The role involves assessing and coordinating healthcare services for members by applying clinical criteria to render coverage determinations. It requires collaborating with providers and internal constituents to optimize benefit utilization and quality effectiveness.
CVS Health
572 Remote Job Openings at CVS Health
The Licensed Practical Nurse (LPN) will process and communicate Commercial Prior Authorizations for Pharmacy benefits. Responsibilities include answering inbound calls, processing cases, and maintaining accurate documentation.
Support comprehensive coordination of medical services and care plans to promote effective utilization of healthcare services. Perform nonclinical, administrative duties such as processing referrals and making outreach calls.
Medical Surgical - Registered Nurse β Health Coach Consultant
CVS Health
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Full Time
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2 hours ago
CVS Health
The RN Health Coach Consultant conducts clinical assessments and provides telephonic health coaching to members with chronic health needs. They empower members to understand their conditions and adopt healthier behaviors for optimal health outcomes.
Acts as a liaison between members, providers, and insurance companies to coordinate care for catastrophic and chronically ill patients. Develops and monitors individualized plans of care to optimize medical outcomes and facilitate return to work.
Conduct high-level, complex investigations into healthcare fraud and abuse, specifically focusing on Medicaid program integrity and aberrant billing patterns. Collaborate with medical directors and law enforcement agencies to recover lost funds and prosecute fraud issues.
Lead the design strategy and execution for complex enterprise-grade platforms, including developer tools, cloud infrastructure, and security products. Translate technical workflows into intuitive user experiences while mentoring designers and aligning design decisions with business outcomes.
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.
Lead the end-to-end lifecycle of workforce optimization initiatives and serve as a strategic advisor to align workforce plans with business objectives. Manage project plans for high-impact initiatives while ensuring compliance with employment laws and improving severance administration technology.
Lead the Business Intelligence department by developing data collection strategies and overseeing the measurement of program effectiveness. Drive data-driven decision-making through the creation of impactful reports, visualizations, and strategic recommendations to enhance customer experiences.
Lead the data architecture strategy and develop AI products to drive operational efficiency across the CVS Distribution Center network. Partner with IT and Data Science teams to translate raw warehouse data into actionable tools and mentor colleagues on data-driven problem solving.
The Clinical Pharmacist evaluates prior authorization requests and renders coverage determinations based on clinical criteria and plan design. They collaborate with technicians and healthcare providers to process referrals and communicate decisions efficiently to all stakeholders.
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.
Serve as the clinical subject matter expert for PBM clients by analyzing drug utilization patterns and trends. Manage clinical benefit plans and formularies while acting as a liaison between internal teams and clients to drive health outcomes and revenue.
Serve as the primary point of contact for patients and providers to guide new infusion patients through the onboarding process. Handle high-volume calls and collaborate with internal teams to support referrals and admissions.
Evaluate and review prior authorization requests to render coverage determinations based on clinical criteria and plan design. Collaborate with healthcare providers and internal teams to process referrals and communicate decisions efficiently.
Lead a workstream within Caremark's sales and underwriting analytics portfolio, owning end-to-end delivery of pricing and risk models. The role involves framing business questions, designing technical solutions, and presenting findings to senior executive stakeholders.
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 client stakeholders to develop strategies and roadmaps based on benefit plan designs.
Senior Platform Engineer, Data & Performance Enablement
CVS Health
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Full Time
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19 hours ago
CVS Health
Design and implement platforms for distributed event streaming and data warehouse automation. Mentor junior engineers and contribute to the technical roadmap for data and performance enablement.
Oversee strategic business objectives and platform engineering initiatives while managing communications and decision-making across cross-functional teams. Drive organizational efficiency through portfolio management, budget tracking, and the establishment of scalable operational workflows.
Perform audits and abstraction of medical records to ensure ICD codes submitted to CMS for risk adjustment are accurate and supported. Conduct self-process audits to maintain compliance with internal policies and federal regulatory guidance.
Serve as a Subject Matter Expert in pain management to provide clinical leadership and oversee utilization management and quality assurance activities. Act as a liaison between network providers and healthcare facilities to implement medical services programs and conduct claim determination reviews.
Design, develop, and implement digital solutions and software applications for Third Party Financial Applications and platforms. Collaborate with cross-functional teams to architect systems for processing prescriptions, claims, and healthcare activities.
Drive the strategy, development, and continuous improvement of innovative digital products and experiences. Partner with cross-functional teams to translate customer needs into scalable digital solutions and manage the full product lifecycle.
Develop predictive models, pricing logic, and financial simulations to support sales and underwriting decisions. Partner with finance and actuarial teams to translate business questions into production-ready code and reporting tools.
The role focuses on supporting daily ITGS operations for Medicare Part D enrollment, specifically managing batch operations, FTP, and ETL processes. Key duties include troubleshooting job failures, supporting production activities, and partnering with cross-functional teams for system upgrades.
Provider Data Services Specialist (Must reside in Arizona)
CVS Health
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Full Time
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a day ago
CVS Health
The specialist manages provider records and compares system data with regulatory sources to ensure accuracy in provider directories and claims processing. They review and submit update requests within the QNXT system to comply with CMS and AHCCCS regulations.
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.
Develop high-quality, persuasive proposals by coordinating across various departments and conducting thorough client and industry research. Ensure all deliverables meet internal quality standards, branding guidelines, and specific RFP requirements.
Own the performance and productivity ecosystem for clinicians, focusing on the MySignify Scorecard and the Clinician Management Module. Lead the integration of AI-driven intelligence for personalized coaching and performance recommendation engines through 2027.
Provides strategic and technical support for the sales process by designing customer-centered proposals focused on financial positioning and product offerings. Responsibilities include gathering data from source systems, calculating fees, and drafting responses to client inquiries.
Design, develop, and implement technical solutions for pharmacy processing systems while collaborating across Agile teams. The role involves creating system architectural design documents and mentoring other engineers to drive business outcomes.
The role focuses on analyzing and tracking KPIs to ensure production goals and quality standards are met. It involves collecting and cleaning data to provide actionable insights and predictions to support regional and client decision-making.
Design and deliver AI-enabled reporting and analytical solutions using GCP and Tableau for Specialty Mail Operations. The role focuses on transitioning static dashboards into automated, governed insight delivery systems to support executive decision-making.
Develop high-quality, persuasive proposals by coordinating across various departments and conducting thorough client and industry research. Ensure all deliverables meet internal quality standards, branding guidelines, and specific RFP requirements.
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.
The role involves assessing and coordinating healthcare services for members by applying clinical criteria and guidelines to render coverage determinations. The consultant collaborates with providers to facilitate treatment and identifies opportunities to improve healthcare quality and benefit utilization.
Perform telephonic case management by applying clinical guidelines and standardized care plans to reduce risk factors for members. Collaborate with care teams and medical directors to overcome barriers and ensure cost-effective quality care.
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.
The Consultant serves as a single point of contact to resolve client inquiries regarding enrollment, billing, and technical support. They are responsible for achieving high first-call resolution rates and collaborating with internal teams to ensure a world-class customer experience.
Lead the consumer marketing strategy and execution for the Health100 platform to drive awareness, adoption, and sustained engagement. This includes owning go-to-market strategies, lifecycle marketing programs, and performance tracking across multiple digital channels.
Lead the B2B partner marketing strategy for Health100, focusing on demand generation and pipeline growth across pharmaceutical, health plan, and digital health partners. Develop tailored value propositions and sales enablement materials to equip commercial teams for effective market execution.
Virtual Clinician Home Evaluations Physician Full Time -Indiana
CVS Health
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Full Time
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2 days ago
CVS Health
Conduct 30-minute virtual video visits with health plan members to review medical histories and medications. Educate members on their health and work to close gaps in care while meeting specific monthly visit capacity metrics.
Design and implement ETL/ELT data pipelines to support financial and analytical workloads. Optimize data infrastructure through performance tuning, data modeling, and the establishment of governance standards.
Virtual Clinician Home Evaluations Physician Full Time -Michigan
CVS Health
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Full Time
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2 days ago
CVS Health
Conduct 30-minute virtual video visits with health plan members to review medical histories and medications. Educate members on their health and work to close gaps in care while meeting specific monthly visit capacity metrics.
Virtual Clinician Home Evaluations Physician Full Time - Missouri
CVS Health
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Full Time
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2 days ago
CVS Health
Conduct 30-minute virtual video visits with health plan members to review medical histories and educate them on their health. Maintain high visit completion rates and adhere to clinical and operational performance metrics.
Design, develop, and maintain optimal data pipelines to process terabyte to petabyte scale healthcare data. Build analytical data models in BigQuery and implement automated CI/CD pipelines for deployment and observability.
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.
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.
Lead the clinical AI strategy and member-facing digital tools to improve healthcare access and outcomes for Aetna members. Partner across technical and clinical teams to design, evaluate, and scale AI-augmented workflows and digital engagement campaigns.
Distinguished Architect, Software Development β Claims Processing Platform
CVS Health
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Full Time
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2 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.
Sr. Clinical Solutions MD, Commercial Clinical Strategy
CVS Health
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Full Time
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2 days ago
CVS Health
Define and advance clinical strategies for priority conditions and populations to improve health outcomes and reduce costs for Commercial members. Develop multi-year roadmaps by identifying failure points in the member journey and collaborating across medical, financial, and operational teams.
Clinical Advisor - Oncology & Rare Disease Products (BCOP)
CVS Health
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Full Time
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2 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.
The role focuses on discovering undefined efforts and documenting requirements to improve technology solutions within the Client Pricing Hub. It serves as a key liaison between PBM operations, IT, and PMO to ensure the delivery of agile project goals.
Lead the design and execution of the SOX IT General Controls program and manage SOC reporting readiness. Act as the primary liaison between technology control owners, internal audit, and external auditors to ensure audit readiness and remediate control gaps.
Oversee all core Aetna Medical Affairs functions, including utilization management, care management, and clinical pathways, to ensure alignment across business lines. Lead the enterprise operating model, workforce strategy, and financial planning to drive scalable improvements in quality and efficiency.
Translate complex benefit information into compliant, easy-to-understand plan language for self-funded plans. Analyze, draft, and review legal and regulatory documentation such as SPDs, SBCs, and plan amendments.
Manage litigation dockets, including health benefit disputes and third-party subpoenas, while coordinating with in-house and outside counsel. Provide legal support for the Special Investigations Unit and cases related to the No Surprise Bill Act.
Lead the end-to-end execution and activation of CVS Health's soccer sponsorship portfolio, including the NWSL and USSF. Manage day-to-day partner relationships and collaborate cross-functionally to align sponsorships with enterprise brand objectives.
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
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2 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 multiple analytics teams to support PS Finance by driving the adoption of AI-powered analytics and modern reporting tools. Partner with executive leadership to align analytics priorities with business objectives and influence key financial decisions.
Coordinate care for members with stable health conditions and social determinants of health needs through telephonic engagement and individualized care planning. Collaborate with an interdisciplinary team to close gaps in preventative care and connect members with community resources.
Responsible for maintaining and improving the quality, accuracy, and consistency of IT support articles. This includes collaborating with subject-matter experts and using AI tools like Claude to develop and consolidate content.
Coordinate the identification of claim editing and clinical program enhancements to ensure compliance with Medicare NCDs, LCDs, and legislation. Collaborate with functional leads to ensure payment accuracy and manage savings opportunities and provider deviations.
Inbound Patient Account Services Coordinator (Remote)
CVS Health
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Full Time
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2 days ago
CVS Health
The coordinator provides high-level customer service to resolve patient billing and reimbursement questions. They are responsible for documenting interactions in the Revenue Cycle system and meeting call center volume and quality metrics.
Review and adjudicate medical claims according to processing guidelines to ensure accurate and timely resolution. Determine coverage under health plans and identify cost management opportunities to enhance member satisfaction.
Lead Director - Service Operations - Digital Transformation
CVS Health
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Full Time
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2 days ago
CVS Health
Drive efficiency and patient experience improvements across central Service Operations teams through technology enablement and process transformation. Lead the adoption of AI, RPA, and new vendor technologies while managing a pipeline of prioritized strategic initiatives.
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.
The Strategic Account Executive manages overall account strategy, renewal outcomes, and executive relationships for a portfolio of 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 discovery efforts to define business problems and develop process maps to improve provider data accuracy and operational effectiveness. Partner with cross-functional teams to implement scalable process changes and measure results using continuous improvement tools.
The Senior Mental Health Parity Analyst manages the completion of parity requirements and regulatory submissions from initiation to delivery. This includes gathering and analyzing data from multiple sources to develop narratives and ensuring compliance with healthcare regulations.
Acts as the primary point of contact for clients to oversee day-to-day PBM operations and coordinate between clients and internal cross-functional teams. Responsible for resolving routine to complex business requests and ensuring all client performance guarantees are met.
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 deploy scalable pricing models and tools.
Oversee care coordination staff to ensure compliance with state regulations and the delivery of high-quality behavioral health services for children. Manage clinical policies, performance expectations, and operational objectives to improve member outcomes within the OhioRISE program.
Provide telephonic nursing care, education, and support to patients regarding medication adherence and disease state management. Develop and implement comprehensive care plans while collaborating with healthcare professionals to improve patient outcomes.
Manage a book of business to achieve revenue and membership objectives while ensuring customer satisfaction and retention. Deliver renewals, cross-sales, and up-sales through strong internal and external collaborative relationships.
Partner with cross-functional teams to shape the analytics product vision and define scalable solution approaches from ideation to execution. Manage the product backlog, facilitate Agile ceremonies, and implement AI/ML capabilities to improve healthcare experiences.
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.
Oversee a strategic portfolio of technology initiatives for Medicare, managing budgets over $44M and 633,000+ work hours. Connect business strategy to execution by establishing governance frameworks and ensuring tangible value delivery for the enterprise.
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.
Lead Director, New Business Development, Life Sciences Innovation
CVS Health
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Full Time
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5 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.
Lead financial planning and analysis consolidations for Products & Services and Data & Analytics within the DDAT organization. Manage month-end financials, forecasts, and budgets to support strategic decisions and executive reporting.
Responsible for the management reporting process and financial analysis of Medicare Part D and PDP products. Collaborates with senior leadership and cross-functional teams to identify cost-saving opportunities and revenue enhancement strategies.
Lead the development of a data-driven product roadmap by defining and reporting on performance and profitability metrics. Build data transformation models and Power BI dashboards while utilizing A/B testing and causal inference to determine product efficacy.
Oncology & Rare Disease Products - Senior Manager (Pharmacist)
CVS Health
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Full Time
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5 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.
This role provides technical coordination to migrate on-prem data to cloud platforms, acting as a liaison between IT development and business units. The manager is responsible for gathering requirements, translating them into technical specifications, and ensuring the successful implementation of technology solutions.
Participate in an Agile Product Team to build high-quality, usable products for the Claims and Payments team. Develop both frontend and backend code while educating stakeholders on agile development processes.
Lead deep-dive analytics on growth levers to identify value drivers and performance gaps for executive decision-making. Develop and scale the Portfolio Intelligence Storyboard to standardize KPI reporting and portfolio management.
ServiceNow HRSD Technical Product Owner (Human Resources Service Delivery)
CVS Health
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Full Time
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5 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.
Provide telephonic clinical case management for the Medicare population, focusing on comprehensive assessments and individualized care plans. Collaborate with providers and internal partners to coordinate behavioral health resources and optimize member outcomes.
Conduct thorough and impartial investigations into workplace misconduct, including discrimination, harassment, and policy violations. Provide expert guidance to managers and employees while ensuring compliance with legal requirements and company policies.
Maintain and enhance Anaplan models by translating business processes into functional and technical requirements. Collaborate with IT and Finance stakeholders to drive automation, governance, and process optimization across the enterprise.
Acts as a subject matter expert to monitor and measure the quality of claim processing and customer service workflows. Performs regular quality audits to ensure compliance with regulatory standards and recommends training needs to senior management.
In-Home Health - NP/PA (Part Time) - Durango - La Plata County, CO
CVS Health
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Full Time
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6 days 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.
Support the Resources for Living re-platforming program through structured project tracking, risk management, and executive reporting. Post-launch, focus on operational reporting, feature performance analysis, and continuous improvement of the platform.
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.
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.
Investigator, Special Investigations Unit (Meritain Health)
CVS Health
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Full Time
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6 days ago
CVS Health
Conduct investigations to prevent, detect, and prosecute healthcare fraud and abuse to recover lost funds. Collaborate with law enforcement agencies and provide input on fraud monitoring controls within business units.
Lead Director - Artificial Intelligence Solutions Engineering and Delivery
CVS Health
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Full Time
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6 days 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
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6 days 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.
The Senior Manager drives clinical outcomes and cost-savings initiatives by managing strategic projects and workstreams for the Medicare Medical Affairs business unit. This includes developing analyses, implementing change initiatives, and collaborating across a matrixed environment to achieve population health goals.
Lead Director, Aetna Operations Enablement Insights & Reporting
CVS Health
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Full Time
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6 days ago
CVS Health
Lead the execution of analytics and reporting strategies to drive decision-making within Service Operations. Manage a team of analysts to deliver scalable dashboards and insights that improve operational, financial, and experience metrics.
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.
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.
Oversee compliance for Utilization Management and Care Management functions to ensure adherence to health plan and CMS standards. Lead the implementation of delegated functions, conduct quality audits, and manage relationships with insurance providers and internal stakeholders.
Reporting - Network Directory Development - Senior Analyst
CVS Health
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Full Time
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6 days ago
CVS Health
The role involves producing files and reports to support pharmacy directory creation and reporting for CVS Caremark clients. Responsibilities include designing, coding, testing, and deploying SQL-based solutions to improve data collection and accuracy.
The analyst is responsible for analyzing business data and processes, conducting root cause analysis, and creating reports to support business needs. Daily tasks include writing complex SQL queries and implementing system enhancements to support strategic goals.
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.
Pharmacy Technician - Prior Authorization - Work From Home (9:30a-6p AZ/MST)
CVS Health
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Full Time
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6 days ago
CVS Health
Processes prior authorization requests via phone, fax, or electronically using clinical research and medication guidelines. Manages approvals, denials, and high-volume inquiries from providers, pharmacies, and members while maintaining accurate documentation.
Lead the entire project lifecycle for Medicaid Provider Engagement, focusing on process improvement, system implementation, and business requirement definition. Collaborate cross-functionally to resolve production issues and align the Provider Engagement business unit with regulatory and policy needs.
Lead Director, Healthcare Medicaid Risk Adjustment Analytics
CVS Health
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Full Time
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7 days ago
CVS Health
Provide strategic and operational leadership for Medicaid risk adjustment analytics to ensure accurate and compliant revenue capture. Lead a multidisciplinary team in managing the end-to-end risk adjustment lifecycle, including data pipelines, risk score reconciliation, and performance reporting.
Principal Software Development Engineer (PBM AI Solutions)
CVS Health
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Full Time
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7 days ago
CVS Health
Lead the architecture, design, and delivery of next-generation AI-enabled digital applications and financial solutions across major cloud platforms. Define the technical vision and IT strategy while mentoring high-performing engineering teams to solve business-critical healthcare problems.
Lead Director- PPD Delivery Services and Application Development
CVS Health
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Full Time
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7 days ago
CVS Health
Lead the strategic planning and execution of migrating core enterprise architecture from Oracle to S/4 HANA. Ensure the long-term operational health and stability of the new S/4 HANA application.
The Proposal Writer creates strategic responses for Medicaid RFPs and RFIs by drafting content for functional and operational topics. They collaborate with subject matter experts and proposal managers to ensure compliant and compelling submissions.
Supports Aetna's Large Group Commercial Self-Insured Business by building actuarial models and tracking medical cost savings trends. Communicates value propositions and program evaluations to prospects and customers.
Acts as the primary liaison for integrated providers to maintain risk management and positive relationships. Responsibilities include conducting provider education, ensuring contract compliance, and implementing solutions to achieve cost and efficiency targets.
The technician is responsible for screening orders and specializing in the research, review, and entry of prescription overrides. They ensure patients receive correct prescriptions timely and coordinate with prescribers for necessary clarifications.
Lead cross-functional delivery and risk management for a transformation initiative to eliminate financial leakage within the PBM ecosystem. Support the design, launch, and maintenance of workstream features and APIs while aligning business needs with technology delivery.
Manage the operational execution of multi-channel member communications from initiation through deployment. Coordinate with internal partners and external vendors to ensure accurate, timely, and on-budget delivery of communications.
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.
The analyst will manage sanctions and Politically Exposed Persons (PEP) screening programs to ensure alignment with regulatory expectations. They will ensure organizational compliance with FCPA, BSA, and OFAC regulations across retail, international, and third-party operations.
Lead end-to-end UX design efforts for clinical workflows, from initial user research to final implementation. Collaborate with cross-functional teams to create intuitive, user-centered digital solutions that align with business objectives.
Support Medicare Part D members and providers by accurately setting up cases and reviewing criteria for pharmacy benefit requests. Ensure all decisions are correct, timely, and compliant with CMS mandated guidelines.
Principal Software Development Engineer (Customer Insight & AI Solutions)
CVS Health
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Full Time
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7 days ago
CVS Health
Lead the architecture, design, and delivery of next-generation digital applications and AI-enabled solutions across major cloud platforms. Define the technical vision and IT strategy while mentoring engineering teams and collaborating with stakeholders to execute the product roadmap.
Create clear and accurate Notice of Action letters regarding healthcare decisions while ensuring compliance with AHCCCS and legal standards. Manage high volumes of member notifications and coordinate with clinical and legal teams to gather necessary information.
Lead the design and execution of population health programs focused on end-of-life care, including advance care planning and palliative care. Collaborate with regional and central leaders to drive clinical excellence and meet key quality and financial metrics.
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.
Senior Coordinator, Provider Data Services - Work From Home
CVS Health
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Full Time
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7 days ago
CVS Health
Provides operational support and data maintenance for provider demographic and contract information to ensure quality data for members. Performs root cause analysis on data trends and manages audits to recommend process improvements.
Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health
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Full Time
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7 days 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.
Lead the strategic oversight and execution of quality programs within the Grievance & Appeals organization to ensure regulatory compliance. Manage a team of Quality Analysts and serve as the primary liaison for internal and external regulatory audits.
Senior Analyst, Patient Retention Strategy and Analytics
CVS Health
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Full Time
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7 days ago
CVS Health
The role focuses on improving patient retention by coordinating outreach and managing patient segmentation workflows to increase annual health review completions. The analyst will drive strategic analyses, develop data-driven insights, and manage relationships with key partners across provider services and marketing.
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.
Lead technical initiatives to design, build, and maintain business-critical distributed systems. Focus on delivering incremental value through iterative releases while ensuring scalability and maintainability.
Transitional Care Manager Social Worker (License Required))
CVS Health
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Full Time
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7 days 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 multiple product teams in defining the vision, strategy, and roadmap for Commercial Network & Provider digital solutions. Collaborate with cross-functional 'Five in a Box' teams to deliver high-value features and maintain overall product health.
Virtual Primary Care Nurse Practitioner - Western Region
CVS Health
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Full Time
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7 days ago
CVS Health
Provide evidence-based primary care, including assessment, diagnosis, and treatment for patients 18 and older in a virtual setting. Collaborate with a dedicated care team to manage patient panels and drive improved health outcomes.
Lead and manage strategic and operational projects for the Stop Loss business from initiation through completion. Partner with cross-functional teams to drive project plans, remove roadblocks, and gradually transition into product management responsibilities.
Lead the team delivering and operating the enterprise CI platform, focusing on the migration from legacy tooling to GitHub and JFrog. Drive the adoption of AI-powered coding tools and maintain platform reliability and security for thousands of developers.
Provides operational support and data maintenance for provider demographics and contract information to ensure quality data for members. Acts as a team lead to manage audits, conduct root cause analyses, and implement new networks and contractual arrangements.
Lead a high-performing team of engineers to build an enterprise-grade API platform that integrates with gateways like Apigee and Kong. Collaborate with cross-functional leaders to define strategy, roadmaps, and engineering best practices to support thousands of internal developers.
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.
The role focuses on reviewing and validating invoices and estimates to ensure financial accuracy. It also involves utilizing analytical tools to provide reporting and operational insights.
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.
Public & Labor Lead Director, Client Services- Mid-Atlantic Region
CVS Health
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Full Time
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8 days ago
CVS Health
Manage a team of Account Managers to service Public Sector and Labor clients in the Mid-Atlantic region. Lead process improvement initiatives and coordinate with sales and service directors to retain and grow existing business.
The role focuses on conducting structured quality checks and edits for Medicaid RFP responses to ensure compliance, consistency, and brand alignment. It involves collaborating with writers and stakeholders to drive efficiency through color team reviews and the development of quality scorecards.
Lead the enterprise proposal writing strategy to deliver high-quality, competitive Medicaid and healthcare proposals. Manage and coach a high-performing team of writers while scaling standardized processes and tools to improve win rates.
Lead multiple mobile engineering teams to deliver scalable, accessible digital health experiences while managing delivery outcomes and technical quality. Partner with Product and Design leaders to translate strategy into executable plans and foster a culture of continuous improvement.
The role involves assessing and coordinating healthcare services for members by applying clinical criteria to render coverage determinations. It requires collaborating with providers and internal constituents to optimize benefit utilization and quality effectiveness.
Lead the capture strategy and competitive intelligence research for Medicaid markets to influence win probability and growth. Establish a formal governance framework to analyze competitor proposals and provide strategic recommendations to senior leadership.
Manager, Medicaid Market Research and Competitive Analysis
CVS Health
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Full Time
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8 days ago
CVS Health
Directs in-depth market and competitor research to inform capture strategies and proposal development for multi-billion-dollar Medicaid procurements. Collaborates with leadership and consultants to translate complex intelligence into actionable insights and strategic documentation.
Strategic Account Executive - Meritain Pharmacy Solutions
CVS Health
·
Full Time
·
8 days ago
CVS Health
Manage a book of large and mid-size self-funded employer groups to achieve customer satisfaction and membership objectives for Meritain Pharmacy Solutions. Develop and execute account strategies, handle the renewal process, and drive upsell activities through strong internal and external relationships.
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.
Process monthly patient refill requests and update electronic medical records for the Enteral Nutrition department. Handle incoming calls from patients and caregivers to coordinate nutrition therapy order status and prescription changes.
In-Home Health - Physician MD/DO (Full Time) - Bronx, New York
CVS Health
·
Full Time
·
8 days 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.
Reconciliation Process Manager (Financial Operations)
CVS Health
·
Full Time
·
8 days ago
CVS Health
The role involves reconciling rebate payments from manufacturers and managing complex accounts as an individual contributor. Additionally, the manager provides leadership through coaching, process design, and leading departmental projects to improve financial controls.
Provide high-quality customer service to patients and providers while managing the onboarding process. Responsibilities include verifying insurance coverage, performing benefit investigations, and obtaining prior authorizations.
Lead Director, New Business Development, Life Sciences Innovation
CVS Health
·
Full Time
·
8 days ago
CVS Health
Lead strategic growth by developing innovative partnerships with pharmaceutical manufacturers and defining the vision for pharma-facing initiatives. Manage a high-performing team to evaluate partnership opportunities, develop business cases, and launch high-impact programs.
Strategic Account Executive - Meritain Pharmacy Solutions
CVS Health
·
Full Time
·
8 days ago
CVS Health
Manage a book of business for Meritain Pharmacy Solutions to achieve customer satisfaction and renewal objectives. Develop strategic relationships with external partners and consultants while overseeing the operation of pharmacy benefits plans.
The Senior Analyst optimizes resource allocation and utilization through data analysis, capacity planning, and scheduling. They collaborate with stakeholders to drive process improvements and mentor junior team members to ensure operational efficiency.
Conduct comprehensive health evaluations and develop personalized care plans to help members achieve optimal health. Provide virtual coaching and education using motivational interviewing to promote sustainable lifestyle and behavior changes.
Lead a team of actuarial analysts to develop innovative commercial pharmacy formulary strategies and optimize financial performance. Provide critical insights to senior leadership regarding pricing, product design, and the financial impact of legislative changes.
Manage communication activities and project timelines for the Aetna Office of Interoperability, focusing on regulatory bodies and industry standards. Maintain the organization's Communication Plan and Policy while coordinating across multiple internal teams and stakeholders.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Escanaba
CVS Health
·
Full Time
·
8 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.
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
·
Full Time
·
8 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.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Houghton
CVS Health
·
Full Time
·
8 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.
Virtual Clinician Home Evaluations Nurse Practitioner or Physician Assistant Full Time - Ohio
CVS Health
·
Full Time
·
8 days ago
CVS Health
Conduct 30-minute virtual video visits with health plan members to review medical histories and medications. Educate members on their health and help close gaps in care to connect them with appropriate medical services.
Virtual Clinician Home Evaluations Nurse Practitioner or Physician Assistant Full Time - Michigan
CVS Health
·
Full Time
·
8 days ago
CVS Health
Conduct 30-minute virtual video visits with health plan members to review medical histories and medications. Educate members on their health and help close gaps in care to connect them with appropriate medical services.
Virtual Clinician Home Evaluations Nurse Practitioner or Physician Assistant Full Time - Indiana
CVS Health
·
Full Time
·
8 days ago
CVS Health
Conduct 30-minute virtual video visits with health plan members to review medical histories and medications. Educate members on their health and help close gaps in care to connect them with appropriate medical services.
The role involves designing, contracting, and maintaining relationships with healthcare providers to build and enhance contractual networks of care. Key duties include negotiating contracts, analyzing provider performance, and collaborating with cross-functional teams to ensure network adequacy.
Oversee a team of medical coders within the Special Investigations Unit to ensure compliance through comprehensive record reviews. Lead the identification of concerning billing patterns and collaborate with Medical Directors and investigators to address potential fraud and abuse.
Perform quality assurance reviews and audits of client and pharmacy pricing execution across various segments. Ensure the correct application of business rules, network structures, and pricing documents within adjudication platforms.
Lead strategy and capture planning activities to support business development for new markets and Medicaid reprocurement. Collaborate with cross-functional stakeholders to develop winning proposal strategies and analyze competitive landscapes.
The developer is responsible for the development and maintenance of critical software applications for the Rx Claim Adjudication team. Key tasks include implementing complex technology solutions, writing test plans, and adhering to SDLC methodologies.
Support health plan partners by managing ad-hoc reporting, deliverables, and client marketing materials. Lead cross-functional project teams to align program goals with healthcare business objectives and ensure SLA compliance.
The analyst supports stop loss claim filing for self-funded employer groups by preparing, tracking, and reconciling reimbursement packages. They serve as a key liaison between internal partners and external stop loss carriers to ensure accurate and timely reimbursements.
Leads strategy and capture planning for Medicaid business development, targeting new markets and reprocurement. Acts as a liaison between Business Development and Proposal teams to develop winning strategies and improve win probability.
Review clinical information and apply guidelines to support coverage decisions and coordinate appropriate treatment with providers. Identify opportunities to improve care quality and connect members to supportive programs and services.
Review clinical information and apply guidelines to support coverage decisions for members. Collaborate with providers and care teams to coordinate appropriate treatment and improve resource utilization.
Virtual Clinician Home Evaluations Nurse Practitioner or Physician Assistant Full Time - MA
CVS Health
·
Full Time
·
9 days ago
CVS Health
Conduct 30-minute virtual video visits with health plan members to review medical histories and medications. Educate members on their health and help close gaps in care to connect them with appropriate medical services.
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.
Review clinical information 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, Interoperability Provider Recruitment and Onboarding
CVS Health
·
Full Time
·
9 days ago
CVS Health
Build and lead the operating model for provider recruitment, onboarding, and readiness across Aetna's interoperability portfolio. Oversee the day-to-day execution engine, including pipeline management and leading regional teams to drive provider adoption.
Sr. Manager, Digital Product - Conversational AI Strategy
CVS Health
·
Full Time
·
9 days ago
CVS Health
Architect the AI Outreach and Rescheduling strategy using Conversational AI to re-engage members and maintain care continuity. Develop long-term product roadmaps and measure KPIs to drive value delivery within the healthcare ecosystem.
Lead Director - Aetna Interoperability Governance and Communications
CVS Health
·
Full Time
·
9 days ago
CVS Health
Leads enterprise data governance, privacy, and risk management to ensure compliant and secure data use across Commercial, Medicare, and Medicaid lines of business. Responsible for establishing governance frameworks and leading communication strategies to align executive leadership with regulatory requirements.
Lead initiatives to optimize pharmacy health services, focusing on retail testing, prescribing, and the development of new healthcare services. Collaborate with cross-functional stakeholders to ensure programs are scalable, compliant, and enhance patient outcomes.
Inside Sales Rep-Hourly + Commission-Can live anywhere in U.S.
CVS Health
·
Full Time
·
9 days 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 Data Scientist - Clinical Informatics (Clinical Data Standards)
CVS Health
·
Full Time
·
9 days ago
CVS Health
The role involves activating clinical data repositories by designing data models, taxonomies, and feature stores to improve healthcare outcomes. You will serve as a bridge between clinical data assets and technical consumers, ensuring data is documented, standardized, and fit for AI/ML use cases.
Lead the design and delivery of enterprise-grade AI experiences embedded within the Microsoft Power Platform. Integrate Azure AI and OpenAI capabilities into workflow automation and operational intelligence while ensuring strict security and governance.
Lead the AIOps strategy and roadmap to modernize IT operations through observability, event intelligence, and agentic AI. Design and implement closed-loop automation and ServiceNow-centric integrations to improve MTTR and operational efficiency.
Lead the delivery of scalable enterprise-grade automations within the Automation Center of Excellence using platforms like Automation Anywhere and UiPath. Translate complex business requirements into secure, reusable automation solutions while providing technical leadership and mentoring to junior engineers.
Drive the future security strategy by architecting reference architectures and roadmaps for a complex enterprise technology landscape. Lead the secure adoption of AI, cloud infrastructures, and microservices while mentoring junior architects and ensuring compliance.
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.
Design and develop scalable cloud services and microservices using Java and Spring Boot within a CI/CD environment. Collaborate with cross-functional teams to build data products and implement real-time streaming to improve health outcomes.
Senior Data Scientist - ML/AI Digital Workplace Experience
CVS Health
·
Full Time
·
11 days ago
CVS Health
Lead the design and deployment of production-grade ML and Generative AI solutions to enhance the digital workplace experience. Collaborate cross-functionally to implement intelligent assistants, predictive analytics, and workflow automation at scale.
Case Manager, Registered Nurse (Oncology experience required)
CVS Health
·
Full Time
·
11 days ago
CVS Health
Perform telephonic case management for patients and care teams, applying clinical guidelines to ensure appropriate benefit administration. Conduct medical necessity reviews and utilize motivational interviewing to engage members and reduce health risk factors.
Contract Negotiation Manager β Florida (Miami Dade, Broward, Palm Beach, and Treasure Coast)
CVS Health
·
Full Time
·
11 days 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.
The role focuses on managing reporting and analytics for Service Operations, specifically overseeing the Call Analytics platform and Power BI dashboards. The analyst will translate complex data into actionable process improvement roadmaps and provide operational insights to senior leadership.
Support and scale an AWS and Databricks-based data platform through infrastructure automation and environment management. Enable the secure and rapid delivery of data pipelines, analytics, and dashboards.
Develop and maintain databases, data sources, and analytical tools to support Actuarial, Finance, and Medical Economics teams. Collaborate with stakeholders to design solutions and document code for business logic transparency.
Lead and coordinate activities for the Zinc Health Services Negotiator Team, focusing on bid cycles, commercial contracts, and product review processes. Responsibilities include reviewing manufacturer proposals, managing contract redlines, and presenting financial impact summaries to leadership.
Lead and manage all aspects of Medicaid proposal response documentation, including formatting, production, and internal review flow. Partner with cross-functional teams to create solicitation-specific templates and ensure compliance with corporate branding and RFP requirements.
Senior Manager, Finance - Revenue Cycle Program Management
CVS Health
·
Full Time
·
14 days ago
CVS Health
Lead strategic initiatives to drive Revenue Cycle transformation, process optimization, and cost efficiency. Utilize AI and advanced analytics to improve operational performance and deliver data-driven insights for scalable operations.
Facilitate onboarding activities and orientation for new Service Operations hires to ensure a seamless transition. Manage project logistics, track colleague progress, and collaborate with leadership to optimize onboarding processes.
Senior Manager- Epic Training Environment & Content Strategy
CVS Health
·
Full Time
·
14 days ago
CVS Health
Oversee the design, governance, and optimization of Epic training environments and educational content across enterprise initiatives. Act as the central point for intake and prioritization of environment build requests and documentation standards.
Support the development and maintenance of role-based clinical application curricula and training materials. Assist in training delivery, environment validation, and provide at-the-elbow support during system go-lives.
Lead clinical application training for enterprise initiatives, system implementations, and workflow optimization. Develop role-based curricula and provide guidance and quality oversight to Credentialed Trainers.
Assess and coordinate healthcare services for members by applying clinical criteria and guidelines to render coverage determinations. Collaborate with providers and internal constituents to facilitate appropriate treatment and promote quality effectiveness of benefit utilization.
Responsible for the execution, governance, and optimization of compensation and benefits programs to ensure competitiveness and compliance. Partners with senior leadership to deliver data-driven Total Rewards solutions and manage annual compensation cycles.
Provide live technical troubleshooting and support for store, pharmacy, and Minute Clinic employees regarding hardware and POS systems. Document issues in support tools and ensure timely resolution within service level agreements.
Negotiate and execute contracts with Behavioral Health providers while managing dispute resolutions and settlement negotiations. Oversee contract performance to ensure network quality, availability, and financial goals are met across various lines of business.
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.
Develop and deliver technology solutions to support compliance and audit management for the DDAT organization. Translate regulatory requirements into scalable technical controls and automate evidence collection for modern technology stacks.
Develop and execute innovative trade programs and services in collaboration with drug manufacturer partners from ideation to execution. Focus on driving data-driven insights, product design, and strategic solutions to enhance the patient journey.
Perform advanced payer-level analysis to maximize collections and reduce bad debt for Third-Party Revenue Cycle Management. Identify systemic drivers of payer exceptions and provide actionable recommendations to leadership for operational improvements.
Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health
·
Full Time
·
14 days ago
CVS Health
Conduct high-level, complex investigations into healthcare fraud and abuse, specifically focusing on Medicaid lines of business. Responsibilities include data mining for aberrant billing patterns, preparing cases for legal review, and providing guidance to junior investigators.
Lead Director, New Business Operations and Enablement, Trade Strategy & Innovation
CVS Health
·
Full Time
·
14 days ago
CVS Health
Lead sales operations and enablement for Life Sciences Innovation, focusing on improving contracting, invoicing, and revenue realization for pharmaceutical partnerships. The role involves managing financial obligations, tracking partnership pipelines, and developing sales materials to support new business development.
Senior Manager, Network Management Behavioral Health
CVS Health
·
Full Time
·
15 days ago
CVS Health
Negotiate and execute complex contracts with behavioral health provider systems to maintain network accessibility and quality. Conduct high-level analysis and dispute resolution to meet financial goals and cost initiatives.
Lead the design, development, and maintenance of scalable software solutions to support critical operations at CVS Health. Manage project deliverables, establish timelines, and drive the adoption of modern engineering practices and architectural frameworks.
Case Management Coordinator - Field (Mason, Cass, Brown, Scott and surrounding counties)
CVS Health
·
Full Time
·
15 days 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.
Case Management Coordinator β Field (Mason, Cass, Brown, Scott and surrounding counties)
CVS Health
·
Full Time
·
15 days 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 Manager, Registered Nurse- Field (Kankakee/Iroquois, and surrounding counties)
CVS Health
·
Full Time
·
15 days 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.
Senior Analyst, Enterprise FP&A Strategic Initiatives
CVS Health
·
Full Time
·
15 days ago
CVS Health
The Senior Analyst will support the preparation and quality assurance of financial materials for CVS Health's Board of Directors and quarterly earnings cycles. This includes compiling financial data, maintaining supporting models, and ensuring accurate and timely deliverables.
Pharmacy Care Representative - Work From Home New Jersey
CVS Health
·
Full Time
·
15 days 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
·
Full Time
·
15 days 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 Pennsylvania
CVS Health
·
Full Time
·
15 days 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 Florida
CVS Health
·
Full Time
·
15 days 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 Texas (MST or CST)
CVS Health
·
Full Time
·
15 days 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 North Carolina
CVS Health
·
Full Time
·
15 days 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.
Senior Manager, Provider Network Management (Indiana)
CVS Health
·
Full Time
·
15 days ago
CVS Health
The role involves negotiating and managing contracts with provider systems to ensure network adequacy and performance. It also focuses on resolving escalated claims issues and implementing strategic network configurations to manage costs.
The Program Integrity Auditor reviews medical and behavioral health records to ensure correct coding and documentation standards are met. They identify aberrant billing patterns and potential fraud, waste, or abuse while providing education to providers on regulatory requirements.
Pharmacy Care Representative - Work From Home Michigan
CVS Health
·
Full Time
·
15 days 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
·
Full Time
·
15 days 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.
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.
Assess and coordinate healthcare services for members by applying clinical criteria and guidelines to render coverage determinations. Collaborate with providers and internal constituents to facilitate appropriate treatment and promote quality effectiveness of benefit utilization.
Senior Manager, Digital Platform Strategy & Execution
CVS Health
·
Full Time
·
15 days 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.
Assess, plan, and coordinate healthcare services for members by applying clinical criteria and guidelines to render coverage determinations. Collaborate with providers and internal constituents to facilitate appropriate treatment and promote quality effectiveness of benefit utilization.
Finance and Internal Audit Virtual Externship Program (Undergraduate)
CVS Health
·
Full Time
·
15 days ago
CVS Health
Participants will engage in a 9-session virtual program to learn corporate finance and accounting through Excel and PowerPoint training. They will work with data to create a mock budgeting presentation for business leaders.
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.
Oversee care coordination staff and implement healthcare management services for children with complex behavioral health needs. Ensure compliance with state regulations and ODM standards while driving clinical quality and operational objectives.
The Principal Solution Engineer designs, develops, and implements enterprise-wide technical solutions for pharmacy systems. This hands-on role involves collaborating with Agile teams, creating architectural design documents, and mentoring other engineers.
Oversee the stability and performance of member outreach technology platforms and operational infrastructure. Lead forecasting and capacity planning to drive staffing decisions while managing a team of support analysts and planning managers.
Provide psychosocial support, education, and evidence-based mental health care to individuals, couples, and families aged 13 and older. Utilize assessment and treatment planning tools to ensure continuity of care within a virtual practice environment.
Drive the execution of the enterprise finance reporting strategy by delivering scalable and automated reporting solutions using SAP platforms. Partner with Finance and IT stakeholders to modernize reporting capabilities and streamline financial workflows.
Drive innovation and operational excellence for complex healthcare initiatives from ideation to delivery. This includes performing deep-dive analytics, developing growth strategies, and creating executive-level readouts to simplify complex problems for leadership.
The Medical Director performs concurrent and prior authorization reviews, pharmacy reviews, and handles appeal requests. They support Medical Management staff to ensure timely and consistent responses to members and providers.
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.
The Care Plan Reviewer utilizes advanced clinical judgment to review behavioral healthcare assessments and care plans for children with complex needs. They provide clinical consultation to care coordinators and ensure the medical appropriateness of services through a holistic, trauma-informed approach.
Act as the Anaplan product owner for P&L Forecast and Planning, managing the intake, prioritization, and execution of model enhancements and defects. Partner with technical teams and stakeholders to drive finance automation and ensure governance standards are met across the enterprise.
Lead the strategy, execution, and continuous improvement of Diabetes and Hypertension clinical programs. Manage a small team to translate central program designs into consistent delivery across national centers.
Virtual Clinician Home Evaluations Physician (Full Time) - Nebraska
CVS Health
·
Full Time
·
20 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.
Design, develop, and implement AI solutions and systems by architecting and coding software applications. Collaborate with cross-functional teams to drive technical innovation and the overall direction of AI engineering projects.
Support care teams through comprehensive chart reviews to facilitate efficient medical care and optimize population health workflows. Partner with regional leaders to analyze patient quality outcomes and monitor clinical documentation efforts.
Formulate pricing strategies and execute financial modeling for PBM client contracts, including retail, mail order, and specialty pharmacy. Collaborate with sales and account services to achieve revenue targets and present financial analyses to executive leadership.
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.
The role involves resolving member inquiries regarding pharmacy benefits, claims, and eligibility via phone, email, or chat. It also requires documenting interactions and collaborating with supervisors to improve service delivery processes.
Strategic Account Executive - Meritain Pharmacy Solutions
CVS Health
·
Full Time
·
21 days ago
CVS Health
Manage a book of business for Meritain Pharmacy Solutions to achieve customer satisfaction, membership, and renewal objectives. Develop strategic relationships with external partners and consultants while overseeing the operation of pharmacy benefits plans.
Lead the end-to-end development of strategic proposals and RFP responses for CVS Caremark across various market segments. Collaborate with cross-functional teams to align positioning and synthesize internal data to support client-specific strategies.
Lead the end-to-end development of strategic proposals and RFP responses for CVS Caremark across various market segments. Collaborate with cross-functional teams to synthesize data and customize value propositions to meet client-specific needs.
Coordinate proposal-related activities and manage the end-to-end development of RFPs for CVS Caremark. This includes collaborating with stakeholders, formatting proposals to brand standards, and ensuring all submission deadlines are met.
The role involves producing monthly rebate accruals and FP&A reporting by extracting data from multiple warehouses to calculate complex rebate terms. You will support the formulary rebate business, accounting for manufacturer rebates and tracking client commitments to impact the company's P&L.
Design and implement enterprise Data Loss Prevention (DLP) policies across cloud, endpoint, email, and network environments. Lead data protection strategies for AI/ML pipelines and ensure secure handling of sensitive data like PII and PHI.
Virtual Clinician Home Evaluations Physician Full Time - Kansas
CVS Health
·
Full Time
·
21 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 operational and clinical key performance indicators.
Virtual Clinician Home Evaluations - Nurse Practitioner or Physician Assistant (Full Time) - ME
CVS Health
·
Full Time
·
21 days ago
CVS Health
Conduct 30-minute virtual video visits with health plan members to review medical histories and medications. Educate members on their health and help close gaps in care to connect them with appropriate medical services.
Virtual Clinician Home Evaluations Physician Full Time -Iowa
CVS Health
·
Full Time
·
21 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 operational and clinical key performance indicators.
Medicare Part B Operations Supervisor, Revenue Cycle
CVS Health
·
Full Time
·
21 days ago
CVS Health
Lead a revenue cycle team focused on obtaining and verifying Medicare Part B documentation while driving day-to-day performance. Responsibilities include coaching staff, analyzing reports to resolve unbilled issues, and maintaining compliance workflows.
Medicare Part B Operations Coordinator, Revenue Cycle
CVS Health
·
Full Time
·
21 days ago
CVS Health
Support end-to-end Medicare Part B claims processing and ensure compliance with CMS requirements through prescriber outreach and documentation review. Manage a centralized repository of documentation to reduce bad debt and mitigate legal risks for the Revenue Cycle Team.
Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health
·
Full Time
·
21 days ago
CVS Health
Conduct complex investigations to prevent and prosecute healthcare fraud and abuse while recovering lost funds. Collaborate with law enforcement agencies and provide expert testimony during civil and criminal proceedings.
Senior Decision Scientist - Pharmacy and Consumer Wellness Analytics
CVS Health
·
Full Time
·
21 days ago
CVS Health
Develop end-to-end analytical solutions and predictive models to drive revenue and profitability for the Retail Pharmacy business. Partner with stakeholders to define problem statements and present data-driven recommendations to senior leadership.
Virtual Clinician Home Evaluations - Nurse Practitioner or Physician Assistant (Full Time) - CT
CVS Health
·
Full Time
·
22 days ago
CVS Health
Conduct 30-minute virtual video visits with Medicare Advantage, Medicaid, and commercial plan members to review medical histories and medications. Educate members on their health and identify gaps in care to connect them with appropriate medical services.
The role provides technical and functional support for Workday HCM to optimize HR and Payroll operations for domestic and international employees. Key duties include gathering requirements, configuring the platform, and managing the semi-annual Workday release process.
The Senior Analyst detects, investigates, and remediates Fraud, Waste, and Abuse (FWA) within healthcare services. This includes reviewing claims data for aberrant patterns and referring suspected cases to regulatory agencies.
Virtual Clinician Home Evaluations Physician Full Time - Oregon
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.
Lead the end-to-end delivery of automation opportunities from intake and discovery through deployment and continuous optimization. Partner with business stakeholders to translate pain points into a prioritized pipeline of automation and process improvements.
Senior Software Development Engineer β Ambulatory and Willow or Ambulatory and MyChart
CVS Health
·
Full Time
·
22 days ago
CVS Health
Lead the build, maintenance, and design of Epic environments, focusing on Ambulatory and Willow or MyChart modules. Collaborate with business leaders and technical teams to translate clinical requirements into technical specifications and ensure quality healthcare delivery.
Manager - Strategic Financial Planning & Investments
CVS Health
·
Full Time
·
23 days ago
CVS Health
Support key financial initiatives through financial modeling, capital planning, and the development of business cases for high-impact projects. Manage the investment portfolio by tracking performance data and collaborating with cross-functional stakeholders to align investments with enterprise priorities.
Inside Sales Rep-Hourly + Commission-Can live anywhere in U.S.
CVS Health
·
Full Time
·
23 days ago
CVS Health
Responsible for acquiring new members through inbound and outbound calls using a lead generation platform. Manages the full member relationship, including servicing inquiries, cross-selling products, and ensuring high retention rates.
Develop and execute strategies to create differentiated solutions for pharmaceutical manufacturers to reduce costs and increase accessibility. This includes building business cases, managing external relationships, and incubating new growth initiatives within the Trade Strategy team.
Provider Network Contracting Senior Manager (MO, IL)
CVS Health
·
Full Time
·
23 days ago
CVS Health
The Senior Manager is responsible for negotiating and executing complex contracts with provider systems to maintain network accessibility and financial goals. This includes implementing fee-for-service and value-based agreements while collaborating cross-functionally to improve physician performance.
Inside Sales Rep-Hourly + Commission-Can live anywhere in U.S.
CVS Health
·
Full Time
·
23 days ago
CVS Health
Responsible for acquiring new members through inbound and outbound calls using a lead generation platform. Manages the full member relationship, including servicing inquiries, cross-selling products, and ensuring high retention rates.
Lead the data governance strategy for the data warehouse and analytics environment to ensure data is discoverable, trusted, and well-managed. Define the product vision, strategy, and roadmap for the data governance platform, including cataloging and policy enforcement.
Execute and analyze end-to-end commercial benefits testing within the Aetna Claim Adjudication System (ACAS). Identify configuration defects and collaborate with business partners to improve testing rigor and reduce post-release corrections.
Provide clinical expertise to promote high-quality medical care with a focus on clinical and payment policy. Perform transactional reviews for appeals, clinical claims, and predeterminations while serving as a subject matter expert in DRG and ICD-10 coding.
National Accounts Specialty Sales Executive (Dental/Vision/Voluntary)
CVS Health
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Full Time
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a month ago
CVS Health
Develop and implement sales strategies to acquire new large group accounts and government programs within the dental, vision, and voluntary benefits segments. Manage complex negotiations and coordinate cross-functional internal teams to ensure successful client installation and servicing.
Own the end-to-end product delivery and roadmap for AI agent programs supporting IT Operations and Cybersecurity. Lead cross-functional alignment and agile execution to transition AI prototypes into scalable production systems.
Senior Network Contracting Negotiation Manager, Medicaid (Michigan)
CVS Health
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Full Time
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a month ago
CVS Health
Negotiate and execute complex contracts with hospital systems and physician groups to maintain provider networks for Medicaid products. Manage contract performance, implement value-based relationships, and lead cost-saving initiatives to meet financial and quality goals.
Develop and evaluate clinical medical programs to address member needs across the continuum of care. Provide clinical expertise for medical management activities, including prior authorizations, appeals, and acting as a liaison to network providers.
Investigator, Special Investigations Unit (Aetna SIU) - Must reside in Oklahoma
CVS Health
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Full Time
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a month 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.
Senior Manager, Network Management (Keystone Market)
CVS Health
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Full Time
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a month ago
CVS Health
Negotiate and execute complex provider contracts while managing network expansion and adequacy to meet financial and quality goals. Resolve escalated claims and contract disputes while ensuring compliance with regulatory standards.
Contract Negotiation Manager - PA, DE, NY, NJ, MD, or Washington, DC
CVS Health
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Full Time
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a month 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
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a month ago
CVS Health
Lead the design, operation, and scaling of CVS Health's on-premises AI compute platform and Enterprise AI Factory. Establish the SRE practice and operational baselines for GPU clusters, network fabrics, and orchestration layers to ensure high availability and performance.
Lead the digital product strategy and roadmap for Pharmacy Services client and clinical experience products. Manage a cross-functional leadership team to deliver high-value outcomes and improve overall product health.
The Senior Analyst is responsible for executing the Periodic Access Review (PAR) control process to ensure compliance with internal policies and external regulations. This includes managing complex reviews, mentoring junior staff, and maintaining up-to-date process documentation.
Lead a lean engineering team to build 'governance-as-code' through platform-agnostic SDKs, APIs, and automated controls. Focus on modernizing AI governance by shifting from manual approvals to automated registration and continuous observability.
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 Network Relations Consultant serves as the primary contact for high-profile providers to maintain positive relationships and resolve complex issues regarding policies, claims, and compensation. They are responsible for conducting provider orientations, educational outreach, and acting as a liaison between providers and the health plan to improve performance.
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.
Lead the development and enhancement of digital platform products by managing roadmaps and prioritizing features based on data insights. Collaborate with cross-functional teams to ensure products meet customer needs and maintain regulatory compliance.
Design and enhance data forecasting tools to support PBM pricing and underwriting operations. Collaborate with technical and business partners to translate requirements into analytical solutions and perform data integrity checks.
Leads the execution of pricing standards and proposal development to ensure alignment with business objectives and enterprise strategy. Manages pricing content libraries and collaborates with leadership to optimize sales support workflows.
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 a clinical practice including assessment and treatment planning without the burden of billing or credentialing.
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.
Assess the appropriateness of treatment plans for Behavioral Health and ABA services using evidence-based standards. Coordinate with providers to facilitate optimal care and identify members at risk for poor outcomes.
Lead Director, Network Management (Southern California)
CVS Health
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Full Time
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a month 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
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a month ago
CVS Health
This role focuses on accelerating product growth for Medicare initiatives by providing dedicated enablement and client-facing support. The manager will partner across sales, marketing, and clinical teams to translate product strategy into effective market execution and operational readiness.
Provide one-on-one phone and video consultations to identify and resolve medication-related problems for commercial and Medicare Part D members. Collaborate with multidisciplinary teams to create personal care plans and monitor drug therapy outcomes.
Oversee the execution of pricing and rebate programs while ensuring alignment with organizational goals. Perform data management and analysis using SAS/SQL to optimize pricing strategies and resolve process issues.
Lead cross-functional efforts to accelerate product growth by providing enablement and client-facing support for priority healthcare products. Translate product strategy into market execution by partnering with sales, marketing, and operations to drive adoption and revenue.
Accelerate product growth by providing dedicated enablement and client-facing support for priority products. Partner across sales, marketing, and operations to translate product strategy into effective market execution and scalable launches.
Develop savings analyses for Behavioral Health initiatives and identify provider and population trends impacting medical cost trends. Coordinate with clinical, finance, and network leads to build savings models and communicate results to executive leadership.
Provide clinical expertise to promote high-quality medical care with a focus on clinical and payment policy. Perform transactional reviews for appeals, clinical claims, and predetermination of covered benefits in Commercial and Medicare environments.
Define the long-term software and systems architecture vision for the Clinical Insights Engine platform across GCP and Azure. Lead the design of scalable, fault-tolerant systems powering clinical AI models, ML inference pipelines, and large-scale healthcare analytics.
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.
Lead the centralized production services team to ensure system stability, resilience, and operational efficiency for Pharmacy Services. Oversee root cause analysis, incident resolution, and the implementation of operational governance and performance metrics.
The role involves reviewing, negotiating, and executing Medicaid contracts while leading reimbursement dispute resolutions with provider groups. It also focuses on managing contract performance to meet network quality, availability, and financial goals.
Coordinate software acquisition, utilization, and license management while collaborating with sourcing, finance, and engineering teams. Focus on optimizing costs, managing vendor relationships, and ensuring contractual compliance to support the IT roadmap.
Contract Negotiation Manager - PA, OH, WV, and Deleware
CVS Health
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Full Time
·
a month ago
CVS Health
Negotiates and analyzes contracts with small to local healthcare providers to maintain network accessibility and financial goals. Manages provider relationships and resolves escalated issues regarding claims payment and contract interpretation.
Lead a small team of designers and content strategists while remaining a hands-on individual contributor for critical design initiatives. Partner with cross-functional teams to deliver accessible, user-centered healthcare solutions and manage the design roadmap.
Principal Solutions Architect β Enterprise Architecture & Modernization
CVS Health
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Full Time
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a month ago
CVS Health
Lead enterprise-wide architecture strategy and drive modernization of high-volume healthcare ecosystems, specifically focusing on claims and payment processing. Translate strategic business initiatives into scalable, cloud-native solutions while managing mainframe migration and AI integration.
Lead Director β Finance Reporting and AI/ML Transformation
CVS Health
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Full Time
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a month ago
CVS Health
Lead the modernization of finance reporting and analytics by implementing AI/ML solutions to automate and optimize business processes. Drive strategic transformation initiatives and mentor teams to enhance decision-support capabilities across the enterprise.
Act as a Technical Lead and Individual Contributor to build a next-generation digital health platform. Responsibilities include designing scalable solutions, creating Proof of Concepts, and mentoring junior developers to ensure delivery excellence.
Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health
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Full Time
·
a month ago
CVS Health
Manage complex investigations into suspected healthcare fraud, waste, and abuse to prevent fraudulent claim payments. Coordinate with law enforcement agencies and provide trial testimony to support criminal or civil proceedings.
Acts as a bridge between Revenue Cycle business operations and IT to manage production support, troubleshoot critical incidents, and oversee the project lifecycle. Responsible for coordinating system releases, conducting root cause analysis, and optimizing application performance to support AR operations.
Accurately enter and interpret prescriptions while managing insurance payments and benefit investigations. Handle inbound calls to provide patient education and resolve issues in coordination with pharmacists.
Virtual Clinician Home Evaluations Nurse Practitioner or Physician Assistant Full Time - Oregon
CVS Health
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Full Time
·
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.
In-Home Nurse Practitioner or Physician Assistant (Full Time) - Boise, ID
CVS Health
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Full Time
·
a month 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
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Full Time
·
a month ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to bridge gaps in care. They will conduct assessments, answer health questions, and build trusted relationships to improve health outcomes.
In-Home Nurse Practitioner or Physician Assistant (Per Diem) - Pocatello, ID
CVS Health
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Full Time
·
a month 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
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Full Time
·
a month 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
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Full Time
·
a month 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
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Full Time
·
a month ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to bridge gaps in care. They will conduct assessments, answer health questions, and build trusted relationships to improve health outcomes.
In-Home Nurse Practitioner or Physician Assistant (Part Time) - Coeur d'Alene, ID
CVS Health
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Full Time
·
a month 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
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Full Time
·
a month ago
CVS Health
The role involves conducting in-home health evaluations, building trusted relationships with patients, and providing personalized health assessments. Clinicians will engage with patients to answer health questions and bridge gaps in care.
The physician will conduct in-home health evaluations, engaging with patients to bridge gaps in care and improve health outcomes. Responsibilities include performing medication reviews, physical evaluations, and providing connections to appropriate care.
The physician will conduct in-home health evaluations, engaging with patients to bridge gaps in care. They will build trusted relationships and provide personalized health evaluations.
In-Home Nurse Practitioner or Physician Assistant (Part Time) - Twin Falls, ID
CVS Health
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Full Time
·
a month 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.
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) - Grangeville, ID
CVS Health
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Full Time
·
a month ago
CVS Health
The role involves providing in-home health evaluations, connecting with patients to answer health questions and review their medical history. Clinicians will also conduct physical evaluations and may perform additional diagnostic tests as ordered by health plans.
In-Home Nurse Practitioner or Physician Assistant (Per Diem) - Caribou, ID
CVS Health
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Full Time
·
a month 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
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Full Time
·
a month 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.
The physician will conduct in-home health evaluations, engaging with patients to answer health questions and bridge gaps in care. They will build trusted relationships and provide personalized health evaluations.
In-Home Nurse Practitioner or Physician Assistant Part Time - St. George
CVS Health
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Full Time
·
a month ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to answer health questions and bridge gaps in care. They will conduct assessments including medication reviews and physical evaluations, while building trusted relationships with patients.
The physician will conduct in-home health evaluations, engaging with patients to bridge gaps in care. They will build trusted relationships and provide personalized health evaluations.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Evanston
CVS Health
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Full Time
·
a month ago
CVS Health
The role involves providing in-home health evaluations and building trusted relationships with patients to improve their health outcomes. Clinicians will engage with patients, review their medical history, and conduct physical evaluations.
The In-Home Physician will conduct health evaluations in patients' homes, focusing on building trusted relationships and addressing health concerns. This role includes reviewing medical history, performing physical evaluations, and connecting patients to appropriate care.
The role involves conducting in-home health evaluations, building trusted relationships with patients, and providing personalized health assessments. Clinicians will engage with patients to address their health questions and connect them to appropriate care.
In-Home Nurse Practitioner or Physician Assistant Part Time - Idaho Falls
CVS Health
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Full Time
·
a month ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to bridge gaps in care. They will conduct assessments, answer health questions, and utilize technology for evaluations.
The physician will conduct in-home health evaluations, engaging with patients to bridge gaps in care. This includes reviewing medication and medical history, performing physical evaluations, and conducting additional diagnostic tests as needed.
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 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 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
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Full Time
·
a month ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to bridge gaps in care. They will conduct assessments, answer health questions, and build trusted relationships to improve health outcomes.
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
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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 Nurse Practitioner or Physician Assistant Full Time - Iowa
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 Nurse Practitioner Full Time - Kansas
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.
Accurately enter and interpret prescriptions, calculate doses, and process insurance payments. Handle inbound calls to provide patient education, resolve problems, and perform benefit investigations.
Lead the design and evolution of private cloud storage platforms focusing on large-scale architecture, data protection, and cyber recovery. Drive strategic technology decisions and mentor engineering teams to optimize infrastructure efficiency and security.
Virtual Clinician Home Evaluations - Nurse Practitioner or Physician Assistant (Full Time) - WV
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.
Lead the quality engineering strategy for the ACAS benefits ecosystem to drive defect prevention and shift-left quality practices. Partner with cross-functional leaders to implement automation-first testing and risk-based models to reduce financial risk and claims rework.
Negotiates and manages contracts with small to local healthcare providers to maintain network adequacy and financial goals. Collaborates cross-functionally to resolve complex contract issues and implement cost-saving initiatives.
Lead Director, Provider Performance Value-Based Care
CVS Health
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Full Time
·
a month ago
CVS Health
Establish and maintain productive value-based relationships with network providers to develop innovative solutions for cost and quality goals. Manage the complete contracting cycle, from planning and negotiation to implementation and performance oversight.
Lead system design and architecture reviews to ensure enterprise applications align with security, compliance, and resiliency standards. Partner with cross-functional teams to translate business requirements into scalable, secure, and supportable end-to-end cloud solutions.
Provide psychosocial support, education, and evidence-based mental health care to individuals and families aged 13 and older. Manage a clinical practice including assessment and treatment planning within a virtual environment.
Design, develop, and maintain complex healthcare integrations to ensure seamless data flow between Epic EHR and other systems. Lead medium-sized projects and mentor junior developers while adhering to quality standards for critical healthcare data exchange.
Senior Manager - Customer Strategy & Business Integration
CVS Health
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Full Time
·
a month ago
CVS Health
This role focuses on connecting insights and strategy to drive customer-led growth through the evaluation of partnerships, insourcing, and strategic investments. The manager will develop financial business cases and lead cross-functional initiatives to improve the customer experience.
Acts as the Chief of Staff to the SVP of Employer Sales to strengthen renewal strategies and improve leadership effectiveness. Responsible for managing portfolio risk, aligning pricing with delivery capacity, and maintaining a disciplined operating rhythm for the leadership team.
Supports cost management programs to reduce medical claim expenses and recover funds from liable parties. Gathers data and performs cost analyses to identify saving opportunities and reduction strategies.
Direct a team focused on evolving innovative and transparent PBM pricing models to drive business growth. Collaborate cross-functionally to define product vision, strategy, and multi-year roadmaps while managing go-to-market efforts.
Virtual Clinician Home Evaluations Physician Full Time - WV
CVS Health
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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.
Provide financial consultation and pricing support to help CVS Caremark win and retain business through data-driven insights. Analyze pharmaceutical data to formulate recommendations for clients and senior leadership regarding healthcare strategies.
The 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.
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.
Provide financial consultation and pricing support to help CVS Caremark win and retain business through data-driven insights. Analyze pharmaceutical data to formulate recommendations for clients and senior leadership regarding healthcare strategies.
The Contract Manager serves as a subject matter expert responsible for negotiating, executing, and auditing complex provider contracts to enhance network accessibility and quality. They collaborate cross-functionally to manage provider compensation, resolve escalated claims issues, and ensure compliance with federal and state regulations.
In-Home Nurse Practitioner or Physician Assistant Part Time - Johnstown
CVS Health
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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 Health - Nurse Practitioner or Physician Assistant (Full Time) - Minneapolis, MN
CVS Health
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Full Time
·
2 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
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Full Time
·
2 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.
Develop and maintain forecasting models to project CMS Stars performance and identify areas for improvement. Prepare reports and dashboards for senior leadership while managing payer data reconciliation and internal data quality.
Lead a team of account executives to drive strategic operational excellence, client retention, and growth for Meritain Pharmacy Solutions. Partner with senior leadership to deliver consultative solutions and manage contract negotiations and pricing.
Define and implement strategic architectures and roadmaps with a heavy focus on applied AI to drive business value. Collaborate with stakeholders to optimize business applications and mentor engineering teams on modern architectural standards.
In-Home Health - Nurse Practitioner or Physician Assistant (Per Diem) -Bellingham, WA
CVS Health
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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.
Lead and scale a high-performing L1 technical support organization to ensure exceptional customer experience and rapid issue resolution. Oversee P1/P2 incident response, monitor system performance, and collaborate with engineering teams to improve product quality.
Lead the strategic vision and execution of enterprise-wide quality engineering and automation frameworks for the CVS Digital team. Manage high-performing teams to drive a shift-left, automation-first mindset across complex distributed systems.
The physician will conduct comprehensive in-home health evaluations, including medication reviews and physical assessments, to bridge gaps in patient care. They will also perform virtual visits and provide diagnostic services while maintaining accurate clinical documentation via an iPad.
Provide psychosocial support and evidence-based mental health therapy to individuals, couples, and families. Manage patient assessment and treatment planning while collaborating with the clinical care team.
The Lead Director will define and evolve the architecture strategy for member-facing digital platforms, ensuring they are scalable, secure, and intelligent. This role involves leading a team of architects while partnering with product, engineering, and data teams to drive AI-driven innovation and platform modernization.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Minneapolis, MN
CVS Health
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Full Time
·
2 months ago
CVS Health
The clinician will conduct in-home health evaluations, including medication reviews, physical assessments, and diagnostic screenings for health plan members. They are responsible for building trusted relationships with patients and providing education to help bridge gaps in care.
In-Home Health - Physician (Part Time) - Bremerton, WA
CVS Health
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Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations for patients, including medication reviews, physical assessments, and diagnostic testing. Build trusted relationships with patients to bridge care gaps and provide personalized health insights.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Kings, NY
CVS Health
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Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations including medication reviews, physical assessments, and diagnostic tests for health plan members. Build trusted relationships with patients to bridge gaps in care and provide health education.
In-Home Health - Nurse Practitioner or Physician Assistant (Per Diem) - Wenatchee/ Grant County, WA
CVS Health
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Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations, including physical assessments, medication reviews, and diagnostic tests for health plan members. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Lebanon, NH
CVS Health
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Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations, including medication reviews, medical history assessments, and physical examinations for health plan members. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation using an iPad.
In-Home Health - Nurse Practitioner or Physician Assistant (Per Diem) - Bremerton, WA
CVS Health
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Full Time
·
2 months ago
CVS Health
Conduct comprehensive in-home health evaluations, including medication reviews, physical assessments, and diagnostic testing for health plan members. Provide patient education and bridge gaps in care to improve health outcomes while maintaining detailed clinical documentation.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Boston MA
CVS Health
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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
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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
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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 Traveler Nurse Practitioner or Physician Assistant - Full Time - CT
CVS Health
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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 (Full Time) - Fergus Falls, MN
CVS Health
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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
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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 Health - Nurse Practitioner or Physician Assistant (Part Time) - Grand Rapids, MN
CVS Health
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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
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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
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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
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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) - Colorado Springs, CO
CVS Health
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Full Time
·
3 months ago
CVS Health
Conduct in-home health evaluations for health plan members, including physical assessments and medication reviews. Provide patient education and facilitate connections to appropriate care based on individual health needs.
Provide psychosocial support, education, and evidence-based mental health counseling to individuals, couples, and families aged 13 and older. Manage patient care through diagnostic assessment and treatment planning within a virtual clinical environment.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Fergus Falls, MN
CVS Health
·
Full Time
·
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.
The EAP Head of Sales is responsible for driving the growth strategy and market impact of Aetnaβs Resources for Living solution. This role involves leading cross-functional teams, managing external stakeholder relationships, and ensuring the effective delivery of wellbeing solutions to large employers and health plans.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time)- Hartford CT
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct in-home health evaluations, including medication reviews, physical assessments, and diagnostic testing for health plan members. Build trusted relationships with patients to bridge gaps in care and provide personalized health education.
In-Home Health - 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 NP/PA-Part Time -Bridgeport CT ( Western and South Central Counties)
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 help bridge gaps in care and provide personalized health education.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) Barnstable MA
CVS Health
·
Full Time
·
3 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 Health - NP/PA (Per Diem) - Boulder, CO - Grand County
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct comprehensive in-home health evaluations for health plan members, including medication reviews and physical assessments. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
In-Home Health Clinician - Nurse Practitioner or Physician Assistant (Full Time) - Seattle/King
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct comprehensive in-home health evaluations for health plan members, including medication reviews and physical assessments. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
In-Home NP/PA (Part Time) - Denver, CO - Jefferson County
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct in-home health evaluations for health plan members, including medication reviews, medical history assessments, and physical 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
·
3 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 (Per Diem) - Boulder, CO - Boulder County
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 gaps in care and provide personalized health education.
In-Home Health - NP/PA (Full Time) - Spokane, WA - Stevens County
CVS Health
·
Full Time
·
3 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
·
3 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
·
3 months ago
CVS Health
Conduct in-home health evaluations for health plan members, including medication reviews, medical history assessments, and physical examinations. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
Senior Data Scientist - Clinical Informatics (Analytics Enablement)
CVS Health
·
Full Time
·
3 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 Nurse Practitioner or Physician Assistant Per Diem - Scranton
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct in-home and virtual health evaluations to bridge gaps in care for health plan members. Perform medication reviews, physical assessments, and diagnostic screenings while building trusted relationships with patients.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Scranton
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 facilitate connections to appropriate care services while maintaining accurate clinical documentation.
Provide psychosocial support and evidence-based mental health counseling to individuals, couples, and families aged 13 and older. Collaborate with clinical care teams to develop treatment plans and ensure continuity of care for patients.
In-Home Health - Physician (Full Time) - Poughkeepsie, NY
CVS Health
·
Full Time
·
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 also perform virtual visits and provide diagnostic services as required by health plans.
In-Home Health - Physician (Full Time) - Albany, NY
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct comprehensive in-home health evaluations, including medication reviews and physical assessments, to bridge gaps in patient care. Engage with patients to build trusted relationships and provide connections to appropriate care services.
In-Home Health - Physician (Full Time) - Syracuse, NY
CVS Health
·
Full Time
·
3 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 - Nurse Practitioner or Physician Assistant (Part Time) - Bridgeport, CT
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct in-home and virtual health evaluations, including medication reviews, medical history assessments, and physical examinations. Provide health education and bridge gaps in care to improve patient health outcomes.
In-Home Health - NP or PA (Full Time) - Broome County, Binghamton, NY
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct in-home health evaluations for patients, including physical assessments, medication reviews, and medical history documentation. Provide comprehensive health education and bridge care gaps while maintaining accurate clinical records using an iPad.
Conduct in-home health evaluations for health plan members, including medication reviews, physical assessments, and diagnostic testing. Build trusted relationships with patients to bridge gaps in care and provide connections to appropriate health resources.
Conduct in-home health evaluations to 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.
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 for health plan members, including medication reviews and physical assessments. Provide comprehensive health insights and bridge gaps in care through one-on-one patient engagement.
Conduct in-home health evaluations for patients, including medication reviews, physical assessments, and diagnostic testing. Build trusted relationships with patients to bridge gaps in care and provide connections to appropriate health services.
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 Physician (Per Diem) - Williamsport - Region
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct in-home health evaluations for patients, including medication reviews, medical history assessments, and physical examinations. Facilitate connections to appropriate care and document findings using an intuitive clinical workflow on an iPad.
In-Home Nurse Practitioner or Physician Assistant (Per Diem) - Erie
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct in-home health evaluations for patients, including medication reviews, medical history assessments, and physical examinations. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
In-Home Health - Physician (Per Diem) - Harrisburg - Region
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct comprehensive in-home health evaluations, including physical assessments, medication reviews, and diagnostic tests. Build trusted relationships with patients to bridge gaps in care and provide personalized health insights.
Conduct in-home health evaluations for patients, including medication reviews, physical assessments, and diagnostic testing. Build trusted relationships with patients to bridge gaps in care and improve overall health outcomes.
Conduct in-home health evaluations for health plan members, including medication reviews and physical assessments. Facilitate connections to appropriate care and document findings using an intuitive clinical workflow on an iPad.
In-Home Health - NP or PA (Part Time) - Kennewick, WA
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct in-home health evaluations, including medication reviews, medical history assessments, and physical evaluations for health plan members. Provide patient education and facilitate connections to appropriate care to improve overall health outcomes.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Montgomery/ Albany, NY
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct in-home health evaluations for health plan members, including medication reviews, medical history assessments, and physical examinations. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation using an iPad.
In-Home Health - Nurse Practitioner or Physician Assistant (Per Diem) - Okanagan, WA
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct comprehensive in-home health evaluations, including medication reviews and physical assessments, to bridge gaps in patient care. Provide health education and facilitate connections to appropriate care services based on individual patient needs.
In-Home Health Clinician - Nurse Practitioner or Physician Assistant (Full Time) - Wenatchee
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct comprehensive in-home health evaluations for health plan members, including medication reviews and physical assessments. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
In-Home Health - Nurse Practitioner or Physician Assistant (Per Diem) - Okanagan, WA
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct comprehensive in-home health evaluations, including medication reviews and physical assessments, to bridge gaps in patient care. Provide patient education and facilitate connections to appropriate care services based on individual health needs.
In-Home Health - NP or PA (Part Time) - Kennewick, WA
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct in-home health evaluations for health plan members, including medication reviews, medical history assessments, and physical examinations. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation using provided digital tools.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Seattle - Snohomish County
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct in-home health evaluations for patients, including physical exams, medication reviews, and medical history assessments. Provide health education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Montgomery/ Albany, NY
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct in-home health evaluations, including medication reviews, physical assessments, and diagnostic testing for health plan members. Build trusted relationships with patients to bridge gaps in care and provide personalized health education.
Conduct in-home health evaluations to review medical history, perform physical assessments, and identify gaps in care for health plan members. Provide diagnostic and preventive services while maintaining accurate clinical documentation using an iPad-based workflow.
Conduct in-home health evaluations to bridge gaps in care and build trusted relationships with patients. Perform medication reviews, physical assessments, and diagnostic tests while documenting findings through an intuitive clinical workflow.
Conduct in-home health evaluations to review medical history, perform physical assessments, and provide diagnostic services. Engage with patients to bridge gaps in care and ensure their health needs are communicated to their primary care teams.
Conduct in-home health evaluations to 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.
Conduct in-home health evaluations for health plan members, including medication reviews, physical assessments, and diagnostic testing. Build trusted relationships with patients to bridge gaps in care and provide connections to appropriate health resources.
Conduct in-home health evaluations for patients, including medication reviews, physical assessments, and diagnostic testing. Build trusted relationships with patients to bridge care gaps and provide personalized health insights.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Winchester
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct comprehensive in-home health evaluations for health plan members, including medication reviews and physical assessments. Build trusted relationships with patients to bridge care gaps and provide personalized health education.
In-Home Health Clinician - Nurse Practitioner or Physician Assistant (Part Time) - Durango, CO
CVS Health
·
Full Time
·
3 months ago
CVS Health
Conduct in-home health evaluations for members, including medication reviews, medical history assessments, and physical evaluations. Provide diagnostic and preventive services while building trusted relationships to help bridge gaps in patient care.
In-Home Health - Physician (Per Diem) - Glenwood Springs, CO
CVS Health
·
Full Time
·
3 months ago
CVS Health
Provide in-home health evaluations to patients, engaging with them to bridge gaps in care. Build trusted relationships to improve health outcomes and connect patients to the right care.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Pueblo, CO
CVS Health
·
Full Time
·
3 months ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to bridge gaps in care and improve health outcomes. Responsibilities include conducting assessments, answering health questions, and utilizing technology for evaluations.
In-Home Health - Physician (Part Time) - Fort Collins, CO
CVS Health
·
Full Time
·
3 months ago
CVS Health
The physician will conduct in-home health evaluations, engaging with patients to answer health questions and review medical histories. They will build trusted relationships to improve health outcomes and connect patients to the right care.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Grand Junction, CO
CVS Health
·
Full Time
·
3 months ago
CVS Health
The role involves conducting in-home health evaluations, engaging with patients to answer health questions and bridge gaps in care. Clinicians will build trusted relationships and provide personalized health evaluations.
In-Home Health - Physician (Part Time) - Grand Junction CO
CVS Health
·
Full Time
·
3 months ago
CVS Health
The physician will conduct in-home health evaluations, engaging with patients to bridge gaps in care. They will build trusted relationships and provide personalized health evaluations in patients' homes.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Boulder, CO
CVS Health
·
Full Time
·
3 months ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to help bridge gaps in care. They will conduct assessments, answer health questions, and build trusted relationships to improve health outcomes.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Bremerton, WA
CVS Health
·
Full Time
·
3 months ago
CVS Health
This role involves providing in-home health services as a Nurse Practitioner or Physician Assistant in the field within Washington state. The position is designated as part-time employment.
In-Home Health - 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) - 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.
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.
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
·
4 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
·
4 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
·
4 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
·
4 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
·
4 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 Traveler Nurse Practitioner or Physician Assistant (Full-Time) - New York
CVS Health
·
Full Time
·
4 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 Nurse Practitioner or Physician Assistant Per Diem - Fredericksburg
CVS Health
·
Full Time
·
4 months ago
CVS Health
The clinician will conduct in-home health evaluations lasting about 45 minutes, which includes reviewing medical history, performing a physical evaluation, and 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 Hampshire
CVS Health
·
Full Time
·
4 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
·
4 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
·
4 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
·
4 months ago
CVS Health
The Physician will provide in-home health evaluations, engaging with individuals to bridge gaps in care by conducting comprehensive assessments including medication review and physical evaluations. This role involves joining a national network of clinicians dedicated to improving health outcomes by visiting millions of people nationwide.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Tompkins & Binghampton, NY
CVS Health
·
Full Time
·
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.
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
·
4 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) - Fulton & Albany, NY
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. 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
·
4 months ago
CVS Health
The clinician will conduct comprehensive in-home health evaluations lasting about 45 minutes, which includes reviewing medical history, performing a physical evaluation, and potentially administering diagnostic tests. This role involves engaging with patients locally and virtually to bridge gaps in care and build trusted relationships.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) Penobscot, ME
CVS Health
·
Full Time
·
4 months ago
CVS Health
The clinician will conduct in-home health evaluations lasting about 45 minutes, which include reviewing medical history, performing a physical evaluation, and potentially conducting diagnostic tests. They will be responsible for fulfilling all Signify Health services, including Diagnostic & Preventive Services, while building trusted relationships with members.
The Physician will provide In-Home Health Evaluations, engaging with people in their homes to bridge gaps in care through comprehensive, personalized health assessments including medication review and physical evaluation. This role involves joining a national network of clinicians dedicated to improving health outcomes by conducting visits and fulfilling Signify Health service requirements.
In-Home Nurse Practitioner or Physician Assistant Part Time - Winchester
CVS Health
·
Full Time
·
4 months ago
CVS Health
The clinician will conduct in-home health evaluations lasting about 45 minutes, which includes reviewing medical history, performing a physical evaluation, and conducting diagnostic tests as ordered. They will engage with individuals to answer health questions and bridge gaps in care while using an iPad for clinical workflow.
The physician will provide in-home health evaluations lasting about 45 minutes, which includes medication and medical history review, a physical evaluation, and potentially diagnostic tests. This role involves joining a national network of clinicians dedicated to improving health outcomes by visiting millions of people nationwide.
The Physician will conduct in-home health evaluations lasting about 45 minutes, which includes reviewing medical history, medications, and performing a physical evaluation to bridge gaps in care. They will also be responsible for conducting virtual visits as needed and providing specified diagnostic and preventive services.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) Augusta, ME
CVS Health
·
·
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) - Colorado Springs
CVS Health
·
·
5 months ago
CVS Health
The clinician will conduct comprehensive in-home health evaluations lasting about 45 minutes, which include reviewing medical history, performing a physical evaluation, and potentially ordering diagnostic tests. They will be responsible for building trusted relationships with members and connecting them to the right care based on their unique needs.
The role involves providing psychosocial support and education to address the mental well-being of individuals, couples, and families aged 13 and older, utilizing evidence-based care and assessment tools to ensure continuity of treatment.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Hartford CT
CVS Health
·
Full Time
·
5 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
·
5 months ago
CVS Health
The clinician will conduct in-home health evaluations lasting about 45 minutes, which includes reviewing medical history, performing physical evaluations, and potentially administering diagnostic tests. They will join a national network of clinicians dedicated to improving health outcomes by connecting people to the right care for their unique needs.
In-Home Health - Physician (Per Diem) -Bellingham, WA
CVS Health
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Full Time
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5 months ago
CVS Health
The physician will conduct in-home health evaluations, engaging with patients to answer health questions and review their medical history. They will also provide connections to appropriate care based on individual needs.
In-Home Health - Nurse Practitioner or Physician Assistant (Per Diem) - Olympia, WA
CVS Health
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Full Time
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5 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 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
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Full Time
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5 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 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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5 months ago
CVS Health
The clinician will conduct in-home health evaluations, engaging with patients to assess their health needs and provide personalized care. This role requires extensive travel 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 answer health questions and review their medical history. They will also help bridge gaps in care and connect patients to the right services.
In-Home Traveler Nurse Practitioner or Physician Assistant Full Time - PA
CVS Health
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Full Time
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5 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 bridge gaps in care. This role involves building trusted relationships and providing personalized health evaluations.
The physician will conduct in-home health evaluations, engaging with patients to 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 (Full Time) - Minnesota (Traveler)
CVS Health
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Full Time
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5 months ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to bridge gaps in care. This role requires extensive travel across a defined coverage area to conduct assessments and connect patients with appropriate care.
The role involves providing psychosocial support and education to address the mental wellbeing of individuals, couples, and families aged 13 and older using evidence-based care and available assessment tools. Therapists will practice at the top of their license while reaching patients within their communities, supported by the clinical care team.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Rockingham County NH
CVS Health
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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.
The physician will conduct in-home health evaluations, engaging with patients to bridge gaps in care. They will build trusted relationships and provide personalized health evaluations.
In-Home Health - Nurse Practitioner or Physician Assistant (Per Diem) - Pullman WA
CVS Health
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Full Time
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6 months ago
CVS Health
Conduct in-home health evaluations and engage with patients to answer health questions. Build trusted relationships to improve health outcomes and connect patients to appropriate care.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Wilmar, MN
CVS Health
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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 medical histories. They will also provide diagnostic and preventive services as needed.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Washington (Traveler)
CVS Health
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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 connections to appropriate care based on individual needs.
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.
The Senior Manager of Clinical Innovation manages and drives use cases within the clinical innovation portfolio to solve key business problems. This role involves collaborating with cross-functional teams to develop, test, and implement innovative solutions.
Care Management Coordinator OhioRISE 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.
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.
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.
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 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 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.
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 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.
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.
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.
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 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.
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.
Care Management Coordinator OhioRISE Central/SE Ohio region
CVS Health
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Full Time
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9 months ago
CVS Health
The Care Management Coordinator collaborates with various stakeholders to facilitate healthcare outcomes for members by providing care coordination, support, and education. They conduct comprehensive evaluations of members' needs and implement care plans while monitoring progress.
The Lead Director of UM Innovation Delivery manages and drives initiatives to solve key business problems and create new value for Utilization Management. This role involves leading strategic projects, collaborating with senior leadership, and overseeing the execution of complex initiatives aligned with corporate goals.
As a Medical Economics Analyst, you will provide consultative support and medical cost-based analysis of markets and network initiatives. You will analyze utilization and unit cost medical cost drivers and manage multiple projects to improve patient care.
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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9 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.