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# Senior Data Scientist - Utilization Management

- **Company:** CVS Health
- **Location:** Raleigh, NC, United States
- **Experience:** Expert
- **Salary:** $101,970.0 - $222,480.0
- **Contract:** Permanent contract
- **Skills:** Artificial Intelligence, Business Analytics Applications, Data Analysis, Big Data, Computer Programming, Python (Programming Language), Machine Learning, SQL Databases, Unstructured Data, Large Language Models, Generative AI, Information Technology
- **Published:** August 3, 2026
- **Apply:** https://www.juju.com/job/00000000glgozg

## About the Role

+ 3+ years of relevant analytic experience

 + Experience programming using R or Python

 + Experience in SQL

Preferred Qualifications

 + Demonstrates strong ability to communicate technical concepts and implications to business partners

 + Anticipates and prevents problems and roadblocks before they occur

 + Strong knowledge of advanced analytics tools and languages to analyze large data sets from multiple data sources

 + Demonstrates proficiency in most areas of mathematical analysis methods, machine learning, statistical analyses, and predictive modeling and in-depth specialization in some areas

 + Hand on experience with LLMs and Generative AI

Education

 + Bachelor's degree or equivalent work experience in Mathematics, Statistics, Computer Science, Business Analytics, Economics, Physics, Engineering, or related discipline.

 + Master's degree or PhD preferred

## Description

At CVS/Aetna, we're pioneering a total approach to health and wellness. As a Data Scientist on the Analytics & Behavior Change team, you'll build industry-leading analytics, data, and technology platforms to help reimagine health care. This position will play a critical role within a cross-functional team, delivering powerful solutions.

Utilization Management (UM) ensures consistent delivery of the right care, in the right setting, by the right people. The UM Data Science team leverage data, analytics and AI solutions to transform UM operations and optimize provider and member experience.

 + Collaborates with business partners to shape the analytics approach to address business priorities (through predictive modeling, statistical analysis, or metric evaluation) as a thought leader

 + Owns and manages an analytics workstream, leading other analysts and data scientists to build end to end analytical products.

 + Uses strong knowledge in algorithms and predictive models to propose approaches, investigate problems, detect patterns and recommend solutions

 + Performs analyses of structured and unstructured data to solve multiple and/or complex business problems utilizing advanced statistical techniques and mathematical analyses and broad knowledge of the organization and/or industry

 + Develops and participates in presentations and consultations to existing and prospective constituents on analytics results and solutions

 + Use strong programming skills to explore, examine and interpret large volumes of data in various forms


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