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Senior Data Scientist, Clinical Intelligence
CVS HealthCore Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in pharmacy analytics and healthcare data science, with proficiency in SQL and statistical programming languages such as R and Python. Capable of developing dashboards and key performance indicators while ensuring compliance with data governance and privacy standards.
Highest-signal resume keywords
Pharmacy AnalyticsSQL ProficiencyStatistical Programming (R, Python, SAS)Dashboard DevelopmentHealthcare Data Science
Tech Stack
Tools & technologiesAbout the role
Key responsibilities & impact- Translate Caremark and Retail Pharmacy claims, dispensing, adjudication, and related data into clinically meaningful measures and actionable analyses
- Evaluate medication access, affordability, adherence, persistence, utilization, formulary performance, safety, and outcomes
- Contribute to recurring dashboards and key performance indicators
- Conduct focused therapy-class, program, and product analyses
- Apply SQL, statistical programming, and visualization tools to analyze large pharmacy datasets and solve clinical and business problems
- Develop and maintain analytical frameworks, key metrics, and dashboard content
- Translate stakeholder questions into documented analytic specifications
- Work with PBM, client, member, drug, pharmacy, prescriber, prior-authorization, and payment data
- Create and validate medication cohorts using drug reference information
- Analyze formulary compliance, preferred product use, generic and biosimilar adoption, exceptions, prior authorization, approval and overturn patterns, out-of-pocket cost, and specialty utilization
- Partner with Clinical Evidence Development on feasibility assessments, exposure definitions, comparator selection, adherence measures, outcomes, confounding assessment, validation, and interpretation
- Collaborate with the Sr. BI Engineer to operationalize validated measures and analytic datasets in governed, automated reporting products
- Follow privacy, client-data segregation, security, access, and data governance requirements for protected health information and confidential business data
- Work under the direction of the VP, Data Strategy & Clinical Intelligence and partner with cross-functional stakeholders
Requirements
What you’ll need- 2 to 4 years of relevant experience in pharmacy analytics, PBM analytics, healthcare data science, pharmacoepidemiology, outcomes research, clinical informatics, or a related field
- Experience working with pharmacy claims, dispensing data, medication utilization, or adherence measures
- Proficiency in SQL and working proficiency in R, Python, SAS, or another statistical programming language
- Working knowledge of drug identifiers and classifications such as NDC, GPI, generic product, brand, and therapeutic class
- Experience developing dashboards, KPI frameworks, analytic datasets, or decision-support analyses
- Working knowledge of problem solving and decision making, with strong attention to data detail and analytic accuracy
- Ability to communicate technical and clinical findings to nontechnical stakeholders
- Bachelor's degree or equivalent specialized training or relevant professional qualification preferred
- Advanced training in biostatistics, epidemiology, pharmacoepidemiology, health services research, public health, pharmacy, data science, informatics, statistics, or a related field is desirable
- Preferred: Experience with PBM data
- Preferred: Knowledge of claims adjudication, prior authorization, formulary operations, specialty pharmacy, retail pharmacy, rebates, or net-cost concepts
- Preferred: Experience implementing PDC, persistence, PQA, CMS Star medication, formulary, biosimilar, or member-affordability measures
- Preferred: Experience with Google Cloud Platform, Tableau, Power BI, or Strategy
Benefits
Comp & perks- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being
- CVS Health bonus, commission or short-term incentive program in addition to base pay
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Pharmacy Claims AnalysisMedication Utilization AnalysisAnalytic Dataset DevelopmentKPI Framework DevelopmentFormulary Compliance AnalysisStatistical ProgrammingData VisualizationData GovernanceClinical InformaticsPharmacoepidemiology
Soft Skills
Attention to DetailProblem SolvingDecision MakingCommunication Skills
Tools & Technologies
Google Cloud PlatformTableauPower BIStatistical Programming Languages
Industry Keywords
PBM AnalyticsHealthcare Data ScienceOutcomes ResearchClinical Evidence DevelopmentMedication Adherence MeasuresDrug IdentifiersFormulary OperationsSpecialty Pharmacy