Lead a team in delivering data-driven insights and scalable SQL solutions to support Value-Based Care performance. Oversee provider reporting, cost analytics, and executive dashboards while partnering with clinical and technology teams.
CVS Health
852 Remote Job Openings at CVS Health
The role focuses on designing and implementing Population Health priorities, specifically Transitions of Care programs to improve quality and reduce medical costs. Responsibilities include optimizing Epic workflows and collaborating with Data Science, Product, and Finance teams to drive clinical innovation.
Lead the customer implementation team by partnering with product owners to mature concepts and develop IT strategies and MVPs. Coordinate release planning, manage delivery milestones, and collaborate with cross-functional teams to ensure alignment with commercial product objectives.
Lead and develop a team of Health Advocates to improve health outcomes for Medicare members through personalized outreach. Oversee daily operations, monitor performance trends, and collaborate with cross-functional teams to enhance member experience.
The Data Entry Operator is responsible for accurately entering shell claims into the DG system. The role requires maintaining high productivity and quality standards in a high-volume, deadline-driven environment.
Strategic Account Executive - Meritain Pharmacy Solutions
CVS Health
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Full Time
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7 hours ago
CVS Health
Manage a book of business for Meritain Pharmacy Solutions to achieve customer satisfaction, membership, and renewal objectives. Develop strategic relationships with external partners and consultants while overseeing the operation of pharmacy benefits plans.
Lead the end-to-end development of strategic proposals and RFP responses for CVS Caremark across various market segments. Collaborate with cross-functional teams to align positioning and synthesize internal data to support client-specific strategies.
Coordinate proposal-related activities and manage the end-to-end development of RFPs for CVS Caremark. This includes collaborating with stakeholders, formatting proposals to brand standards, and ensuring all submission deadlines are met.
The role involves tracking patients across hospital and post-acute settings to reconnect them with primary care. Key tasks include managing medical records, conducting outreach to facilities and patients, and scheduling post-discharge appointments.
The role involves tracking patients across hospital and post-acute settings to reconnect them with primary care. Key tasks include managing medical records, conducting outreach to facilities and patients, and scheduling post-discharge appointments.
Lead the end-to-end development of strategic proposals and RFP responses for CVS Caremark across various market segments. Collaborate with cross-functional teams to synthesize data and customize value propositions to meet client-specific needs.
The Risk Coordinator supports the general liability claims process by initiating claim files and preserving time-sensitive evidence. They partner with internal teams to gather necessary documentation and manage the communication of claim materials to examiners.
Facilitate Scrum events, remove impediments, and coach teams on Agile principles to foster self-organization and continuous learning. Monitor team performance using Agile metrics and manage communication strategies between teams and stakeholders.
The role involves producing monthly rebate accruals and FP&A reporting by extracting data from multiple warehouses to calculate complex rebate terms. You will support the formulary rebate business, accounting for manufacturer rebates and tracking client commitments to impact the company's P&L.
Lead acute escalations workstreams and a team to improve patient outcomes through data-driven insights. Develop educational materials and care model tools while leading high-priority organizational initiatives.
Manage day-to-day relationships with health plan clients to ensure operational excellence and strategic alignment. Oversee financial performance, profitability, and process improvements to enhance service delivery and client satisfaction.
The role focuses on managing reporting and analytics for Service Operations, specifically overseeing the Call Analytics platform and Power BI dashboards. The analyst will translate complex data into actionable process improvement roadmaps and provide operational insights to senior leadership.
Design and implement enterprise Data Loss Prevention (DLP) policies across cloud, endpoint, email, and network environments. Lead data protection strategies for AI/ML pipelines and ensure secure handling of sensitive data like PII and PHI.
Lead complex, enterprise-wide technology initiatives and digital transformation efforts to modernize platforms. Act as the primary liaison between technology and business teams to ensure alignment on goals, budget, and delivery timelines.
Direct the activities of Agile teams by overseeing Scrum events, removing impediments, and providing coaching to stakeholders. Develop agile governance frameworks and implement project management tools to drive continuous improvement and productivity.
Call Center Triage Registered Nurse - Bilingual Spanish
CVS Health
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Full Time
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12 hours ago
CVS Health
The nurse provides telephonic medical, social, and psychological support to patients outside of regular clinic hours. Key duties include managing prescription refills, scheduling appointments, and maintaining precise clinical documentation.
Virtual Clinician Home Evaluations Physician Full Time - Kansas
CVS Health
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Full Time
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12 hours ago
CVS Health
Conduct 30-minute virtual video visits with health plan members to review medical histories and educate them on their health. Maintain high visit completion rates and adhere to operational and clinical key performance indicators.
Deliver on-demand single session consultations, clinical assessments, and triage via video, live chat, or phone. Utilize technology platforms to connect members to appropriate mental health solutions and support personalized care.
Virtual Clinician Home Evaluations Physician Full Time -Iowa
CVS Health
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Full Time
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13 hours ago
CVS Health
Conduct 30-minute virtual video visits with health plan members to review medical histories and educate them on their health. Maintain high visit completion rates and adhere to operational and clinical key performance indicators.
Virtual Clinician Home Evaluations - Nurse Practitioner or Physician Assistant (Full Time) - ME
CVS Health
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Full Time
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13 hours ago
CVS Health
Conduct 30-minute virtual video visits with health plan members to review medical histories and medications. Educate members on their health and help close gaps in care to connect them with appropriate medical services.
Acts as the initial point of contact for Prior Authorization requests from members and providers. Responsible for determining if requests need pharmacist escalation and maintaining accurate documentation of approvals and denials.
Act as a telephonic case manager to coordinate care for patients and their care teams for insured clients. Apply clinical guidelines and motivational interviewing to reduce risk factors and address complex health and social indicators.
Serve as the initial point of contact for Prior Authorization requests from members and providers. Determine if complex requests need pharmacist assistance and maintain accurate documentation of all approvals and denials.
The QM Nurse Consultant applies clinical expertise to assess and enhance patient care through quality improvement efforts and data analysis. The role focuses on identifying member needs, closing care gaps, and collaborating with teams to improve WV Medicaid member outcomes.
Plan and direct the activities of scrum teams, ensuring obstacles are removed to maintain progress. Provide coaching to stakeholders and support the Product Owner in backlog management and prioritization.
Client Experience Manager, Pharmacy Benefits Management
CVS Health
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Full Time
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13 hours ago
CVS Health
Manage client and member support by performing plan changes, handling inbound calls, and overseeing claims and prior authorization processes. Facilitate external-facing meetings and serve as a key presence throughout the implementation process.
Manager, Project Management (individual contributor)
CVS Health
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Full Time
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13 hours ago
CVS Health
Acts as a Business Analyst supporting delivery and execution for Government Programs, focusing on enrollment, billing, and correspondence capabilities. Collaborates with cross-functional teams in a SAFe environment to translate strategic priorities into actionable user stories and technical specifications.
Medicare Part B Operations Supervisor, Revenue Cycle
CVS Health
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Full Time
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14 hours ago
CVS Health
Lead a revenue cycle team focused on obtaining and verifying Medicare Part B documentation while driving day-to-day performance. Responsibilities include coaching staff, analyzing reports to resolve unbilled issues, and maintaining compliance workflows.
Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health
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Full Time
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14 hours ago
CVS Health
Conduct complex investigations to prevent and prosecute healthcare fraud and abuse while recovering lost funds. Collaborate with law enforcement agencies and provide expert testimony during civil and criminal proceedings.
Medicare Part B Operations Coordinator, Revenue Cycle
CVS Health
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Full Time
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14 hours ago
CVS Health
Support end-to-end Medicare Part B claims processing and ensure compliance with CMS requirements through prescriber outreach and documentation review. Manage a centralized repository of documentation to reduce bad debt and mitigate legal risks for the Revenue Cycle Team.
Inside Sales Rep-Hourly + Commission-Can live anywhere in U.S.
CVS Health
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Full Time
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15 hours ago
CVS Health
Responsible for acquiring new members through inbound and outbound calls using a lead generation platform. Manages the ongoing member relationship by resolving inquiries regarding plan benefits and cross-selling ancillary products.
Verify insurance coverage and obtain prior authorizations for specialty therapies to ensure timely prescription processing. Coordinate with intake coordinators and insurance providers while maintaining accurate data entry in ACIS.
Review clinical cases to make coverage determinations using evidence-based guidelines and collaborate with providers to coordinate treatment. Serve as a clinical resource to improve care quality and member outcomes.
Senior Decision Scientist - Pharmacy and Consumer Wellness Analytics
CVS Health
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Full Time
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16 hours ago
CVS Health
Develop end-to-end analytical solutions and predictive models to drive revenue and profitability for the Retail Pharmacy business. Partner with stakeholders to define problem statements and present data-driven recommendations to senior leadership.
Senior Analyst, Network Relations ( Houston, Texas)
CVS Health
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Full Time
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16 hours ago
CVS Health
Acts as the primary resource for providers to maintain positive relationships and resolve complex issues regarding policies, claims, and compensation. Manages provider recruitment, contracting activities, and ensures compliance with contract parameters and plan designs.
Provide comprehensive administrative support to two Technology leaders, including complex calendar management and travel coordination. Act as a liaison between leadership and cross-functional partners while managing reports, expenses, and team engagement initiatives.
The specialist researches specialty drug cost savings and assists patients in navigating high-cost medication pricing. They perform proactive outreach to members and coordinate with provider offices to ensure maximal savings on therapies.
Provide telephonic nursing care, education, and support to patients regarding medication adherence and disease state management. Develop and evaluate comprehensive plans of care while collaborating with healthcare professionals to improve patient outcomes.
Define and lead the vision for enterprise AI capabilities, establishing the platforms and infrastructure needed to scale AI-driven applications. Partner with executive leadership to drive AI adoption, manage investments, and oversee the integration of LLMs and conversational AI into mission-critical systems.
The role provides technical and functional support for Workday HCM to optimize HR and Payroll operations for domestic and international employees. Key duties include gathering requirements, configuring the platform, and managing the semi-annual Workday release process.
Manage a block of small group customers with 2-200 employees to achieve revenue, membership, and earnings objectives. Collaborate with brokers and internal partners to ensure case renewal, retention, and the delivery of creative product solutions.
The External Affairs Administrator executes outreach and engagement activities for the OhioRISE Plan within priority communities and with key stakeholders. They serve as the primary liaison between the plan and child-serving agencies to align community needs with program objectives.
Develop large-scale data structures and ETL pipelines to organize and standardize data for reporting and insights. Collaborate with cross-functional teams to integrate algorithms and models into automated, scalable systems.
Virtual Clinician Home Evaluations - Nurse Practitioner or Physician Assistant (Full Time) - CT
CVS Health
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Full Time
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a day ago
CVS Health
Conduct 30-minute virtual video visits with Medicare Advantage, Medicaid, and commercial plan members to review medical histories and medications. Educate members on their health and identify gaps in care to connect them with appropriate medical services.
Virtual Clinician Home Evaluations - Nurse Practitioner or Physician Assistant (Full Time) - NY
CVS Health
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Full Time
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a day ago
CVS Health
Conduct 30-minute virtual video visits with health plan members to review medical histories and medications. Educate members on their health and help close gaps in care to connect them with appropriate medical services.
Senior Manager, Omnichannel Commercialization Strategy & Business Development
CVS Health
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Full Time
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a day ago
CVS Health
Develop and execute omnichannel commercialization strategies to improve pharmacy engagement and outcomes. Support business development efforts for pharmacy network expansion and design go-to-market approaches for new B2B services.
Lead end-to-end design strategy and execution for healthcare experiences using lean and agile UX practices. Collaborate with cross-functional teams to translate user needs into measurable business value while mentoring other designers.
Facilitate Scrum events, remove impediments, and support the Product Owner to drive continuous improvement. Ensure the effective implementation of the Scrum framework to foster a culture of collaboration and learning.
Sr. Manager - Clinical Innovation Strategy and Planning
CVS Health
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Full Time
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a day ago
CVS Health
Lead the clinical innovation portfolio by driving use cases that solve business problems and create value within Aetna's Clinical Solutions. Collaborate with cross-functional teams to develop, test, and implement innovative healthcare solutions from ideation to scale.
The Eligibility Consultant verifies patient insurance and eligibility by processing physical documents and performing manual data entry. They are responsible for maintaining accurate billing, ensuring regulatory compliance, and improving paper-based eligibility operations.
Deliver holistic, evidence-based patient care and disposition planning for patients aged 18 months and older via a remote technology platform. Document all encounters in Epic and collaborate with a multidisciplinary healthcare team to ensure high standards of care.
Oversee all core Aetna Medical Affairs functions, including utilization management, care management, and clinical pathways, to ensure alignment across business lines. Lead the enterprise operating model, workforce strategy, and financial planning to drive scalable improvements in quality and efficiency.
The Senior Analyst detects, investigates, and remediates Fraud, Waste, and Abuse (FWA) within healthcare services. This includes reviewing claims data for aberrant patterns and referring suspected cases to regulatory agencies.
Collaborate with departments to execute client requests and translate clinical benefit plan designs into operational formats. Facilitate meetings and presentations to provide status updates and ensure accurate client benefit setup.
Deliver holistic, evidence-based patient care through a remote technology platform for patients aged 18 months and older. Responsibilities include assessment, diagnosis, treatment, and documentation of encounters using Epic EHR.
Provide advocate care to members by guiding them through behavioral health benefit plans and resolving claims issues. Handle inbound calls to connect members with appropriate resources while maintaining emotional connections and ensuring member satisfaction.
Manage the renewal process and programs for plan sponsors, ensuring successful implementation and delivery. Collaborate with internal departments and external stakeholders to analyze requirements, mitigate risks, and provide leadership to the implementation team.
Lead program analytics, data requests, and value modeling for the Interoperability team to support electronic clinical data exchange. Collaborate with cross-functional teams to ensure compliance with government regulations and provide post-production support for business operations.
Lead Director, Medicare Product Knowledge & Enablement
CVS Health
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Full Time
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a day ago
CVS Health
Establish and lead a new enterprise-wide knowledge enablement structure for Medicare Advantage products to ensure strategic alignment across downstream functions. Translate complex benefit designs into clear guidance and integrate sales insights into product positioning to improve market performance.
Lead and develop a team of supervisors and pharmacists within the Medicare Prior Authorization and Coverage Determinations Department. Ensure operational excellence, regulatory compliance with CMS standards, and the achievement of financial and productivity targets.
Design and implement ETL/ELT data pipelines to support financial and analytical workloads. Optimize data infrastructure through performance tuning, data modeling, and the establishment of governance frameworks.
Pharmacy Benefit Management (PBM) Client Experience Manager
CVS Health
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Full Time
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2 days ago
CVS Health
Manage strategic business plans for accounts to drive revenue growth, member retention, and financial objectives. Provide comprehensive client and member support, including plan changes, claims resolution, and implementation facilitation.
Virtual Clinician Home Evaluations Nurse Practitioner or Physician Assistant Full Time - VA
CVS Health
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Full Time
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2 days ago
CVS Health
Conduct 30-minute virtual video visits with health plan members to review medical histories and medications. Educate members on their health and help close gaps in care to connect them with appropriate medical services.
Virtual Clinician Home Evaluations Physician Full Time - Oregon
CVS Health
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Full Time
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2 days ago
CVS Health
Conduct 30-minute virtual video visits with health plan members to review medical histories and medications. Educate members on their health and work to close gaps in care while meeting specific monthly visit capacity metrics.
Manager, Software Development Engineering - Enterprise Applications
CVS Health
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Full Time
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2 days ago
CVS Health
Lead and mentor a team of engineers and analysts responsible for the support and administration of enterprise tools. Act as a player-coach by managing operational processes and vendor relationships while providing hands-on technical troubleshooting.
Responsible for enabling and scaling enterprise AI capabilities across the ServiceNow platform, specifically focusing on Now Assist and Moveworks integration. The role ensures AI solutions are secure, governed, and reusable across HRSD, ITSM, and ITOM domains.
Lead the end-to-end delivery of automation opportunities from intake and discovery through deployment and continuous optimization. Partner with business stakeholders to translate pain points into a prioritized pipeline of automation and process improvements.
Senior Business Analyst, Regulatory Reporting Solutions (Remote)
CVS Health
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Full Time
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2 days ago
CVS Health
The role supports the execution and coordination of PBM, Medicaid, and Licensure regulatory reporting requirements. Key duties include managing reporting artifacts, validating deliverables for accuracy, and partnering with internal and external teams to ensure timely submissions.
Business Analyst, Regulatory Reporting Solutions (Remote)
CVS Health
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Full Time
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2 days ago
CVS Health
Provide foundational support for PBM, Medicaid, and Licensure regulatory reporting by maintaining documentation and updating Salesforce records. Coordinate with internal and external partners to collect data, prepare draft reports, and perform validation checks.
Lead a high-impact Credentialing Operations unit to accelerate clinician speed-to-market and evolve strategic workflows. Manage escalation resolution, performance engineering, and cross-functional advocacy to support national clinician deployment goals.
Senior Software Development Engineer – Ambulatory and Willow or Ambulatory and MyChart
CVS Health
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Full Time
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2 days ago
CVS Health
Lead the build, maintenance, and design of Epic environments, focusing on Ambulatory and Willow or MyChart modules. Collaborate with business leaders and technical teams to translate clinical requirements into technical specifications and ensure quality healthcare delivery.
Provide strategic leadership for digital engineering functions including AetnaHealth Pharmacy and Claims capabilities. Oversee technical architecture, manage engineering teams, and align technical roadmaps with business goals to drive digital transformation.
Partner with cross-functional teams to shape the analytics product vision and define scalable solution approaches from ideation to execution. Manage the product backlog and lead Agile ceremonies to implement features leveraging data science and engineering.
Design, develop, and support scalable cloud-native applications and microservices for member communications and engagement. Collaborate with cross-functional teams to implement event-driven architectures and high-volume batch processing solutions.
The role focuses on translating clinician availability into usable capacity to meet fluctuating demand across various regions. Key duties include managing clinician schedules, conducting quality audits, and tracking network health through analytical reports.
Support key financial initiatives through financial modeling, capital planning, and the development of business cases for high-impact projects. Manage the investment portfolio by tracking performance data and collaborating with cross-functional stakeholders to align investments with enterprise priorities.
The Associate Legal Counsel identifies and analyzes new federal, state, and local laws impacting the healthcare industry. They provide practical legal advice to internal stakeholders to ensure enterprise-wide compliance with new legal requirements.
Verify member enrollment status and document accurate demographic information using the QuickBase database. Provide empathetic support to callers while assisting with special projects as assigned.
Minute Clinic Accounts Receivable Associate, Senior Coordinator, Revenue Cycle
CVS Health
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Full Time
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2 days ago
CVS Health
Manage a high volume of denied medical claims by reviewing, correcting, and resubmitting them according to payer guidelines. Identify trends in denials and implement process efficiencies to improve productivity and compliance.
Lead the team delivering and operating the enterprise CI platform, focusing on the migration from legacy tooling to GitHub and JFrog. Drive the adoption of AI-powered coding tools and manage the overall reliability and security of the developer experience platform.
The Consultant serves as a single point of contact to resolve client inquiries regarding enrollment, billing, and technical support. They are responsible for achieving high first-call resolution rates and collaborating with internal teams to ensure a quality customer experience.
Inside Sales Rep-Hourly + Commission-Can live anywhere in U.S.
CVS Health
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Full Time
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2 days ago
CVS Health
Responsible for acquiring new members through inbound and outbound calls using a lead generation platform. Manages the full member relationship, including servicing inquiries, cross-selling products, and ensuring high retention rates.
Develop and execute strategies to create differentiated solutions for pharmaceutical manufacturers to reduce costs and increase accessibility. This includes building business cases, managing external relationships, and incubating new growth initiatives within the Trade Strategy team.
Coordinate and document utilization and benefit management for Medicare Integrated and dually eligible members. Review treatment plans and collaborate with providers to ensure cost-effective, evidence-based care for complex medical and behavioral health needs.
Design and build the Snowflake data foundation including fact and dimension tables to power retail analytics. Integrate ThoughtSpot analytics experiences into internal applications using React and TypeScript.
Provide primary legal support for the CVS Caremark Prescription Benefit Management group by drafting and reviewing various contracts. Collaborate with operational stakeholders to ensure business standards are met and manage legal risks and project documentation.
Responsible for managing cash collection, revenue recognition, and accounts receivable processing and aging. The role involves frequent interaction with clients, business partners, and finance peers to improve financial reporting accuracy.
Senior Data Scientist - ML/AI Digital Workplace Experience
CVS Health
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Full Time
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2 days ago
CVS Health
Lead the design and deployment of production-grade ML and Generative AI solutions to enhance the digital workplace experience. Collaborate cross-functionally to implement intelligent assistants and automation tools that drive organizational productivity.
Lead and collaborate with cross-functional teams to develop and implement innovative clinical solutions and programs. Manage projects from ideation through pilot and scaling to solve business problems and deliver value within the clinical solutions unit.
Medical Director - Sr Clinical Solution – Population Health (Medicare)
CVS Health
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Full Time
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2 days ago
CVS Health
Acts as a liaison between data analytics teams and clinical leadership to identify population health trends and implement clinical solutions for Medicare members. Develops strategic initiatives and reporting to improve patient care, safety, and health outcomes.
Coordinates case management activities to evaluate medical needs and facilitate overall member wellness. Develops strategies to improve health outcomes through integration and ensures compliance with clinical coverage policies.
Design and develop scalable cloud services and microservices using Java and Spring Boot within a CI/CD environment. Collaborate with cross-functional teams to build data products and implement real-time data streaming to improve health outcomes.
Case Manager Registered Nurse - San Antonio, TX - Compact RN License Required
CVS Health
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Full Time
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3 days ago
CVS Health
The Case Manager RN is responsible for assessing, planning, and coordinating medical needs for members to facilitate overall wellness. This includes conducting evaluations of benefit eligibility and implementing strategies to reduce risk factors and barriers to care.
Lead Director - Third Party Security, Assessment Operations
CVS Health
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Full Time
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3 days ago
CVS Health
Lead the end-to-end lifecycle of third-party security assessments to ensure vendors and partners meet strict security and regulatory standards. Partner with Procurement, Legal, and Compliance to embed security into the vendor lifecycle and communicate risk posture to executive leadership.
Design and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes.
The Senior Manager is responsible for negotiating and executing complex contracts with provider systems to maintain network accessibility and financial goals. This includes implementing fee-for-service and value-based agreements while collaborating cross-functionally to improve physician performance.
Inside Sales Rep-Hourly + Commission-Can live anywhere in U.S.
CVS Health
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Full Time
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3 days ago
CVS Health
Responsible for acquiring new members through inbound and outbound calls using a lead generation platform. Manages the full member relationship, including servicing inquiries, cross-selling products, and ensuring high retention rates.
Inside Sales Rep-Hourly + Commission-Can live anywhere in U.S.
CVS Health
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Full Time
·
3 days ago
CVS Health
Responsible for acquiring new members through inbound and outbound calls using a lead generation platform. Manages the full member relationship, including servicing inquiries, cross-selling products, and ensuring high retention rates.
Serve as the operational point of contact for escalated member issues and act as a liaison between clients and participants. Responsible for researching issues, tracking them to completion, and attending client calls to report on trends.
Network Relations, Senior Analyst- Must reside in Illinois
CVS Health
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Full Time
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4 days ago
CVS Health
Responsible for validating and maintaining provider information and managing inquiries via the Provider Relationship Management System. Oversees monthly Access and Availability monitoring to ensure adherence to state regulatory requirements.
Principal Application Security Engineer – AI & Agentic Systems
CVS Health
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Full Time
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4 days ago
CVS Health
Lead the development and enforcement of security policies and guardrails for traditional and AI-driven agentic systems. Architect secure designs for LLMs and RAG pipelines while providing technical leadership during security incidents.
The role focuses on QuickBase development and maintenance to support Aetna growth initiatives and provider roster loads. Key duties include translating business requirements into actionable reports and ensuring data accuracy for RFP submissions.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Responsibilities include writing high-quality code, performing testing, and collaborating with cross-functional teams in an Agile environment.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Lead the development of complex solutions while collaborating with cross-functional teams on code reviews and software best practices.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Responsibilities include writing high-quality code, performing testing, and collaborating with cross-functional teams in an Agile environment.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Responsibilities include writing high-quality code, mentoring junior team members, and collaborating with cross-functional teams in an Agile environment.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Responsibilities include writing high-quality code, performing automation testing, and collaborating with cross-functional teams in an Agile environment.
Design and develop enterprise software applications and platforms to meet business requirements while ensuring performance and reliability. Collaborate with cross-functional teams to manage project execution, perform code reviews, and mentor junior engineers.
Design and develop software applications and platforms to support digital healthcare strategies and prescription processing. Responsibilities include writing high-quality code, mentoring junior members, and leading the development of complex technical solutions.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality.
Design and develop digital software applications and platforms to meet business requirements and user needs. Responsibilities include upgrading existing systems for better performance, writing high-quality code, and mentoring junior team members.
Develop and manage security-as-code and detective/corrective controls across multi-cloud environments including GCP, Azure, AWS, and OCI. Automate security operational procedures and design application solutions for identity data services and user analytics platforms.
Design, develop, and execute end-to-end testing for software applications to identify problems and root causes. Collaborate with cross-functional teams to document defects in Rally and provide data validation using SQL queries.
Design and implement complex business intelligence solutions to identify data patterns and financial market intelligence. Collaborate with cross-functional teams to gather requirements and develop reports, dashboards, and database objects.
Plan and manage IT projects for digital product development, collaborating on roadmaps and value propositions. Coordinate with agile teams to refine backlogs, decompose features into user stories, and ensure technical integrity.
Prepare and analyze data for actuarial experience studies, valuation, and pricing projects. Develop statistical models for risk management and maintain reporting tools to monitor product performance against financial targets.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Responsibilities include writing high-quality code, performing automation testing, and collaborating with cross-functional teams in an Agile environment.
Develop and implement analytics applications and predictive models to transform healthcare data into meaningful business insights. Design data solutions and utilize machine learning to inform pharmacy pricing, medical costs, and customer engagement journeys.
Design and develop digital software applications and platforms to meet business requirements for healthcare activities. Responsibilities include upgrading existing systems for performance, writing high-quality code, and mentoring junior team members.
Design and develop enterprise software applications and platforms to meet business requirements for healthcare processing. Responsibilities include writing high-quality code, performing automation testing, and mentoring junior team members.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Lead the development of complex solutions, mentor junior engineers, and collaborate with cross-functional teams using Agile and CI/CD practices.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting needs. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality.
Develop and implement analytics applications and predictive models to transform large datasets into meaningful health metrics and business insights. Design data solutions for ingestion and deployment across multiple channels to inform pharmacy pricing, medical costs, and customer engagement.
Design and develop digital software applications and platforms to meet business requirements and improve healthcare functionality. Collaborate with cross-functional teams to perform code reviews, automation testing, and mentor junior engineers.
Lead the architecture, design, and development of platform engineering initiatives and the software development team. Drive the implementation of CI/CD pipelines, security best practices, and digital platform solutions for customers.
Build and maintain cloud-native software applications and large-scale data pipelines to support business needs and reporting. Collaborate with Data Science teams to integrate algorithms and optimize data structures for real-time and offline processing.
Develop and implement analytics applications and predictive models to transform healthcare data into meaningful business insights. Design data solutions for ingestion and utilize machine learning to inform solutions for pharmacy pricing, medical costs, and customer engagement.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting needs. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality.
Plan and guide technology projects to improve technical capabilities and develop software solutions meeting business requirements. Provide full project lifecycle oversight, including design, build, test, and deployment, while mentoring junior team members.
Develop and implement analytics applications and predictive models to transform healthcare data into meaningful business insights. Utilize machine learning and statistical analysis to solve complex problems related to pharmacy pricing, medical costs, and customer engagement.
Consult with internal clients to develop and implement data science solutions that transform large data sources into meaningful business insights. Lead the development of complex analytics solutions, mentor junior team members, and design experiments to quantify the impact of improvement initiatives.
Design and develop data solutions to profile and ingest data from various healthcare and retail business sources. Create advanced algorithms and predictive models to analyze health metrics and inform business solutions across critical customer journeys.
Design and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality.
Develop and implement analytics applications and predictive models to transform healthcare data into meaningful business insights. Design data solutions and utilize machine learning and NLP to inform pharmacy pricing, medical costs, and customer engagement.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Responsibilities include analyzing user needs, writing high-quality code, performing automation testing, and mentoring junior team members.
Architect, design, and support complex voice and contact center solutions across multi-vendor platforms including Cisco, Avaya, and Five9. Perform network planning and analysis to determine capacity needs and develop troubleshooting procedures for communications software.
Plan and manage IT projects for digital product development, collaborating on roadmaps and value propositions. Coordinate with agile teams to refine backlogs, decompose features into user stories, and ensure the delivery of business value.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality.
Create and implement decision models to optimize healthcare resource allocation, cost-effectiveness, and operational processes. Analyze large datasets to derive actionable insights and collaborate with cross-functional teams to integrate these models into workflows.
Design and develop enterprise software applications and platforms to meet business requirements while managing project execution. Collaborate with cross-functional teams to ensure software quality, performance, and reliability while mentoring junior developers.
Build and maintain cloud-native software applications and large-scale data pipelines to support business needs and reporting. Collaborate with Data Science teams to integrate algorithms and optimize data structures for real-time and offline processing.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes.
Design and develop enterprise software applications and platforms to support digital healthcare strategies. Responsibilities include writing high-quality code, performing automation testing, and collaborating with cross-functional teams in an Agile environment.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Responsibilities include analyzing user needs, writing high-quality code, and collaborating with cross-functional teams in an Agile environment.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality.
The role involves designing data solutions and developing advanced statistical predictive models to evaluate health metrics and future outcomes. The Data Scientist will extract and manipulate large datasets to inform business solutions and support the deployment of insights across multiple channels.
Formulate mathematical and statistical theories to analyze petabytes of data and generate insights for network and engagement strategies. Develop and deploy robust algorithms and predictive models to improve provider engagement and consumer experience.
Develop and implement analytics applications and predictive models to transform healthcare data into meaningful business insights. Design data solutions for ingestion and utilize machine learning to inform pharmacy pricing, medical costs, and customer engagement.
Design and develop enterprise software applications and platforms to meet business requirements while managing project execution. Responsibilities include writing high-quality code, mentoring junior team members, and collaborating with cross-functional teams to ensure performance and reliability.
Consult with internal clients to develop data science solutions that transform large data sources into meaningful business insights. Lead the development of complex analytics strategies, mentor junior staff, and design experiments to quantify the impact of improvement initiatives.
Apply statistical techniques and develop data analytics solutions to summarize business information and mitigate financial risk. Collaborate cross-functionally to translate business needs into analytical projects and provide data-driven recommendations to senior leadership.
Build and maintain cloud-native software applications and large-scale data pipelines to support business needs and analytics. Collaborate with Data Science teams to integrate algorithms and mentor junior Cloud Engineers.
Design and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes while optimizing queries and data marts.
Design and deliver technical software solutions while leading Scrum teams through PI planning and agile facilitation. Act as a liaison between business stakeholders and technical teams to translate requirements into product roadmaps and digital experiences.
Design and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality.
Design and implement enterprise machine learning products, platforms, and pipelines to meet organizational objectives. Collaborate with stakeholders and cross-functional teams to translate business requirements into technical ML solutions and analyze model performance.
Analyze, plan, and coordinate IT projects to implement strategic software development initiatives and product proliferation. Serve as a liaison between business and technical teams to manage project stages, roadmaps, and cross-functional deliverables.
Design and develop software tests to identify problems and root causes while ensuring business requirements are met. Collaborate with cross-functional teams to implement QA strategies, execute test cases, and mentor junior team members.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Responsibilities include writing high-quality code, performing automation testing, and collaborating with cross-functional teams in an Agile environment.
Responsible for quality assurance efforts on small to medium projects, including defining test strategies and executing manual and automated test cases. The role involves triaging defects, generating test reports, and collaborating with product management to mitigate software quality risks.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Responsibilities include analyzing user needs, writing high-quality code, and collaborating with cross-functional teams in an Agile environment.
Design and develop healthcare-related applications and analytical insights to guide business decisions. This includes creating ETL workflows, predictive models, and complex reports using Python and SQL.
Develop and implement analytics applications and predictive models to transform healthcare data into meaningful business insights. Design data solutions and utilize machine learning to inform pharmacy pricing, medical costs, and customer engagement journeys.
Design and manage large-scale data structures, pipelines, and ETL workflows to generate business insights and solve complex application problems. Collaborate with IT and business teams to define functionality, automate PBM domain processes, and ensure successful data migration.
Plan and manage IT projects within a Scaled Agile (SAFe) program, acting as a Product Owner to coordinate between business stakeholders and technical teams. Responsibilities include analyzing health claims data, implementing state Medicaid plans, and modifying system requirements to meet operational objectives.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Responsibilities include analyzing user needs, writing high-quality code, and collaborating with cross-functional teams in an Agile environment.
Design and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes.
Plan and manage IT projects for data engineering and product teams, focusing on the development of large-scale data structures and pipelines. Coordinate strategy across engineering and platform teams while supervising junior data engineers to improve analytic processing capabilities.
Define and deliver analytical solutions and data-driven models to support business initiatives and healthcare objectives. Partner with product owners to measure program success and present root cause analyses to stakeholders.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Responsibilities include analyzing user needs, writing high-quality code, and collaborating with cross-functional teams in an Agile environment.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality and accessibility.
Design and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes.
Design and deliver technical solutions for systems engineering and infrastructure, focusing on data management platform interoperability. Manage multi-PB environments, automate infrastructure using Ansible and Terraform, and execute disaster recovery exercises.
Design and manage large-scale data pipelines and backend API services to support AI, machine learning, and analytics platforms. Collaborate with cross-functional teams to implement automated production workflows and integrate large language models.
The role involves designing data solutions and advanced predictive models to analyze health metrics and future outcomes. Responsibilities include extracting data from large sources to inform business solutions and deploying insights across multiple channels using machine learning.
Design and deliver efficient technical software solutions focusing on monitoring and observability for CVS's technical initiatives. This includes creating POCs and MVPs using tools like AppDynamics and Prometheus, and automating tasks via Ansible and Jenkins.
Responsible for administering, testing, and implementing Oracle databases, including performance tuning, capacity planning, and scalability. The role involves managing physical database objects, security measures, and ensuring 24x7 availability and SLA compliance.
Design, build, and manage large-scale data structures and ETL pipelines to support business applications and reporting needs. Collaborate with Data Science teams to integrate algorithms and models into automated processes using Google Cloud Platform.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting needs. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality and accessibility.
Develop mathematical and computational models to extract and manipulate data for health metrics and predictive outcomes. Design data solutions and advanced algorithms to inform in-house teams and improve customer engagement across critical health journeys.
Design and develop software applications and platforms to support digital healthcare strategies and business requirements. Responsibilities include writing high-quality code, performing testing, and collaborating with cross-functional teams in an Agile environment.
Design and develop software applications and platforms to support digital healthcare strategies and business requirements. Responsibilities include writing high-quality code, performing testing, and collaborating with cross-functional teams in an Agile environment.
Consult with internal clients to develop and implement data science solutions that transform large data sets into meaningful business insights. Lead the development of complex analytics solutions, mentor junior staff, and design experiments to quantify the impact of improvement initiatives.
Develop mathematical and computational models to extract and manipulate data for health metrics and predictive outcomes. Design data solutions and deploy machine learning insights across multiple channels to solve complex business problems.
Analyze and design enterprise software applications and platforms to meet business requirements for healthcare activities. Develop high-quality code, manage databases, and collaborate with cross-functional teams on technical implementation and quality assurance.
Design and implement robust business analytics and reporting software solutions to support strategic operational planning. Develop predictive data models, performance metrics, and conduct root cause analysis to provide actionable recommendations to leadership.
Develop and implement analytics applications and predictive models to transform healthcare data into meaningful business insights. Utilize machine learning and NLP to solve complex problems related to pharmacy pricing, medical costs, and customer engagement.
Develop mathematical and computational models to extract and manipulate data for health metrics and predictive outcomes. Design data solutions and advanced algorithms to inform in-house teams and improve customer engagement across critical health journeys.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting needs. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality.
Design and develop digital software applications and platforms to meet business requirements and user needs. Collaborate with cross-functional teams to upgrade existing systems, perform code reviews, and ensure high performance and reliability.
Develop mathematical and computational models to extract and manipulate data for health metrics and predictive outcomes. Design data solutions and deploy machine learning insights to inform business decisions across pharmacy and medical costs.
Develop advanced algorithms and statistical predictive models to analyze health metrics and future outcomes. Design data solutions for efficient ingestion and manipulation of large datasets from various healthcare business sources.
Design and manage software test programs to identify root causes of software problems and drive the adoption of automation technologies. Lead strategic QA initiatives across multiple teams and mentor QA professionals to ensure high-quality application delivery.
Design and deliver software solutions and business analytics projects to support CVS Health Operations. Collaborate with stakeholders to improve enterprise systems, manage reporting teams, and optimize workflows using data mining and reporting tools.
Design and deliver user experience and interface solutions across multiple digital platforms using design thinking and user-centered approaches. Collaborate with cross-functional teams to translate business needs into actionable roadmaps, prototypes, and high-quality digital experiences.
Responsible for the design, implementation, and maintenance of secure and scalable enterprise network infrastructure. This includes performing root cause analysis on incidents and collaborating with cross-functional teams to align security practices with business goals.
Plan and manage IT projects for data engineering and analytics to improve patient outcomes and organizational efficiency. Responsibilities include designing rigorous analyses of pharmacy and medical claims, ensuring data quality in the enterprise warehouse, and mentoring junior team members.
Apply statistical techniques and health informatics principles to develop data-driven solutions and trend reporting for healthcare business units. Collaborate with cross-functional teams to analyze large healthcare datasets and create robust analytical reports for member outreach and regulatory compliance.
Design and develop software applications and platforms to support digital healthcare strategies and business requirements. Responsibilities include writing high-quality code, performing automation testing, and collaborating with cross-functional teams in an Agile environment.
Design and implement machine learning solutions to automate pharmacy operations and improve patient care outcomes. This includes developing ML models, building feature engineering pipelines, and deploying workflows using Kubeflow and Azure cloud infrastructure.
Develop and implement analytics applications and predictive models to transform healthcare data into meaningful business insights. Design data solutions for ingestion and utilize machine learning to inform pharmacy pricing, medical costs, and customer engagement.
Design and develop comprehensive software tests to identify root causes and ensure quality across various testing types including automated, functional, and performance testing. Collaborate with cross-functional teams to implement QA strategies, document defects, and mentor junior team members throughout the SDLC.
Oversee the planning and delivery of enterprise-level strategic IT projects and software product deployments. Act as a liaison between technical and business stakeholders to ensure projects are delivered on time and meet quality standards using Agile and SAFe methodologies.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Responsibilities include writing high-quality code, performing automation testing, and mentoring junior team members within an Agile environment.
Responsible for the design, implementation, and maintenance of secure and scalable enterprise network infrastructure. This includes performing root cause analysis on incidents and collaborating with cross-functional teams to align security practices with business goals.
Design and develop digital software applications and platforms to meet business requirements for healthcare activities. Responsibilities include writing high-quality code, performing automation testing, and mentoring junior team members.
Design and develop digital software applications and platforms to meet business requirements for healthcare activities. Responsibilities include writing high-quality code, performing automation testing, and mentoring junior team members.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Responsibilities include writing high-quality code, performing testing, and mentoring junior team members within an Agile environment.
Design and develop digital software applications and platforms to meet business requirements and improve healthcare processing. Responsibilities include writing high-quality code, performing automation testing, and mentoring junior team members.
Design and develop enterprise software applications and platforms to improve healthcare experiences. Responsibilities include writing high-quality code, performing automation testing, and mentoring junior team members within an Agile environment.
Design and develop digital software applications and platforms to meet business requirements and improve healthcare experiences. Responsibilities include writing high-quality code, performing automation testing, and mentoring junior team members.
Design and develop software applications and platforms to support digital healthcare strategies and business requirements. Responsibilities include writing high-quality code, performing automation testing, and mentoring junior team members within an Agile environment.
Design and develop digital software applications and platforms to meet business requirements for healthcare activities. Responsibilities include writing high-quality code, performing automation testing, and mentoring junior team members.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Responsibilities include writing high-quality code, performing automation testing, and mentoring junior team members within an Agile environment.
Design and develop software applications and platforms to support digital healthcare strategies and business requirements. Responsibilities include writing high-quality code, performing automation testing, and mentoring junior team members within an Agile environment.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Lead the development of complex solutions, perform code reviews, and collaborate with cross-functional teams using Agile and CI/CD practices.
Design and deliver technical quality assurance solutions and drive the adoption of test automation and QA engineering technologies. Manage and mentor QA teams while overseeing end-to-end testing and performance reporting for software applications.
Build, develop, and maintain cloud-native software web applications and systems to support business needs. This includes designing data ingestion pipelines, operationalizing machine learning infrastructure, and managing multi-cloud platform deployments.
Design and develop software applications and platforms to support digital healthcare strategies and business requirements. Responsibilities include writing high-quality code, performing automation testing, and mentoring junior team members within an Agile environment.
Design and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms into automated processes and mentor junior team members.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality.
Design and develop software applications and platforms to support digital healthcare strategies and business requirements. Lead the development of complex solutions while mentoring junior team members and collaborating with cross-functional teams.
Design and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality.
Responsible for designing, implementing, and maintaining a resilient and scalable enterprise network architecture with a focus on security. This includes managing Cisco ACI fabrics, developing security policies, and providing level 4 operations support.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Lead the development of complex, high-risk solutions while collaborating with cross-functional teams on code reviews and best practices.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Responsibilities include writing high-quality code, mentoring junior members, and leading the development of complex, high-risk solutions.
Design and develop digital software applications and platforms to meet business requirements for healthcare activities. Responsibilities include writing high-quality code, performing automation testing, and mentoring junior team members.
Design and develop digital software applications and platforms to meet business requirements for healthcare activities. Responsibilities include writing high-quality code, performing automation testing, and mentoring junior team members.
Develop and implement quality engineering strategies and end-to-end automation frameworks for large-scale healthcare and retail pharmacy applications. Coordinate with cross-functional teams to ensure regulatory compliance and provide technical mentorship to quality engineering staff.
Design and develop software applications and platforms to support digital healthcare strategies and business requirements. Lead the development of complex solutions, mentor junior engineers, and collaborate with cross-functional teams using Agile and CI/CD methodologies.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality.
Build and maintain cloud-native software applications and large-scale data pipelines to support business needs. Collaborate with Data Science teams to integrate algorithms and optimize data processing for real-time and offline analytics.
The Actuarial Analyst applies quantitative and statistical methods to support pricing, valuation, and financial portfolio projects. They collaborate with cross-functional teams to develop technical solutions, maintain financial models, and communicate trends to management.
Build and maintain cloud-native software applications and large-scale data pipelines to support business insights. Collaborate with Data Science teams to integrate algorithms and optimize real-time analytic processing.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Responsibilities include analyzing user needs, writing high-quality code, mentoring junior members, and collaborating with cross-functional teams in an Agile environment.
Design and develop software applications and platforms to support digital strategies, specifically serving as the Technical Architect for the AssignADoc product. Lead the end-to-end design of PCP assignment workflows for Medicaid health plans and maintain a service-based architecture.
Design and deliver technical software applications and data platforms to improve network performance and consumer experience. Responsible for customizing code, managing web infrastructure via Microsoft IIS, and performing complex software troubleshooting and performance tuning.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality.
Design and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes.
Develop and implement analytics applications and predictive models to transform healthcare data into meaningful insights. Utilize machine learning and data mining to inform business solutions and improve customer engagement across critical health journeys.
Responsible for managing contractual data reporting requirements and providing post-production support for business reports. This includes reviewing contracts, performing root cause analysis on data concerns, and executing SQL queries to manipulate data.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting needs. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Responsibilities include writing high-quality code, mentoring junior members, and leading the development of complex, high-risk solutions.
Develop and implement analytics applications and predictive models to transform healthcare data into meaningful business insights. Design data solutions for ingestion and use machine learning to inform pharmacy pricing, medical costs, and customer engagement.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting needs. Collaborate with Data Science teams to integrate algorithms and optimize queries using Google Cloud services.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality and accessibility.
Develop and implement analytics applications and predictive models to transform healthcare data into meaningful business insights. Utilize machine learning, NLP, and data visualization to solve complex problems and inform customer engagement strategies.
Consult with internal clients to identify and implement data science solutions that transform large data sets into meaningful business insights. Design and develop predictive models and data architectures to evaluate health metrics and inform strategic business decisions.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality.
Direct daily data engineering operations and execute strategic roadmaps to deliver analytics projects for healthcare and retail business units. Lead teams of engineers and scientists to translate complex data into business value and present insights to executive leadership.
Develop mathematical and computational models to extract and manipulate data for health metrics and predictive outcomes. Design data solutions and dashboards to inform in-house teams and improve customer engagement across critical health journeys.
Develop mathematical and computational models to extract and manipulate data for health metrics and predictive outcomes. Design data solutions and deploy machine learning insights across multiple channels to solve complex business problems.
Develop mathematical and computational models to extract and manipulate healthcare data for predictive insights. Design data solutions and algorithms to inform business decisions regarding pharmacy pricing, medical costs, and customer engagement.
Develop quantitative techniques and statistical models to support financial planning and analysis for new products and services. Collaborate with cross-functional teams to optimize business assets and provide data-driven recommendations on go-forward strategies.
Develop mathematical and computational models to extract and manipulate data for health metrics and predictive outcomes. Design data solutions and deploy machine learning insights to inform business decisions across pharmacy and medical costs.
Develop and implement analytics applications and predictive models to transform large datasets into meaningful health metrics and business insights. Utilize data mining, NLP, and machine learning to inform solutions for pharmacy pricing, medical costs, and customer engagement.
Plan and manage IT projects for CVS software products, ensuring adherence to schedule, scope, and technical design documentation. Collaborate with cross-functional teams to improve application functionality and mentor junior team members.
Consult with internal clients to develop and implement data science solutions that transform large datasets into meaningful business insights. Responsibilities include designing predictive models, visualizing data findings, and collaborating with partners to evaluate health metrics.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Responsibilities include writing high-quality code, performing automation testing, and collaborating with cross-functional teams in an Agile environment.
Develop and implement analytics applications and predictive models to transform healthcare data into meaningful business insights. Design data solutions for ingestion and utilize machine learning to inform pharmacy pricing, medical costs, and customer engagement.
Design and drive technical activities for IT projects while managing execution to ensure adherence to schedule and scope. Coordinate agile delivery, mentor junior team members, and collaborate with cross-functional teams to deliver innovative software solutions.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting needs. Collaborate with Data Science teams to integrate algorithms and models into automated processes while optimizing queries on GCP.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Lead the development of high-complexity solutions while collaborating with cross-functional teams on code reviews and technical requirements.
Design and develop scalable software applications and platforms to support digital healthcare strategies. Lead the development of complex solutions, perform code reviews, and collaborate with cross-functional teams using Agile and CI/CD methodologies.
Develop and implement advanced analytics applications and predictive models to transform healthcare data into actionable insights. Design data solutions and utilize machine learning to inform business solutions and improve customer engagement across critical health journeys.
Design and deliver technical software solutions and testing strategies to maintain quality engineering standards for healthcare applications. Responsibilities include documenting defects, analyzing performance metrics, and collaborating with cross-functional teams in an Agile environment.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Responsibilities include writing high-quality code, performing automation testing, and collaborating with cross-functional teams within an Agile framework.
Consult with internal clients to develop and implement data science solutions that transform large data sets into meaningful business insights. Lead the development of complex analytics solutions, mentor junior staff, and communicate findings to leadership to inform business decisions.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting needs. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality.
Develop and execute end-to-end test plans and scenarios to identify software problems and root causes. Collaborate with cross-functional teams to document defects, validate data using SQL, and provide status reports to stakeholders.
Plan and manage IT projects for CVS software products, ensuring adherence to schedule, scope, and technical design standards. Collaborate with cross-functional teams to improve application functionality and mentor junior team members.
Develop large-scale data structures and ETL pipelines to organize and standardize data for reporting and insights. Collaborate with data science teams to integrate algorithms and models into automated processes and build high-performance data processing frameworks.
Build and maintain cloud-native software applications and large-scale data pipelines to support business insights and reporting. Collaborate with Data Science teams to integrate algorithms and mentor junior Cloud Engineers.
Design and deliver technical software solutions and testing strategies to maintain quality engineering standards for healthcare applications. Responsibilities include documenting defects, analyzing performance metrics, and collaborating with cross-functional teams in an Agile environment.
Build, deploy, and monitor AI/ML models to automate processes and transform data into meaningful information. Collaborate with stakeholders and technical teams to design custom algorithms and report data findings to leadership.
Design and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms into automated processes and mentor junior team members.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Responsibilities include analyzing user needs, writing high-quality code, and collaborating with cross-functional teams in an Agile environment.
Design and develop enterprise software applications and platforms to meet business requirements while managing project execution. Responsibilities include writing high-quality code, performing automation testing, and mentoring junior team members.
Design and develop digital architecture solutions for enterprise software systems and platforms. Manage the architectural roadmap and translate business requirements into technical blueprints focusing on performance and scalability.
Build and maintain cloud-native software applications and large-scale data pipelines to support business needs. Collaborate with Data Science teams to integrate algorithms and optimize data processing for real-time and offline analytics.
Build and maintain cloud-native software applications and large-scale data pipelines to support business needs and reporting. Collaborate with Data Science teams to integrate algorithms and mentor junior Cloud Engineers.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality and accessibility.
Deliver predictive analytics solutions to drive customer engagement and improve customer experience across critical journeys. Perform ad-hoc analyses and collaborate with stakeholders to translate business goals into quantitative opportunities.
Build and maintain cloud-native software applications and large-scale data pipelines to support business needs and reporting. Collaborate with Data Science teams to integrate algorithms and optimize queries for real-time and offline analytic processing.
Develop and implement analytics and business intelligence reporting to measure and improve the effectiveness of CVS Health programs. This includes building data pipelines, designing leadership dashboards, and automating ETL processes to generate actionable insights.
Analyze data to develop and maintain solutions for complex web applications, system infrastructure, and operational issues. Provide informatics and data engineering support, including the creation of integrated analytics datasets and predictive models to solve business problems.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Responsibilities include writing high-quality code, performing automation testing, and collaborating with cross-functional teams in an Agile environment.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality and accessibility.
Consult with internal clients to develop and implement data science solutions that transform large data sets into meaningful business insights. Design predictive models and data architectures to evaluate health metrics and inform strategic business decisions.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and build data models aligned with organizational governance policies.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality and accessibility.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting needs. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality.
Develop and implement analytics applications and predictive models to transform healthcare data into meaningful business insights. Design data solutions and pipelines to support in-house teams and improve customer engagement across critical health journeys.
Develop and implement analytics applications and predictive models to transform healthcare data into actionable insights. Design data solutions and utilize machine learning to inform business decisions regarding pharmacy pricing, medical costs, and customer engagement.
Develop and implement analytics applications and predictive models to transform healthcare data into meaningful business insights. Utilize machine learning and NLP to optimize pharmacy pricing, medical costs, and customer engagement journeys.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality and accessibility.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Responsibilities include writing high-quality code, performing automation testing, and mentoring junior team members within an Agile environment.
Design and develop digital software applications and platforms to meet business requirements and improve healthcare experiences. Responsibilities include writing high-quality code, performing automation testing, and mentoring junior team members.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Lead the development of complex solutions, mentor junior team members, and collaborate with cross-functional teams on technical requirements and code reviews.
Consult with stakeholders to develop data science solutions and analytical reporting capabilities that transform healthcare data into meaningful business information. Design advanced algorithms and predictive models to evaluate health metrics and improve overall population health outcomes.
Design and build software solutions to optimize sales and service workflows, specifically focusing on Salesforce development and data management. Responsibilities include managing third-party integrations, executing deployment processes, and providing technical support for bug detection and correction.
Design, develop, and execute end-to-end test plans and scenarios to identify software problems and root causes. Collaborate with cross-functional teams to document defects, perform data validation using SQL, and provide status reports to stakeholders.
Design and develop digital software applications and platforms to meet business requirements and user needs. Collaborate with cross-functional teams to upgrade existing systems and mentor junior team members.
Design and develop software tests and automation solutions to ensure high-quality delivery of IT projects. Serve as a subject matter expert for integrated applications and mentor junior team members within an Agile environment.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes.
Plan and manage IT projects for data engineering and analytics to improve patient outcomes and organizational efficiency. Responsibilities include designing rigorous analyses of pharmacy and medical claims, ensuring data stewardship, and mentoring junior team members.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality and accessibility.
Design and develop software applications and platforms to support digital strategies, focusing on performance, reliability, and maintainability. Collaborate with cross-functional teams to analyze user needs, write high-quality code, and mentor junior team members.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Responsibilities include writing high-quality code, performing automation testing, and mentoring junior team members within an Agile environment.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Responsibilities include writing high-quality code, performing automation testing, and mentoring junior team members within an Agile environment.
Build, deploy, and monitor AI/ML models to automate processes and transform data into meaningful information. Collaborate with stakeholders and cross-functional teams to design custom algorithms and report data findings to leadership.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Responsibilities include writing high-quality code, performing automation testing, and mentoring junior team members within an Agile environment.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Responsibilities include writing high-quality code, performing automation testing, and mentoring junior team members within an Agile environment.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Responsibilities include writing high-quality code, performing automation testing, and mentoring junior team members within an Agile environment.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Responsibilities include writing high-quality code, performing automation testing, and mentoring junior team members within an Agile environment.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Responsibilities include writing high-quality code, mentoring junior members, and collaborating with cross-functional teams in an Agile environment.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Lead the development of complex solutions while collaborating with cross-functional teams on code reviews and quality assurance.
Plan, design, and manage the development of software applications and platforms to support digital healthcare strategies. Responsibilities include writing high-quality code, mentoring junior engineers, and collaborating with cross-functional teams in an Agile environment.
Conduct advanced penetration tests and red teaming engagements across web, mobile, network, and cloud environments to strengthen security assets. Collaborate with SOC and VM teams to identify weaknesses and develop scripts or tools to enhance testing processes.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Responsibilities include analyzing user needs, writing high-quality code, and mentoring junior team members within an Agile environment.
Design and develop digital software applications and platforms to meet business requirements and improve healthcare experiences. Responsibilities include writing high-quality code, performing automation testing, and mentoring junior team members.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting needs. Collaborate with Data Science teams to integrate algorithms into automated processes and optimize data marts for internal customers.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality.
Design and develop enterprise software applications and platforms to support digital healthcare strategies. Responsibilities include writing high-quality code, performing automation testing, and mentoring junior team members within an Agile environment.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Responsibilities include writing high-quality code, performing automation testing, and mentoring junior team members within an Agile environment.
Design and develop enterprise software applications and platforms to improve healthcare experiences. Responsibilities include analyzing user needs, mentoring junior members, and leading the development of complex, high-risk technical solutions.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Responsibilities include writing high-quality code, mentoring junior members, and leading the development of complex, high-risk solutions.
Develop data analytics solutions and statistical models to inform network strategy and improve provider engagement. Collaborate with business partners to create predictive models, data pipelines, and visualization tools to solve complex business problems.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Lead the development of complex solutions, mentor junior engineers, and collaborate with cross-functional teams using Agile and CI/CD methodologies.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Lead the development of complex solutions while collaborating with cross-functional teams on code reviews and technical requirements.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Lead the development of complex solutions while mentoring junior team members and collaborating with cross-functional teams.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Responsibilities include analyzing user needs, writing high-quality code, and collaborating with cross-functional teams in an Agile environment.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality and accessibility.
Design and develop digital software applications and platforms to meet business requirements and improve healthcare functionality. Responsibilities include writing high-quality code, performing automation testing, and collaborating with cross-functional teams to support prescription and claims processing systems.
Oversee the implementation of information strategies and the development of technical products to meet operational and strategic business objectives. Lead project teams in creating complex queries and applications while influencing business process enhancements to improve data quality.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality.
Design and develop software applications and platforms to support digital healthcare strategies and solutions. Responsibilities include writing high-quality code, mentoring junior engineers, and leading the development of complex, high-risk solutions.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting. Collaborate with Data Science teams to integrate algorithms and models into automated processes while ensuring data quality.
Design and develop enterprise software applications and platforms to improve healthcare experiences. Responsibilities include analyzing user needs, upgrading existing systems for performance, and collaborating with cross-functional teams in an Agile environment.
Design and deliver technical software solutions and testing strategies to maintain quality engineering standards across multiple applications. Responsibilities include documenting defects, analyzing performance metrics, and collaborating with cross-functional teams in an Agile environment.
Develop mathematical and computational models to extract and manipulate data for health metrics and predictive outcomes. Design data solutions and deploy insights across multiple channels to solve complex business problems for pharmacy and healthcare services.
Develop and manage large-scale data structures, pipelines, and ETL workflows to support business applications and reporting needs. Collaborate with Data Science teams to integrate algorithms into automated processes and optimize data marts for internal customers.
This role is responsible for the strategic alignment and performance management of Medicare Advantage Value-Based Contracts to improve care quality and reduce costs. The position serves as an analytics partner providing financial modeling, medical cost research, and business decision support for internal and external partners.
Population Health Manager, Specialty Care - Performance Improvement
CVS Health
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Full Time
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5 days ago
CVS Health
Drive strategic problem solving and business analytics to improve Specialty Care operations and referral management. Partner with cross-functional teams and vendors to refine workflows and monitor program success through metrics and reporting.
Coordinate comprehensive care for Medicare and Medicaid members by developing personalized care plans and facilitating transitions between care settings. Act as a frontline advocate to assess medical needs, conduct utilization reviews, and collaborate with interdisciplinary teams to improve member wellness.
Act as a lead copywriter creating impactful B2B and B2C content across digital, print, social, and video channels. Collaborate with cross-functional teams to translate complex health topics into clear, brand-compliant messaging.
Lead the data governance strategy for the data warehouse and analytics environment to ensure data is discoverable, trusted, and well-managed. Define the product vision, strategy, and roadmap for the data governance platform, including cataloging and policy enforcement.
Contact Medicare Advantage and Medicaid members via phone to explain and schedule free healthcare evaluations. Meet daily productivity targets for outbound dials and appointments while adhering to approved scripts and privacy guidelines.
Virtual Primary Care Nurse Practitioner - Western Region
CVS Health
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Full Time
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5 days ago
CVS Health
Provide evidence-based primary care, including assessment, diagnosis, and treatment for patients 18 and older. Collaborate with a dedicated care team to manage patient panels and drive better health outcomes via virtual visits.
Responsible for designing and delivering AI-enabled reporting and analytical solutions using GCP and Tableau for Specialty Mail Operations. The role focuses on transitioning static dashboards into automated, governed insight delivery systems to support executive decision-making.
Lead the AWS Cloud Engineering team as the technical authority, owning the enterprise platform, landing zone, and architectural standards. Design and implement scalable, secure infrastructure using Terraform and CI/CD pipelines while mentoring engineers and aligning stakeholders.
Provide clinical expertise to promote high-quality medical care with a focus on clinical and payment policy. Perform transactional reviews for appeals, clinical claims, and predeterminations while serving as a subject matter expert in DRG and ICD-10 coding.
Execute and analyze end-to-end commercial benefits testing within the Aetna Claim Adjudication System (ACAS). Identify configuration defects and collaborate with business partners to improve testing rigor and reduce post-release corrections.
The role is responsible for designing financial models and reporting related to PBM pricing and analytics to drive business results. It involves providing guidance to internal constituents and transferring best practices and tools to partners.
Senior Analyst, Patient Retention Strategy and Analytics
CVS Health
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Full Time
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5 days ago
CVS Health
The Senior Analyst drives patient retention by analyzing data to create insights and managing workflows for patient segmentation. They coordinate outreach across clinical and engagement teams to improve the completion of annual health review visits.
Design and implement robust AI/ML applications to drive innovation and business insights. Collaborate with cross-functional teams to integrate scalable ML capabilities into products and services.
National Accounts Specialty Sales Executive (Dental/Vision/Voluntary)
CVS Health
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Full Time
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5 days ago
CVS Health
Develop and implement sales strategies to acquire new large group accounts and government programs within the dental, vision, and voluntary benefits segments. Manage complex negotiations and coordinate cross-functional internal teams to ensure successful client installation and servicing.
National Accounts Specialty Sales Executive (Dental/Vision/Voluntary)
CVS Health
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Full Time
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5 days ago
CVS Health
Develop and implement sales strategies to acquire new large group accounts and government programs within the dental, vision, and voluntary segments. Manage complex negotiations and collaborate cross-functionally to ensure successful client installation and revenue growth.
Lead a team of data engineers to design and deliver financial data products and analytical workloads. Oversee the development of ETL/ELT pipelines while ensuring data quality, governance, and performance optimization.
Manage client contractual obligations regarding rebate reporting, payments, and financial reconciliation. Act as a facilitator between internal account teams and financial operations to resolve issues and drive strategic projects.
Own the end-to-end product delivery and roadmap for AI agent programs supporting IT Operations and Cybersecurity. Lead cross-functional alignment and agile execution to transition AI prototypes into scalable production systems.
Senior Network Contracting Negotiation Manager, Medicaid (Michigan)
CVS Health
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Full Time
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5 days ago
CVS Health
Negotiate and execute complex contracts with hospital systems and physician groups to maintain provider networks for Medicaid products. Manage contract performance, implement value-based relationships, and lead cost-saving initiatives to meet financial and quality goals.
The role involves owning the data strategy for assigned PBM domains to drive organizational value and ensure data governance compliance. You will act as a liaison between business and technology teams to improve data quality and facilitate resource allocation for data initiatives.
Develop and execute a multi-year technology and cybersecurity strategy aligned with business goals and financial investments. Coordinate across engineering, product, and corporate functions to track progress, manage external advisors, and deliver tangible results.
Lead teams in the operation and evolution of the Wellpartner platform, focusing on database, infrastructure, and security. Responsible for planning database test initiatives, ensuring platform scalability, and maintaining enterprise SLAs for uptime and compliance.
AVP, Head of Medicare National Strategic Partnerships
CVS Health
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Full Time
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5 days ago
CVS Health
Lead the national distribution strategy for Individual Medicare Advantage, Senior Supplemental Insurance, and Ancillary products to drive revenue growth. Oversee a large team and manage high-impact strategic partnerships and distribution agreements.
Manage a portfolio of mid-sized employer group accounts to drive customer satisfaction, revenue growth, and membership retention. Collaborate with internal stakeholders to execute business plans and provide creative product solutions to meet client needs.
Bilingual Inbound Outbound Queue Associate - Must reside in Miami Florida
CVS Health
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Full Time
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5 days ago
CVS Health
Review requests and enter service authorizations into applications within 24 hours. Send authorizations to providers and notifications to Case Managers.
Reviews and adjudicates complex medical claims while serving as a subject matter expert for escalated issues. Supports customer service operations and mentors team members to ensure accurate claim processing and positive member experiences.
Drive the Enterprise Knowledge Management strategy across IT domains to break down information silos and implement a shift-left strategy. This includes consolidating knowledge bases into ServiceNow, integrating KM with CMDB, and chairing a Knowledge Governance Board.
The role serves as a program manager to coordinate and monitor Aetna's provider experience transformation and NPS feedback. It involves partnering cross-functionally to translate operational insights into clear plans and leadership updates to improve provider trust.
Develop and evaluate clinical medical programs to address member needs across the continuum of care. Provide clinical expertise for medical management activities, including prior authorizations, appeals, and acting as a liaison to network providers.
Investigator, Special Investigations Unit (Aetna SIU) - Must reside in Oklahoma
CVS Health
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Full Time
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6 days ago
CVS Health
Investigate allegations of Medicaid healthcare fraud, waste, and abuse while collaborating with compliance and legal teams. Manage a caseload of investigations, conduct interviews, and prepare comprehensive reports for corrective action.
Acts as a liaison between members, providers, and insurance companies to coordinate care for catastrophic and chronically ill patients. Develops and monitors individualized plans of care to optimize medical outcomes and facilitate a timely return to work or baseline functioning.
Negotiate and execute complex provider contracts while managing network expansion and adequacy to meet financial and quality goals. Resolve escalated claims and contract disputes while ensuring compliance with regulatory standards.
Contract Negotiation Manager - PA, DE, NY, NJ, MD, or Washington, DC
CVS Health
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Full Time
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6 days ago
CVS Health
Negotiates and executes complex contracts with regional and national healthcare providers to maintain network adequacy and financial goals. Manages the end-to-end contracting process, including auditing, loading fee schedules, and collaborating cross-functionally on pricing development.
Develop scalable data pipelines and architectures to integrate disparate finance data into semantic models and marts. Collaborate with business stakeholders and analytics partners to drive data-driven decision-making for the CFO organization.
Provide engineering support for the enterprise Email Security infrastructure, including Secure Email solutions and SMTP relays. Collaborate with developers and security teams to troubleshoot mail flow issues and manage deployments.
Executive Director, AI Infrastructure & Platform Engineering
CVS Health
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Full Time
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6 days ago
CVS Health
Lead the design, operation, and scaling of CVS Health's on-premises AI compute platform and Enterprise AI Factory. Establish the SRE practice and operational baselines for GPU clusters, network fabrics, and orchestration layers to ensure high availability and performance.
Lead the digital product strategy and roadmap for Pharmacy Services client and clinical experience products. Manage a cross-functional leadership team to deliver high-value outcomes and improve overall product health.
The Senior Analyst is responsible for executing the Periodic Access Review (PAR) control process to ensure compliance with internal policies and external regulations. This includes managing complex reviews, mentoring junior staff, and maintaining up-to-date process documentation.
Lead the technical design for complex Salesforce initiatives while enforcing coding standards and best practices. Mentor senior and mid-level engineers to drive platform scalability, performance, and reliability.
The role involves generating reports, coordinating resource interviews, and maintaining disaster recovery and business continuity plans. Additionally, the position supports leadership with budgeting, forecasting, and the development of operational best practices.
Accountable for the stability and rapid recovery of critical retail systems across pharmacy and clinic environments. Leads high-impact incident response and collaborates with SRE and engineering teams to reduce service disruptions.
Lead a team of 10-12 individuals to monitor regulatory developments and assess complex compliance risks for self-funded health plans. Partner with stakeholders to drive operational planning, implement corrective action plans, and oversee the development of policies and procedures.
Lead a lean engineering team to build 'governance-as-code' through platform-agnostic SDKs, APIs, and automated controls. Focus on modernizing AI governance by shifting from manual approvals to automated registration and continuous observability.
The Network Relations Consultant serves as the primary contact for high-profile providers to maintain positive relationships and resolve complex issues regarding policies, claims, and compensation. They are responsible for conducting provider orientations, educational outreach, and acting as a liaison between providers and the health plan to improve performance.
Coordinate care for Dual Eligible Special Needs Plan members by collaborating with interdisciplinary teams and healthcare providers. Conduct annual Health Risk Surveys and address social determinants of health to close gaps in preventive care.
Provides strategic leadership and clinical oversight for complex DSNP/FIDE populations while leading a team of Medical Directors. Drives medical management programs to improve quality, cost, and outcomes across the continuum of care.
Lead the design of breakthrough user experiences across desktop and mobile platforms while collaborating with product and development managers. Manage and mentor junior designers to ensure high-quality delivery and alignment with overall UX strategy.
Provide psychosocial support, education, and evidence-based mental health care to individuals, couples, and families aged 13 and older. Manage a virtual practice including assessment and treatment planning to ensure continuity of care.
Manage provider negotiations and contract performance for physicians and ancillary providers across Florida to support business strategies. Drive the implementation of value-based relationships and execute cost-saving initiatives while ensuring network adequacy.
The role involves designing and maintaining contractual relationships with healthcare providers to ensure a strong network of care. Responsibilities include negotiating contracts, analyzing provider performance, and collaborating cross-functionally to expand the network.
The role is responsible for governing policies and procedures within the PS Finance department and supporting SOX, SOC, and audit testing. It involves collaborating with internal and external auditors to resolve findings and ensuring all documentation meets compliance requirements.
Collaborate within a cross-functional product team to design and develop high-quality, user-friendly software products. Implement both frontend and backend code using test-driven development to support business needs.
Lead the development and enhancement of digital platform products by managing roadmaps and prioritizing features based on data insights. Collaborate with cross-functional teams to ensure products meet customer needs and maintain regulatory compliance.
Develop and maintain pricing tools and data pipelines using SQL and Python for Medicare Part D. Serve as a subject matter expert and assumption owner to support the bid cycle and forecasting activities.
Collaborate with cross-functional teams to design and deliver high-quality user experiences across desktop, mobile, and native app platforms. Translate complex cognitive challenges into elegant designs while communicating the vision and rationale to senior stakeholders.
Design and enhance data forecasting tools to support PBM pricing and underwriting operations. Collaborate with technical and business partners to translate requirements into analytical solutions and perform data integrity checks.
Leads the execution of pricing standards and proposal development to ensure alignment with business objectives and enterprise strategy. Manages pricing content libraries and collaborates with leadership to optimize sales support workflows.
Acts as a liaison between IT and business units to develop and implement new systems and enhancements. Leads technology projects, gathers business requirements, and ensures solutions meet quality standards.
Benefits Verification Representative - Work From Home Hawaii
CVS Health
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Full Time
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7 days ago
CVS Health
Verify insurance coverage for new and existing patients and process prescription orders in a timely manner. Provide excellent customer service to patients, healthcare professionals, and insurance carriers.
The analyst manages financial registration for new and existing PBM client implementations, ensuring accurate setup of contractual terms and pricing. They are responsible for resolving client inquiries, maintaining audit documentation, and collaborating across departments to deliver enterprise initiatives.
Drive the architecture and delivery of scalable, cloud-native platforms utilizing microservices and AI capabilities. Lead the development of intelligent search systems, RAG frameworks, and AI-powered decision-support tools.
Lead and develop a team of claim processors to ensure Medicaid operations meet performance, quality, and compliance standards. Monitor performance trends and partner cross-functionally to resolve operational risks and optimize resource allocation.
Conduct technical security risk assessments on production environment applications to identify vulnerabilities and threats. Evaluate security architectures and collaborate with IT professionals to integrate security measures into existing systems.
Provide psychosocial support, education, and evidence-based mental health care to individuals, couples, and families aged 13 and older. Manage a clinical practice including assessment and treatment planning within a virtual environment.
Provide psychosocial support, education, and evidence-based mental health care to individuals, couples, and families aged 13 and older. Manage patient care through assessment and treatment planning tools within a virtual clinic environment.
Provide psychosocial support, education, and evidence-based mental health care to individuals, couples, and families aged 13 and older. Manage a clinical practice including assessment and treatment planning without the burden of billing or credentialing.
Senior Manager, Strategic Planning & Governance - Value-Based Services (VBS)
CVS Health
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Full Time
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8 days ago
CVS Health
Lead the end-to-end execution of Value-Based Care initiatives by aligning diverse stakeholders and translating strategy into actionable plans. Support VBS governance routines and deliver executive-level communications to enable informed decision-making.
Provide clinical leadership for medical management activities to optimize quality, cost, and member experience for plan sponsor clients. Lead a team of Medical Directors to implement medical policies and coordinate quality care across the Commercial line of business.
Assess the appropriateness of treatment plans for Behavioral Health and ABA services using evidence-based standards. Coordinate with providers to facilitate optimal care and identify members at risk for poor outcomes.
Manage all phases of the PBM proposal process, including formatting, responding to RFP questions, and leading strategy calls. Ensure all milestones are met and final documents are submitted according to client deadlines.
Lead Director, Network Management (Southern California)
CVS Health
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Full Time
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8 days ago
CVS Health
The Lead Director is responsible for developing strategic partnerships and negotiating high-value contracts with complex provider systems to ensure competitive cost positions. They lead a negotiation team focused on health systems and hospitals to improve the quality and financial performance of Aetna's networks.
The Case Manager RN conducts comprehensive clinical assessments and develops individualized care plans to promote cost-effective health outcomes. They advocate for members, coordinate discharge planning, and provide coaching to empower patients in making healthy lifestyle choices.
Coordinate comprehensive health needs for chronically ill or catastrophic cases through assessment, planning, and advocacy. Act as a liaison between members, providers, and insurance companies to optimize medical outcomes and wellness.
Coordinate and document all aspects of the utilization and benefit management program to ensure members receive appropriate care. Apply medical necessity criteria and clinical judgment to render coverage determinations and facilitate optimal treatment.
Manage a specific book of business for Aetna International's government programs market to maintain client relationships and support retention. Develop consultative partnerships with plan sponsors and producers to position value-added products and health and wellness strategies.
Care Manager, Registered Nurse - Work From Home (CST)
CVS Health
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Full Time
·
9 days ago
CVS Health
Coordinate care for members with chronic conditions and social determinants of health through comprehensive assessments and individualized care plans. Perform telephonic engagement to provide disease management education and collaborate with interdisciplinary teams for optimal health outcomes.
Licensed Independent Behavioral Health Clinician Case Manager
CVS Health
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Full Time
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9 days ago
CVS Health
The clinician provides comprehensive behavioral health assessments, care planning, and coordination of psychosocial services for members. They perform crisis interventions and manage complex clinical indicators to reduce risk factors and ensure timely treatment.
Senior Manager - Product Growth Enablement - Medicare
CVS Health
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Full Time
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9 days ago
CVS Health
This role focuses on accelerating product growth for Medicare initiatives by providing dedicated enablement and client-facing support. The manager will partner across sales, marketing, and clinical teams to translate product strategy into effective market execution and operational readiness.
Provide one-on-one phone and video consultations to identify and resolve medication-related problems for commercial and Medicare Part D members. Collaborate with multidisciplinary teams to create personal care plans and monitor drug therapy outcomes.
The Negotiator Analyst is responsible for negotiating out-of-network medical claims valued at $10,000 and above. This includes conducting checklist workups, managing outbound communications with providers, and utilizing benchmarking to determine medical costs.
The Health Coach Consultant assesses and educates members with chronic conditions to promote optimal health and lifestyle changes. They develop care plans in collaboration with physicians and utilize motivational interviewing to empower members in their healthcare decisions.
The Health Coach Consultant provides telephone-based information and decision support to help members achieve optimal health status. Responsibilities include facilitating effective healthcare decision-making, promoting healthy lifestyles, and making referrals to wellness programs.
Oversee the execution of pricing and rebate programs while ensuring alignment with organizational goals. Perform data management and analysis using SAS/SQL to optimize pricing strategies and resolve process issues.
Lead cross-functional efforts to accelerate product growth by providing enablement and client-facing support for priority healthcare products. Translate product strategy into market execution by partnering with sales, marketing, and operations to drive adoption and revenue.
Lead medical management activities for the Northeast Medicaid region, overseeing a team of Medical Directors and collaborating with chief medical officers. Responsible for implementing medical policies, directing utilization review processes, and ensuring the cost-effectiveness of healthcare delivery.
Senior Manager, Outcomes Reporting, Product Growth Enablement
CVS Health
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Full Time
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9 days ago
CVS Health
This role focuses on accelerating product growth by providing enablement and client-facing support for priority products within the PID portfolio. The manager will partner with cross-functional teams to translate product strategy into market execution and develop enablement collateral like playbooks and pitch decks.
Accelerate product growth by providing dedicated enablement and client-facing support for priority products. Partner across sales, marketing, and operations to translate product strategy into effective market execution and scalable launches.
Develop savings analyses for Behavioral Health initiatives and identify provider and population trends impacting medical cost trends. Coordinate with clinical, finance, and network leads to build savings models and communicate results to executive leadership.
Coordinate the identification of claim editing and clinical program enhancements to ensure compliance with Medicare and legislative standards. Collaborate with functional leads to ensure payment accuracy and manage savings opportunities and provider deviations.
The role focuses on improving the efficiency and effectiveness of business processes across CVS Finance through streamlining and reengineering. It involves collaborating with internal finance partners to integrate automation and data-driven insights to drive measurable business outcomes.
Vice President, In-Home Evaluation (IHE) Operations - Signify Health
CVS Health
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Full Time
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10 days ago
CVS Health
Leads the enterprise supply-demand strategy, focusing on capacity management, forecasting, and national production for In-Home Evaluation operations. Accountable for delivering operational performance and scalable network capacity to support growth and completion goals across a matrixed organization.
Lead the development and rollout of technology products to enable supply chain transformation and modernization. Balance business viability, technology feasibility, and user desirability to improve order accuracy and operational efficiency.
Lead Director, Portfolio Strategy & Commercial Enablement
CVS Health
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Full Time
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12 days ago
CVS Health
Lead the strategic direction and operational execution of CVS Health's next-generation pharma data and analytics portfolio. This includes defining multi-year roadmaps, managing governance, and driving commercialization efforts to achieve revenue outcomes.
Manager, Business Communications, Federal Health Plans
CVS Health
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Full Time
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12 days ago
CVS Health
Execute business communication strategies for federal and postal health plans, ensuring all member messaging is consistent and compliant. Lead Open Enrollment communications and develop training materials for field representatives and volunteers.
Senior Manager, Claims Workforce Management, Meritain TPA
CVS Health
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Full Time
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12 days ago
CVS Health
Provides strategic ownership of Claims workforce management by forecasting demand and developing capacity and staffing models. Partners with senior leadership to optimize workforce utilization and ensure claims operations align with business objectives.
Coordinate care for Dual Eligible Special Needs Plan members by collaborating with interdisciplinary teams and healthcare providers. Conduct annual Health Risk Surveys and address social determinants of health to close gaps in preventive care.
Coordinate care for members with chronic conditions and social determinants of health through comprehensive assessments and individualized care plans. Perform telephonic engagement to provide disease management education and collaborate with interdisciplinary teams for optimal health outcomes.
Provide clinical expertise to promote high-quality medical care with a focus on clinical and payment policy. Perform transactional reviews for appeals, clinical claims, and predetermination of covered benefits in Commercial and Medicare environments.
Direct the activities of Agile teams by overseeing Scrum events, removing impediments, and providing coaching to stakeholders. Develop strategies for measuring progress through metrics and drive continuous improvement to enhance productivity and value delivery.
Coordinate care for Dual Eligible Special Needs Plan members by collaborating with interdisciplinary teams and healthcare providers. Conduct annual Health Risk Surveys and address social determinants of health to close gaps in preventive care.
Define the long-term software and systems architecture vision for the Clinical Insights Engine platform across GCP and Azure. Lead the design of scalable, fault-tolerant systems powering clinical AI models, ML inference pipelines, and large-scale healthcare analytics.
Design and implement scalable cloud-native architectures for the Clinical Insights Engine platform across GCP and Azure. Lead the development of AI/ML workloads, including LLM inference pipelines and MLOps infrastructure, while mentoring engineering teams.
Oversee high-priority strategic programs within Health Plan Service Operations to improve member and provider experiences. The role involves designing future-state service models and coordinating between business strategy and technology delivery.
Responsible for the development, configuration, and operational support of ServiceNow IRM, GRC, and TPRM modules. The role involves partnering with stakeholders to deliver automated, compliant solutions and managing the full development lifecycle within bi-weekly sprints.
The role focuses on researching and documenting tax laws to support accurate product taxability mapping and tax determinations. It involves partnering with technology teams to implement system updates and communicating tax law impacts to internal stakeholders.
Coordinate care for Dual Eligible Special Needs Plan members by collaborating with interdisciplinary teams and healthcare providers. Conduct annual Health Risk Surveys and address social determinants of health to close gaps in preventive care.
Coordinate care for Special Needs Plan members by conducting health risk assessments and addressing social determinants of health. Collaborate with an interdisciplinary team to develop individualized care plans and connect members with community resources.
Coordinate care for Dual Eligible Special Needs Plan members by collaborating with interdisciplinary teams and addressing social determinants of health. Conduct annual Health Risk Surveys and manage care coordination activities to close gaps in preventive health maintenance.
Coordinate care for members with chronic medical and behavioral health conditions through comprehensive assessments and individualized care plans. Engage members telephonically to provide disease management education and connect them with community resources.
Provides clinical and operational leadership to improve healthcare quality, cost, and outcomes across Aetna and CVS initiatives. Oversees medical management programs, utilization review processes, and leads territory Senior Medical Directors.
Manage software engineering and product management teams focused on PBM Rebates systems for CVS Health. Collaborate with stakeholders and vendors to align technology solutions with strategic goals and oversee the execution of engineering programs.
The Legal Assistant will independently manage third-party subpoenas and requests for records while supporting in-house attorneys with litigation cases and administrative proceedings. They will also facilitate the discovery process by issuing legal holds and coordinating data collections to ensure timely compliance.
Responsible for screening orders and specializing in the research, review, and entry of prescription overrides. Ensures patients receive correct prescriptions in a timely manner and coordinates with prescribers for clarification.
Coordinate comprehensive health services for chronically ill or catastrophic cases through assessment, planning, and advocacy. Act as a liaison between members, providers, and insurance companies to optimize medical outcomes and wellness.
Lead the centralized production services team to ensure system stability, resilience, and operational efficiency for Pharmacy Services. Oversee root cause analysis, incident resolution, and the implementation of operational governance and performance metrics.
Transition of Care Associate - Licensed Practical Nurse
CVS Health
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Full Time
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14 days ago
CVS Health
The Transition of Care Associate coordinates care for members experiencing significant health changes to ensure seamless transitions between care settings. Responsibilities include conducting post-discharge questionnaires, managing medications, and collaborating with interdisciplinary teams to reduce hospital readmissions.
Serve as the primary point of contact for patients and providers to guide new infusion patients through the onboarding process. Handle high-volume calls and collaborate with internal teams to support referrals and admissions.
Leads medical underwriting strategy and execution for the Supplemental Health Large Group division, managing risk and financial performance for the MedPremier/Boon portfolio. Directs a team of underwriters in handling new business quoting, renewal management, and broker engagements.
Define and execute a multi-year enterprise strategy for the Security Operations Center and Computer Security Incident Response Team. Lead 24x7 security operations to identify, contain, and remediate cyber threats while integrating automation and AI to improve resilience.
Inbound Patient Account Services Coordinator (Remote)
CVS Health
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Full Time
·
14 days ago
CVS Health
The coordinator provides high-level customer service by resolving patient billing questions and navigating complex reimbursement processes. They are responsible for documenting interactions in the Revenue Cycle system and meeting call center metrics.
The role involves reviewing, negotiating, and executing Medicaid contracts while leading reimbursement dispute resolutions with provider groups. It also focuses on managing contract performance to meet network quality, availability, and financial goals.
Coordinate software acquisition, utilization, and license management while collaborating with sourcing, finance, and engineering teams. Focus on optimizing costs, managing vendor relationships, and ensuring contractual compliance to support the IT roadmap.
Contract Negotiation Manager - PA, OH, WV, and Deleware
CVS Health
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Full Time
·
15 days ago
CVS Health
Negotiates and analyzes contracts with small to local healthcare providers to maintain network accessibility and financial goals. Manages provider relationships and resolves escalated issues regarding claims payment and contract interpretation.
Lead the design and implementation of Agentic AI/ML solutions and autonomous workflows to modernize claims adjudication processes. Oversee the full software lifecycle, integrating advanced AI frameworks with legacy IBMi AS400 systems while mentoring junior engineers.
Principal Solutions Architect – Enterprise Architecture & Modernization
CVS Health
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Full Time
·
15 days ago
CVS Health
Lead enterprise-wide architecture strategy and drive modernization of high-volume healthcare ecosystems, specifically focusing on claims and payment processing. Translate strategic business initiatives into scalable, cloud-native solutions while managing mainframe migration and AI integration.
Lead a small team of designers and content strategists while remaining a hands-on individual contributor for critical design initiatives. Partner with cross-functional teams to deliver accessible, user-centered healthcare solutions and manage the design roadmap.
Design and implement population health programs focused on improving quality and cost of care for older adults. Collaborate with cross-functional teams including Data Science and Finance to drive clinical and business priorities.
Lead Director – Finance Reporting and AI/ML Transformation
CVS Health
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Full Time
·
15 days ago
CVS Health
Lead the modernization of finance reporting and analytics by implementing AI/ML solutions to automate and optimize business processes. Drive strategic transformation initiatives and mentor teams to enhance decision-support capabilities across the enterprise.
Act as a Technical Lead and Individual Contributor to build a next-generation digital health platform. Responsibilities include designing scalable solutions, creating Proof of Concepts, and mentoring junior developers to ensure delivery excellence.
Acts as a bridge between Revenue Cycle business operations and IT to manage production support, troubleshoot critical incidents, and oversee the project lifecycle. Responsible for coordinating system releases, conducting root cause analysis, and optimizing application performance to support AR operations.
Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health
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Full Time
·
15 days ago
CVS Health
Manage complex investigations into suspected healthcare fraud, waste, and abuse to prevent fraudulent claim payments. Coordinate with law enforcement agencies and provide trial testimony to support criminal or civil proceedings.
Acts as the primary resource for dental products to maintain provider relationships and ensure network stability. Responsibilities include negotiating contract language, managing provider terminations, and promoting electronic data interchange initiatives.
Lead the strategy and implementation of quality and compliance frameworks across research units including Real World Evidence and Safety. Manage regulatory inspections, audits, and the development of policies to ensure adherence to federal and regional laws.
Negotiates and executes complex contracts with healthcare group and system providers to optimize network accessibility, quality, and financial performance. Manages dispute resolution and provides leadership and mentorship to a team of professionals to achieve strategic contracting objectives.
Accurately enter and interpret prescriptions while managing insurance payments and benefit investigations. Handle inbound calls to provide patient education and resolve issues in coordination with pharmacists.
Virtual Clinician Home Evaluations Nurse Practitioner or Physician Assistant Full Time - Oregon
CVS Health
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Full Time
·
16 days ago
CVS Health
Conduct 30-minute virtual video visits with health plan members to review medical histories and medications. Educate members on their health and help close gaps in care to connect them with appropriate medical services.
In-Home Nurse Practitioner or Physician Assistant (Full Time) - Boise, ID
CVS Health
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Full Time
·
16 days ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to bridge gaps in care. Responsibilities include conducting assessments, answering health questions, and utilizing technology for evaluations.
In-Home Nurse Practitioner or Physician Assistant (Per Diem) - Coeur d'Alene, ID
CVS Health
·
Full Time
·
16 days ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to bridge gaps in care. They will conduct assessments, answer health questions, and build trusted relationships to improve health outcomes.
In-Home Nurse Practitioner or Physician Assistant (Per Diem) - Pocatello, ID
CVS Health
·
Full Time
·
16 days ago
CVS Health
The role involves providing in-home health evaluations and building trusted relationships with patients. Clinicians will engage with individuals to help bridge gaps in care and improve health outcomes.
In-Home Nurse Practitioner or Physician Assistant (Part Time) - Pocatello, ID
CVS Health
·
Full Time
·
16 days ago
CVS Health
The clinician will provide in-home health evaluations, connecting with patients to answer health questions and review their medical history. They will also conduct physical evaluations and perform additional diagnostic tests as ordered by health plans.
In-Home Nurse Practitioner or Physician Assistant (Per Diem) - Boise, ID
CVS Health
·
Full Time
·
16 days ago
CVS Health
The role involves conducting in-home health evaluations, engaging with patients to bridge gaps in care. Clinicians will build trusted relationships and provide personalized health evaluations.
In-Home Nurse Practitioner or Physician Assistant (Full Time) - St. George, UT
CVS Health
·
Full Time
·
16 days ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to bridge gaps in care. They will conduct assessments, answer health questions, and help connect patients to the right care.
In-Home Nurse Practitioner or Physician Assistant Part Time - Kanab
CVS Health
·
Full Time
·
16 days ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to bridge gaps in care. They will conduct assessments including medication reviews and physical evaluations while building trusted relationships.
In-Home Nurse Practitioner or Physician Assistant (Part Time) - Caribou, ID
CVS Health
·
Full Time
·
16 days ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to bridge gaps in care. They will conduct assessments, answer health questions, and build trusted relationships to improve health outcomes.
In-Home Nurse Practitioner or Physician Assistant Part Time - Provo
CVS Health
·
Full Time
·
16 days ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to bridge gaps in care. They will conduct assessments, answer health questions, and utilize technology for evaluations.
In-Home Nurse Practitioner or Physician Assistant Part Time - Logan
CVS Health
·
Full Time
·
16 days ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to bridge gaps in care. They will conduct assessments, answer health questions, and help connect patients to the right care.
In-Home Nurse Practitioner or Physician Assistant Full Time - Salt Lake City
CVS Health
·
Full Time
·
16 days ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to bridge gaps in care. They will conduct assessments, answer health questions, and utilize technology for evaluations.
In-Home Nurse Practitioner or Physician Assistant (Part Time) - Coeur d'Alene, ID
CVS Health
·
Full Time
·
16 days ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to answer health questions and review their medical history. They will also conduct physical evaluations and provide diagnostic tests as ordered by health plans.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Kanab
CVS Health
·
Full Time
·
16 days ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to bridge gaps in care. They will conduct assessments, answer health questions, and help connect patients to the right care.
In-Home Nurse Practitioner or Physician Assistant (Per Diem) - Twin Falls, ID
CVS Health
·
Full Time
·
16 days ago
CVS Health
The role involves conducting in-home health evaluations, building trusted relationships with patients, and providing personalized health assessments. Clinicians will engage with patients to answer health questions and bridge gaps in care.
The physician will conduct in-home health evaluations, engaging with patients to bridge gaps in care and improve health outcomes. Responsibilities include performing medication reviews, physical evaluations, and providing connections to appropriate care.
The physician will conduct in-home health evaluations, engaging with patients to bridge gaps in care. They will build trusted relationships and provide personalized health evaluations.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Logan
CVS Health
·
Full Time
·
16 days ago
CVS Health
The role involves providing in-home health evaluations and building trusted relationships with patients. Clinicians will engage with patients to answer health questions and help bridge gaps in care.
In-Home Nurse Practitioner or Physician Assistant (Per Diem) - Caribou, ID
CVS Health
·
Full Time
·
16 days ago
CVS Health
The role involves conducting in-home health evaluations, engaging with patients to answer health questions, and reviewing their medical history and medications. Clinicians will also provide connections to appropriate care based on individual needs.
The physician will provide in-home health evaluations, engaging with patients to bridge gaps in care. This includes conducting medication reviews, physical evaluations, and potentially additional diagnostic tests as ordered by health plans.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Salt Lake City
CVS Health
·
Full Time
·
16 days ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to bridge gaps in care. They will conduct assessments, answer health questions, and build trusted relationships to improve health outcomes.
In-Home Nurse Practitioner or Physician Assistant (Per Diem) - Grangeville, ID
CVS Health
·
Full Time
·
16 days ago
CVS Health
The role involves providing in-home health evaluations, connecting with patients to answer health questions and review their medical history. Clinicians will also conduct physical evaluations and may perform additional diagnostic tests as ordered by health plans.
In-Home Nurse Practitioner or Physician Assistant (Part Time) - Twin Falls, ID
CVS Health
·
Full Time
·
16 days ago
CVS Health
The role involves providing in-home health evaluations and engaging with patients to help bridge gaps in care. Clinicians will conduct assessments, answer health questions, and utilize technology for evaluations.
In-Home Nurse Practitioner or Physician Assistant (Per Diem) - Idaho Falls
CVS Health
·
Full Time
·
16 days ago
CVS Health
The role involves providing in-home health evaluations and building trusted relationships with patients. Clinicians will engage with individuals to help bridge gaps in care and improve health outcomes.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Price
CVS Health
·
Full Time
·
16 days ago
CVS Health
The role involves conducting in-home health evaluations, engaging with patients to bridge gaps in care, and building trusted relationships. Clinicians will perform assessments, answer health questions, and provide connections to appropriate care.
In-Home Nurse Practitioner or Physician Assistant Part Time - St. George
CVS Health
·
Full Time
·
16 days ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to answer health questions and bridge gaps in care. They will conduct assessments including medication reviews and physical evaluations, while building trusted relationships with patients.
In-Home Nurse Practitioner or Physician Assistant Part Time - San Juan
CVS Health
·
Full Time
·
16 days ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to bridge gaps in care. They will conduct assessments, answer health questions, and help connect patients to the right care.
The physician will conduct in-home health evaluations, engaging with patients to answer health questions and bridge gaps in care. They will build trusted relationships and provide personalized health evaluations.
The physician will conduct in-home health evaluations, engaging with patients to bridge gaps in care. They will build trusted relationships and provide personalized health evaluations.
In-Home Nurse Practitioner or Physician Assistant Part Time - Idaho Falls
CVS Health
·
Full Time
·
16 days ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to bridge gaps in care. They will conduct assessments, answer health questions, and utilize technology for evaluations.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Evanston
CVS Health
·
Full Time
·
16 days ago
CVS Health
The role involves providing in-home health evaluations and building trusted relationships with patients to improve their health outcomes. Clinicians will engage with patients, review their medical history, and conduct physical evaluations.
The In-Home Physician will conduct health evaluations in patients' homes, focusing on building trusted relationships and addressing health concerns. This role includes reviewing medical history, performing physical evaluations, and connecting patients to appropriate care.
The role involves conducting in-home health evaluations, building trusted relationships with patients, and providing personalized health assessments. Clinicians will engage with patients to address their health questions and connect them to appropriate care.
The physician will conduct in-home health evaluations, engaging with patients to bridge gaps in care. This includes reviewing medication and medical history, performing physical evaluations, and conducting additional diagnostic tests as needed.
In-Home Nurse Practitioner or Physician Assistant Per Diem - St. George
CVS Health
·
Full Time
·
16 days ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to bridge gaps in care. Responsibilities include conducting physical evaluations and answering health questions while building trusted relationships.
The physician will conduct in-home health evaluations, engaging with patients to bridge gaps in care. They will build trusted relationships and provide personalized health evaluations.
The physician will conduct in-home health evaluations, engaging with patients to bridge gaps in care. They will build trusted relationships and provide personalized health evaluations in patients' homes.
The physician will conduct in-home health evaluations, engaging with patients to bridge gaps in care. They will build trusted relationships and provide personalized health evaluations in patients' homes.
The physician will conduct in-home health evaluations, engaging with patients to answer health questions and review their medical history. They will also provide connections to appropriate care based on individual needs.
In-Home Traveler Nurse Practitioner or Physician Assistant Full Time - Utah
CVS Health
·
Full Time
·
16 days ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to bridge gaps in care. They will conduct assessments, answer health questions, and connect patients to appropriate care.
The physician will conduct in-home health evaluations, engaging with patients to bridge gaps in care and improve health outcomes. They will build trusted relationships and provide personalized health evaluations in patients' homes.
The physician will conduct in-home health evaluations, engaging with patients to bridge gaps in care. They will build trusted relationships and provide personalized health evaluations.
The physician will conduct in-home health evaluations, engaging with patients to answer health questions and review their medical history. They will build trusted relationships and help bridge gaps in care while providing personalized health evaluations.
The physician will conduct in-home health evaluations, engaging with patients to bridge gaps in care. They will build trusted relationships and provide personalized health evaluations in patients' homes.
The physician will conduct in-home health evaluations, engaging with patients to bridge gaps in care. They will build trusted relationships and provide personalized health evaluations.
The physician will conduct in-home health evaluations, engaging with patients to answer health questions and review their medical history. They will build trusted relationships and help bridge gaps in care by providing personalized health evaluations.
The physician will conduct in-home health evaluations, engaging with patients to answer health questions and review their medical history. They will build trusted relationships to improve health outcomes and provide personalized care.
The physician will conduct in-home health evaluations, engaging with patients to answer health questions and review their medical history. They will build trusted relationships and help bridge gaps in care while providing personalized health evaluations.
The physician will conduct in-home health evaluations, engaging with patients to answer health questions and review their medical history. They will build trusted relationships and help bridge gaps in care while providing personalized health evaluations.
The physician will conduct in-home health evaluations, engaging with patients to answer health questions and bridge gaps in care. They will build trusted relationships and provide personalized health evaluations in patients' homes.
The physician will conduct in-home health evaluations, engaging with patients to bridge gaps in care. They will build trusted relationships and provide personalized health evaluations.
The physician will conduct in-home health evaluations, engaging with patients to answer health questions and review their medical history. They will also help bridge gaps in care and build trusted relationships to improve health outcomes.
The In-Home Physician will conduct health evaluations in patients' homes, focusing on building relationships and addressing health concerns. Responsibilities include reviewing medical history, performing physical evaluations, and conducting diagnostic tests as needed.
The physician will conduct in-home health evaluations, engaging with patients to answer health questions and review their medical history. They will build trusted relationships and help bridge gaps in care while providing personalized health evaluations.
In-Home Nurse Practitioner or Physician Assistant (Full Time) - Grand Island, NE
CVS Health
·
Full Time
·
16 days ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to bridge gaps in care. They will conduct assessments, answer health questions, and build trusted relationships to improve health outcomes.
The physician will conduct in-home health evaluations, engaging with patients to answer health questions and review their medical history. They will also provide connections to appropriate care based on individual needs.
The physician will conduct in-home health evaluations, engaging with patients to bridge gaps in care. They will build trusted relationships and provide personalized health evaluations in patients' homes.
The In-Home Physician will conduct health evaluations in patients' homes, focusing on building relationships and addressing health concerns. The role includes reviewing medical histories, performing physical evaluations, and connecting patients to appropriate care.
Virtual Clinician Home Evaluations Nurse Practitioner or Physician Assistant (Full Time) - Nebraska
CVS Health
·
Full Time
·
16 days ago
CVS Health
Conduct 30-minute virtual video visits with health plan members to review medical histories and medications. Educate members on their health and help close gaps in care to connect them with appropriate medical services.
Virtual Clinician Home Evaluations Nurse Practitioner Full Time - Kansas
CVS Health
·
Full Time
·
16 days ago
CVS Health
Conduct 30-minute virtual video visits with health plan members to review medical histories and medications. Educate members on their health and work to close gaps in care while meeting specific monthly visit capacity metrics.
Virtual Clinician Home Evaluations Nurse Practitioner or Physician Assistant Full Time - Iowa
CVS Health
·
Full Time
·
16 days ago
CVS Health
Conduct 30-minute virtual video visits with health plan members to review medical histories and medications. Educate members on their health and help close gaps in care to connect them with appropriate medical services.
Accurately enter and interpret prescriptions, calculate doses, and process insurance payments. Handle inbound calls to provide patient education, resolve problems, and perform benefit investigations.
Senior Manager of Account Management - Local Markets (International Team)
CVS Health
·
Full Time
·
16 days ago
CVS Health
Lead and manage an Account Executive team to ensure customer satisfaction, retention, and profitable growth within an assigned book of business. Oversee the execution of cross-sell initiatives and provide training and direction to the account team.
Provide senior actuarial leadership for a $6B+ portfolio, overseeing pricing strategy and financial performance for Commercial Specialty products. Lead rate reviews, underwriting processes, and manage the financial implications of regulatory changes.
Lead the design and evolution of private cloud storage platforms focusing on large-scale architecture, data protection, and cyber recovery. Drive strategic technology decisions and mentor engineering teams to optimize infrastructure efficiency and security.
Provide psychosocial support, education, and evidence-based mental health care to individuals and families aged 13 and older. Manage a clinical practice including assessment and treatment planning within a virtual environment.
Virtual Clinician Home Evaluations - Nurse Practitioner or Physician Assistant (Full Time) - WV
CVS Health
·
Full Time
·
19 days ago
CVS Health
Conduct 30-minute virtual video visits with health plan members to review medical histories and medications. Educate members on their health and work to close gaps in care while meeting specific monthly visit capacity metrics.
Sr. Manager, Digital Product - Conversational AI Strategy
CVS Health
·
Full Time
·
19 days ago
CVS Health
Architect the AI Outreach and Rescheduling strategy using Conversational AI to re-engage members and maintain care continuity. Develop long-term product roadmaps and measure KPIs to drive value delivery within the healthcare ecosystem.
Senior Manager, Software Development Engineering (PBM Modernization)
CVS Health
·
Full Time
·
19 days ago
CVS Health
Lead delivery and operations for engineering teams supporting the Connected PBM Ecosystem and Finance Applications. Partner with product and architecture stakeholders to translate requirements into technical execution plans while driving operational excellence.
Lead the quality engineering strategy for the ACAS benefits ecosystem to drive defect prevention and shift-left quality practices. Partner with cross-functional leaders to implement automation-first testing and risk-based models to reduce financial risk and claims rework.
Oversee medical policy implementation and utilization review for Mercy Care, including predeterminations and appeals. Act as a clinical liaison to network providers and facilities to support medical services programs.
The Medical Director reviews behavioral health medical records and coding to identify suspected healthcare fraud, waste, and abuse. They serve as a clinical liaison for SIU investigators and provide expert testimony in legal proceedings.
Sr. Manager, Digital Product - Care Delivery Experience
CVS Health
·
Full Time
·
20 days ago
CVS Health
Lead the digital product strategy to maximize appointment completions and reduce no-shows using AI and automation. Develop long-term roadmaps and KPIs to improve the care delivery experience for patients and clinicians.
Negotiates and manages contracts with small to local healthcare providers to maintain network adequacy and financial goals. Collaborates cross-functionally to resolve complex contract issues and implement cost-saving initiatives.
Oversee a diverse portfolio of technology initiatives and ensure high standards of delivery, governance, and organizational alignment. Connect business strategy to execution while managing a significant annual investment and large-scale program hours.
Lead Director, Provider Performance Value-Based Care
CVS Health
·
Full Time
·
21 days ago
CVS Health
Establish and maintain productive value-based relationships with network providers to develop innovative solutions for cost and quality goals. Manage the complete contracting cycle, from planning and negotiation to implementation and performance oversight.
Accountable for the strategic alignment and operational success of complex provider relationships and value-based care initiatives in Florida and Louisiana. This role involves supervising the Provider Performance team and driving improvements in quality of care while reducing costs.
The role focuses on improving finance processes across CVS by reducing waste and increasing efficiency through redesign and automation. The engineer will lead DMAIC projects and partner with finance stakeholders to deliver measurable business results.
Director Case Management - Aetna Better Health of Oklahoma - RN
CVS Health
·
Full Time
·
21 days ago
CVS Health
Oversees the implementation of strategic and operational business plans for clinical operations to deliver cost-effective care to members. Leads the clinical team in health risk screenings, care plan development, and ensuring compliance with Oklahoma regulatory requirements.
Provide financial consultation and pricing support to help CVS Caremark win and retain business through data-driven insights. Analyze pharmaceutical data to formulate recommendations for clients and senior leadership across various functional areas.
Pharmacy Technician - Prior Authorization (Work from Home-Hawaii)
CVS Health
·
Full Time
·
21 days ago
CVS Health
Process and communicate Specialty and Non-Specialty medication prior authorization referrals. Collaborate with Customer Service and Pharmacy Operations to provide status updates and assistance to prescribers and members.
The Senior Epic Analyst serves as a subject matter expert responsible for the design, implementation, and optimization of Epic system solutions. They provide advanced technical support, lead complex projects, and collaborate with clinical staff to improve operational efficiency.
Lead system design and architecture reviews to ensure enterprise applications align with security, compliance, and resiliency standards. Partner with cross-functional teams to translate business requirements into scalable, secure, and supportable end-to-end cloud solutions.
Sr. Analyst, Provider Standardization & Strategic Initiatives
CVS Health
·
Full Time
·
22 days ago
CVS Health
Lead and support projects focused on provider data accuracy, process standardization, and operational effectiveness across multiple lines of business. Partner with cross-functional stakeholders to identify inefficiencies and implement scalable workflow improvements.
Provide psychosocial support, education, and evidence-based mental health care to individuals and families aged 13 and older. Manage a clinical practice including assessment and treatment planning within a virtual environment.
Design, develop, and maintain complex healthcare integrations to ensure seamless data flow between Epic EHR and other systems. Lead medium-sized projects and mentor junior developers while adhering to quality standards for critical healthcare data exchange.
Serve as the Commercial Cost of Goods (COGS) subject matter expert to support PBM network contracting and pharmacy provider rate strategy. Build and maintain financial models to evaluate network improvement opportunities and deliver actionable insights to stakeholders.
Design, build, and operate the certificate lifecycle management infrastructure to secure a large healthcare enterprise. This includes automating certificate operations via Python and PowerShell, managing CA hierarchies, and ensuring Zero Trust alignment.
Conduct telephonic assessments and develop personalized care plans to improve member health outcomes. Coordinate care across providers and resources while collaborating with a multidisciplinary team to remove barriers to care.
The Senior Coordinator is responsible for generating and analyzing daily, weekly, and monthly reports to identify trends and prevent issues within call recording systems. They also manage internal call recording projects, coordinating testers and ensuring business requirements are delivered to operations teams.
Executive Director, Clinical Health Services - Aetna Specialty Programs
CVS Health
·
Full Time
·
23 days ago
CVS Health
Oversee enterprise clinical strategy and operations for specialty programs to drive high-quality care management and clinical outcomes. Lead multidisciplinary teams of up to 600 staff in a call center environment while partnering across the organization to optimize utilization and ensure regulatory compliance.
Senior Manager - Customer Strategy & Business Integration
CVS Health
·
Full Time
·
23 days ago
CVS Health
This role focuses on connecting insights and strategy to drive customer-led growth through the evaluation of partnerships, insourcing, and strategic investments. The manager will develop financial business cases and lead cross-functional initiatives to improve the customer experience.
Lead an agile marketing team to drive local patient acquisition and brand awareness through field marketing strategies and community outreach. Oversee marketing operations, creative services, and ensure all initiatives comply with CMS Medicare regulations.
Acts as the Chief of Staff to the SVP of Employer Sales to strengthen renewal strategies and improve leadership effectiveness. Responsible for managing portfolio risk, aligning pricing with delivery capacity, and maintaining a disciplined operating rhythm for the leadership team.
Manage a team of District Asset Protection Leaders to ensure compliance with enterprise objectives and shrink mitigation tactics. Forge partnerships with Regional Directors of Operations to validate the execution of asset protection strategies through KPIs.
Supports cost management programs to reduce medical claim expenses and recover funds from liable parties. Gathers data and performs cost analyses to identify saving opportunities and reduction strategies.
Responsible for developing and maintaining rebate forecasting tools and processes within Caremark Underwriting. The role involves managing model inputs, performing ad hoc analyses, and coordinating with cross-functional teams to ensure accurate pricing deliverables.
Develop and execute the Trade growth strategy by identifying new initiatives and creating data-backed business cases. Lead the incubation and launch of new growth opportunities while managing personnel and providing thought leadership for senior stakeholders.
Lead the creation of digital delivery automation and provide site reliability services for the CVS Health Enterprise Engineering platform. This includes managing end-to-end CI/CD pipelines, troubleshooting complex technical issues, and mentoring other engineers.
Lead high-performing teams of full-stack engineers to build high-quality software products for finance technology. Oversee the entire software development life cycle, including technical strategy, project execution, and talent mentorship.
Lead the implementation of strategic innovation initiatives for the Utilization Management organization from concept through full-scale operationalization. Partner with cross-functional teams to design and deliver solutions supporting clinical interoperability and CMS commitments.
Architect and implement scalable, cloud-native services and real-time streaming data pipelines to improve health outcomes. Lead technical roadmaps, mentor engineers, and ensure the reliability and performance of distributed systems.
The role acts as a bridge between business, product, and technology to drive the Medicaid digital strategy and ensure stakeholder alignment. Key duties include managing the end-to-end intake process, tracking initiatives from intake to delivery, and maintaining governance structures.
Direct a team focused on evolving innovative and transparent PBM pricing models to drive business growth. Collaborate cross-functionally to define product vision, strategy, and multi-year roadmaps while managing go-to-market efforts.
Acts as a Product Owner for PBM pricing and forecasting tools, providing business user support and resolving production issues. Responsible for capturing product requirements, facilitating user training, and managing the implementation of model enhancements.
Virtual Clinician Home Evaluations Physician Full Time - WV
CVS Health
·
Full Time
·
a month ago
CVS Health
Conduct 30-minute virtual video visits with health plan members to review medical histories and educate them on their health. Maintain high visit completion rates and adhere to operational and clinical key performance indicators.
Drive strategies to advance financial performance and profitability for clients and the PBM organization through trade industry analysis. Lead a team in developing analytic solutions to optimize rebate value and improve net cost performance.
Provide financial consultation and pricing support to help CVS Caremark win and retain business through data-driven insights. Analyze pharmaceutical data to formulate recommendations for clients and senior leadership regarding healthcare strategies.
Manager – Reporting Analytics & Insights Development
CVS Health
·
Full Time
·
a month ago
CVS Health
The role focuses on designing and maintaining reporting and analytical tools to provide actionable insights for health plan operations. The manager will leverage data analysis and stakeholder management to improve health outcomes and operational efficiency.
The role involves extracting signals from unstructured clinical text and building domain-specific language models to improve healthcare outcomes. You will bridge the gap between clinical data assets and business partners to develop predictive analytics solutions.
Senior Network Provider Manager, National Medicaid Ancillary Contracting Remote
CVS Health
·
Full Time
·
a month ago
CVS Health
Negotiate and execute contracts with national ancillary providers to maintain network accessibility and financial goals. Manage contract performance, conduct data analysis to predict trends, and lead recruitment initiatives to meet network adequacy requirements.
Lead the technical development and operations of web-based tool platforms within the Pharmacy Benefits Management space. Collaborate with stakeholders to build multi-year roadmaps and mentor junior engineers to drive technical excellence.
Own the end-to-end strategy and modernization of the IBM zSystems mainframe platform to ensure reliability and security for healthcare transactions. Lead a high-performing team of engineers to align platform performance with executive business outcomes and enterprise goals.
Drive new business growth and logo acquisition for Employee Assistance Programs (EAP) within a defined geographic territory. Lead end-to-end RFP processes and cultivate strategic relationships with consultants and brokers to deliver profitable revenue.
Manage day-to-day relationships with health plan clients to ensure operational excellence and strategic alignment. Oversee financial performance, profitability, and process improvements to enhance service delivery and client satisfaction.
Develop strategic partnerships and negotiate high-value contracts with complex hospital systems and provider groups for the Kentucky Medicaid Health Plan. Manage value-based payment models and execute cost-saving initiatives to improve network quality and financial performance.
Lead a team of software engineers in designing and scaling cloud-native, distributed microservices for healthcare solutions. Collaborate with cross-functional partners to implement clinical workflows and ensure high code quality through automated workflows.
The Medical Director serves as a Cardiology Subject Matter Expert leading utilization review, quality assurance, and case management. They act as a clinical liaison to network providers and handle predetermination and claim reviews.
Acts as a Subject Matter Expert in Otolaryngology to lead utilization review, quality assurance, and case management. Provides clinical expertise and business direction to support medical management programs and serves as a liaison to network providers.
Maintain and enhance Anaplan models by translating business processes into functional and technical requirements. Collaborate with IT and Finance stakeholders to drive automation, ensure governance standards, and optimize financial processes.
Contact Medicare Advantage and Medicaid members via an automatic dialer to explain and schedule healthcare evaluations. Meet daily productivity goals regarding outbound dials and appointments set while adhering to approved scripts.
Provide financial consultation and pricing support to help CVS Caremark win and retain business through data-driven insights. Analyze pharmaceutical data to formulate recommendations for clients and senior leadership regarding healthcare strategies.
The Contract Manager serves as a subject matter expert responsible for negotiating, executing, and auditing complex provider contracts to enhance network accessibility and quality. They collaborate cross-functionally to manage provider compensation, resolve escalated claims issues, and ensure compliance with federal and state regulations.
Lead pricing strategy and execution across front store categories to drive profitable growth and customer value. Partner with Merchandising, Marketing, and Finance to ensure pricing decisions are analytically driven and operationally executable.
Serve as the senior liaison for large employer clients to drive business growth through renewals, retention, and up-selling. Lead account teams to ensure client satisfaction and deliver strategic reporting on drug trends and financial performance.
Manage a book of clients to integrate eConsults into clinical workflows and drive platform adoption. Establish relationships with clinic leadership and clinicians to ensure client retention and improve care delivery outcomes.
Manage the end-to-end deal process for mid and late-stage venture investments, including financial modeling and due diligence. Provide ongoing portfolio support and develop strategic investment themes to enhance CVS Health's capabilities.
Executive Director, Platform Engineering- Health Care Delivery
CVS Health
·
Full Time
·
a month ago
CVS Health
Lead the strategy, execution, and organizational health of the Platform Engineering function across multiple healthcare brands. Accountable for the reliability, security, and cost-efficiency of a multi-cloud environment while driving the transition to a unified software engineering capability center.
The Decision Scientist provides data-driven insights to influence clinical and operational decision-making within the Utilization Management organization. Responsibilities include data extraction, validation, and analysis to evaluate care models and clinical program effectiveness.
In-Home Nurse Practitioner or Physician Assistant Part Time - Johnstown
CVS Health
·
Full Time
·
a month ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to bridge gaps in care. They will conduct assessments, answer health questions, and build trusted relationships to improve health outcomes.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Minneapolis, MN
CVS Health
·
Full Time
·
a month ago
CVS Health
The role involves providing in-home health evaluations, engaging with patients to bridge gaps in care, and building trusted relationships to improve health outcomes. Clinicians will conduct assessments, answer health questions, and utilize technology for evaluations.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Oneida Syracuse, NY
CVS Health
·
Full Time
·
a month ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to bridge gaps in care. This role involves building trusted relationships and conducting comprehensive health assessments in patients' homes.
Develop and maintain forecasting models to project CMS Stars performance and identify areas for improvement. Prepare reports and dashboards for senior leadership while managing payer data reconciliation and internal data quality.
Lead a team of account executives to drive strategic operational excellence, client retention, and growth for Meritain Pharmacy Solutions. Partner with senior leadership to deliver consultative solutions and manage contract negotiations and pricing.
Lead the delivery of scalable enterprise-grade automations within the Automation Center of Excellence using platforms like Automation Anywhere and UiPath. Translate complex business requirements into secure, reusable automation solutions while mentoring junior engineers.
Oversees the day-to-day operations of the claims processing team to ensure accuracy, efficiency, and adherence to company policies. Manages productivity metrics, implements process improvements, and collaborates with internal stakeholders to optimize operational effectiveness.
The pharmacist is responsible for interpreting physician medication orders and ensuring the accurate delivery of pharmaceutical care services. This includes supervising sterile compounding practices in accordance with USP 797 and managing drug therapy for clinical programs.
Provide analytical and operational support to Caremark Underwriting leadership by researching and synthesizing data to resolve time-sensitive questions. Investigate pricing and forecasting drivers while coordinating with cross-functional stakeholders to validate results.
Define and implement strategic architectures and roadmaps with a heavy focus on applied AI to drive business value. Collaborate with stakeholders to optimize business applications and mentor engineering teams on modern architectural standards.
Staff Software Development Engineer – Application Architecture
CVS Health
·
Full Time
·
a month ago
CVS Health
Serve as the technical authority for CAS architecture, leading the modernization from a monolithic on-prem system to a cloud-ready, API-first platform. Define architectural patterns, govern standards, and drive the delivery of a North Star Architecture across multiple engineering teams.
In-Home Health - Nurse Practitioner or Physician Assistant (Per Diem) -Bellingham, WA
CVS Health
·
Full Time
·
a month ago
CVS Health
The role involves conducting in-home health evaluations, building trusted relationships with patients, and providing personalized health assessments. Clinicians will engage with patients to answer health questions and bridge gaps in care.
Lead and scale a high-performing L1 technical support organization to ensure exceptional customer experience and rapid issue resolution. Oversee P1/P2 incident response, monitor system performance, and collaborate with engineering teams to improve product quality.
Lead the strategic vision and execution of enterprise-wide quality engineering and automation frameworks for the CVS Digital team. Manage high-performing teams to drive a shift-left, automation-first mindset across complex distributed systems.
Establish technical standards and deliver scalable, AI-enabled analytics solutions to support clinical and operational areas. Collaborate with business partners to define metrics and automate manual processes through data staging and Tableau dashboards.
The Senior Epic Analyst serves as a subject matter expert responsible for the design, implementation, and optimization of Epic system solutions. This includes providing advanced technical support, leading complex projects, and mentoring junior analysts to improve operational efficiency.
Lead the strategic vision and implementation of ad technology and digital identity solutions across CVS Health. Manage data collection, media tagging, and vendor relationships with LiveRamp to maximize digital media capabilities and ensure privacy compliance.
Strategic Account Executie - Meritain Pharmacy Solutions
CVS Health
·
Full Time
·
a month ago
CVS Health
Manage a book of business for Meritain Pharmacy Solutions to achieve customer satisfaction and renewal objectives. Develop strategic relationships with external partners and consultants while overseeing the operation of pharmacy benefits plans.
Lead the SRE strategy and AI-driven operations to ensure the stability and reliability of mission-critical PBM-IT services. Manage technical vendor resources and global SRE teams to optimize incident response and operational excellence.
Acts as a Subject Matter Expert in Orthopedic Spine or Neurosurgery to lead utilization review and quality assurance for medical management programs. Responsible for predetermination reviews, claim determinations, and serving as a clinical liaison to network providers.
Serve as the senior liaison for PBM clients to drive business growth through renewal, retention, and up-selling. Lead strategic account teams to ensure client satisfaction and deliver quarterly financial and drug trend reporting.
The Staff Security Engineer is responsible for designing, implementing, and maintaining security measures to protect the organization's digital infrastructure. This role involves onboarding and monitoring data for security platforms, troubleshooting issues, and providing technical guidance to the Cyber Defense team.
The physician will conduct comprehensive in-home health evaluations, including medication reviews and physical assessments, to bridge gaps in patient care. They will also perform virtual visits and provide diagnostic services while maintaining accurate clinical documentation via an iPad.
Provide psychosocial support and evidence-based mental health therapy to individuals, couples, and families. Manage patient assessment and treatment planning while collaborating with the clinical care team.
The Lead Director will define and evolve the architecture strategy for member-facing digital platforms, ensuring they are scalable, secure, and intelligent. This role involves leading a team of architects while partnering with product, engineering, and data teams to drive AI-driven innovation and platform modernization.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Minneapolis, MN
CVS Health
·
Full Time
·
2 months ago
CVS Health
The clinician will conduct in-home health evaluations, including medication reviews, physical assessments, and diagnostic screenings for health plan members. They are responsible for building trusted relationships with patients and providing education to help bridge gaps in care.
In-Home Health - Physician (Part Time) - Bremerton, WA
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations for patients, including medication reviews, physical assessments, and diagnostic testing. Build trusted relationships with patients to bridge care gaps and provide personalized health insights.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Kings, NY
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations including medication reviews, physical assessments, and diagnostic tests for health plan members. Build trusted relationships with patients to bridge gaps in care and provide health education.
The Senior Manager will lead high-impact quality improvement initiatives within the Client and Networks Pricing team by identifying trends and root causes of pricing errors. They will facilitate cross-functional efforts to implement corrective actions and maintain quality scorecards to drive sustained performance improvements.
In-Home Health - Nurse Practitioner or Physician Assistant (Per Diem) - Wenatchee/ Grant County, WA
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations, including physical assessments, medication reviews, and diagnostic tests for health plan members. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Lebanon, NH
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations, including medication reviews, medical history assessments, and physical examinations for health plan members. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation using an iPad.
Lead the AIOps strategy and roadmap to modernize IT operations through observability, machine learning, and agentic AI. Build and operationalize agentic AI workflows for incident triage, resolution, and closed-loop automation within the ServiceNow ecosystem.
In-Home Health - Nurse Practitioner or Physician Assistant (Per Diem) - Bremerton, WA
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct comprehensive in-home health evaluations, including medication reviews, physical assessments, and diagnostic testing for health plan members. Provide patient education and bridge gaps in care to improve health outcomes while maintaining detailed clinical documentation.
The Principal Software Engineer will define and drive the technical vision for cloud-native applications using Flutter across web and mobile platforms. They will lead high-impact initiatives from prototype to production while mentoring senior staff and ensuring engineering excellence in security, performance, and scalability.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Boston MA
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct comprehensive in-home health evaluations, including medication reviews, physical assessments, and diagnostic screenings for health plan members. Build trusted relationships with patients to bridge care gaps and provide health education in a compassionate, flexible manner.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Grand Forks, MN
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations for patients, including physical assessments, medication reviews, and diagnostic testing. Provide patient education and bridge gaps in care to improve overall health outcomes.
The Lead Architect defines and drives enterprise-scale digital solutions by designing end-to-end architectures and guiding engineering teams through implementation. They are responsible for establishing technical standards, maintaining architectural documentation, and leading production incident response.
The Client Relations Executive is responsible for selling specialty pharmacy services within the bleeding disorders segment and managing relationships with healthcare providers and support groups. Success is measured by the retention of existing business and the acquisition of new referral business within the assigned multi-state territory.
In-Home Nurse Practitioner or Physician Assistant Part Time - Beckley
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations for health plan members, including medication reviews, physical assessments, and diagnostic testing. Provide health education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
In Home Traveler Nurse Practitioner or Physician Assistant - Full Time - CT
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct comprehensive in-home health evaluations for health plan members, including medication reviews and physical assessments. Build trusted relationships with patients to bridge gaps in care and provide personalized health education.
In-Home Traveler Physician (Full-Time) - Connecticut
CVS Health
·
Full Time
·
2 months ago
CVS Health
The physician will conduct in-home health evaluations, including medication reviews and physical assessments, to bridge gaps in patient care. They will travel extensively to provide these services and document findings using an intuitive clinical workflow on an iPad.
In-Home Nurse Practitioner or Physician Assistant Full Time - Beckley
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct comprehensive in-home health evaluations for health plan members, including medication reviews and physical assessments. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Fergus Falls, MN
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct comprehensive in-home health evaluations for health plan members, including physical assessments and medical history reviews. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Grand Rapids, MN
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations for health plan members, including medication reviews, physical assessments, and diagnostic testing. Build trusted relationships with patients to bridge gaps in care and provide personalized health education.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Duluth, MN
CVS Health
·
Full Time
·
2 months ago
CVS Health
Provide in-home health evaluations for health plan members, including medication reviews and physical assessments. Conduct virtual visits as needed and provide health education to improve patient outcomes.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Minneapolis MN
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations, including medication reviews, physical assessments, and diagnostic tests for health plan members. Build trusted relationships with patients to bridge gaps in care and provide personalized health education.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Olympia, WA
CVS Health
·
Full Time
·
2 months ago
CVS Health
Provide in-home health evaluations for health plan members, including medication reviews and physical assessments. Conduct virtual visits as needed and provide patient education to bridge gaps in care.
In-Home Health - NP/PA (Per Diem) - Boulder, CO - Boulder County
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations for health plan members, including medication reviews, physical assessments, and diagnostic testing. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Colorado Springs, CO
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations for health plan members, including physical assessments and medication reviews. Provide patient education and facilitate connections to appropriate care based on individual health needs.
In-Home Health - NP/PA (Full Time) - Seattle, WA - King
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct comprehensive in-home health evaluations for health plan members, including physical assessments and medication reviews. Build trusted relationships with patients to bridge care gaps and provide necessary health education.
The Senior Advisor serves as a subject matter expert on regulatory compliance, leading initiatives to ensure the Pharmacy Network division meets all current and emerging requirements. They partner with functional leaders to translate regulations into operational processes and proactively manage business risks.
The Chief Medical Officer will serve as a strategic partner to the executive team to drive clinical excellence, cost-effective care, and measurable health outcomes within the Medicaid program. Responsibilities include overseeing care models, ensuring regulatory compliance, and leading population health and quality improvement initiatives.
Contract Negotiation Manager – Florida (Miami Dade, Broward, Palm Beach, and Treasure Coast)
CVS Health
·
Full Time
·
2 months ago
CVS Health
The manager is responsible for recruiting healthcare providers and negotiating contracts to ensure network adequacy and financial targets. They also manage provider relationships, resolve escalated issues, and monitor contract performance throughout the lifecycle.
Provide psychosocial support, education, and evidence-based mental health counseling to individuals, couples, and families aged 13 and older. Manage patient care through diagnostic assessment and treatment planning within a virtual clinical environment.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Fergus Falls, MN
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations for patients, including medication reviews, medical history assessments, and physical examinations. Provide patient education and facilitate connections to appropriate care based on individual health needs.
The EAP Head of Sales is responsible for driving the growth strategy and market impact of Aetna’s Resources for Living solution. This role involves leading cross-functional teams, managing external stakeholder relationships, and ensuring the effective delivery of wellbeing solutions to large employers and health plans.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time)- Hartford CT
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations, including medication reviews, physical assessments, and diagnostic testing for health plan members. Build trusted relationships with patients to bridge gaps in care and provide personalized health education.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) -St. Cloud MN
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct comprehensive in-home health evaluations, including medication reviews, physical assessments, and diagnostic screenings. Build trusted relationships with patients to bridge care gaps and provide health education in their home environments.
The medical resident will gain a comprehensive understanding of pharmacy benefit management and the administration of pharmacy benefits. They will learn to appreciate the significance of formulary establishment and the application of various utilization management tools.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) Barnstable MA
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations for health plan members, including physical assessments, medication reviews, and diagnostic testing. Build trusted relationships with patients to bridge gaps in care and provide personalized health education.
In-Home NP/PA-Part Time -Bridgeport CT ( Western and South Central Counties)
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations for health plan members, including medication reviews, physical assessments, and diagnostic testing. Build trusted relationships with patients to help bridge gaps in care and provide personalized health education.
Lead Director, AI/ML Solutions Engineering & Delivery
CVS Health
·
Full Time
·
2 months ago
CVS Health
The Lead Director will build and lead an engineering organization responsible for designing, scaling, and delivering enterprise AI/ML solutions. This role involves partnering with cross-functional teams to establish technical standards, drive architecture decisions, and manage the end-to-end delivery of AI-powered products.
The Lead Director will build and scale enterprise AI/ML and data engineering platforms to support mission-critical health care workloads. This role involves leading product-oriented engineering teams to deliver reusable data products, AI accelerators, and robust MLOps/LLMOps operational frameworks.
In-Home Health - NP/PA (Per Diem) - Boulder, CO - Grand County
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct comprehensive in-home health evaluations for health plan members, including medication reviews and physical assessments. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
In-Home Health Clinician - Nurse Practitioner or Physician Assistant (Full Time) - Seattle/King
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct comprehensive in-home health evaluations for health plan members, including medication reviews and physical assessments. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
In-Home NP/PA (Part Time) - Denver, CO - Jefferson County
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations for health plan members, including medication reviews, medical history assessments, and physical evaluations. Provide health education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
In-Home Health - NP/PA (Per Diem) - Boulder, CO - Boulder County
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations for patients, including medication reviews, physical assessments, and diagnostic testing. Build trusted relationships with patients to bridge gaps in care and provide personalized health education.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Kennewick, WA
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations for health plan members, including medication reviews, medical history assessments, and physical evaluations. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
In-Home Health - NP/PA (Full Time) - Spokane, WA - Stevens County
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct comprehensive in-home health evaluations, including medication reviews and physical assessments for health plan members. Provide patient education and facilitate connections to appropriate care services to improve health outcomes.
The Principal Architect will own the technical architecture and engineering leadership for the Vulnerability Services Engine platform. This role involves hands-on design, implementation, and performance optimization of large-scale distributed systems and data products.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Wheeling
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations for health plan members, including physical assessments and medication reviews. Provide health education and bridge gaps in care while utilizing an intuitive clinical workflow on an iPad.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Seattle , Snohomish County
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations for health plan members, including medication reviews and physical assessments. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
In-Home Health - NP/PA (Full Time) - Spokane, WA - Stevens County
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct comprehensive in-home health evaluations for patients, including medication reviews and physical assessments. Provide patient education and facilitate connections to appropriate care services to improve health outcomes.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Suffolk County, New York
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations for health plan members, including medication reviews, medical history assessments, and physical examinations. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
Senior Data Scientist - Clinical Informatics (Analytics Enablement)
CVS Health
·
Full Time
·
2 months ago
CVS Health
The Senior Data Scientist will activate clinical data repositories to improve healthcare outcomes by designing data models and building clinical data feature stores. They will also serve as a subject matter expert, collaborating with stakeholders to ensure data integrity, documentation, and alignment with clinical standards.
Lead Data Scientist - Clinical Informatics (Clinical Data Standards)
CVS Health
·
Full Time
·
2 months ago
CVS Health
The Lead Data Scientist will design and maintain clinical data models and taxonomies to ensure consistent interpretation of healthcare data across the organization. They will also lead cross-functional teams to build and govern clinical data products, ensuring compliance with regulatory standards and enabling self-service analytics.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Scranton
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct in-home and virtual health evaluations to bridge gaps in care for health plan members. Perform medication reviews, physical assessments, and diagnostic screenings while building trusted relationships with patients.
Provide psychosocial support and evidence-based mental health therapy to individuals, couples, and families aged 13 and older. Collaborate with clinical care teams to develop treatment plans and ensure continuity of care for patients.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Scranton
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations, including medication reviews, medical history assessments, and physical examinations for health plan members. Provide patient education and facilitate connections to appropriate care services while maintaining accurate clinical documentation.
Provide psychosocial support and evidence-based mental health counseling to individuals, couples, and families aged 13 and older. Collaborate with clinical care teams to develop treatment plans and ensure continuity of care for patients.
In-Home Health - Physician (Full Time) - Poughkeepsie, NY
CVS Health
·
Full Time
·
2 months ago
CVS Health
The physician will conduct in-home health evaluations, including medication reviews and physical assessments, to bridge gaps in patient care. They will also perform virtual visits and provide diagnostic services as required by health plans.
In-Home Health - Physician (Full Time) - Syracuse, NY
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct comprehensive in-home health evaluations for patients, including medication reviews and physical assessments. Build trusted relationships with patients to bridge gaps in care and provide connections to appropriate health resources.
In-Home Health - Physician (Full Time) - Albany, NY
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct comprehensive in-home health evaluations, including medication reviews and physical assessments, to bridge gaps in patient care. Engage with patients to build trusted relationships and provide connections to appropriate care services.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Bridgeport, CT
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct in-home and virtual health evaluations, including medication reviews, medical history assessments, and physical examinations. Provide health education and bridge gaps in care to improve patient health outcomes.
In-Home Health - NP or PA (Full Time) - Broome County, Binghamton, NY
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct in-home health evaluations for patients, including physical assessments, medication reviews, and medical history documentation. Provide comprehensive health education and bridge care gaps while maintaining accurate clinical records using an iPad.
The Public & Labor Account Executive manages and grows a complex book of public sector and labor clients by serving as the primary relationship lead. This role drives account strategy, identifies cost-management opportunities, and coordinates across internal teams to ensure high client satisfaction.
Conduct in-home health evaluations for health plan members, including medication reviews, physical assessments, and diagnostic testing. Build trusted relationships with patients to bridge gaps in care and provide connections to appropriate health resources.
Conduct in-home health evaluations to review medical history, perform physical assessments, and bridge gaps in patient care. Utilize clinical workflows to document findings and provide diagnostic services while maintaining trusted relationships with patients.
The physician will conduct in-home health evaluations, including medication reviews, physical assessments, and diagnostic tests for health plan members. They will also perform virtual visits as needed and facilitate connections to appropriate care based on patient needs.
Conduct in-home health evaluations to bridge gaps in care and build trusted relationships with patients. Perform medication reviews, physical evaluations, and diagnostic tests while documenting findings through an intuitive clinical workflow.
Conduct in-home health evaluations for health plan members, including medication reviews and physical assessments. Provide comprehensive health insights and bridge gaps in care through one-on-one patient engagement.
Conduct in-home health evaluations for patients, including medication reviews, physical assessments, and diagnostic testing. Build trusted relationships with patients to bridge gaps in care and provide connections to appropriate health services.
In-Home Physician (Per Diem) - Williamsport - Region
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct in-home health evaluations for patients, including medication reviews, medical history assessments, and physical examinations. Facilitate connections to appropriate care and document findings using an intuitive clinical workflow on an iPad.
Conduct comprehensive in-home health evaluations, including medication reviews and physical assessments, to bridge gaps in patient care. Engage with patients to build trusted relationships and provide connections to appropriate care based on their unique health needs.
In-Home Nurse Practitioner or Physician Assistant (Per Diem) - Erie
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct in-home health evaluations for patients, including medication reviews, medical history assessments, and physical examinations. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
In-Home Health - Physician (Per Diem) - Harrisburg - Region
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct comprehensive in-home health evaluations, including physical assessments, medication reviews, and diagnostic tests. Build trusted relationships with patients to bridge gaps in care and provide personalized health insights.
Conduct in-home health evaluations for patients, including medication reviews, physical assessments, and diagnostic testing. Build trusted relationships with patients to bridge gaps in care and improve overall health outcomes.
Conduct in-home health evaluations for health plan members, including medication reviews and physical assessments. Facilitate connections to appropriate care and document findings using an intuitive clinical workflow on an iPad.
In-Home Health - NP or PA (Part Time) - Kennewick, WA
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct in-home health evaluations, including medication reviews, medical history assessments, and physical evaluations for health plan members. Provide patient education and facilitate connections to appropriate care to improve overall health outcomes.
In-Home Health - Nurse Practitioner or Physician Assistant (Per Diem) - Okanagan, WA
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct comprehensive in-home health evaluations, including medication reviews and physical assessments, to bridge gaps in patient care. Provide health education and facilitate connections to appropriate care services based on individual patient needs.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Montgomery/ Albany, NY
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct in-home health evaluations for health plan members, including medication reviews, medical history assessments, and physical examinations. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation using an iPad.
The Principal Architect will own the enterprise observability reference architecture and drive the OpenTelemetry-first instrumentation strategy across all environments. They will also lead hybrid multi-cloud standards, including workload identity, compute runtime selection, and FinOps maturity.
Epic EHR Development Lead-Senior Manager-Software Development
CVS Health
·
Full Time
·
3 months ago
CVS Health
The Epic EHR Development Lead is responsible for overseeing the design, configuration, and optimization of Epic EHR solutions across clinical and operational domains. This role provides technical leadership, ensures alignment with organizational strategy, and manages development teams to improve patient care and clinician efficiency.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Seattle - Snohomish County
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct in-home health evaluations for patients, including physical exams, medication reviews, and medical history assessments. Provide health education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
In-Home Health - NP or PA (Part Time) - Kennewick, WA
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct in-home health evaluations for health plan members, including medication reviews, medical history assessments, and physical examinations. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation using provided digital tools.
In-Home Health - Nurse Practitioner or Physician Assistant (Per Diem) - Okanagan, WA
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct comprehensive in-home health evaluations, including medication reviews and physical assessments, to bridge gaps in patient care. Provide patient education and facilitate connections to appropriate care services based on individual health needs.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Montgomery/ Albany, NY
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct in-home health evaluations, including medication reviews, physical assessments, and diagnostic testing for health plan members. Build trusted relationships with patients to bridge gaps in care and provide personalized health education.
In-Home Health Clinician - Nurse Practitioner or Physician Assistant (Full Time) - Wenatchee
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct comprehensive in-home health evaluations for health plan members, including medication reviews and physical assessments. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Greeley, CO
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct comprehensive in-home health evaluations for health plan members, including medication reviews and physical assessments. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
Conduct in-home health evaluations to bridge gaps in care and build trusted relationships with patients. Perform medication reviews, physical assessments, and diagnostic tests while documenting findings through an intuitive clinical workflow.
Conduct in-home health evaluations to review medical history, perform physical assessments, and provide diagnostic services. Engage with patients to bridge gaps in care and ensure their health needs are communicated to their primary care teams.
Conduct in-home health evaluations to review medical history, perform physical assessments, and identify gaps in care for health plan members. Provide diagnostic and preventive services while maintaining accurate clinical documentation using an iPad-based workflow.
Conduct in-home health evaluations to bridge gaps in care and build trusted relationships with patients. Perform medication reviews, physical evaluations, and diagnostic tests while documenting findings via an intuitive clinical workflow.
Conduct in-home health evaluations for health plan members to review medical history, medications, and perform physical assessments. Facilitate connections to appropriate care and document findings using an intuitive clinical workflow on an iPad.
Conduct in-home health evaluations to bridge gaps in care and build trusted relationships with patients. Perform medication reviews, physical evaluations, and diagnostic tests while documenting findings through an intuitive clinical workflow.
Conduct in-home health evaluations for health plan members, including medication reviews and physical assessments. Facilitate connections to appropriate care and document findings using an intuitive clinical workflow on an iPad.
Provide psychosocial support and evidence-based mental health therapy to individuals, couples, and families aged 13 and older. Collaborate with clinical care teams to develop treatment plans and ensure continuity of care for patients.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Winchester
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct comprehensive in-home health evaluations for health plan members, including medication reviews and physical assessments. Build trusted relationships with patients to bridge care gaps and provide personalized health education.
Conduct in-home health evaluations for health plan members, including medication reviews, physical assessments, and diagnostic testing. Build trusted relationships with patients to bridge gaps in care and provide connections to appropriate health resources.
Conduct in-home health evaluations for patients, including medication reviews, physical assessments, and diagnostic testing. Build trusted relationships with patients to bridge care gaps and provide personalized health insights.
In-Home Health Clinician - Nurse Practitioner or Physician Assistant (Part Time) - Durango, CO
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct in-home health evaluations for members, including medication reviews, medical history assessments, and physical evaluations. Provide diagnostic and preventive services while building trusted relationships to help bridge gaps in patient care.
The Distinguished Architect will be responsible for architecting security reference architectures and enabling secure technology solutions that align with business strategy. This role involves defining security roadmaps, collaborating with partners, and mentoring junior architects.
In-Home Health - Physician (Per Diem) - Glenwood Springs, CO
CVS Health
·
Full Time
·
3 months ago
CVS Health
Provide in-home health evaluations to patients, engaging with them to bridge gaps in care. Build trusted relationships to improve health outcomes and connect patients to the right care.
In-Home Health - Physician (Part Time) - Grand Junction CO
CVS Health
·
Full Time
·
3 months ago
CVS Health
The physician will conduct in-home health evaluations, engaging with patients to bridge gaps in care. They will build trusted relationships and provide personalized health evaluations in patients' homes.
In-Home Health - Physician (Part Time) - Fort Collins, CO
CVS Health
·
Full Time
·
3 months ago
CVS Health
The physician will conduct in-home health evaluations, engaging with patients to answer health questions and review medical histories. They will build trusted relationships to improve health outcomes and connect patients to the right care.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Grand Junction, CO
CVS Health
·
Full Time
·
3 months ago
CVS Health
The role involves conducting in-home health evaluations, engaging with patients to answer health questions and bridge gaps in care. Clinicians will build trusted relationships and provide personalized health evaluations.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Boulder, CO
CVS Health
·
Full Time
·
3 months ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to help bridge gaps in care. They will conduct assessments, answer health questions, and build trusted relationships to improve health outcomes.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Pueblo, CO
CVS Health
·
Full Time
·
3 months ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to bridge gaps in care and improve health outcomes. Responsibilities include conducting assessments, answering health questions, and utilizing technology for evaluations.
The Distinguished Architect will be responsible for architecting security reference architectures and enabling secure technology solutions that align with business strategy. This role involves defining security roadmaps, collaborating with partners, and mentoring junior architects.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Bremerton, WA
CVS Health
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Full Time
·
3 months ago
CVS Health
This role involves providing in-home health services as a Nurse Practitioner or Physician Assistant in the field within Washington state. The position is designated as part-time employment.
In-Home Health - Physician (Full Time) -St. Lawrence County/ Plattsburgh NY
CVS Health
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Full Time
·
3 months ago
CVS Health
The Physician will conduct in-home health evaluations lasting about 45 minutes, which includes reviewing medical history, performing a physical evaluation, and potentially conducting ordered diagnostic tests. This role involves joining a national network of clinicians dedicated to improving health outcomes by connecting people to the right care for their unique needs.
In-Home Health - NP or PA (Full Time) - St. Lawrence/ Plattsburgh, NY
CVS Health
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Full Time
·
3 months ago
CVS Health
The clinician will provide in-home health evaluations, which include medication and medical history reviews, physical evaluations, and diagnostic tests, engaging with people in their homes to bridge gaps in care. This role involves joining a national network of clinicians dedicated to improving health outcomes by conducting visits and fulfilling specified Signify Health services.
This role involves acting as both a Technical Lead and Individual Contributor to build a next-generation platform, focusing on architecting, designing, and implementing highly scalable, fault-tolerant, cloud-native services using modern engineering practices. The engineer will also troubleshoot complex distributed system issues, define technical roadmaps, and enforce microservice resiliency patterns.
The Physician will conduct in-home health evaluations lasting about 45 minutes, which include medication and medical history review, a physical evaluation, and diagnostic tests if ordered. They will engage with people one-on-one to answer health questions and help bridge gaps in care within a national network of clinicians.
In-Home Health - Physician (Per Diem) - Fredericksburg, VA
CVS Health
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Full Time
·
3 months ago
CVS Health
The Physician will conduct in-home health evaluations lasting about 45 minutes, which includes reviewing medical history, performing a physical evaluation, and conducting diagnostic tests if ordered. This role involves engaging with patients to build trusted relationships and help bridge gaps in care within a national network of clinicians.
In-Home Health - Physician (Per Diem) - Rappahannock County, VA
CVS Health
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Full Time
·
3 months ago
CVS Health
The Physician will conduct comprehensive in-home health evaluations lasting about 45 minutes, which include medication and medical history review, physical evaluation, and diagnostic tests when ordered. This role focuses on engaging with patients one-on-one to build trusted relationships and bridge gaps in care without prescribing medicine or altering current treatment regimens.
In-Home Health - Physician (Per Diem) - Emporia, VA
CVS Health
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Full Time
·
3 months ago
CVS Health
The Physician will conduct in-home health evaluations lasting about 45 minutes, which includes reviewing medical history and medications, performing a physical evaluation, and conducting diagnostic tests if ordered. This role involves joining a national network of clinicians dedicated to improving health outcomes by connecting people to the right care for their unique needs.
Behavioral Health Specialist Requires LSCSW or LCPC or LMFT
CVS Health
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Full Time
·
3 months ago
CVS Health
The specialist provides care management services and evidence-based short-term psychotherapy to patients with behavioral health needs, acting as a key resource for Care Teams across primary clinics. Responsibilities include screening patients, developing care plans, coordinating referrals, and documenting encounters in the electronic medical record.
In-home Traveler Physician (Full-Time) -New Hampshire
CVS Health
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Full Time
·
3 months ago
CVS Health
The physician will provide comprehensive in-home health evaluations, which include medication and medical history review, a physical evaluation, and diagnostic tests, while engaging with patients one-on-one to answer health questions. This role requires extensive travel, up to 100% of the time, across defined coverage areas, potentially necessitating overnight stays.
In-home Traveler Physician (Full-Time) -Massachusetts
CVS Health
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Full Time
·
3 months ago
CVS Health
The physician will provide in-home health evaluations, which include medication and medical history reviews, physical evaluations, and potentially diagnostic tests, connecting with people in their homes to bridge gaps in care. This role requires up to 100% travel across defined coverage areas, potentially necessitating overnight stays, and involves conducting virtual visits as needed.
The physician will provide in-home health evaluations, engaging with individuals to bridge gaps in care, which includes medication and medical history review, physical evaluation, and potentially diagnostic tests. This role requires extensive travel, up to 100% of the time, across defined coverage areas, potentially necessitating overnight stays.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Shenandoah
CVS Health
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Full Time
·
3 months ago
CVS Health
The clinician will conduct in-home health evaluations lasting about 45 minutes, which include medication and medical history review, a physical evaluation, and diagnostic tests if ordered. They will engage with people to bridge gaps in care and build trusted relationships to improve health outcomes.
In-Home Health - Nurse Practitioner or Physician Assistant (Per Diem) - Emporia
CVS Health
·
Full Time
·
3 months ago
CVS Health
The clinician will provide in-home health evaluations, connecting one-on-one with individuals to review health history, medications, and perform physical evaluations, while also conducting virtual visits as needed. This role involves joining a national network of clinicians dedicated to improving health outcomes by bringing personalized health evaluations directly to members' homes.
The Physician will conduct in-home health evaluations lasting about 45 minutes, which includes reviewing medical history and medications, performing a physical evaluation, and conducting diagnostic tests if ordered. This role involves engaging with patients one-on-one to build trusted relationships and help bridge gaps in care.
In-Home Health - Nurse Practitioner or Physician Assistant (Per Diem) - Kingsport
CVS Health
·
Full Time
·
3 months ago
CVS Health
The clinician will conduct comprehensive, personalized in-home health evaluations lasting about 45 minutes, which includes reviewing medical history, medications, and performing physical evaluations. They will also be responsible for fulfilling requirements for specified Signify Health services, including diagnostic and preventive services, while connecting patients to the right care.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Fredericksburg
CVS Health
·
Full Time
·
3 months ago
CVS Health
The clinician will conduct in-home health evaluations lasting about 45 minutes, which includes reviewing medical history, performing a physical evaluation, and potentially conducting diagnostic tests. They will join a national network of clinicians dedicated to improving health outcomes by connecting millions of people nationwide to the right care for their unique needs.
In-home Traveler Nurse Practitioner or Physician Assistant (Full-Time) - New York
CVS Health
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Full Time
·
3 months ago
CVS Health
This role involves providing in-home care as a Nurse Practitioner or Physician Assistant, contributing to building a connected, convenient, and compassionate health experience for individuals. The position is full-time, anticipating 40 weekly hours, and is part of a team dedicated to simplifying healthcare one person, one family, and one community at a time.
In-home Traveler Nurse Practitioner or Physician Assistant (Full-Time) -New Hampshire
CVS Health
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Full Time
·
3 months ago
CVS Health
The clinician will provide in-home health evaluations, engaging with people to bridge gaps in care, which includes medication and medical history review, and physical evaluations. This role requires extensive travel, up to 100% of the time, within a defined coverage area, potentially necessitating overnight stays.
In-home Traveler Nurse Practitioner or Physician Assistant (Full-Time) -Massachusetts
CVS Health
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Full Time
·
3 months ago
CVS Health
The clinician will provide comprehensive in-home health evaluations, which include medication and medical history review, a physical evaluation, and potentially diagnostic tests, lasting about 45 minutes per visit. This role involves extensive travel, up to 100% of the time, across a defined coverage area to build trusted relationships and improve health outcomes.
The Physician will provide In-Home Health Evaluations, engaging with people one-on-one to answer health questions, review medical history, and conduct physical evaluations, while also performing diagnostic and preventive services as ordered by health plans. This role involves joining a national network of clinicians dedicated to improving health outcomes by visiting millions of people nationwide to connect them with the right care for their unique needs.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Harrisburg
CVS Health
·
Full Time
·
3 months ago
CVS Health
The clinician will conduct in-home health evaluations lasting about 45 minutes, which include medication and medical history review, a physical evaluation, and diagnostic tests when ordered. They will join a national network of clinicians dedicated to improving health outcomes by providing connections to the right care for individuals' unique needs.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Williamsport
CVS Health
·
Full Time
·
3 months ago
CVS Health
The clinician will conduct in-home health evaluations lasting about 45 minutes, which includes reviewing medical history, performing a physical evaluation, and potentially conducting ordered diagnostic tests. This role involves engaging with patients to answer health questions and bridge gaps in care within a national network of clinicians.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Altoona
CVS Health
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Full Time
·
3 months ago
CVS Health
The clinician will conduct in-home health evaluations lasting about 45 minutes, which includes reviewing medical history, performing a physical evaluation, and conducting diagnostic tests as ordered. Responsibilities also involve joining a national network of clinicians dedicated to improving health outcomes and fulfilling Signify Health service requirements.
Therapists will provide psychosocial support and education to address the mental well-being of individuals, couples, and families aged 13 and older, utilizing evidence-based care and assessment tools to ensure continuity of treatment. They will practice at the top of their license with clinical team support while reaching patients within their communities.
In-Home Health - NP or PA (Full Time) - Otsego County, Albany NY
CVS Health
·
Full Time
·
3 months ago
CVS Health
The clinician will provide comprehensive in-home health evaluations, which include medication and medical history reviews, physical assessments, and diagnostic tests, lasting about 45 minutes per visit. They will join a national network of clinicians dedicated to improving health outcomes by connecting millions of people nationwide to the right care for their unique needs.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Wheeling
CVS Health
·
Full Time
·
3 months ago
CVS Health
The clinician will conduct comprehensive, personalized in-home health evaluations lasting about 45 minutes, which includes reviewing medical history, performing a physical evaluation, and conducting diagnostic tests as ordered. They will also be responsible for fulfilling all Signify Health services, including diagnostic and preventive services, while joining a national network dedicated to improving health outcomes.
In-Home Health - Physician (Part Time) - Wenatchee, WA
CVS Health
·
Full Time
·
3 months ago
CVS Health
The Physician will provide in-home health evaluations, engaging with individuals to bridge gaps in care by conducting comprehensive assessments including medication review and physical evaluations. This role involves joining a national network of clinicians dedicated to improving health outcomes by visiting millions of people nationwide.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Tompkins & Binghampton, NY
CVS Health
·
Full Time
·
3 months ago
CVS Health
The role involves conducting in-home health evaluations, engaging with patients to answer health questions and bridge gaps in care. Clinicians will build trusted relationships and provide personalized health evaluations.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Washington (Traveler)
CVS Health
·
Full Time
·
3 months ago
CVS Health
The role involves providing in-home health care to patients, ensuring a compassionate and connected health experience. The Nurse Practitioner or Physician Assistant will work closely with patients and their families to simplify health care.
The role involves providing in-home physician services as part of a team dedicated to building a connected, convenient, and compassionate health experience. The physician will help simplify healthcare one person, one family, and one community at a time.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Fulton & Albany, NY
CVS Health
·
Full Time
·
3 months ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to bridge gaps in care. Responsibilities include conducting health assessments and connecting patients to appropriate care.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) Penobscot, ME
CVS Health
·
Full Time
·
4 months ago
CVS Health
The clinician will conduct in-home health evaluations lasting about 45 minutes, which include reviewing medical history, performing a physical evaluation, and potentially conducting diagnostic tests. They will be responsible for fulfilling all Signify Health services, including Diagnostic & Preventive Services, while building trusted relationships with members.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Brainerd, MN
CVS Health
·
Full Time
·
4 months ago
CVS Health
The clinician will conduct comprehensive in-home health evaluations lasting about 45 minutes, which includes reviewing medical history, performing a physical evaluation, and potentially administering diagnostic tests. This role involves engaging with patients locally and virtually to bridge gaps in care and build trusted relationships.
The Physician will provide In-Home Health Evaluations, engaging with people in their homes to bridge gaps in care through comprehensive, personalized health assessments including medication review and physical evaluation. This role involves joining a national network of clinicians dedicated to improving health outcomes by conducting visits and fulfilling Signify Health service requirements.
In-Home Nurse Practitioner or Physician Assistant Part Time - Winchester
CVS Health
·
Full Time
·
4 months ago
CVS Health
The clinician will conduct in-home health evaluations lasting about 45 minutes, which includes reviewing medical history, performing a physical evaluation, and conducting diagnostic tests as ordered. They will engage with individuals to answer health questions and bridge gaps in care while using an iPad for clinical workflow.
The physician will provide in-home health evaluations lasting about 45 minutes, which includes medication and medical history review, a physical evaluation, and potentially diagnostic tests. This role involves joining a national network of clinicians dedicated to improving health outcomes by visiting millions of people nationwide.
The Physician will conduct in-home health evaluations lasting about 45 minutes, which includes reviewing medical history, medications, and performing a physical evaluation to bridge gaps in care. They will also be responsible for conducting virtual visits as needed and providing specified diagnostic and preventive services.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) Augusta, ME
CVS Health
·
·
4 months ago
CVS Health
The clinician will conduct comprehensive in-home health evaluations lasting about 45 minutes, which includes reviewing medical history, medications, and performing physical evaluations. This role focuses on connecting with patients to bridge gaps in care and providing necessary diagnostic and preventive services as ordered.
This role involves acting as both a Technical Lead and Individual Contributor to architect, design, and implement highly scalable, fault-tolerant, cloud-native services using container orchestration and automated CI/CD pipelines. The engineer will also troubleshoot complex distributed system issues, define technical roadmaps with stakeholders, and enforce microservice resiliency patterns.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Colorado Springs
CVS Health
·
·
4 months ago
CVS Health
The clinician will conduct comprehensive in-home health evaluations lasting about 45 minutes, which include reviewing medical history, performing a physical evaluation, and potentially ordering diagnostic tests. They will be responsible for building trusted relationships with members and connecting them to the right care based on their unique needs.
The role involves providing psychosocial support and education to address the mental well-being of individuals, couples, and families aged 13 and older, utilizing evidence-based care and assessment tools to ensure continuity of treatment.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Hartford CT
CVS Health
·
Full Time
·
4 months ago
CVS Health
The clinician will provide comprehensive in-home health evaluations lasting about 45 minutes, which includes reviewing medical history, medications, and performing physical evaluations. This role focuses on building trusted relationships and connecting people to the right care by conducting visits locally and virtually as required.
In-Home Health - Nurse Practitioner or Physician Assistant (Per Diem) - Pullman, WA
CVS Health
·
Full Time
·
4 months ago
CVS Health
The clinician will conduct in-home health evaluations lasting about 45 minutes, which includes reviewing medical history, performing physical evaluations, and potentially administering diagnostic tests. They will join a national network of clinicians dedicated to improving health outcomes by connecting people to the right care for their unique needs.
In-Home Health - Physician (Per Diem) -Bellingham, WA
CVS Health
·
Full Time
·
4 months ago
CVS Health
The physician will conduct in-home health evaluations, engaging with patients to answer health questions and review their medical history. They will also provide connections to appropriate care based on individual needs.
In-Home Health - Nurse Practitioner or Physician Assistant (Per Diem) - Olympia, WA
CVS Health
·
Full Time
·
4 months ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to bridge gaps in care. They will conduct assessments, answer health questions, and build trusted relationships to improve health outcomes.
In-Home Nurse Practitioner or Physician Assistant Full Time - Danville-Martinsville
CVS Health
·
Full Time
·
4 months ago
CVS Health
The clinician will conduct in-home health evaluations, engaging with patients to provide personalized care and bridge gaps in health services. They will build trusted relationships and help connect patients to the right care based on their unique needs.
In-Home Physician Part Time - Danville-Martinsville
CVS Health
·
Full Time
·
4 months ago
CVS Health
The Physician will provide In-Home Health Evaluations, which include medication and medical history review, a physical evaluation, and potentially diagnostic tests, lasting about 45 minutes per visit. They will join a national network of clinicians dedicated to improving health outcomes by connecting millions of people nationwide to the right care for their unique needs.
The Physician will conduct comprehensive in-home health evaluations lasting about 45 minutes, which includes reviewing medical history, medications, and performing a physical evaluation. This role focuses on building trusted relationships and connecting patients to the right care by providing personalized health evaluations right at their homes.
The physician will conduct in-home health evaluations, engaging with patients to bridge gaps in care and improve health outcomes. They will build trusted relationships and provide personalized health evaluations.
The physician will conduct in-home health evaluations, engaging with patients to bridge gaps in care. They will build trusted relationships and provide personalized health evaluations.
The physician will conduct in-home health evaluations, engaging with patients to answer health questions and review their medical history. They will also provide connections to appropriate care based on individual needs.
In-Home Traveler Nurse Practitioner or Physician Assistant Full Time - VA
CVS Health
·
Full Time
·
4 months ago
CVS Health
The clinician will conduct in-home health evaluations, engaging with patients to assess their health needs and provide personalized care. This role requires extensive travel within a defined coverage area to meet patients in their homes.
In-Home Traveler Nurse Practitioner or Physician Assistant Full Time - PA
CVS Health
·
Full Time
·
4 months ago
CVS Health
The role involves conducting in-home health evaluations and engaging with patients to bridge gaps in care. Clinicians will connect with patients, review their medical history, and perform physical evaluations.
The physician will conduct in-home health evaluations, engaging with patients to answer health questions and review their medical history. They will also provide connections to appropriate care based on individual needs.
The physician will conduct in-home health evaluations, engaging with patients to bridge gaps in care. This role involves building trusted relationships and providing personalized health evaluations.
The physician will conduct in-home health evaluations, engaging with patients to answer health questions and review their medical history. They will also help bridge gaps in care and connect patients to the right services.
In-Home Traveler Nurse Practitioner or Physician Assistant Full Time - NJ
CVS Health
·
Full Time
·
4 months ago
CVS Health
The clinician will conduct in-home health evaluations, engaging with patients to assess their health needs and provide personalized care. This role requires extensive travel within a defined coverage area to meet patients in their homes.
The physician will conduct in-home health evaluations, engaging with patients to answer health questions and review their medical history. They will also help bridge gaps in care and connect patients to the appropriate health services.
The physician will conduct in-home health evaluations, engaging with patients to bridge gaps in care. They will build trusted relationships and provide personalized health evaluations.
The physician will conduct in-home health evaluations, connecting with patients to answer health questions and review their medical history. They will also provide diagnostic and preventive services as needed.
The physician will conduct in-home health evaluations, engaging with patients to review their medical history and perform physical evaluations. They will also help bridge gaps in care and connect patients to the appropriate health services.
The physician will conduct in-home health evaluations, engaging with patients to assess their health needs and bridge gaps in care. This role involves building trusted relationships and providing personalized health evaluations.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Minnesota (Traveler)
CVS Health
·
Full Time
·
5 months ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to bridge gaps in care. This role requires extensive travel across a defined coverage area to conduct assessments and connect patients with appropriate care.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Minnesota (Traveler)
CVS Health
·
Full Time
·
5 months ago
CVS Health
The clinician will conduct in-home health evaluations, engaging with patients to assess their health needs and provide personalized care. This role requires extensive travel across a defined coverage area to meet patients in their homes.
The role involves providing psychosocial support and education to address the mental wellbeing of individuals, couples, and families aged 13 and older using evidence-based care and available assessment tools. Therapists will practice at the top of their license while reaching patients within their communities, supported by the clinical care team.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Rockingham County NH
CVS Health
·
Full Time
·
5 months ago
CVS Health
The clinician will conduct in-home health evaluations, engaging with patients to answer health questions and review their medical history. They will also provide connections to appropriate care based on individual needs.
The physician will conduct in-home health evaluations, engaging with patients to bridge gaps in care. They will build trusted relationships and provide personalized health evaluations.
In-Home Health - Physician (Part Time) - Seattle WA
CVS Health
·
Full Time
·
5 months ago
CVS Health
Provide in-home health evaluations to patients, engaging with them to address their health needs. Build trusted relationships and help bridge gaps in care through personalized health assessments.
In-Home Health - Nurse Practitioner or Physician Assistant (Per Diem) - Pullman WA
CVS Health
·
Full Time
·
5 months ago
CVS Health
Conduct in-home health evaluations and engage with patients to answer health questions. Build trusted relationships to improve health outcomes and connect patients to appropriate care.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Wilmar, MN
CVS Health
·
Full Time
·
6 months ago
CVS Health
The clinician will conduct in-home health evaluations, engaging with patients to answer health questions and review medical histories. They will also provide diagnostic and preventive services as needed.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Washington (Traveler)
CVS Health
·
Full Time
·
6 months ago
CVS Health
The clinician will conduct in-home health evaluations, engaging with patients to answer health questions and review medical histories. They will also provide connections to appropriate care based on individual needs.
Care Management Associate - OhioRISE - must reside in Ohio
CVS Health
·
Full Time
·
8 months ago
CVS Health
The Care Management Associate manages enrollment for the Children’s Specialty program and supports comprehensive coordination of medical services. This includes developing wellness plans, engaging community resources, and ensuring effective utilization of healthcare services.
The Senior Manager of Clinical Innovation manages and drives use cases within the clinical innovation portfolio to solve key business problems. This role involves collaborating with cross-functional teams to develop, test, and implement innovative solutions.
Care Management Coordinator OhioRISE – Field – Must reside West Region of Ohio
CVS Health
·
Full Time
·
8 months ago
CVS Health
The Care Management Coordinator collaborates and informs the case management process to facilitate appropriate healthcare outcomes for members. This includes conducting comprehensive evaluations, coordinating care plans, and monitoring progress to ensure quality of care.
Responsible for all population health management components and oversee the strategic design, implementation, and evaluation of population health initiatives. Develop and implement operational plans that align with established population health goals and coordinate with various stakeholders on population health activities.
As a Staff Software Development Engineer, you'll lead efforts to create end-to-end CI/CD pipelines and build applications and tools that enhance the deployment experience across CVS Enterprise. You'll focus on delivering scalable solutions that improve customer experience and align with enterprise initiatives.
The Medical Director (Spine) will expand Aetna's medical management programs to address member needs across the continuum of care and support the Medical Management staff. They will lead utilization review and quality assurance, providing clinical expertise and business direction in support of medical management programs.
Care Management Associate OhioRISE, must live in OHIO
CVS Health
·
Full Time
·
8 months ago
CVS Health
The Care Management Associate manages enrollment for the Children’s Specialty program and supports comprehensive coordination of medical services. This role involves developing wellness plans, engaging community resources, and ensuring effective utilization of healthcare services.
The UM Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal requests. This position is primarily responsible for Utilization Management, including prior authorization as well as concurrent review.
The Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal requests. This position is primarily responsible for Utilization Management, including prior authorization and pre-certification as well as concurrent review.
The Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal requests. This position is primarily responsible for Utilization Management, including prior authorization and pre-certification as well as concurrent review.
The Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal requests. This position is primarily responsible for Utilization Management, including prior authorization and precertification as well as concurrent review.
The Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal requests. This position is primarily responsible for Utilization Management, including prior authorization and concurrent review.
The Medical Director will oversee medical policy implementation and participate in the development and evaluation of clinical programs. They will focus on utilization review and quality assurance, ensuring effective execution of medical services programs.
The UM Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal requests. This position is primarily responsible for Utilization Management, including prior authorization as well as concurrent review.
The Medical Director will direct daily work on Part C appeals and provide support to appeal nurses. They will also monitor IRE and collaborate with Medicare Quality and Compliance.
Case Manager – Registered Nurse – Field – Southwest Michigan + Bonus Available
CVS Health
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Full Time
·
8 months ago
CVS Health
The Case Manager is responsible for assessing, planning, implementing, and coordinating case management activities to evaluate the medical needs of members. They develop proactive care plans and collaborate with various stakeholders to enhance member wellness and address health and social challenges.
Lead the design and development of solutions for complex technical projects while acting as a subject matter expert. Collaborate with various stakeholders to solve technical problems and ensure timely progress of system design and development tasks.
The Staff Software Development Engineer will design, build, and deploy infrastructure capabilities for database technologies in various cloud environments. They will collaborate with multiple teams to create automation and improve customer experiences.
Manager - Strategic Financial Planning & Investments
CVS Health
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Full Time
·
8 months ago
CVS Health
The Manager will support key financial initiatives through financial modeling, capital planning, and business case development. This role involves collaboration across teams to drive data-informed decisions and operational efficiency.
The Case Manager RN is responsible for assessing, planning, implementing, and coordinating case management activities with members to evaluate their medical needs. This role involves developing proactive strategies to enhance members' overall wellness and facilitate smooth transitions to Aetna programs and plans.
Care Management Associate - OhioRISE - Must live in Ohio
CVS Health
·
Full Time
·
8 months ago
CVS Health
The Care Management Associate will interface with various groups providing care coordination services for eligible children and young adults receiving Medicaid services in Ohio. They will handle administrative tasks, including managing inbound care management inquiries and processing referrals.
The Care Management Associate manages enrollment for the Children’s Specialty program and supports comprehensive coordination of medical services. This includes developing wellness plans, engaging community resources, and ensuring effective utilization of healthcare services.
Care Management Coordinator OhioRISE Central/SE Ohio region
CVS Health
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Full Time
·
8 months ago
CVS Health
The Care Management Coordinator collaborates with various stakeholders to facilitate healthcare outcomes for members by providing care coordination, support, and education. They conduct comprehensive evaluations of members' needs and implement care plans while monitoring progress.
The Lead Director of UM Innovation Delivery manages and drives initiatives to solve key business problems and create new value for Utilization Management. This role involves leading strategic projects, collaborating with senior leadership, and overseeing the execution of complex initiatives aligned with corporate goals.
As a Medical Economics Analyst, you will provide consultative support and medical cost-based analysis of markets and network initiatives. You will analyze utilization and unit cost medical cost drivers and manage multiple projects to improve patient care.
Senior Manager - Value Based Commercial Arrangements– Clinical Consultant
CVS Health
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Full Time
·
8 months ago
CVS Health
This role ensures clinical programs and workflows are delivered accurately and on time, focusing on evaluating population health programs within Value Based Contracting. The Clinical Consultant provides consultative solutions to improve quality, increase efficiency, and drive cost savings within client organizations.
As a Product Manager, you will provide technical, analytical, and business support for Medicare, Medicaid, and Commercial products. You will develop business requirements, analyze program reporting, and ensure compliance with client and regulatory requirements.
