental regulations
+ The ability to remain flexible due to changing business needs
+ Strong knowledge of medical conditions and how they apply to disability products
+ Professional oral, written and presentation skills
+ Strong PC skills, including Microsoft Office applications (MS Word, Excel, PowerPoint)
+ Knowledge of disability products, business rules and procedures, preferred
+ Experience with DCMS, Claim Facts, and iProcess preferred
+ Disability experience strongly preferred
**You will**
+ Review long-term and or short-term disability claims to assess the impact of claimants' medical condition on their function as well as the impact of their medical treatment in achieving improved functional outcomes.
+ Possess a strong clinical background to understand and apply rationale of how injury or illness may impact the individual's function.
+ Possess excellent verbal and written communication skills to gather and report information accurately, ask appropriate questions to facilitate partnership with treating providers, claimants, and internal partners to encourage participation of claimant in appropriate treatment goals.
+ Conduct analysis of claimant's current treatment plan and collaborate with health care providers and claimants to promote accountability for the appropriateness and status of treatment plan and length of disability.
+ Proactively contact treating providers to discuss treatment plans and clarify treatment and RTW goals. Educate providers and claimants on the positive impact of return to work to ensure improved functional status and medical outcomes.
+ Serve as a technical resource on the medical aspect of long-term and or short-term disability claims.
+ Identify opportunities to educate claim staff and peers on medical aspect of disability.
+ Provide ongoing training and mentoring to claims staff and peers regarding issues impacted by the nature of injury or illness and its impact on function in work or daily activities.
+ Work collaboratively with internal vocational rehab specialists in identifying opportunities for return to work.
+ Work to proactively identify and resolve customer issues, when possible, to enhance the customer experience.
+ Utilize independent vendors to perform independent medical assessments. Specifically define issues to be addressed or clarified by outside physician or provider and oversee quality of review.
+ Manage workflow efficiently, organize priorities, provide timely intervention, and implement continuous quality process improvement.
**Location**
+ This role is remote with occasional in office meetings as required by the people leaders.
**Salary Range:**
$67,450.00 - $110,815.00
The salary range reflected above is a good faith estimate of base pay for the primary location of the position. The salary for this position ultimately will be determined based on the education, experience, knowledge, and abilities of the successful candidate. In addition to salary, this role may also be eligible for annual, sales, or other incentive compensation.
**Our Promise**
At Guardian, you'll have the support and flexibility to achieve your professional and personal goals. Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.
**Inspire Well-Being**
As part of Guardian's Purpose - to inspire well-being - we are committed to offering contemporary, supportive, flexible, and inclusive benefits and resources to our colleagues. Explore our company benefits at . _Benefits apply to full-time eligible employees. Interns are not eligible for most Company benefits._
**Equal Employment Opportunity**
Guardian is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age, race, color, creed, religion, sex, affectional or sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law.
**Accommodations**
Guardian is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Guardian also provides reasonable accommodations to qualified job applicants (and employees) to accommodate the individual's known limitations related to pregnancy, childbirth, or related medical conditions, unless doing so would create an undue hardship. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact .
**Current Guardian Colleagues: Please apply through the internal Jobs Hub in Workday.**
Every day, Guardian helps our 29 million customers realize their dreams through a range of insurance and financial products and services. Our Purpose, to inspire well-being, guides our dedication to the colleagues, consumers, and communities we serve. We know that people count, and we go above and beyond to prepare them for the life they want to live, focusing on their overall well-being - mind, body, and wallet. As one of the largest mutual insurance companies, we put our customers first. Behind every bright future is a GuardianTM. Learn more about Guardian at guardianlife.com .
Be The First To Know
About the latest Aetna Jobs in Hartford !