Lead Data Scientist - Clinical Informatics (Claims Specialization)

CVS Health

Actively hiring
Remote (Work At Home-New York, US) Posted 45 days ago $130,295$260,590 / year

At a glance

AI generated

TL;DR

As a Lead Data Scientist in Clinical Informatics at CVS Health's Analytics & Behavior Change team, you will play a pivotal role in transforming clinical data into actionable insights that drive health outcomes and business growth. Your responsibilities include serving as a subject matter expert for claims, pharmacy, lab results, and other clinical documentation, designing and maintaining robust data models and taxonomies to ensure consistent interpretation across the organization. You will develop standards for a claims data feature store, enable self-service analytics by creating well-documented data assets, and maintain comprehensive data documentation. Additionally, you will collaborate with stakeholders to understand their needs, lead cross-functional projects, mentor team members, establish data quality frameworks, and contribute to data governance initiatives while staying current with clinical data standards such as HL7, FHIR, ICD-10, SNOMED-CT, LOINC, CPT, NDC, and RxNorm. The ideal candidate has 7+ years of experience in clinical informatics or healthcare analytics, proficiency in SQL, and hands-on experience using Google Cloud Platform tools like BigQuery for large-scale healthcare datasets.

Skills

SQL BigQuery Google Cloud Platform Data Quality Principles Clinical Coding Systems ICD-10 CPT SNOMED-CT LOINC NDC RxNorm HIPAA Data Governance ETL Pipelines OMOP CDM FHIR X12 NCPDP HL7

What you'll do

  • Serve as a subject matter expert in clinical data to solve healthcare problems.
  • Design and maintain clinical data models for consistent use across the organization.
  • Develop and govern claims data feature store standards and best practices.
  • Enable self-service analytics by building well-documented, reusable data assets.
  • Create comprehensive data documentation including dictionaries, lineage, and guidelines.
  • Lead and mentor team members on clinical data interpretation and best practices.

What we're looking for

  • 7+ years of experience in clinical informatics or healthcare analytics.
  • Expertise in medical claims, pharmacy claims, lab results, and clinical notes.
  • Knowledge of clinical coding systems like ICD-10, CPT, SNOMED-CT, LOINC.
  • Experience designing data models and taxonomies for clinical data.
  • Proficiency with SQL and cloud-based data platforms (e.g., Google Cloud Platform).
  • Strong understanding of data quality principles in healthcare settings.
  • Ability to lead cross-functional projects and mentor team members.

Market check

Salary context

This $130,295–$260,590 range sits above 73% of similar postings on FindRole.

Peer median band

$110,000$220,000

Median floor and ceiling across peers.

Typical midpoint (25–75%)

$126,800$197,820

Middle half of comparable postings.

Based on 240 comparable postings.

* 240 is the maximum number of comparable postings sampled.

Employer

About CVS Health

CVS Health is a leading American healthcare company operating retail pharmacies, pharmacy benefit management services, and a health insurance segment through Aetna, one of the nation''s largest health insurers. Industry: Healthcare & Pharmacy

CVS Health currently has 93 open roles on FindRole.

Listed pay typically runs $118,450–$260,590 across 90 roles with salary data.

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