Data Scientist - PBM Pricing Optimization

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Join CVS Health as a Data Scientist - PBM Pricing Optimization

Bring your heart to CVS Health.

At CVS Health, every one of us shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced, human-centric health care in a rapidly changing world. Anchored in our brand — with heart at its center — our purpose emphasizes that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient, and affordable.

Position Summary

The Data Scientist role within CVS Health is at the forefront of driving innovation and directly impacting business decisions. This position is part of the Finance Analytics team and focuses on building and deploying analytic models that help the PBM business meet its client and pharmacy financial guarantees. The team works with machine learning (ML), forecasting, and optimization models (including linear and mixed-integer programming techniques) to optimize drug-level pricing, affecting 95 million Americans. The models are designed to meet financial guarantees contracted by Caremark with its clients and pharmacy partners by optimizing drug prices while adhering to various regulatory and business constraints. These optimized drug prices have delivered over $100M in value to Caremark.

Required Qualifications

Bachelor’s Degree in Data Science, Computer Science, Applied Math, Operations Research, Statistics, Health Policy, or a related field, along with 1-2+ years of professional experience in:

  • Extracting actionable insights from analysis and interpreting outcomes of complex models for business audiences, including technical, non-technical, and senior leaders.
  • Preparing data for analysis, collaborating with data engineering teams to create modeling datasets, and performing feature engineering.
  • Communicating effectively and confidently with business partners, project team members, and senior management.
  • Working with data and a strong understanding of analytics within the healthcare/retail industry.

Required Skills

  • 2+ years of experience applying modern machine learning techniques to build predictive models for both classification and regression problems.
  • 2+ years of experience with general linear models, including regression techniques, marketing mix models, etc.
  • 2+ years of experience coding in Python or a similar programming language
  • 1+ year of experience with SQL
  • 1+ year of experience with statistical measurements including experimental design, test and control selection, propensity matching, etc.

Preferred Qualifications

  • 3+ years of experience coding in Python, and using optimization packages such as Gurobi, CPLEX, etc.
  • Previous experience developing and deploying advanced analytics models supporting Underwriting, Actuarial, and Financial Optimization domains.
  • Experience with mathematical optimization in a financial services industry role is highly desirable.

Education

Bachelor’s Degree in Data Science, Computer Science, Applied Math, Operations Research, Statistics, Health Policy, or related field. Preferred: Master’s Degree or PhD in these fields.

Pay Range

The typical pay range for this role is $75,705.00 - $154,500.00. The actual base salary offer will depend on various factors, including experience, education, geography, and other relevant factors. This position is also eligible for a CVS Health bonus, commission, or short-term incentive program in addition to the base pay range listed above.

Beyond compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and communities. We offer a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan for eligible employees and short-term and long-term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. Employees enjoy Paid Time Off (PTO), vacation pay, and paid holidays throughout the calendar year. The number of paid holidays, sick time,