Applied Real World Data Scientist

Evio is a pharmacy solutions company founded by and closely collaborating with health plans to implement transformative initiatives focused on specialty and high-cost medication solutions. Established by five Blue Cross Blue Shield health plans serving over 20 million members, Evio addresses rapidly rising medication costs and system complexities. In 2025, Wellmark joined as Evio’s sixth owner health plan. Evio leverages advanced analytics, contracting capabilities, and digital tools to power high-cost medication solutions, creating a self-reinforcing "flywheel" of innovation. The company prioritizes people, team, and culture, fostering a unique workplace environment.

Evio's Values

• Empathy: Prioritizing the people we serve, caring for teammates, and understanding the perspectives of health plan customers, patients, and clinicians.
• Diversity: Committed to a culture where everyone belongs, valuing backgrounds, experiences, and insights to encourage diversity of ideas.
• Adventure: Embracing flexibility, thriving in ambiguity, failing fast, and pivoting quickly to achieve better outcomes.
• Relentless: Guided by evidence and data, creatively challenging the status quo and each other in pursuit of improvement.
• Transparency: Promoting authenticity and integrity in communication, mirroring our goal to bring transparency to the pharmacy supply chain.
• Excellence: Raising the bar in all endeavors by hiring and developing exceptional talent and holding ourselves to the highest standards.

About the Role

As an Applied Real-World Data Scientist, you will lead the development and execution of research, analytics, and reporting for Evio Insights, a product within our Digital Health portfolio. Evio Insights uses real-world evidence (RWE) to generate recommendations related to policy, utilization management, prescriber and patient outreach, care management, and contracting—supporting high-value medication use. You will collaborate with engineering, data, and client-facing teams to uncover insights that help patients access high-cost medications affordably and simply. Your analytical skills, innovative mindset, and health plan empathy will drive the evolution of Evio Insights to meet customer needs.

Responsibilities

Analytics and Product Innovation

• Develop reusable analytical frameworks, study templates, and automated workflows to improve scalability, efficiency, quality, and consistency across Evio Insights.
• Explore data to identify signals, trends, utilization patterns, and anomalies that inform project hypotheses and strategic decision-making.
• Apply machine learning and advanced analytics techniques (e.g., predictive modeling, natural language processing, graph neural networks, unsupervised clustering) to advance product capabilities.
• Evaluate new data sources, analytical methods, and advanced analytics approaches—including predictive modeling, forecasting, and patient segmentation—to determine their potential value for Evio Insights.
• Contribute to project planning, prioritization, quality review, and continuous improvement of Evio Insights research and analytics.

Product Delivery

• Design and execute RWE projects, including observational studies, comparative effectiveness studies, predictive modeling of cost/clinical outcomes, and other analytics focused on patient outcomes, medication utilization, and healthcare costs.
• Collaborate with pharmacists, RWE/HEOR researchers, data scientists, analysts, engineers, product managers, and client-facing teammates to deliver high-quality analyses and evidence.
• Develop clear analytical plans, outcome definitions, and validation approaches that produce reliable and decision-ready evidence.
• Translate analytical findings into clear, actionable insights through presentations, slide decks, manuscripts, and client-facing communications.
• Conduct feasibility assessments and exploratory analyses to identify and evaluate research and analytics project opportunities.

Reporting and Value Measurement

• Develop reporting and data visualizations summarizing the impact and cost-savings potential of Evio Insights recommendations to health plans.
• Apply program-evaluation methods—such as matched comparisons, difference-in-differences, interrupted time-series analyses, or other quasi-experimental approaches—to assess the impact of interventions (e.g., prescriber outreach, member outreach, policy changes).
• Develop reporting that identifies emerging medication utilization and cost trends, surfaces potential clinical and financial opportunities, and supports RWE study ideation, prioritization, and strategic decision-making.

Requirements

Minimum Qualifications

• 5+ years of experience in healthcare analytics, real-world evidence, health economics and outcomes research, data science, or a related field.
• 5+ years of experience with machine learning and advanced analytical methods, such as predictive modeling, forecasting, and unsupervised learning/segmentation.
• Experience working with administrative claims data.
• Strong proficiency in SQL and experience with at least one analytical programming language, such as Python or R.
• Experience designing statistical comparisons, analytical plans, and decision-grade analyses for a variety of use cases.
• Skills to design and execute descriptive analytics, outcomes-based analytics, and predictive analytics.
• Experience developing automated, reusable, or production-ready analytical workflows and reporting solutions.
• Ability to communicate technical information to diverse audiences (executives, analysts, actuaries, clinicians) via written and verbal communication.
• Strong problem-solving skills with the ability to independently explore data, identify insights, and recommend actionable solutions.

Preferred Qualifications

• Experience working with healthcare data beyond administrative claims, such as prior authorization, laboratory, electronic health records, or social determinants of health.
• Familiarity with commercially available real-world data analytics platforms.
• Experience using AI to analyze real-world data, automate workflows, or perform quality assurance.
• Familiarity with high-cost and specialty medications and how they are managed by health plans via medical policy, utilization management, and formularies.

How You Show Up

• Founder's mentality: Prototype, create, and iterate without waiting for permission or perfect infrastructure.
• Resilient and pragmatic: Comfortable with ambiguity, escalation, and imperfect information; choose practical, high-leverage solutions over perfection.
• Bias for outcomes: Focus on creating value for customers and the patients they impact; take action to solve problems as a relentless self-starter.
• Exceptional communicator: Communicate crisply with payer executives, internal leaders, product experts, and others, regardless of technical background.
• EQ and relationship building: Build strong internal and external relationships; navigate complex organizations with empathy and high emotional intelligence.
• Structured thinking: Organized thinker able to manage multiple priorities without losing momentum.
• Judgement and balance: Balance thoughtful analysis with speed, knowing when to go deep and when to move fast.
• Innovation: Bring energy, curiosity, and excitement for challenging the status quo with strong alignment to Evio’s vision.

Pay

Anticipated annual base pay range: $160,000 - $190,000 plus additional variable compensation. Compensation includes base pay and may include other variable compensation opportunities depending on job seniority, location, and date of hire.

Benefits

• Great Health Insurance: The company pays 100% of medical, dental, and vision premiums for teammates, and 50% for dependents.
• 401K Match: Evio matches 100% of teammate contribution up to 5% of salary, subject to IRS limits.
• Time Off: Flexible vacation policy with no minimum or maximum limits; teammates use vacation at their discretion with leadership approval.
• Parental Leave: Generous paid leave for new parents (includes birth and non-birth parents).