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Executive Director, Data Science – Medicare STARS
Executive Director, Data Science – Medicare STARS-April 2024
New York
Apr 7, 2025
ABOUT CVS HEALTH
CVS Health is a healthcare innovation company. Together, we are helping people on their path to better health.
10,000+ employees
Healthcare
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About Executive Director, Data Science – Medicare STARS

  Bring your heart to CVS Health. Every one of us at CVS Health 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 for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message 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.

  Analytics & Behavior Change (A&BC) is an organization working to solve some of the most challenging problems at the intersection of technology and healthcare. A&BC leverages advanced analytics, machine learning, modeling, and a hypothesis-driven approach to quickly transform data into actionable, customer-centric insights to drive growth, improve health outcomes and access to health care across all our businesses in CVS Health. We are responsible for understanding the data flow from a business perspective to create a solution architecture to model the business. Our data teams build next generation data and machine learning platforms and products in the cloud that help power CVS Health to make healthier happen for 100+ million customers.

  Government Consumer Analytics is one of the largest teams within A&BC’s Consumer Analytics organization. The team partners with Aetna’s Government lines of business (Medicare, Duals, Medicaid, ACA) to consult with business leaders to define and structure business problems and deliver end-to-end technical product solutions. The team is organized by business-aligned verticals – Medicare STARS, Revenue Integrity, Duals, Rewards & Product Engagement, Foundational Journeys, Mail Order Delivery, & Optimization. This role is within our Medicare STARS vertical and includes management of 15+ teammates (inclusive of five dotted line embedded engineers).

  The Executive Director, Data Science will have three core components:

  Leads the Analytics & Behavior Change (A&BC) Aetna Medicare STARS team portfolio, with responsibility for behavior change of clinical gaps in care (focused on HEDIS) and improving customer experience (CAHPS, HOS, NPS), with embedded op model with STARS business team

  Single point of contact for STARS data science analytics

  Indirect responsibility for tech solutioning with IT and Digital (including build vs. buy decisions) to improve STAR ratings, and coordinating with CVS Health’s growing portfolio of care delivery and pharmacy assets

  Hands-on leadership for overall advanced analytic strategy for Medicare STARS, in deep partnership with business leaders

  Set the strategy and roadmap to achieve ambitious goals, e.g., #1 in industry STAR ratings while leveraging the enterprise assets of CVSH

  Connects technical solutions to business impact, with ability to balance current year impact and future innovation

  Support for Board-level presentations, including building POC and demos

  Major Responsibilities:

  Directs the resolution of highly complex and strategic business problems; excellence in strategy and consulting required to ensure technical products connected to business impact

  Works with senior leaders to identify opportunities to implement analytics solutions to business problems; collaborates with business partners to understand their strategy, problems, and goals

  Plans for future years in terms of strategy and operations

  Provides leadership and direction through multiple managers

  Effective leadership skills to work and engage with a hybrid team (mostly based in NYC). This role does not require hands-on technical experience but does require enough knowledge to problem solve with a technical team

  Supporting CVS Health in attracting, retaining, and engaging a diverse and inclusive consumer-centric workforce that delivers on our purpose and reflects the communities in which we work, live, and serve

  Travel: As needed

  Qualifications: The candidate will have a strong work ethic, be a self-starter, hands on, and be able to be highly productive in a dynamic, collaborative environment. This position offers broad exposure to all aspects of the company’s business, as well as significant interaction with all the business leaders. The candidate will be expected to have the following key attributes:

  6+ years' experience strategy consulting or on strategy teams in large companies. Strong consulting background and very strong thought leadership: exceptional problem-solving skills, top-down thinking, anticipates roadblocks with strong planning skills

  6+ years of business experience leading projects and initiatives with track record of business impact. Extremely proactive, resilient with strong influencing skills

  12+ years total business experience, with experience connecting advanced analytics to business impact. Payor-provider healthcare experience, with government programs (e.g., Medicare) highly preferred. Behavior change engagement program experience, e.g., influencing members to close gaps in care and/or improve customer experience

  6+ years of people management experience. Has experience leading teams at least 10-20 people composed of Data Scientists and Data Engineers. Strong ability to communicate technical concepts and implications to business partners. Ability to work Hybrid Model, ideally in New York City (in office Tuesday / Wednesday / Thursday). Demonstrate a commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and proactively managing bias

  6+ years' experience leading teams that are programming using Python and big data platforms

  Education: Bachelor's Degree in quantitative field; Master’s degree in Business or quantitative area

  Pay Range

  The typical pay range for this role is:

  $170,000.00 - $325,000.00

  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. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers 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 to 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. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

  CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

  You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

  CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through [email protected] If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.

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