Data Scientist - PBM underwriting

CVS Health • North Carolina, North Carolina • 13h ago

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary

The Data Scientist role within CVS Health is on the front line of driving innovation and directly impacting business decisions. This role falls within the Analytics and Behavior Change organization and will focus on building & deploying analytic models that help the PBM business meet its client and pharmacy financial guarantees. This team works on ML and forecasting models to forecast drug trend pricing and utilization tied to 95 million Americans. The ideal candidate will be a flexible collaborator and team player who can contribute to all phases of the project including data cleaning and interpretation, analysis, data preparation, pipeline management, model enhancements, model performance and data quality assessments, reporting, documentation, and project overviews.

Required Qualifications

Master's Degree in Data Science, Computer Science, Applied Math, Operation Research, Statistics, Health Policy, or other related field with 1+ years of professional experience in:

Extracting actionable insights from the analysis and interpreting outcomes of complex models to present to business audiences including technical, non-technical, and senior leaders

Preparing data for analysis, assess completeness and quality of data, and perform feature engineering

Communicating effectively and confidently with business partners, project team members, and senior management

Working with data and have a strong understanding of analytics and how it is leveraged within the healthcare/pharmacy industry

Required Skills

1+ years of experience applying modern machine learning techniques to build predictive models for classification, regression, and time series problems

1+ years' experience with general linear models, including regression and time series techniques etc.

1+ years of experience coding in Python or similar programming language

1+ year experience with SQL

Preferred Qualifications

3+ years of experience coding in Python

1+ years of experience with Tableau or other visualization tool

Experience with Databricks and cloud (Azure, GCP) platforms

Experience with gitlab and version control, as well as MLOps procedures

Knowledge of deep learning and big data tools and techniques

Prior experience developing & deploying advanced analytics models supporting Underwriting or Actuarial domains

Education

Master's Degree or PhD in Data Science, Computer Science, Applied Math, Operation Research, Statistics, Health Policy, or related field

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$64,890.00 - $158,620.00

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 https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 01/30/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran - committed to diversity in the workplace.

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