The Senior Manager drives Front Store business performance by partnering with merchandising teams to develop data-driven pricing strategies and category growth recommendations. They also collaborate with cross-functional teams to implement pricing tools and present analytical insights to leadership.
CVS Health
557 Remote Job Openings at CVS Health
Senior Manager, Project Management β Pharmacy Compliance
CVS Health
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Full Time
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an hour ago
CVS Health
The Senior Manager leads strategic compliance initiatives and cross-functional projects for pharmacy programs, ensuring adherence to state and federal regulations. They serve as a subject matter expert, providing regulatory interpretation and mentoring project managers to drive effective execution.
Review clinical information and apply guidelines to support coverage decisions while collaborating with providers to coordinate treatment. Identify opportunities to improve care quality and resource utilization while connecting members to necessary programs.
The Senior Analyst designs and maintains actuarial systems, models, and analytical tools to support Medicare Part D informatics. They collaborate with stakeholders to deliver risk management analysis and ensure actuarial processes are well-documented and effective.
The role involves conducting comprehensive chart reviews to support care teams and facilitate efficient medical care. It also includes partnering with regional leaders to optimize population health workflows and clinical documentation efforts.
MinuteClinic Virtual Care Nurse Practitioner - PRN
CVS Health
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Part Time, Freelance
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2 hours ago
CVS Health
The Nurse Practitioner will provide holistic, evidence-based virtual care, including assessment, diagnosis, and treatment for patients aged 18 months and older. They will also document all patient encounters in Epic and coordinate care within a multidisciplinary team.
The Lead Director will translate strategic priorities into effective workflows and coordinated execution across business, clinical, and technology domains. This role involves leading within a 5-in-the-box operating model to drive operational process refinement and ensure sustained adoption of system-enabled initiatives.
You will design, develop, and implement digital solutions using a modern microfrontend architecture while collaborating with cross-functional teams to deliver new features. Additionally, you will monitor and troubleshoot applications in production while mentoring junior developers to foster a culture of technical excellence.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Spokane, WA
CVS Health
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Part Time
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3 hours ago
CVS Health
Conduct in-home health evaluations including medication reviews, physical assessments, and diagnostic screenings for health plan members. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
Review complex clinical criteria-based prior authorizations in accordance with company policies and regulatory standards. Collaborate with pharmacists, clinical colleagues, and healthcare professionals to ensure accurate and timely determination of medical services.
Minute Clinic Virtual Care Nurse Practitioner - PRN
CVS Health
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Part Time, Freelance
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3 hours ago
CVS Health
The Nurse Practitioner provides holistic, evidence-based virtual care, including assessment, diagnosis, and treatment for patients aged 18 months and older. They also manage patient health counseling, medication management, and coordinate care within a multidisciplinary team.
Facilitate member physical and behavioral healthcare through comprehensive assessments, care planning, and direct provider coordination. Provide crisis intervention and ongoing coaching to empower members in their healthcare decision-making and lifestyle choices.
The Medicare Field Sales Manager provides strategic leadership by setting sales targets, developing growth strategies, and managing a team to drive revenue. They are responsible for building client relationships, conducting market research, and ensuring compliance with healthcare regulations and company policies.
The Pharmacy Technician will provide support within a call center environment to ensure a connected and compassionate health experience for patients. They will be responsible for maintaining safety and quality standards while assisting individuals and families with their healthcare needs.
The Patient Support Specialist serves as a key point of contact for patients, managing inbound calls regarding appointments, billing, and insurance inquiries. They ensure compliance with HIPAA regulations while providing compassionate support for both in-person and virtual care services.
Manager, Medicaid Market Research and Competitive Analysis
CVS Health
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Full Time
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4 hours ago
CVS Health
The manager will direct in-depth market and competitive research to inform capture strategy and proposal development for Medicaid managed care contracts. They will collaborate with cross-functional teams to synthesize complex intelligence into actionable insights that support business growth.
The Senior Manager leads competitive intelligence and capture strategy for Medicaid markets to improve proposal win probability. They govern the enterprise-wide competitive intelligence framework and collaborate with cross-functional teams to inform strategic positioning.
The Director leads the development and management of a Medicaid competitive intelligence function to inform capture strategy and executive decision-making. This role oversees a team responsible for competitor profiling, bid analysis, and the maintenance of a comprehensive intelligence library to improve win probability.
The Product Manager will drive key initiatives within the PBM Product Innovation Team by managing financial operations, invoicing, and commercialization support. They will also act as a liaison between business and technical teams to ensure project alignment, process standardization, and successful delivery of solutions.
Manager, Medicaid Market Research and Competitive Analysis
CVS Health
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Full Time
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4 hours ago
CVS Health
The manager directs in-depth market and competitive research to inform capture strategy and proposal development for Medicaid managed care contracts. They collaborate with cross-functional teams to synthesize complex intelligence into actionable insights that drive business growth.
Pharmacy Technician - Prior Authorization - Work From Home
CVS Health
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Full Time
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6 hours ago
CVS Health
Processes prior authorization requests by utilizing clinical guidelines and computer resources to support review decisions. Communicates status updates to providers and pharmacies while maintaining accurate documentation and meeting productivity standards.
You will drive revenue and customer satisfaction in the Front Store business by designing and delivering advanced analytic solutions for retail pricing. You will also collaborate with cross-functional teams to architect scalable data pipelines and deploy complex data science models within the Palantir Foundry ecosystem.
In-Home Health - Physician (Per Diem) -Olympia/ Thurston, WA
CVS Health
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Part Time
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19 hours 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 answer health questions and provide diagnostic services while maintaining accurate clinical documentation via an iPad.
The role involves making outbound calls to health plan members to schedule in-home or virtual healthcare evaluations. You will be responsible for meeting daily productivity and quality goals while following approved scripts and maintaining accurate records.
Lead Director - Software Engineering (Health100 Platform)
CVS Health
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Full Time
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20 hours ago
CVS Health
The Lead Director will own the strategic vision, architecture, and execution of the Health100 platform roadmap, integrating distributed systems with generative AI. They will lead and mentor engineering teams while ensuring consumer-centric design and operational excellence across all digital health products.
Senior Manager, Events: Influence β Strategy & Activation
CVS Health
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Full Time
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20 hours ago
CVS Health
The Senior Manager will drive high-impact events such as executive forums and industry roundtables to bring the company's customer experience strategy to life. They will collaborate across departments including Technology, Marketing, and Government Affairs to create technology-forward experiences that influence key stakeholders.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Wenatchee/ Chelan, WA
CVS Health
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Part Time
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20 hours ago
CVS Health
Conduct in-home health evaluations for health plan members, including medication reviews, physical assessments, and diagnostic screenings. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
The representative will make over 300 outbound telemarketing calls daily to prospective patients to convert them into new patients. They are responsible for understanding patient needs, explaining the company's value proposition, and scheduling doctor's appointments while meeting performance quotas.
Senior Manager - Software Engineering (Health100 Platform)
CVS Health
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Full Time
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21 hours ago
CVS Health
Lead the architecture and delivery of scalable distributed systems and AI-powered multi-agent platforms for the Health100 consumer experience. Mentor engineering teams while driving technical strategy, performance standards, and cross-functional collaboration across the organization.
The Staff Software Development Engineer will lead the Aetna Transactional Cache Team to build a next-generation operational data platform. They will define the technical vision, manage stakeholder relationships, and drive high-impact AI initiatives to improve member and provider experiences.
The Staff Software Development Engineer will lead a high-performing team to build and maintain a next-generation, strategic operational data platform. They will drive high-impact AI initiatives and define the technical vision to align with organizational business goals.
The Pricing Manager supports the development and execution of pricing strategies to drive category performance and revenue growth. This role involves building analytical dashboards, querying large datasets, and conducting market research to inform data-driven pricing decisions.
The Cloud Architect will lead the design, development, and delivery of scalable cloud-native solutions while driving the technical roadmap aligned with product strategy. This role involves bridging the gap between product requirements and engineering execution to build secure, production-ready platforms.
Case Management Coordinator - Field Illinois (Cook County)
CVS Health
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Full Time
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a day ago
CVS Health
The Case Management Coordinator facilitates healthcare outcomes by assisting members with appointment scheduling, benefit access, and care plan implementation. They utilize critical thinking to evaluate member needs, identify high-risk factors, and collaborate with multidisciplinary teams to ensure quality of care.
The Patient Escalation Specialist conducts telephonic outreach to patients to assist with care model engagement and identifies suitable primary care settings. They also document interactions in electronic medical records while collaborating with clinical teams to support complex patient needs.
The Senior Analyst is responsible for researching, analyzing, and correcting rejected pharmacy-generated Medicaid encounters. They will also manage client relationships, provide recurring metric reports, and communicate technical findings to non-technical stakeholders.
The role involves providing operational support for Microsoft Exchange Online and Microsoft 365 Copilot, including troubleshooting, service optimization, and user enablement. You will also develop automated workflows using PowerShell and collaborate with cross-functional teams to ensure system reliability and security.
The Customer Relations Representative supports retail pharmacy stores by responding to inbound customer inquiries via phone, email, and letters. They act as a customer advocate by researching and applying company policies to resolve concerns professionally and efficiently.
The specialist is responsible for reviewing medical claims, verifying policy coverage, and ensuring accurate reimbursement processing. They must document claim information, assess compliance with coding guidelines, and investigate claims requiring additional validation.
The Senior Quality Specialist acts as a subject matter expert to monitor and improve the quality and effectiveness of claim processing and customer service workflows. They conduct regular audits to ensure compliance with regulatory standards and provide actionable recommendations to management for process and training improvements.
Lead the architecture, design, and implementation of scalable enterprise software solutions while driving the transition toward AI-driven, cloud-native platforms. You will remain hands-on in coding and design while partnering with cross-functional teams to deploy production-grade Agentic and Generative AI solutions.
Directs medical, clinical, and payment policy initiatives while leading cross-functional teams to execute complex projects from initiation to completion. Ensures regulatory compliance, manages budgets and resources, and provides expert policy guidance to stakeholders to improve claim accuracy and operational performance.
Case Management Supervisor - Behavioral Health β Arizona Mercy Care
CVS Health
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Full Time
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a day ago
CVS Health
The supervisor oversees up to 14 behavioral health case managers by auditing documentation, providing clinical direction, and ensuring member needs are met. They also participate in leadership committees and serve as a subject matter expert for specialty caseloads and projects.
The Billing Lead serves as the primary escalation point for billing issues and leads internal training to ensure operational readiness. They also oversee the migration from legacy billing tools to the new Employer Portal while driving continuous process improvement.
The Senior Manager provides strategic leadership for financial planning and analysis by managing a team and coordinating budgeting and forecasting processes. They collaborate with stakeholders to align financial goals with business objectives while driving process improvements and risk assessment.
The Enrollment Lead serves as the primary point of contact for enrollment matters, managing operational support and feature development within the Aetna Employer Portal. This role also oversees user acceptance testing, system migrations, and process improvements to ensure seamless billing and customer experience.
The Senior Analyst will formulate pricing strategies and execute financial modeling for PBM client contracts, including retail, mail order, and specialty pharmacy services. They will collaborate with sales and account teams to provide pricing recommendations and present financial analyses to executive leadership.
Mgr, Business Analysis, Workforce Initiatives, Data & Analytics
CVS Health
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Full Time
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a day ago
CVS Health
The manager will lead workforce intelligence and analytics initiatives to support enterprise planning, talent pipeline development, and business decision-making. They are responsible for transforming complex workforce data into actionable insights and managing the data ecosystem across various enterprise platforms.
Territory Sales Executive - Central Michigan area of Great Lakes Region
CVS Health
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Full Time
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a day ago
CVS Health
The Territory Sales Executive is responsible for selling specialty pharmacy services to physicians, hospitals, and medical clinics within the Central Michigan region. They will independently execute marketing plans and serve as the primary contact for providers to support patients with chronic illnesses.
The Sales Operations Analyst supports the sales team by managing analytical tasks, preparing reports, and tracking operational workflows. They are responsible for data validation, maintaining case files, and ensuring accurate presale deliverables.
Director, AI Solutions, Medicaid RFP Writing and Content
CVS Health
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Full Time
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a day ago
CVS Health
The Director of AI Solutions will lead the strategy, governance, and evolution of AI and automation capabilities to enhance healthcare proposal development. This role involves building high-performing teams and partnering with stakeholders to drive technology adoption and measurable business value.
Sr Manager, AI Solutions, Medicaid RFP Writing and Content
CVS Health
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Full Time
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a day ago
CVS Health
Lead the implementation, governance, and optimization of AI and automation solutions to enhance proposal quality, compliance, and operational efficiency. Partner with cross-functional teams to develop AI-enabled content libraries and deliver training programs that drive AI proficiency across the organization.
The Manager will drive the identification and incubation of new growth opportunities within the Retail Pharmacy portfolio by building business cases and strategic roadmaps. They will partner with cross-functional teams to ensure operational feasibility and execute pilot programs that address patient needs.
The Vice President of Corporate Development will lead enterprise-wide merger, acquisition, divestiture, and strategic investment activities for CVS Health. This role involves advising senior leadership and the Board on inorganic growth opportunities while rebuilding and strengthening the corporate development function.
The Principal Cloud Engineer will lead the design, engineering, and evolution of private cloud storage platforms, focusing on large-scale architecture and data protection. They will drive strategic technology decisions, mentor engineering teams, and ensure the integrity and security of enterprise storage systems.
The Sales Vice President is responsible for developing and executing sales strategies to drive membership growth and new logo wins within the National Accounts South region. This includes managing consultant relationships, leading finalist presentations, and collaborating with cross-functional teams to deliver competitive RFP submissions.
Registered Nurse Case Manager - LTSS - Field in Passaic and surrounding counties, New Jersey
CVS Health
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Full Time
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a day ago
CVS Health
The Registered Nurse Case Manager will conduct in-home, face-to-face assessments to evaluate member needs and coordinate physical, behavioral, and psychosocial services. They will partner with interdisciplinary teams to develop individualized care plans and authorize services to ensure high-quality, cost-effective care.
The Director of Platform Operations will lead the systems, processes, and governance strategies to enable high-quality proposal development. This role involves managing the operations team, overseeing proposal workflows, and utilizing analytics to drive operational excellence and business growth.
Director, Knowledge Enablement, Medicaid Proposal Content
CVS Health
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Full Time
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2 days ago
CVS Health
The Director will lead the strategy, governance, and execution of content management practices to support Medicaid proposal development. This role involves building content standards, overseeing training programs, and utilizing analytics to optimize proposal readiness and operational effectiveness.
The Care Management Specialist coordinates care for members by conducting telephonic health assessments and developing individualized care plans. They collaborate with an interdisciplinary team to address social determinants of health and ensure regulatory compliance.
Lead Director, Technology Strategy and Program Governance
CVS Health
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Full Time
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3 days ago
CVS Health
The Lead Director will shape the technology strategy, governance, and operational excellence for the Third-Party Administrator and Payer Solutions organization. They will serve as a trusted advisor to executive leadership, overseeing portfolio governance, financial management, and strategic execution to drive business growth.
Virtual Clinician Home Evaluations Physician Full Time -Michigan
CVS Health
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Full Time
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3 days ago
CVS Health
Conduct approximately 30-minute video visits with health plan members to perform medication and medical history reviews. Educate members on their health journey and ensure all clinical documentation and compliance metrics are met.
You will lead a team of engineers to build and scale an enterprise-grade API platform while collaborating with cross-functional stakeholders to define strategy and roadmaps. You are responsible for mentoring team members, fostering a strong engineering culture, and ensuring the platform meets the needs of thousands of internal developers.
The Transition of Care Coordinator facilitates behavioral health transitions by conducting clinical assessments, developing care plans, and coordinating wraparound services to reduce readmissions. They provide crisis intervention, educate members on health management, and collaborate with interdisciplinary teams to ensure optimal, cost-effective outcomes.
The Case Manager coordinates comprehensive care by assessing patient needs, developing personalized care plans, and facilitating transitions between care settings. They also conduct utilization reviews and manage patient data to ensure cost-effective, high-quality health outcomes.
The Case Manager RN is responsible for assessing, planning, and coordinating care for members with complex medical and social challenges. They utilize clinical tools and motivational interviewing to improve health outcomes and facilitate wellness through proactive care planning.
The Senior Decision Scientist will partner with Specialty Operations leaders to solve complex business problems using data, analytics, and quantitative decision-making. This role focuses on translating ambiguous business questions into analytical frameworks and generating actionable insights to influence strategic and operational decisions.
The Analyst, Outreach Coordinator facilitates healthcare quality improvements by performing medical record reviews and managing HEDIS measures. They collaborate with provider partners and internal teams to close care gaps and enhance clinical data capture.
The Product Manager will define the vision, strategy, and roadmap for the data governance platform to ensure data is discoverable, trusted, and well-managed. They will collaborate with cross-functional teams to translate governance requirements into scalable platform capabilities that drive organizational adoption.
Case Manager Registered Nurse - Field (Somerset County, New Jersey)
CVS Health
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Full Time
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4 days ago
CVS Health
The Case Manager develops proactive care plans to enhance member wellness and coordinates medical needs for dual-eligible populations. They act as frontline advocates by assessing, planning, and implementing case management activities while collaborating with interdisciplinary teams.
The Patient Care Coordinator serves as the primary point of contact for patients and healthcare providers, managing inquiries and resolving concerns. They are responsible for guiding new patients through the infusion onboarding process while maintaining accurate records across multiple computer systems.
You will lead multiple mobile engineering teams to deliver scalable, accessible digital health experiences while managing technical strategy and team health. The role involves partnering with product and design leaders to align on priorities and fostering a culture of accountability and continuous improvement.
The Case Manager RN is responsible for assessing, planning, and coordinating medical care for members through both telephonic and face-to-face interactions. They develop proactive care plans to address complex health needs and facilitate transitions to appropriate health programs.
The Case Management Coordinator evaluates member needs and eligibility to develop and implement effective care plans. They collaborate with multidisciplinary teams to ensure quality of care and provide coaching to empower members in their healthcare decision-making.
Design, develop, and implement AI solutions and systems by architecting and coding software applications. Collaborate with cross-functional teams to drive technical roadmaps and ensure the safety and quality of AI engineering projects.
The Lead Director will oversee the modernization roadmap for Specialty Pharmacy, driving operational efficiency and technology strategy. They will lead diverse engineering teams across multiple geographies to deliver high-quality software solutions using Agile methodologies.
The Clinical Team Lead is responsible for conducting root cause investigations into clinical appeals and implementing corrective actions to improve operational outcomes. This role involves collaborating with cross-functional teams to validate the effectiveness of process changes and ensure compliance with clinical standards.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) -Providence, RI
CVS Health
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Full Time
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4 days ago
CVS Health
The clinician will conduct in-home health evaluations, including medication reviews, physical assessments, and diagnostic tests. They are responsible for building trusted relationships with patients to bridge gaps in care and improve health outcomes.
The Chief of Staff will act as the primary partner to the SVP of Healthcare Analytics, overseeing financial stewardship, operational processes, and executive communications. They will drive strategic planning, talent management, and cross-functional coordination to ensure the organization meets its performance goals.
The AS/400 Developer is responsible for the development, maintenance, and implementation of complex software applications for the Rx Claim Adjudication team. They will champion SDLC methodologies, perform system analysis and design, and ensure quality standards through rigorous testing and debugging.
The Staff Product Portfolio Manager shapes and drives the product portfolio strategy for the ISTS organization by creating connective tissue across engineering towers. This role is responsible for establishing a coherent product operating model, ensuring outcome-to-KPI alignment, and resolving complex cross-tower challenges.
Client Experience Manager, Pharmacy Benefits Management
CVS Health
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Full Time
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4 days ago
CVS Health
The Client Experience Manager will support plan changes, facilitate ID card processes, and manage reporting for pharmacy benefit clients. Additionally, the role involves overseeing prior authorization, resolving claims issues, and managing member eligibility.
The Data Scientist will utilize advanced statistical methods and machine learning to optimize healthcare models and improve patient outcomes. They will collaborate with stakeholders to design studies, assess ROI, and develop data-driven insights from large structured and unstructured datasets.
The Market Head of Sales leads a team of Sales Executives to achieve revenue, membership, and profitability objectives within the small-mid size group market. They are responsible for developing sales strategies, cultivating relationships with producers and plan sponsors, and overseeing business development activities.
Product Owner - Interoperability Reporting in Clinical Technology
CVS Health
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Full Time
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4 days ago
CVS Health
The Product Owner will lead the reporting team to deliver enterprise-level analytics, operational metrics, and AI-powered reporting experiences for interoperability products. They are responsible for defining the product roadmap, managing the backlog, and collaborating with cross-functional teams to ensure data-driven insights support business and clinical outcomes.
The analyst will manage financial operations within the revenue cycle for Pharmacy Benefit Management (PBM) services. Responsibilities include monitoring financial performance, performing reconciliations, and ensuring accurate reporting of revenue data.
Pharmacy Technicians manage pharmacy workstations to safely and accurately fill patient prescriptions while maintaining regulatory compliance. They provide compassionate care and support to patients, ensuring all medication needs are met with high ethical standards.
The Senior Legal Counsel will serve as the primary advisor for labor and employment matters, managing litigation, internal investigations, and regulatory compliance. They will partner with HR and business leadership to navigate workforce issues, including union relations and policy development across a multi-state environment.
The Senior Manager of Provider Performance is responsible for guiding healthcare providers toward value-based care models by analyzing performance metrics and interpreting complex data. They also develop patient engagement strategies, manage financial performance, and provide educational support to ensure successful care delivery.
The role involves analyzing contractual performance metrics and translating complex data into actionable insights to guide healthcare providers toward value-based care outcomes. Additionally, the manager will develop patient engagement strategies, implement risk stratification models, and provide educational support to ensure successful practice transitions.
The Senior Manager will synthesize market and competitive intelligence to influence business strategy and executive decision-making. They will leverage AI and emerging technologies to translate complex data into actionable insights for sales, product, and marketing teams.
The Care Management Associate conducts telephonic outreach to Medicaid members to facilitate enrollment in care management programs. They act as a healthcare navigator, coordinating services and performing warm transfers to care managers while maintaining accurate documentation.
Design, build, and operate enterprise API gateway services to ensure secure and scalable integration across mission-critical applications. Lead API platform modernization, governance, and operational standards while providing technical leadership and mentorship to the team.
The Senior Analyst will support fully insured pricing and forecasting activities by developing methodologies and maintaining actuarial tools. They will collaborate with Underwriting and cross-functional teams to analyze emerging experience and drive strategic pricing decisions.
The representative will handle customer inquiries regarding benefits and claims while providing guidance and support to ensure satisfaction. They are responsible for documenting interactions, educating members on resources, and maintaining accurate, confidential patient records.
Develops, maintains, and architects scalable software applications while providing technical guidance and mentorship to junior engineers. Collaborates with stakeholders to gather requirements and ensures software quality through rigorous testing and performance monitoring.
The Senior Project Manager will lead complex, enterprise-wide technology initiatives and digital transformation efforts. They will serve as the primary liaison between technology and business teams to ensure project alignment, execution, and delivery.
The Manager, CRM Marketing will design and execute data-driven, journey-based marketing campaigns across email and SMS channels to drive patient engagement. They will collaborate with cross-functional teams to optimize campaign performance and ensure all communications comply with healthcare privacy regulations.
The role involves achieving managed care growth targets by identifying and developing relationships with qualified insurance agents and health plan leaders. It also requires training internal teams on value-based care models and coordinating grassroots marketing activities to support center growth.
Senior Manager, Platform Operations, Medicaid Proposals
CVS Health
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Full Time
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5 days ago
CVS Health
The Senior Manager will lead the administration, governance, and optimization of proposal platforms while designing process improvements to enhance team performance. They will also develop training programs and provide operational insights through dashboards and reporting to support business priorities.
The Contract Coordinator Analyst supports the Medicaid Network management team by managing the provider contracting lifecycle and ensuring the accuracy of provider documentation. Responsibilities include auditing provider records, maintaining the master contract repository, and ensuring compliance with regulatory and organizational requirements.
Senior Software Development Engineer (Delivery Manager))
CVS Health
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Full Time
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5 days ago
CVS Health
The role involves overseeing technical delivery, solution design, and execution for complex projects while partnering with cross-functional teams. You will drive modernization initiatives, perform code reviews, and ensure adherence to security and quality standards.
This role manages dental provider recruitment and contracting strategies, including complex dental service organizations. It also leads regional ground campaigns and develops best practices for provider negotiations and network improvement projects.
You will design, build, and maintain scalable distributed systems for high-throughput SMS/MMS messaging platforms. This includes managing carrier integrations, ensuring regulatory compliance, and optimizing system reliability and performance.
The Senior iOS Engineer will design and build scalable platform solutions, including architecture, build tooling, and CI/CD pipelines to support mobile development teams. They will also develop automation tools and provide technical guidance to improve developer productivity and ensure engineering excellence.
You will participate in an Agile Product Team to build high-quality, usable products for the Claims and Payments team. This involves developing both frontend and backend code while educating business and technology personnel on agile development processes.
The Senior Manager drives strategic and long-range planning, manages the operating rhythm for the Security Engineering organization, and leads internal communications and talent engagement initiatives. This role translates executive priorities into measurable execution plans and fosters alignment across cross-functional teams.
The Senior Manager of Solution Engineering leads a team of engineers to design, develop, and implement complex technical solutions for enterprise initiatives. They are responsible for talent management, system performance optimization, and cross-functional collaboration to drive business value.
The Executive Director leads underwriting strategy, risk assessment, and pricing initiatives to support organizational growth and profitability. They serve as a strategic partner to major healthcare clients while managing cross-functional teams to deliver innovative financial solutions.
Design, develop, and maintain scalable full stack applications, APIs, and automation solutions to enhance operational efficiency. Collaborate with cross-functional teams to deliver cloud-native software that supports critical contact center and telephony business functions.
The manager will oversee systems and applications supporting Accounts Receivable processes, including maintenance, enhancements, and project management. They are also responsible for leading, coaching, and developing team members to ensure operational accountability and strategic growth.
The Member Advocate conducts direct outreach to DSNP members to introduce programs, gather demographic information, and schedule assessments. They also provide support during enrollment calls, manage member triage, and maintain accurate electronic records in compliance with HIPAA.
The Lead Director oversees provider enrollment, credentialing, and network activation operations to ensure regulatory compliance and revenue integrity. They lead a team of managers to drive operational excellence, scale processes, and resolve complex enrollment-related barriers.
The Senior Manager will lead the development of long-term growth strategies, financial models, and business cases for new healthcare product initiatives. They will act as a key advisor to the Executive Leadership Team by translating complex data into actionable strategic narratives.
The Lead Director will shape long-term strategy and innovative service offerings by translating vision into actionable growth initiatives. They will lead cross-functional teams to pressure-test new product concepts and provide strategic advisory support to the Executive Leadership Team.
The Territory Sales Executive is responsible for selling specialty pharmacy services to physicians, clinics, hospitals, and academic institutions. They must independently formulate and execute marketing plans while serving as the primary contact for providers within their assigned territory.
The Staff Product Manager will lead the strategy and execution of internal cloud infrastructure products, focusing on automated and self-service platform experiences. They will own complex, cross-functional roadmaps and partner with engineering and architecture teams to drive product outcomes.
The analyst performs advanced payer-level analysis to maximize collections, reduce bad debt, and ensure compliance with federal and state requirements. They identify systemic drivers of payment issues through trend analysis and provide actionable recommendations to leadership to improve operational performance.
The pharmacy technician is responsible for accurately entering prescriptions into the computer system, calculating doses, and managing insurance payments. They must also collaborate with a diverse team and route unclear prescriptions to prescribers for clarification.
The Care Manager coordinates care for members with chronic conditions by conducting assessments and developing individualized care plans. They provide disease management education and collaborate with an interdisciplinary team to connect members with necessary health plan benefits and community resources.
Coordinate peer-to-peer review requests and prepare accurate correspondence for members and providers within the Behavioral Health Medicare process. Ensure all workflows comply with CMS requirements and are completed within mandated turnaround times.
The Utilization Management Nurse Consultant reviews clinical records to determine medical necessity and coordinates care to ensure cost-effective healthcare services. They also support safe discharge planning and ensure compliance with federal and state turnaround-time requirements.
Senior Category Manager Business Development and Moments
CVS Health
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Full Time
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5 days ago
CVS Health
The Senior Category Manager leads a Center of Excellence focused on accelerating growth through business development, seasonal strategies, and high-impact partnerships. They are responsible for managing P&L performance, defining commercial roadmaps, and executing product launches across a complex matrixed environment.
The Pharma Reporting Data Manager leads the delivery of pharmaceutical manufacturer contractual reporting and serves as the business product owner for the Real-Time Status Portal. This role involves translating complex contractual requirements into scalable solutions, managing data operations, and driving continuous improvement through root cause analysis and system enhancements.
The Senior Analyst will act as a business partner to provide data-driven financial insights and support strategic healthcare goals. Responsibilities include preparing financial and regulatory reports, managing data via SQL, and identifying trends to support leadership decision-making.
The Senior Manager will lead the design, integration, and commissioning of automation systems within specialty dispensing environments to improve infrastructure and efficiency. They will also oversee operational readiness, performance optimization, and staff training to ensure seamless transitions to automated workflows.
The Industry Analysis Coordinator supports Maximum Allowable Cost (MAC) list maintenance, analysis, and quality control activities. This role also involves reviewing pharmacy MAC appeals, collaborating with legal teams, and ensuring pricing accuracy and regulatory compliance.
Case Manager Registered Nurse - Field (Burlington/Ocean/Monmouth Counties, NJ)
CVS Health
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Full Time
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5 days ago
CVS Health
The Case Manager will conduct face-to-face assessments to evaluate member medical needs and wellness while developing proactive care plans. They will collaborate with interdisciplinary teams to help members access vital services and achieve improved health outcomes.
The manager is responsible for delivering analytical solutions for pharmaceutical manufacturers, including data analysis, insight development, and the creation of client-ready materials. They will also collaborate with cross-functional teams to refine methodologies while ensuring compliance with data privacy and governance standards.
Senior Manager, Value-Based Care Contracting (Louisiana)
CVS Health
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Full Time
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6 days ago
CVS Health
The Senior Manager directs provider network management and negotiates value-based contracts to improve health outcomes and cost efficiency in the Louisiana Medicaid market. They also conduct market analysis and collaborate with internal teams to ensure network adequacy and alignment with strategic organizational goals.
R0919156 Lead Director, Provider Performance Value-Based Care (Georgia)
CVS Health
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Full Time
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6 days ago
CVS Health
The Lead Director is responsible for establishing and managing value-based relationships with network providers to meet total cost and quality goals. They oversee the complete contracting cycle, including planning, negotiation, and performance management across complex provider systems.
Lead Director - Digital Product Management (Pharmacy Services Financial Technology Solutions)
CVS Health
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Full Time
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6 days ago
CVS Health
The Lead Director will define the strategic vision and roadmap for enterprise Pharmacy Benefit Management reporting products while managing cross-functional teams. They will act as a strategic advisor to business leaders, ensuring product value delivery and alignment with organizational financial goals.
The Care Manager coordinates care for members with chronic conditions by conducting assessments and developing individualized care plans. They provide disease management education, facilitate access to community resources, and collaborate with an interdisciplinary team to ensure optimal health outcomes.
The Utilization Management Nurse Consultant assesses, plans, and coordinates healthcare services to ensure appropriate benefit utilization for members. They apply clinical criteria to render coverage determinations and communicate effectively with providers to facilitate quality care.
The Senior Analyst will develop complex SQL queries to extract and analyze healthcare data to provide clinical insights and track product metrics. They will collaborate with cross-functional teams to deliver high-quality analytics and visualizations that support diagnostic and preventative services.
The Supervisor oversees the daily operations of the audit team to ensure accurate credentialing and re-credentialing processes. They are responsible for analyzing performance metrics, ensuring regulatory compliance, and providing coaching to team members.
The Sales Operations Analyst supports sales enablement by managing Salesforce and other business tools while acting as a liaison between technology teams and business partners. They are also responsible for educating and training Account Managers on system functionality and delivering comprehensive results for business issues.
The Care Manager facilitates the delivery of healthcare benefits and coordinates case management activities for chronically ill members across the continuum of care. They act as a liaison between members, providers, and insurance carriers to optimize wellness outcomes and ensure appropriate condition management.
The Medical Claim Analyst reviews provider coding and reimbursement denial disputes to ensure accurate claim processing. They research claim history using internal systems and collaborate with clinicians to resolve complex claim issues.
The Lead Director manages the development and negotiation of complex provider contracts to meet network adequacy, financial, and quality goals. They also collaborate cross-functionally to implement strategic network configurations and drive cost-saving initiatives.
Utilization Management Nurse Consultant-Central Time Zone Preferred
CVS Health
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Full Time
·
6 days ago
CVS Health
The Utilization Management Nurse Consultant reviews and assesses clinical information to support coverage and care decisions while applying clinical guidelines. They collaborate with interdisciplinary teams to coordinate treatment and identify opportunities for care management to improve member outcomes.
The Contract Negotiation Manager negotiates and executes contracts with Behavioral Health providers while managing dispute resolution and network performance. They also recruit providers to meet network adequacy targets and collaborate cross-functionally on pricing and compensation strategies.
The nurse consultant reviews and assesses clinical information to support utilization and coverage determinations while collaborating with providers to facilitate appropriate care plans. They serve as a clinical resource to promote quality, cost-effective healthcare outcomes for members.
Senior Manager, Omnichannel Commercialization Strategy & Business Development
CVS Health
·
Full Time
·
6 days ago
CVS Health
The Senior Manager will support business development for pharmacy network expansion and lead the commercialization strategy for new B2B services. They will synthesize complex data into actionable insights and facilitate decision-making across cross-functional teams.
The Senior Coordinator oversees the investigation and resolution of appeals, ensuring compliance with federal and state regulations while mentoring staff. They also identify trends, manage inventory, and serve as a primary point of contact for leadership and regulators regarding escalated cases.
Case Manager Registered Nurse-Pacific Time Zone Preferred
CVS Health
·
Full Time
·
6 days ago
CVS Health
The Nurse Case Manager will conduct comprehensive health assessments and develop personalized care plans to improve member health outcomes. They will coordinate clinical and community resources while collaborating with multidisciplinary teams to ensure effective care transitions.
The Principal Architect will define and implement strategic technology roadmaps with a focus on applied AI, cloud infrastructure, and microservices to drive business value. They will also provide technical leadership, mentorship, and architectural governance to ensure high-quality, scalable, and secure software delivery across the enterprise.
The analyst provides financial consultation and pricing support to help win and retain business by analyzing pharmaceutical data. They collaborate with internal teams and clients to formulate data-driven strategies and present actionable recommendations to leadership.
The coordinator performs non-clinical activities related to prior authorizations and appeals in accordance with established policies. They ensure compliance with ERISA, CMS, and Medicaid requirements while working as part of a team to meet business objectives.
The Software Development Engineer - SRE is responsible for maintaining, supporting, and improving software applications through monitoring, alerting, and incident resolution. They will also contribute to continuous improvement initiatives and ensure stable application performance by collaborating with cross-functional teams.
The manager will lead digital innovation initiatives for specialty pharmacy patient experiences, including defining project visions and requirements. They will collaborate with cross-functional teams to build business cases and monitor data to drive continuous improvement in digital products.
The Customer Service Representative will educate members on benefits and claims while resolving inquiries to improve health outcomes. They are responsible for documenting interactions, maintaining confidential records, and providing proactive support to ensure customer satisfaction.
Staff Software Development Engineer - Tech Lead (Agentic)
CVS Health
·
Full Time
·
6 days ago
CVS Health
Architect and build full-stack AI application capabilities, including agent backend services, APIs, and front-end interfaces. Lead technical design for agent-powered features and mentor engineering teams on agentic systems and reliability standards.
The Utilization Management Nurse Consultant coordinates and documents benefit management programs by applying clinical expertise and medical necessity criteria. They collaborate with providers to facilitate optimal care, identify members for care management, and ensure effective utilization of healthcare services.
The RN Case Manager conducts comprehensive assessments and develops individualized care plans for members with complex medical and social needs. They facilitate transitions of care and coordinate services across various settings, including homes, hospitals, and skilled nursing facilities.
Alternative Health & Advocacy Solutions COE Senior Project Manager
CVS Health
·
Full Time
·
7 days ago
CVS Health
The Senior Project & Program Manager serves as a strategic owner for navigation, advocacy, and Alternative Health partner portfolios. This role oversees partner performance, operational readiness, and cross-functional initiatives to ensure effective service delivery and organizational growth.
The Account Manager acts as a liaison between clients and the enterprise to manage relationships, identify growth opportunities, and ensure customer satisfaction. They are responsible for conducting quarterly executive reviews, managing contract renewals, and developing action plans for at-risk accounts.
The Lead Director will oversee project and process management initiatives while leading a team of analysts to reduce overturns. This role involves collaborating across departments to drive continuous improvement and providing strategic insights to senior leadership.
The Account Manager is responsible for managing client relationships, ensuring customer satisfaction, and driving customer success. They will analyze client needs, resolve issues, and provide regular reporting on account status and performance.
The Utilization Management Nurse Consultant reviews clinical information to support coverage determinations and coordinates care with providers. They also identify opportunities to improve healthcare quality and serve as a clinical resource for benefit management questions.
The Utilization Management Nurse Consultant reviews clinical information to support coverage determinations and coordinates healthcare services for members. They collaborate with providers to facilitate appropriate treatment planning and identify opportunities to improve healthcare quality and outcomes.
The Case Manager facilitates comprehensive care coordination, assessment, and planning to meet the health needs of members and their families. They act as a liaison between members, providers, and insurance carriers to ensure quality, cost-effective outcomes and promote wellness.
The nurse consultant reviews clinical information and applies evidence-based criteria to support coverage determinations and facilitate appropriate treatment plans. They also assess, coordinate, and monitor healthcare services while serving as a clinical resource for internal and external stakeholders.
The role involves maintaining, integrating, and implementing software applications while coordinating testing and quality assurance processes. It also ensures proper controls are maintained over test and production systems and software source code.
In-Home Nurse Practitioner or Physician Assistant (Part Time) - St. George
CVS Health
·
Full Time
·
7 days 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.
The nurse consultant will review clinical information using evidence-based criteria to support coverage determinations and facilitate appropriate treatment plans. They will also collaborate with care teams to improve quality, efficiency, and healthcare utilization for members.
The advisor identifies quality improvement opportunities and partners with provider practices to implement strategies that enhance patient care outcomes and operational efficiency. They also conduct performance analysis, lead improvement initiatives, and facilitate educational training for healthcare providers.
The Care Management Specialist coordinates care for members by conducting health risk assessments and addressing social determinants of health. They collaborate with an interdisciplinary team to develop individualized care plans and ensure regulatory compliance.
The Case Manager facilitates the delivery of healthcare services through assessment, planning, and care coordination to meet individual and family health needs. They act as a liaison between members, providers, and insurance carriers to ensure cost-effective outcomes and timely return to work.
The engineer is responsible for techno-functional impact analysis, design, and code construction for Aetna guest experience systems. They will collaborate with cross-functional teams to deliver innovative Java-based software solutions throughout the entire development life cycle.
The nurse consultant assesses, plans, and coordinates healthcare services to facilitate appropriate member benefits. They apply clinical criteria to render coverage determinations and communicate with providers to ensure quality care.
Lead a team to build and maintain business rules ensuring client change requests are financially assessed before implementation. Coordinate across departments to model projected rebate guarantee impacts and provide consultative support to internal and external stakeholders.
Acts as the primary point of contact for clients to oversee day-to-day PBM operations and ensure timely delivery of requests. Coordinates between clients and internal cross-functional teams to resolve complex business issues and meet performance guarantees.
Perform evidence-based clinical reviews to make coverage determinations and recommendations for healthcare services. Coordinate with providers and care teams to ensure appropriate utilization and high-quality member outcomes.
Serves as the senior finance executive for Medicaid markets, providing strategic leadership and accountability for revenue, margin, and earnings. Leads and coaches a team of Market CFOs to drive financial discipline and sustainable margin improvement across the region.
Executive Director, Regulatory Management, Network Standards & Technology Transformation
CVS Health
·
Full Time
·
8 days ago
CVS Health
Lead the strategy and execution of regulatory implementation, technology modernization, and capital investment planning for Pharmacy Network Services. Act as a bridge between business operations, technology, and compliance to ensure scalable operational capabilities and regulatory adherence.
Provide technical and analytical leadership to shape Aetna's Finance Data Governance function and modernize the finance data ecosystem. Manage claims data domain ownership, data quality initiatives, and strategic partnerships across the Health Care Business.
Lead back-end engineering teams to create exceptional member experiences through digital services and cloud migration. Provide strategic guidance, coaching, and technical vision while integrating emerging AI technologies to enhance operational efficiency.
Senior Manager, CFAO Change Management & Communications
CVS Health
·
Full Time
·
8 days ago
CVS Health
Lead a department-wide portfolio of change management and communications initiatives for the Client Financial Analysis Organization. Manage a high-performing team to develop training, onboarding curricula, and strategic communication mechanisms for internal end users.
The Case Manager utilizes a collaborative process of assessment, planning, and care coordination to meet the comprehensive health needs of individuals and families. They collaborate with providers and community organizations to address healthcare and social determinant needs for quality, cost-effective outcomes.
Utilization Management Nurse Consultant (UM) - Work at Home CST Zone
CVS Health
·
Full Time
·
8 days ago
CVS Health
Coordinate and document the utilization and benefit management process to ensure members receive appropriate levels of care. Review clinical documentation and collaborate with providers to make coverage determinations based on medical necessity.
Utilization Management Nurse Consultant (UM) - Work at Home CST Zone
CVS Health
·
Full Time
·
8 days ago
CVS Health
The UM Nurse Consultant reviews clinical documentation to ensure members receive safe, effective, and appropriate care based on medical necessity. They collaborate with providers and facilities to coordinate treatment plans and facilitate efficient discharge planning.
The Claims Reviewer reviews pharmacy claims to identify and rectify inaccuracies that would lead to client over-payment. This involves contacting pharmacies for proper documentation and following policies to correct inaccurate submissions.
Pharmacy Benefits Management (PBM) Underwriting, Senior Analyst
CVS Health
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Full Time
·
8 days ago
CVS Health
Formulate pricing strategies and execute financial modeling for PBM client contracts, including retail networks and manufacturer rebates. Collaborate with Sales and Account Services to achieve revenue targets and present financial analyses to executive leadership.
Lead social media data strategy, reporting, and the development of self-service dashboards to drive business results. Manage data governance, standardization, and QA for live campaigns while collaborating with marketing teams to extract actionable insights.
Conduct comprehensive clinical assessments and develop individualized case management plans to improve member health outcomes. Collaborate with care teams and Medical Directors to advocate for members and ensure access to appropriate services.
Conduct comprehensive clinical assessments to develop and monitor individualized case management plans for members. Collaborate with care teams and Medical Directors to advocate for members and ensure cost-effective health outcomes.
Review clinical documentation and apply guidelines to support coverage decisions for members. Collaborate with providers and care teams to coordinate appropriate treatment and improve resource utilization.
Lead Director, New Business Operations and Enablement, Trade Strategy & Innovation
CVS Health
·
Full Time
·
8 days ago
CVS Health
Lead the sales operations and enablement for Life Sciences Innovation, focusing on improving contracting, invoicing, and revenue realization processes. Partner with cross-functional teams to manage pharmaceutical manufacturer partnerships and develop scalable commercial enablement materials.
Staff Software Development Engineer (myPBM Strategy & Operations Lead)
CVS Health
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Full Time
·
8 days ago
CVS Health
This hybrid role drives technical execution and organizational effectiveness by leading the design of scalable web applications and cloud solutions. The lead also manages strategic planning, operational governance, and executive reporting to align technology investments with business outcomes.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Wenatchee, WA
CVS Health
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Full Time
·
10 days ago
CVS Health
Conduct comprehensive in-home health evaluations, including physical exams and medical history reviews, to bridge gaps in care. Provide diagnostic and preventive services while building trusted relationships with patients in their homes.
The Contract Manager serves as a subject matter expert responsible for negotiating, executing, and auditing complex provider contracts to enhance network accessibility and quality. The role involves recruiting providers, managing contract performance, and collaborating cross-functionally on pricing and reimbursement strategies.
The role is responsible for designing and delivering AI-enabled reporting and analytical solutions using GCP and Tableau for Specialty Mail Operations. It involves owning the full analytics lifecycle from data validation and modeling to executive-level insight delivery.
Acts as a subject matter expert to ensure the accuracy and clarity of benefits communications for a large plan sponsor. Collaborates with creative teams and clients to develop strategic communication roadmaps and translate complex benefit plan changes into actionable content.
Drive innovation and operational excellence for complex, high-value initiatives to improve product and service delivery. This includes designing growth strategies, performing deep-dive analytics, and creating executive-level presentations to simplify complex problems for leadership.
The Medical Director provides clinical expertise to support high-quality medical care with a focus on clinical and payment policy. Key duties include conducting transactional reviews for appeals, clinical claims, and predeterminations, specifically focusing on DRG reviews and ICD-10 code selection.
The Medical Director provides clinical expertise to support medical and payment policy, focusing on high-quality constituent care. Key duties include conducting transactional reviews for appeals, clinical claims, and benefit predeterminations in Commercial and Medicare environments.
The role involves reviewing behavioral healthcare assessments and care plans for children with complex needs within the OhioRISE program. It requires providing clinical consultation to care coordinators and utilizing clinical judgment to ensure medical appropriateness and quality of care.
The role involves leading cross-functional teams to develop and implement innovative clinical solutions and strategic initiatives. It focuses on managing projects from ideation through scaling to solve business problems and deliver value within the Clinical Solutions business unit.
The role involves reviewing clinical information and applying guidelines to make coverage determinations across the care continuum. The consultant collaborates with providers and internal teams to coordinate care and improve member outcomes.
Own the end-to-end roadmap for clinician performance tools, including the MySignify Scorecard and the Clinician Management Module. Drive the strategy for AI-powered features and use A/B testing to improve clinician quality metrics and operational efficiency.
Virtual Clinician Home Evaluations Physician Full Time - VA
CVS Health
·
Full Time
·
11 days ago
CVS Health
The physician will conduct virtual home evaluations to provide connected and compassionate health experiences. The role focuses on simplifying healthcare for individuals and communities through remote clinical services.
Lead a team of analysts to drive growth and operational efficiency within the sales call center through data-backed solutions. Collaborate with cross-functional leaders to develop reporting and implement initiatives that improve acquisition ROI and growth velocity.
Virtual Clinician Home Evaluations Nurse Practitioner or Physician Assistant Full Time - VA
CVS Health
·
Full Time
·
11 days ago
CVS Health
Conduct 30-minute virtual visits with health plan members to review medical histories and medications. Educate members on their health and identify gaps in care to connect them with appropriate services.
Utilization Management Nurse Consultant (UM) - Work at home in CST Zone
CVS Health
·
Full Time
·
11 days ago
CVS Health
The UM Nurse Consultant coordinates and documents the utilization and benefit management process to ensure members receive appropriate care. Key duties include reviewing clinical documentation for medical necessity and collaborating with providers to support cost-effective healthcare delivery.
Utilization Management (UM) Nurse Consultant - Work at Home in CST Zone
CVS Health
·
Full Time
·
11 days ago
CVS Health
The UM Nurse Consultant coordinates and documents the utilization and benefit management process to ensure members receive appropriate care. Key duties include reviewing clinical documentation for medical necessity and collaborating with providers to support cost-effective treatment plans.
Utilization Management (UM) Nurse Consultant - Work at Home in EST or CST Zone
CVS Health
·
Full Time
·
11 days ago
CVS Health
The UM Nurse Consultant coordinates and documents the utilization and benefit management process to ensure members receive appropriate care. Key tasks include reviewing clinical documentation for medical necessity and collaborating with providers to support cost-effective healthcare delivery.
Utilization Management (UM) Nurse Consultant - Work at Home in EST Zone
CVS Health
·
Full Time
·
11 days ago
CVS Health
The role involves reviewing clinical documentation to determine medical necessity and appropriate benefit use for members. The consultant coordinates care plans and collaborates with providers to ensure high-quality, cost-effective healthcare delivery.
Utilization Management (UM) Nurse Consultant - Work at Home in EST Zone
CVS Health
·
Full Time
·
11 days ago
CVS Health
The UM Nurse Consultant reviews clinical documentation to ensure members receive safe and appropriate care based on medical necessity. They collaborate with providers and facilities to coordinate treatment plans and facilitate efficient discharge planning.
Lead Medicare Advantage and ACA risk adjustment analytics, predictive modeling, and financial valuations to drive risk score accuracy. Manage a high-performing informatics team and partner with executive leadership to influence organizational strategy and operational outcomes.
Provide strategic leadership for digital engineering functions and oversee the delivery of member-facing health benefit capabilities. Manage engineering teams, define technical roadmaps, and align technical solutions with business goals to drive digital transformation.
The role is responsible for designing financial, pricing, and analytics models to drive business results for PBM. It involves providing guidance to internal teams and transferring best practices and tools to partners.
Aetna/CVS Health Virtual Underwriting Externship Program - Intro to Insurance & Underwriting
CVS Health
·
Full Time
·
11 days ago
CVS Health
Participants will learn the fundamentals of insurance underwriting, risk analysis, and pricing strategies through virtual training and case studies. The program focuses on professional development and networking with industry experts to prepare students for future internship opportunities.
Virtual Clinician Home Evaluations Nurse Practitioner or Physician Assistant Full Time - PA
CVS Health
·
Full Time
·
12 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 identify gaps in care to connect them with appropriate services.
Manager, Clinical Informatics & Analytics, Womenβs Health & Genomics
CVS Health
·
Full Time
·
12 days ago
CVS Health
The role involves performing advanced analytics and clinical informatics to generate actionable insights for Women's Health and Genomics. It also focuses on developing and deploying AI/ML solutions to improve healthcare workflows, quality, and access.
Acts as the primary resource for high-profile providers to maintain positive relationships and resolve complex issues regarding policies, claims, and compensation. Collaborates cross-functionally to ensure service levels are met and assists with provider recruitment and contracting activities.
Lead the development and enhancement of digital products by managing the entire product lifecycle from ideation to testing. Collaborate with cross-functional technical teams and business partners to define product vision, roadmaps, and strategies to increase competitive advantage.
The Customer Program Owner leads the end-to-end customer journey for Health100 pharmacy management systems, from onboarding through value realization. This includes managing strategic relationships, governing program delivery, and advocating for customer needs within the product roadmap.
Lead the technical direction and architecture for an enterprise API platform, including the developer portal and API catalog. Drive the integration of AI-powered capabilities and MCP servers to enhance the developer experience across the organization.
The Care Management Associate provides non-clinical administrative support to the Florida LTSS team, focusing on member outreach and appointment coordination. They handle data entry, referral processing, and support case managers to ensure effective care delivery.
Manager, Production Support Services / Incident Management
CVS Health
·
Full Time
·
13 days ago
CVS Health
Oversee the full lifecycle of IT incident response and coordinate cross-functional teams to restore services rapidly. Lead root cause analysis and integrate AI technologies to improve incident management practices and reduce resolution time.
Lead cross-functional initiatives and translate strategic priorities into actionable plans within the Medical Affairs Central Program Office. Coordinate with leadership and analytics partners to monitor progress, improve operational workflows, and ensure the execution of key business objectives.
Lead the design, development, and deployment of AI-powered products and agentic systems across the enterprise. Coach other architects and engineers on applied-AI coding techniques and AI-augmented workflows to accelerate production cycles.
Lead and manage a team of software engineers by providing technical direction, architecture guidance, and mentorship. Drive the technical strategy and execution of software initiatives while ensuring production stability and high availability.
Senior Network Contracting Negotiation Manager, Medicaid (Michigan)
CVS Health
·
Full Time
·
13 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, resolve disputes, and implement value-based strategic relationships to meet financial and quality goals.
Review clinical cases to make coverage determinations using evidence-based guidelines. Collaborate with providers and care teams to coordinate appropriate treatment and improve member outcomes.
Define and execute the enterprise strategy for securing software across the full development lifecycle, owning policies, technical standards, and tooling. Lead a team of security engineers to embed security into agile practices and serve as a trusted advisor to executive stakeholders on software risk.
Review clinical cases to make coverage determinations using evidence-based guidelines. Collaborate with providers and care teams to coordinate appropriate treatment and improve member outcomes.
Manage the utilization process for behavioral health services by conducting comprehensive assessments and determining appropriate levels of care. Collaborate with providers and multidisciplinary teams to develop individualized care plans and ensure compliance with medical necessity criteria.
Case Manager Registered Nurse - Work At Home - San Antonio Texas
CVS Health
·
Full Time
·
13 days ago
CVS Health
The Case Manager RN assesses member needs to develop personalized care plans and coordinates resources to improve health outcomes. They collaborate with multidisciplinary teams and support members through telephonic and virtual interactions.
Partner with Registered Nurse Case Managers to support members through assessment, care planning, and advocacy. Identify and coordinate community resources to help members overcome barriers to medical, behavioral health, and social needs.
Utilization Management Nurse Consultant - Medical Review (Remote)
CVS Health
·
Full Time
·
13 days ago
CVS Health
Perform clinical reviews of medical cases to determine medical necessity using evidence-based criteria and plan policies. Collaborate with providers and assist in training new nurse reviewers to ensure high-quality care management.
Coordinates prevention and wellness activities to promote timely preventive care through member and provider education and outreach. Evaluates and reports on the outcomes of health interventions while monitoring performance against state and federal standards.
The role involves reviewing and adjudicating Medicare medical claims on the HRP-HealthEdge Platform according to CMS guidelines. It is a production-based position supporting various Medicare workstreams including front-end claims and rework.
Oversee key strategies to improve patient responsiveness and reduce attrition by optimizing the patient journey and digital engagement. Lead the development of operational frameworks, such as First Call Resolution workflows and QA frameworks, to standardize support across the organization.
Staff Cloud Security Engineer- Vulnerability Management
CVS Health
·
Full Time
·
14 days ago
CVS Health
Lead vulnerability remediation and security baseline programs across multi-cloud platforms and enterprise database environments. Act as a technical advisor to design and implement security controls for containerized environments and cloud-based systems.
Develop and execute advanced pricing strategies to drive revenue growth and margin optimization across business units. Lead a team of pricing professionals while partnering with Data Science and Engineering to scale modern pricing tools and machine learning models.
Medicare Part B Operations Coordinator, Revenue Cycle
CVS Health
·
Full Time
·
14 days ago
CVS Health
Supports end-to-end Medicare Part B claims processing and ensures compliance with CMS requirements through prescriber outreach and documentation review. Manages a centralized repository of documentation to reduce bad debt and mitigate legal risks for the Revenue Cycle Team.
Coordinate and facilitate comprehensive care for pediatric individuals enrolled in the Department of Child Safety Children's Health Plan. This includes assessing needs, developing personalized care plans, and monitoring progress to enhance overall well-being.
Virtual Clinician Home Evaluations - Nurse Practitioner or Physician Assistant - WA
CVS Health
·
Full Time
·
14 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.
Act as a liaison between health plans, members, and physician practices to coordinate medical appointments and wellness visits. Manage high-volume outbound and inbound calls while maintaining accurate member records and meeting productivity goals.
Responsible for delivering pharmaceutical manufacturers' contractual reporting requirements and providing post-production data support. This includes redlining contracts, creating business requirements, and performing root cause analysis on data issues using SQL.
Plans and manages internal projects to meet business objectives and state regulatory compliance for the Quality Management program. Links quality management activities to business goals through innovation and integration of data sources.
The role involves resolving insurance claim issues and ensuring timely follow-up on patient accounts to secure proper reimbursement. Responsibilities include processing refunds, correcting claim rejections, and interfacing with payers via phone and web portals.
Lead the enterprise AWS platform engineering team, serving as the technical authority for architecture, security, and scalability. Design and maintain the AWS Landing Zone and Terraform frameworks to enable automated, self-service infrastructure deployments.
Manages the daily operations of the Care Coordination team and leads the implementation of new product integrations and strategic workflows. Oversees team performance, quality compliance, and cross-functional collaborations to improve member health outcomes.
Lead the enterprise GCP platform engineering team, owning the architectural direction, security, and scalability of the cloud environment. Drive the implementation of Infrastructure as Code and automation to create repeatable, self-service platform capabilities.
Act as the initial point of contact for prior authorization requests from members and providers. Maintain accurate documentation of approvals and denials and determine when complex requests require pharmacist assistance.
Lead the Provider Performance function by collaborating with Med Affairs and analytics teams to improve clinical outcomes and medical costs. Drive the execution of strategic projects, monitor network provider performance, and implement innovative clinical strategies across the enterprise.
Lead the strategy, solutioning, and execution of a value stream within the Aetna One Advocate product team to create a connected healthcare journey. Drive product discovery and align cross-functional teams to deliver measurable outcomes for members, advocates, and clients.
Certified Professional Coder, Special Investigations Unit (Aetna SIU)
CVS Health
·
Full Time
·
15 days ago
CVS Health
Perform comprehensive medical claim and record reviews for the Special Investigations Unit to ensure coding compliance and identify fraud, waste, or abuse. Provide detailed written findings and collaborate with Medical Directors and legal counsel to validate decisions.
Builds strategic partnerships with producers and customers to achieve profitable growth and cross-sell objectives. Manages the full sales cycle from prospecting and polished presentations to installation and servicing.
Lead the strategy and execution of FinOps products and digital capabilities across multi-cloud and enterprise platforms. Partner with engineering, finance, and architecture to manage complex roadmaps and optimize cloud financial management.
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.
Provide psychosocial support, education, and evidence-based mental health care to individuals, couples, and families aged 13+. 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 focusing on assessment and treatment planning within a remote environment.
The representative will educate customers on benefits and claims while resolving inquiries to improve health and well-being. Responsibilities include documenting interactions, collaborating with departments, and advocating for customer needs.
Drive the execution and sustainment of the Epic Super User network and serve as the primary liaison between the Learning and Clinical Informatics teams. Deliver high-quality Epic training sessions to clinical and non-clinical staff across all regions.
Senior Manager, Escalation & Defect Management, Product Growth Enablement
CVS Health
·
Full Time
·
18 days ago
CVS Health
This role focuses on accelerating product growth by providing dedicated enablement and client-facing support for priority products. The manager will partner with cross-functional teams to translate product strategy into market execution and ensure operational readiness for launches.
The RN Case Manager is responsible for assessing, planning, and coordinating medical needs for members via telephone or face-to-face interactions to facilitate overall wellness. This includes developing proactive action plans and utilizing clinical tools to reduce risk factors and address complex health issues.
The RN Case Manager is responsible for assessing, planning, and coordinating medical needs for members via telephone or face-to-face interactions. They develop proactive action plans to enhance member wellness and reduce health risk factors in compliance with regulatory policies.
Drive CVS Specialty's technology and operational priorities by transforming complex data into actionable strategies and executive recommendations. Partner across cross-functional teams to improve patient experience, simplify workflows, and deliver measurable business value.
The Medical Director oversees oncology-specific utilization reviews, quality assurance, and medical policy implementation. They serve as a clinical liaison to network providers and support the development of medical management programs.
The Case Manager RN uses a collaborative process of assessment, planning, and advocacy to meet the comprehensive health needs of individuals and families. They coordinate care and facilitate services to promote quality and cost-effective health outcomes.
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 a positive member experience.
The Strategic Account Executive manages overall account strategy, renewal outcomes, and executive relationships for large employer pharmacy benefit manager clients. The role focuses on leading renewal negotiations, guiding financial decisions, and serving as a trusted partner to client stakeholders.
Define and own the enterprise data architecture strategy across operational, analytical, and AI/ML workloads. Lead data governance, compliance, and reliability standards to ensure secure and scalable data handling across the organization.
Senior Manager, Pricing (Pharmacy Reimbursement Appeals)
CVS Health
·
Full Time
·
19 days ago
CVS Health
Lead a team of colleagues and contractors in managing pharmacy reimbursement appeals while ensuring high accuracy and adherence to tight turnaround times. Develop and automate processes to increase productivity and ensure operational compliance with state regulatory changes.
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.
Lead a team in managing pharmacy reimbursement appeals and service warranty processes while ensuring compliance with state regulations. Collaborate cross-functionally to automate processes, improve productivity, and resolve complex inquiries from regulators and pharmacies.
Lead the strategy and implementation of enterprise data protection and privacy engineering capabilities across structured and unstructured data environments. Partner with cross-functional teams to embed privacy-by-design principles and deploy Privacy Enhancing Technologies (PETs).
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.
Negotiates and executes complex contracts with healthcare group and system providers to optimize network accessibility, quality, and financial performance. Manages dispute resolutions and provides leadership and mentorship to a team of professionals.
Lead the development and execution of complex PBM contract strategies to optimize costs and mitigate financial and operational risks. Oversee the full contract lifecycle and manage a specialized team to ensure contractual obligations and performance guarantees are met.
Supervise a team of audit professionals to execute Sarbanes-Oxley (SOX) regulatory requirements for the Health Services segment. Evaluate and recommend improvements to financial compliance processes and the company's key control structure.
Lead the design and development of scalable, secure cloud-native microservices and event-driven architectures using Java and Kafka. Manage complex data migration efforts and ETL pipelines specifically for healthcare EHR integration and interoperability.
Provide strategic advisory on Trade-related pharmaceutical purchasing and contracting to support PBM client underwriting and pricing strategies. Analyze market intelligence to inform RFP responses and enhance rebate value for clients.
The Strategic Account Executive manages overall account strategy, renewal outcomes, and executive relationships for large employer pharmacy benefit manager clients. The role focuses on leading renewal negotiations, guiding financial decisions, and serving as a trusted partner to client and consultant stakeholders.
Lead a team of Data Engineers and BI Developers to drive the strategy for sales performance analytics and AI-enabled insights. Translate business needs into scalable analytics solutions to improve decision-making and operational health across the commercial sales environment.
Manage and oversee the compliance program for a Medicaid managed care organization, serving as the primary liaison to state agencies. Develop compliant business operations and lead monitoring activities to ensure adherence to regulatory requirements.
Directly supervise pharmacy service representatives to ensure compliance and efficient medication ordering. Manage daily workflows, staff performance reviews, and operational audits to maintain service quality.
Lead the strategy and delivery of next-generation digital solutions to transform CVS Caremark into an AI-enabled, API-first platform. Manage large-scale engineering and design teams to create personalized, accessible experiences across web, mobile, and emerging channels.
Define and drive the technical direction for mobile enterprise solutions while remaining hands-on with critical-path systems. Lead architectural reviews, develop strategic roadmaps, and mentor senior engineers to elevate engineering quality and delivery.
Leads the finance and contract compliance team in managing end-to-end contract processes for the Federal Employee Program. Responsible for P&L interpretation, risk mitigation, and collaborating with cross-functional leadership to optimize reporting and contract performance.
The Pharmacy Network Manager is responsible for aggregating data and producing analytical reports to ensure the efficient operation of Aetna's pharmacy network. The role focuses on developing performance measures, managing stakeholder relationships, and identifying fraud, waste, and abuse.
Virtual Clinician Home Evaluations Physician Full Time -Indiana
CVS Health
·
Full Time
·
22 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 Physician Full Time - Missouri
CVS Health
·
Full Time
·
22 days 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 clinical and operational performance metrics.
Lead the design and implementation of Agentic AI/ML solutions and complex software architectures to modernize claims adjudication processes. Oversee the full software lifecycle while bridging the gap between legacy IBMi systems and modern cloud-native AI frameworks.
Distinguished Architect, Software Development β Claims Processing Platform
CVS Health
·
Full Time
·
22 days ago
CVS Health
Serve as the senior technical authority leading the modernization of enterprise claims processing platforms from legacy mainframes to cloud-native architectures. Define the architectural roadmap and establish engineering standards across multiple organizational boundaries to create a unified ecosystem.
Clinical Advisor - Oncology & Rare Disease Products (BCOP)
CVS Health
·
Full Time
·
22 days ago
CVS Health
Drive growth in Specialty pharmacy by building innovative products and holistic solutions for oncology and rare disease therapies. Develop a robust product roadmap and lead clinical governance to optimize health outcomes and reduce costs for clients.
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.
St6aff Software Engineer (Agentic AI & Cloud Solutions)
CVS Health
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Full Time
·
22 days ago
CVS Health
Lead the design and implementation of enterprise-scale Agentic AI solutions and cloud-native architectures to automate complex business processes. Provide technical leadership and mentorship to engineering teams while establishing standards for AI integration and software development.
Lead end-to-end contract negotiations and implementation of fee-for-service and value-based agreements with healthcare providers. Manage provider networks to ensure accessibility, quality, and financial goals are met while optimizing cost arrangements.
Contact Medicare Advantage and Medicaid members via an automatic dialer to schedule in-home or virtual healthcare evaluations. Meet daily productivity targets for outbound dials and appointments while adhering to approved scripts and privacy guidelines.
Lead Director, New Business Development, Life Sciences Innovation
CVS Health
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Full Time
·
25 days ago
CVS Health
Lead strategic growth through innovative partnerships with pharmaceutical manufacturers and define the vision for pharma-facing initiatives. Manage a high-performing team to develop business cases and launch high-impact programs from concept to execution.
Activate clinical data repositories to improve health outcomes by extracting signals from unstructured clinical text using NLP and SLMs. Develop predictive analytics solutions and collaborate with cross-functional teams to integrate AI/ML outputs into clinical products.
Oncology & Rare Disease Products - Senior Manager (Pharmacist)
CVS Health
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Full Time
·
25 days ago
CVS Health
Drive growth in Specialty pharmacy by building innovative products and holistic solutions for oncology and rare disease therapies. Develop a robust product roadmap and collaborate across the organization to optimize health outcomes and reduce costs for clients.
ServiceNow HRSD Technical Product Owner (Human Resources Service Delivery)
CVS Health
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Full Time
·
25 days ago
CVS Health
Lead the strategy, roadmap, and delivery of ServiceNow Human Resources Service Delivery (HRSD) capabilities to enhance colleague experiences and operational efficiency. Act as the primary liaison between HR stakeholders and technical teams to translate business needs into actionable product requirements and managed backlogs.
In-Home Health - NP/PA (Part Time) - Durango - La Plata County, CO
CVS Health
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Full Time
·
a month ago
CVS Health
Provide compassionate in-home health services to individuals and families within the Durango and La Plata County area. Collaborate with colleagues to simplify the healthcare experience and prioritize patient safety and quality.
Develop complex account plans and strategies to maximize customer relationships and mitigate risks. Collaborate with internal stakeholders to deliver value-added solutions and conduct routine business reviews to optimize account outcomes.
The role focuses on transforming data and customer feedback into actionable insights to drive product growth and strategy. It involves partnering with cross-functional teams to communicate product value and support the sales pipeline.
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.
Lead Director - Artificial Intelligence Solutions Engineering and Delivery
CVS Health
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Full Time
·
a month ago
CVS Health
Lead the end-to-end delivery of enterprise AI and ML products from design through production deployment and value realization. Establish engineering standards and reusable implementation patterns while partnering with cross-functional teams to accelerate AI adoption.
Lead Director - Artificial Intelligence, Machine Learning and Data Engineering
CVS Health
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Full Time
·
a month ago
CVS Health
Lead the strategy and delivery of enterprise AI platform capabilities and reusable data products to enable scalable AI/ML adoption. Oversee high-performing engineering teams to establish operational standards for agentic systems and data modernization.
Lead enterprise application security, vulnerability management, and secure software delivery across complex technology environments. Manage a team of security professionals to integrate security into the SDLC and drive DevSecOps maturity.
Lead enterprise application security, vulnerability management, and secure software delivery across complex technology environments. Manage a team of security professionals to integrate security into the software development lifecycle and drive DevSecOps maturity.
Design and lead the risk and compliance framework for health engagement, access, and equity programs. Identify and mitigate regulatory risks while providing strategic insights and executive-ready reporting to senior leadership.
The Strategic Account Executive manages overall account strategy, renewal outcomes, and executive relationships for large employer pharmacy benefit manager clients. The role focuses on leading renewal negotiations, guiding financial decisions, and serving as a trusted partner to client stakeholders.
Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health
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Full Time
·
a month ago
CVS Health
Conduct high-level, complex investigations into healthcare fraud and abuse, specifically focusing on program integrity and aberrant billing patterns. Collaborate with medical directors and law enforcement to recover lost funds and prosecute fraud issues.
The Strategic Account Executive manages overall account strategy, renewal outcomes, and executive relationships for large employer pharmacy benefit manager clients. The role focuses on leading renewal negotiations, guiding financial decisions, and serving as a trusted partner to client and consultant stakeholders.
Transitional Care Manager Social Worker (License Required))
CVS Health
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Full Time
·
a month ago
CVS Health
The role focuses on managing patients through care transitions to prevent avoidable readmissions and ensure continuity of care. This includes collaborating with internal and external stakeholders to facilitate safe discharges and resource utilization.
Lead the end-to-end management of encounter and claims data submissions to state agencies, ensuring accuracy and regulatory compliance. Partner with technical teams and vendors to monitor 837 file transmissions and resolve data quality errors.
Own the product roadmap for backend systems, APIs, and the third-party integration layer of a SaaS product suite. Drive the development of scalable, interoperable systems and manage integrations with EHR/EMR platforms and health data networks.
Investigate and resolve complex pharmacy contract non-compliance allegations through data analysis and pharmacy outreach. Collaborate with internal teams to ensure regulatory compliance and provide detailed resolution reports to stakeholders.
Develop strategic, compliant, and compelling RFP/RFI responses for Aetna Medicaid by collaborating with subject matter experts and proposal managers. Manage the content lifecycle and maintain the Medicaid Content Library to drive business growth and retention.
In-Home Health - Physician MD/DO (Full Time) - Bronx, New York
CVS Health
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Full Time
·
a month ago
CVS Health
Conduct comprehensive in-home health evaluations, including physical exams and medical history reviews, to bridge gaps in care. Build trusted relationships with patients and provide diagnostic and preventive services using a digital clinical workflow.
Conduct comprehensive in-home health evaluations, including physical exams and medical history reviews, to bridge gaps in care. Build trusted relationships with patients and provide connections to appropriate healthcare services based on unique needs.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Alpena
CVS Health
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Full Time
·
a month ago
CVS Health
Conduct comprehensive in-home health evaluations, including physical exams and medical history reviews, to bridge gaps in care. Provide diagnostic and preventive services while building trusted relationships with patients in their homes.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Houghton
CVS Health
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Full Time
·
a month ago
CVS Health
Conduct comprehensive in-home health evaluations, including physical exams and medical history reviews, to bridge gaps in care. Provide diagnostic and preventive services while building trusted relationships with patients in their homes.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Escanaba
CVS Health
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Full Time
·
a month ago
CVS Health
Conduct comprehensive in-home health evaluations, including physical exams and medical history reviews, to bridge gaps in care. Provide diagnostic and preventive services while building trusted relationships with patients in their homes.
Virtual Clinician Home Evaluations Nurse Practitioner or Physician Assistant Full Time - Indiana
CVS Health
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Full Time
·
a month 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.
Inside Sales Rep-Hourly + Commission-Can live anywhere in U.S.
CVS Health
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Full Time
·
a month ago
CVS Health
Responsible for acquiring new members through inbound and outbound calls and managing the member relationship throughout the year. This includes servicing existing members, cross-selling ancillary products, and ensuring high member satisfaction.
Lead the enterprise architecture for observability and hybrid multi-cloud infrastructure across Azure, AWS, GCP, and on-prem environments. Establish telemetry standards, instrumentation patterns, and FinOps maturity while mentoring other architects.
Senior Data Scientist - ML/AI Digital Workplace Experience
CVS Health
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Full Time
·
a month 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, predictive analytics, and workflow automation at scale.
Contract Negotiation Manager β Florida (Miami Dade, Broward, Palm Beach, and Treasure Coast)
CVS Health
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Full Time
·
a month ago
CVS Health
Recruits healthcare providers and negotiates contracts using internal guidelines and competitive market intelligence to ensure network adequacy. Manages ongoing provider relationships and resolves escalated issues regarding claims payment and contract interpretation.
Act as a customer advocate by resolving inquiries regarding benefits and claims while documenting all interactions. Educate customers on available resources and collaborate with internal teams to improve service outcomes.
Case Manager, Registered Nurse- Field (Kankakee/Iroquois, and surrounding counties)
CVS Health
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Full Time
·
a month ago
CVS Health
The Case Management Coordinator collaborates and informs the case management process to facilitate appropriate healthcare outcomes for members. This includes assisting with appointment scheduling and accessing benefits and education for members.
Case Management Coordinator β Field (Mason, Cass, Brown, Scott and surrounding counties)
CVS Health
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Full Time
·
a month ago
CVS Health
The Case Management Coordinator evaluates members' needs and coordinates care plans to achieve optimal healthcare outcomes. They collaborate with various stakeholders to address barriers and enhance the quality of care.
Case Management Coordinator - Field (Mason, Cass, Brown, Scott and surrounding counties)
CVS Health
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Full Time
·
a month ago
CVS Health
The Case Management Coordinator evaluates members' needs and coordinates care plans to achieve optimal healthcare outcomes. They also consult with various stakeholders to overcome barriers and ensure quality of care.
Pharmacy Care Representative - Work From Home New Jersey
CVS Health
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Full Time
·
a month ago
CVS Health
Handle inbound and outbound calls to manage complex specialty medication orders, insurance verification, and new patient enrollment. Coordinate medication shipments and escalate clinical issues to staff pharmacists for resolution.
Pharmacy Care Representative - Work From Home Pennsylvania
CVS Health
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Full Time
·
a month ago
CVS Health
Handle inbound and outbound calls to manage complex specialty medication orders, insurance verification, and new patient enrollment. Coordinate medication shipments and escalate clinical issues to staff pharmacists for resolution.
Pharmacy Care Representative - Work From Home Illinois
CVS Health
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Full Time
·
a month ago
CVS Health
Handle inbound and outbound calls to manage complex specialty medication orders, insurance verification, and new patient enrollment. Coordinate refill shipments and escalate clinical issues to staff pharmacists for resolution.
Pharmacy Care Representative - Work From Home North Carolina
CVS Health
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Full Time
·
a month ago
CVS Health
Handle inbound and outbound calls to assist patients with complex specialty medication orders and insurance verification. Coordinate new patient enrollments and process medication refill requests while escalating clinical issues to pharmacists.
Pharmacy Care Representative - Work From Home Texas (MST or CST)
CVS Health
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Full Time
·
a month ago
CVS Health
Handle inbound and outbound calls to assist patients with complex specialty medication orders and insurance verification. Coordinate new patient enrollments and process medication refill requests while escalating clinical issues to pharmacists.
Pharmacy Care Representative - Work From Home Arizona
CVS Health
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Full Time
·
a month ago
CVS Health
Handle inbound and outbound calls to assist patients with complex specialty medication orders, insurance verification, and enrollment. Coordinate medication shipments and escalate clinical issues to staff pharmacists.
Pharmacy Care Representative - Work From Home Florida
CVS Health
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Full Time
·
a month ago
CVS Health
Handle inbound and outbound calls to assist patients with complex specialty medication orders, insurance verification, and enrollment. Coordinate medication shipments and escalate clinical issues to staff pharmacists.
Pharmacy Care Representative - Work From Home Michigan
CVS Health
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Full Time
·
a month ago
CVS Health
Handle inbound and outbound calls to assist patients with complex specialty medication orders and insurance verification. Coordinate new patient enrollments and process medication refill requests while escalating clinical issues to pharmacists.
The Medical Director serves as a Subject Matter Expert in Orthopedic Spine or Neurosurgery to lead utilization reviews and quality assurance. They are responsible for precertification reviews of claim determinations and providing clinical, coding, and reimbursement expertise.
Senior Manager, Digital Platform Strategy & Execution
CVS Health
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Full Time
·
a month ago
CVS Health
Lead the strategy and delivery of shared digital capabilities across Healthspire's portfolio to support chronic condition management. Coordinate between business, product, technology, and clinical teams to translate strategy into execution and manage high-impact capabilities.
Lead the technology strategy and multi-year modernization roadmap for Retail Pharmacy value streams. Manage diverse engineering teams across multiple geographies to deliver software releases and drive operational efficiency.
Responsible for providing accurate coverage determinations for inpatient and outpatient services using UM criteria and clinical judgment. Coordinates with care teams and providers to ensure patients receive medically appropriate care in the right setting.
Virtual Clinician Home Evaluations Physician (Full Time) - Nebraska
CVS Health
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Full Time
·
a month 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.
Design and operationalize scalable Generative AI solutions and agentic frameworks within a HIPAA-regulated healthcare environment. Lead the development of production-grade LLM applications, RAG systems, and cloud-native AI infrastructure across AWS and GCP.
Lead the design, development, and deployment of enterprise-wide AI-powered products and agentic systems. Coach other architects and engineers on AI-augmented workflows and maintain high production quality through disciplined engineering judgment.
Virtual Clinician Home Evaluations - Nurse Practitioner or Physician Assistant (Full Time) - ME
CVS Health
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Full Time
·
a month 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
·
a month 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.
Investigator, Special Investigations Unit (Aetna SIU) - Must reside in Oklahoma
CVS Health
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Full Time
·
2 months 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.
Contract Negotiation Manager - PA, DE, NY, NJ, MD, or Washington, DC
CVS Health
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Full Time
·
2 months 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.
Executive Director, AI Infrastructure & Platform Engineering
CVS Health
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Full Time
·
2 months 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.
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.
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.
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.
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.
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.
Lead Director, Network Management (Southern California)
CVS Health
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Full Time
·
2 months 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.
Senior Manager - Product Growth Enablement - Medicare
CVS Health
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Full Time
·
2 months 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.
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.
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.
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.
Contract Negotiation Manager - PA, OH, WV, and Deleware
CVS Health
·
Full Time
·
2 months 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.
Principal Solutions Architect β Enterprise Architecture & Modernization
CVS Health
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Full Time
·
2 months 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.
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.
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
·
Full Time
·
2 months 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
·
Full Time
·
2 months 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
·
2 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 (Per Diem) - Pocatello, ID
CVS Health
·
Full Time
·
2 months 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
·
2 months 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
·
2 months 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 (Part Time) - Caribou, ID
CVS Health
·
Full Time
·
2 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 (Part Time) - Coeur d'Alene, ID
CVS Health
·
Full Time
·
2 months 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) - Twin Falls, ID
CVS Health
·
Full Time
·
2 months 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.
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) - Caribou, ID
CVS Health
·
Full Time
·
2 months 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.
In-Home Nurse Practitioner or Physician Assistant (Per Diem) - Idaho Falls
CVS Health
·
Full Time
·
2 months 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) - Twin Falls, ID
CVS Health
·
Full Time
·
2 months 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) - Grangeville, ID
CVS Health
·
Full Time
·
2 months 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.
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 bridge gaps in care. They will build trusted relationships and provide personalized health evaluations.
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 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.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Evanston
CVS Health
·
Full Time
·
2 months 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.
In-Home Nurse Practitioner or Physician Assistant Part Time - Idaho Falls
CVS Health
·
Full Time
·
2 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 utilize technology for 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 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 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 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 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.
In-Home Nurse Practitioner or Physician Assistant (Full Time) - Grand Island, NE
CVS Health
·
Full Time
·
2 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.
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
·
2 months 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.
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 Physician Full Time - WV
CVS Health
·
Full Time
·
2 months 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.
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.
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.
In-Home Nurse Practitioner or Physician Assistant Part Time - Johnstown
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. 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
·
3 months 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
·
3 months 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.
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.
In-Home Health - Nurse Practitioner or Physician Assistant (Per Diem) -Bellingham, WA
CVS Health
·
Full Time
·
3 months 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 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 - Physician (Part Time) - Bremerton, WA
CVS Health
·
Full Time
·
3 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
·
3 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.
In-Home Health - Nurse Practitioner or Physician Assistant (Per Diem) - Wenatchee/ Grant County, WA
CVS Health
·
Full Time
·
3 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
·
3 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.
In-Home Health - Nurse Practitioner or Physician Assistant (Per Diem) - Bremerton, WA
CVS Health
·
Full Time
·
3 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.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Boston MA
CVS Health
·
Full Time
·
3 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
·
3 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
·
3 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 Health - Nurse Practitioner or Physician Assistant (Full Time) - Fergus Falls, MN
CVS Health
·
Full Time
·
3 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 Traveler Physician (Full-Time) - Connecticut
CVS Health
·
Full Time
·
3 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 Traveler Nurse Practitioner or Physician Assistant - Full Time - CT
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 gaps in care and provide personalized health education.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Grand Rapids, MN
CVS Health
·
Full Time
·
3 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
·
3 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) - Olympia, WA
CVS Health
·
Full Time
·
3 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 - Nurse Practitioner or Physician Assistant (Part Time) - Minneapolis MN
CVS Health
·
Full Time
·
3 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 - NP/PA (Full Time) - Seattle, WA - King
CVS Health
·
Full Time
·
3 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.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Fergus Falls, MN
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 facilitate connections to appropriate care based on individual health needs.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) -St. Cloud MN
CVS Health
·
Full Time
·
3 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.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) Barnstable MA
CVS Health
·
Full Time
·
4 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) - Denver, CO - Jefferson County
CVS Health
·
Full Time
·
4 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 - Nurse Practitioner or Physician Assistant (Part Time) - Kennewick, WA
CVS Health
·
Full Time
·
4 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
·
4 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 Health - NP/PA (Full Time) - Spokane, WA - Stevens County
CVS Health
·
Full Time
·
4 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
·
4 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
·
4 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.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Scranton
CVS Health
·
Full Time
·
4 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) - Syracuse, NY
CVS Health
·
Full Time
·
4 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
·
4 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 - Physician (Full Time) - Poughkeepsie, NY
CVS Health
·
Full Time
·
4 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 - Nurse Practitioner or Physician Assistant (Part Time) - Bridgeport, CT
CVS Health
·
Full Time
·
4 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
·
4 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.
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.
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 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.
In-Home Physician (Per Diem) - Williamsport - Region
CVS Health
·
Full Time
·
4 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 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.
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 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
·
4 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.
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
·
4 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
·
4 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
·
4 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.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Seattle - Snohomish County
CVS Health
·
Full Time
·
4 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
·
4 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
·
4 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
·
4 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
·
4 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 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 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 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 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 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 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
·
4 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 patients, including medication reviews, physical assessments, and diagnostic testing. Build trusted relationships with patients to bridge care gaps and provide personalized health insights.
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.
In-Home Health Clinician - Nurse Practitioner or Physician Assistant (Part Time) - Durango, CO
CVS Health
·
Full Time
·
4 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.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Pueblo, CO
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 and improve health outcomes. Responsibilities include conducting assessments, answering health questions, and utilizing technology for evaluations.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Grand Junction, CO
CVS Health
·
Full Time
·
4 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 - Physician (Part Time) - Grand Junction CO
CVS Health
·
Full Time
·
4 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 - Nurse Practitioner or Physician Assistant (Part Time) - Bremerton, WA
CVS Health
·
Full Time
·
4 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 - NP or PA (Full Time) - St. Lawrence/ Plattsburgh, NY
CVS Health
·
Full Time
·
4 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.
In-Home Health - Physician (Full Time) -St. Lawrence County/ Plattsburgh NY
CVS Health
·
Full Time
·
4 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.
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
·
Full Time
·
4 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
·
Full Time
·
4 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
·
Full Time
·
4 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
·
Full Time
·
4 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
·
Full Time
·
5 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.
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 Traveler Physician (Full-Time) -Massachusetts
CVS Health
·
Full Time
·
5 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.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Shenandoah
CVS Health
·
Full Time
·
5 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
·
5 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
·
5 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
·
5 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
·
Full Time
·
5 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
·
Full Time
·
5 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
·
Full Time
·
5 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.
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
·
5 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 Health - Physician (Part Time) - Wenatchee, WA
CVS Health
·
Full Time
·
5 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.
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 (Full Time) - Washington (Traveler)
CVS Health
·
Full Time
·
5 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.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Tompkins & Binghampton, NY
CVS Health
·
Full Time
·
5 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) - Fulton & Albany, NY
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. Responsibilities include conducting health assessments and connecting patients to appropriate care.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Brainerd, MN
CVS Health
·
Full Time
·
5 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
·
5 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.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) Augusta, ME
CVS Health
·
·
5 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) - Hartford CT
CVS Health
·
Full Time
·
6 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
·
6 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 - Nurse Practitioner or Physician Assistant (Per Diem) - Olympia, WA
CVS Health
·
Full Time
·
6 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 Health - Physician (Per Diem) -Bellingham, WA
CVS Health
·
Full Time
·
6 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 Physician Part Time - Danville-Martinsville
CVS Health
·
Full Time
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6 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 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 Traveler Nurse Practitioner or Physician Assistant Full Time - VA
CVS Health
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Full Time
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6 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 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.
In-Home Traveler Nurse Practitioner or Physician Assistant Full Time - PA
CVS Health
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Full Time
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6 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 help bridge gaps in care and connect patients to the right 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, 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, 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 (Part Time) - Rockingham County NH
CVS Health
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Full Time
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6 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.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Wilmar, MN
CVS Health
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Full Time
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7 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.
Care Management Associate - OhioRISE - must reside in Ohio
CVS Health
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Full Time
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9 months ago
CVS Health
The Care Management Associate manages enrollment for the Childrenβs Specialty program and supports comprehensive coordination of medical services. This includes developing wellness plans, engaging community resources, and ensuring effective utilization of healthcare services.
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.
Care Management Coordinator OhioRISE β Field β Must reside West Region of Ohio
CVS Health
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Full Time
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9 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.
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.
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
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Full Time
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9 months ago
CVS Health
The Care Management Associate manages enrollment for the Childrenβs 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 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 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 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 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 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.
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.
Case Manager β Registered Nurse β Field β Southwest Michigan + Bonus Available
CVS Health
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Full Time
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9 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
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9 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
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Full Time
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9 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 Childrenβs 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 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.
Care Management Coordinator OhioRISE Central/SE Ohio region
CVS Health
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Full Time
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10 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.
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.
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.
Senior Manager - Value Based Commercial Arrangementsβ Clinical Consultant
CVS Health
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Full Time
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10 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.