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Lead Data Scientist (Medicare Sales Strategy)

Cvshealth

Skills

Required

  • Medicare
  • data science / advanced analytics
  • AI
  • SQL
  • Python
  • modeling
  • automation
  • CMS data assets
  • landscape files
  • MCMG-regulated data
  • CRM

Preferred

  • Champion AI adoption

We are seeking a Lead Data Scientist to own the analytical strategy and data science roadmap for our Medicare sales organization and serve as a primary advocate for AI adoption across the Sales Center of Excellence (SCOE). You will set technical direction, lead a team of data scientists and analysts, and serve as the primary thought partner to sales leadership on data-driven and AI-enabled growth initiatives across Medicare Advantage and Part D markets.

About Cvshealth

  • 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.
  • 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.

Responsibilities

  • Define and drive the data science and AI strategy supporting Medicare sales, distribution, and enrollment growth
  • Champion AI adoption across SCOE — identify high-value use cases, build the case for investment, and guide teams through the adoption of AI-powered tools and workflows Lead a team of data scientists and analysts — setting priorities, reviewing work, and developing talent
  • lead scoring, enrollment forecasting, agent performance, and retention risk
  • Own the sales data ecosystem — governance, quality standards, and integration across CRM, CMS, and internal platforms
  • Translate ambiguous business questions from Sales, Marketing, and Finance leadership into structured analytical programs
  • Establish best practices for model development, validation, deployment, and monitoring across the team, including emerging generative AI and LLM-based applications
  • Present findings and recommendations directly to VP/C-suite stakeholders; influence strategic decisions with data
  • Partner with Engineering and IT to productionize models and embed insights into sales workflows and tools
  • Represent the data science and AI function in cross-functional planning, budgeting, and roadmap discussions
  • model versioning, monitoring, drift detection, and retraining workflows Hands-on experience with generative AI, LLM integration, or AI product development in an enterprise setting
  • Background in territory optimization, GIS analysis, or market sizing for Medicare-eligible populations

Requirements

  • Qualifications 5+ years in data science or advanced analytics, with 3+ years in a lead, staff, or principal capacity including: 1+ years supporting Medicare, Medicare Advantage, or Part D sales or distribution organizations
  • Proven track record leading and mentoring a team of data scientists or analysts
  • Demonstrated experience advocating for and driving AI or advanced analytics adoption within a business unit or center of excellence Expert-level SQL; advanced proficiency in Python or R for modeling, automation, and pipeline development
  • Deep experience with CMS data assets (enrollment files, landscape files, MCMG-regulated data)
  • Experience integrating CRM (Salesforce or similar), broker/FMO data, and BI platforms (Power BI, Tableau, Looker) Strong communication skills — able to translate complex models and AI concepts into executive-level narratives

Preferred

  • Qualifications 8+ years of experience in Data Science or advanced analytics and 3+ in Medicare related team
  • Master's or PhD in Statistics, Data Science, Computer Science, or related field (or equivalent experience)
  • Education Bachelors Degree or equivalent experience

Pay

The typical pay range for this role is: $130,295.00 - $260,590.00 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.

Benefits

  • Our people fuel our future.
  • Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
  • This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families.
  • The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
  • Additional details about available benefits are provided during the application process and on Benefits Moments .

We anticipate the application window for this opening will close on: 11/30/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.