CVS HealthDirector of Data Science
Jun. 2021Chicago, Illinois, United StatesManage and lead a team of data scientists and decision scientists, providing technical leadership to ensure successful analytics products for our key business partners. Continue to deliver a portfolio of initiatives to improve medical cost for Commercial, Medicare, and Medicaid members, which has resulted in over $82M medical cost savings for the past three years with around 30 medical cost savings initiatives. Provide data driven solutions to Service Operations through their Itemized Bill Review process, focusing on excluding low save hospitals and using a predictive model to prioritize claims for post-pay itemized bill review. Partner with Utilization Management leadership, translating their business needs into analytics projects through randomized control studies for UM programs, tool development for provider selection and consulting work for vendor agreements. Leveraging AI technology to help leadership meet aggressive admin targets while expanding into medical cost savings ideas. Collaborate with business partners across the enterprise to identify business opportunities and create a strategy that can be addressed using data science techniques.