Leads the planning and execution of business enablement projects, managing budgets, resources, and timelines from initiation to completion. Collaborates with cross-functional teams to define clinical system requirements and oversee user acceptance testing and implementation.
CVS Health
609 Remote Job Openings at CVS Health
Oversee the strategic execution of quality programs and audit readiness for Grievance & Appeals across Medicare, Medicaid, and Duals lines of business. Lead and develop a remote team of Quality Analysts to ensure regulatory compliance and operational excellence.
Leads the planning and execution of business enablement initiatives with a primary focus on Clinical Care Management User Acceptance Testing (UAT). Manages project scope, budgets, and cross-functional stakeholders to ensure quality delivery and adherence to healthcare regulations.
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.
Own the end-to-end execution and evolution of the Hybrid Visit experience, transitioning it from pilot to scale. Collaborate across product, engineering, and clinical teams to ensure operational reliability and seamless system integration.
Senior Software Development Engineer β Imaging Platform
CVS Health
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Full Time
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3 hours ago
CVS Health
Design and implement enterprise-scale digital imaging solutions and the IMDash platform for image ingestion, processing, and delivery. Develop AEM integrations and cloud-native pipelines to enable scalable media experiences across digital channels.
Lead the modernization of legacy applications with integrated AI workflows and develop Specialty Pharmacy initiatives. Provide strategic leadership, mentor team members, and drive architectural design decisions for scalable software products.
The RN Case Manager is responsible for assessing, planning, and coordinating case management activities to evaluate medical needs and facilitate overall member wellness. This includes developing proactive courses of action to reduce risk factors and managing complex health and social indicators.
Design and build the Snowflake data foundation and ThoughtSpot data models to power retail analytics. Integrate analytics experiences into internal applications using React and TypeScript.
Health Advocate - Outbound Calls, Healthy Outcomes Team - Remote
CVS Health
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Full Time
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5 hours ago
CVS Health
Conduct inbound and outbound calls to Medicare members and providers to facilitate health screenings, vaccinations, and medication refills. Provide health education and document all interactions accurately in member health records to improve health outcomes.
Lead multiple product teams to define 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 and technical health.
Support and enhance Workday HCM, Absence, Compensation, and Payroll modules to ensure accurate and timely employee payment. Collaborate with cross-functional stakeholders to translate business requirements into scalable technological solutions and manage Workday releases.
The Business Analyst will support the RFL re-platforming program through project tracking, risk management, and executive reporting during a digital transformation. Post-launch, the role will transition to operational reporting, feature performance analysis, and continuous improvement of the platform.
Provide end-to-end clinical expertise to support sales and account management throughout the client lifecycle, from pre-sale strategy to post-sale optimization. Bridge the gap between product capabilities, clinical operations, and analytics to create clear, client-ready narratives and program guidance.
Oversee a diverse portfolio of technology initiatives and ensure high standards of delivery, governance, and organizational alignment. Connect business strategy to execution while managing a significant annual investment and large-scale program hours.
The coordinator reviews and processes provider appeals while ensuring adherence to regulatory requirements and compliance policies. They are also responsible for drafting decision letters and serving as a subject matter expert for complex cases.
Lead Director, Provider Performance Value-Based Care
CVS Health
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Full Time
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9 hours ago
CVS Health
Establish and maintain productive value-based relationships with network providers to develop innovative solutions for cost and quality goals. Manage the complete contracting cycle, from planning and negotiation to implementation and performance oversight.
Accountable for the strategic alignment and operational success of complex provider relationships and value-based care initiatives in Florida and Louisiana. This role involves supervising the Provider Performance team and driving improvements in quality of care while reducing costs.
The specialist manages the review, design, and auditing of complex provider contracts and fee schedules within management systems. They conduct research and analysis to ensure data integrity and support network growth and compliance goals.
The role focuses on improving finance processes across CVS by reducing waste and increasing efficiency through redesign and automation. The engineer will lead DMAIC projects and partner with finance stakeholders to deliver measurable business results.
Clinical Technology Product Owner β Interoperability
CVS Health
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Full Time
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21 hours ago
CVS Health
Drive the delivery of interoperability capabilities and secure clinical data exchange between payers and providers using FHIR standards. Manage the team backlog and collaborate with engineering to implement APIs and provider-facing workflows.
Clinical Technology Product Manager - Interoperability
CVS Health
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Full Time
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21 hours ago
CVS Health
Drive the delivery of interoperability capabilities and secure clinical data exchange between payers and providers using FHIR standards. Manage the team backlog and collaborate with engineering to implement APIs and provider-facing workflows.
Director Case Management - Aetna Better Health of Oklahoma - RN
CVS Health
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Full Time
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a day ago
CVS Health
Oversees the implementation of strategic and operational business plans for clinical operations to deliver cost-effective care to members. Leads the clinical team in health risk screenings, care plan development, and ensuring compliance with Oklahoma regulatory requirements.
Design, develop, and implement digital solutions and software applications using advanced technical expertise. Collaborate with cross-functional teams to drive technical innovation and conduct system testing and debugging.
Provide engineering support for the enterprise Email Security infrastructure, including Secure Email solutions and SMTP relays. Collaborate with developers and security teams to troubleshoot mail flow issues and manage deployments.
Provide financial consultation and pricing support to help CVS Caremark win and retain business through data-driven insights. Analyze pharmaceutical data to formulate recommendations for clients and senior leadership across various functional areas.
Responsible for providing end-to-end project oversight, leadership, and administration across the full project lifecycle. This includes managing scope, schedules, budgets, and stakeholder expectations to deliver high-quality results.
Provide technical support to store, pharmacy, and clinic employees by diagnosing and resolving hardware and software issues. Manage live troubleshooting calls and document incidents within a case tracking system to ensure timely resolution.
Perform intake of calls from members and providers to screen requests for medical services and approve non-medical services based on benefit plans. Conduct non-medical research including eligibility and benefits verification while maintaining accurate documentation.
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 and roadmap for the governance platform, focusing on cataloging, lineage, and policy enforcement.
Pharmacy Technician - Prior Authorization (Work from Home-Hawaii)
CVS Health
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Full Time
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a day ago
CVS Health
Process and communicate Specialty and Non-Specialty medication prior authorization referrals. Collaborate with Customer Service and Pharmacy Operations to provide status updates and assistance to prescribers and members.
Review and adjudicate medical benefit claims by verifying policy coverage and ensuring compliance with coding guidelines. Communicate with healthcare providers and stakeholders to resolve discrepancies and analyze claims data for process improvement.
Develop and execute multi-channel communication plans and manage internal influencer networks to drive strategic initiatives. Support organizational change management by applying structured methodologies to assess readiness and design adoption strategies.
Facilitate Scrum events, remove impediments, and drive continuous improvement within the team. Coach team members and stakeholders on agile values while managing reporting frameworks and communication strategies.
The analyst manages financial registration for PBM client implementations by reviewing pricing terms and completing implementation in the rebate system. They are responsible for identifying inaccuracies to prevent financial misstatements and resolving issues related to internal controls.
Facilitate Scrum events, remove impediments, and drive continuous improvement while supporting the Product Owner. Counsel teams on agile values and utilize metrics to track progress and optimize team productivity.
The role focuses on driving network performance and operational excellence by analyzing operational data and preparing insights for leadership. Key duties include tracking strategic deliverables, coordinating resources, and producing executive messaging to keep stakeholders aligned.
Serve as a senior liaison for PBM clients to drive business growth through renewal, retention, and up-selling of existing accounts. Lead strategic account teams to ensure client satisfaction and deliver financial performance reporting and cost-saving opportunities.
Lead the development and delivery of clinical and interoperability products using Java and cloud-native technologies. Mentor a team of engineers and collaborate with cross-functional partners to optimize performance and ensure high code quality.
Drive the adoption of the Anthropic Claude platform by designing and building AI-powered integrations and agentic workflows. Develop MCP server configurations to connect Claude to internal tools, databases, and enterprise systems.
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.
The role involves managing patient complaints, appeals, and grievances while ensuring adherence to federal and state regulatory requirements. Key duties include conducting case reviews, drafting decision letters, monitoring KPIs, and mentoring junior staff.
Responsible for the initial review, triage, and processing of medical claims while verifying eligibility and coverage. The role involves coordinating with medical staff and ensuring all documentation meets regulatory and risk management standards.
Lead the quality assurance and testing of client benefit plan designs, specifically within Utilization Management and Formulary. Define test strategies, execute scenarios, and collaborate with stakeholders to ensure benefit accuracy and compliance across various lines of business.
Provide day-to-day project support to the Senior Manager of Customer Strategy & Enablement by developing and maintaining tools for customer-facing teams. Responsibilities include creating marketing materials, managing the Highspot platform, and tracking adoption via Salesforce reports.
Coordinate care for Dual Eligible Special Needs Plan members by collaborating with interdisciplinary teams and healthcare providers. Conduct annual Health Risk Surveys and address social determinants of health to close gaps in preventive care.
The Senior Epic Analyst serves as a subject matter expert responsible for the design, implementation, and optimization of Epic system solutions. They provide advanced technical support, lead complex projects, and collaborate with clinical staff to improve operational efficiency.
Coordinate care for members with chronic conditions and social determinants of health through comprehensive assessments and individualized care plans. Perform telephonic engagement to provide disease management education and collaborate with interdisciplinary teams for optimal health outcomes.
Provide technical support to store, pharmacy, and clinic employees by diagnosing and resolving hardware and software issues. Document problems in support tools and manage call workloads to ensure timely resolution within service level agreements.
Sr. Manager, Digital Product - Scheduling and Fulfillment Planning
CVS Health
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Full Time
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a day ago
CVS Health
Own the scheduling and fulfillment product roadmap to match members with clinicians and ensure visit completion. Design intelligent fulfillment products and collaborate with engineering and data science to optimize scheduling logic and KPIs.
Contact Medicare and Medicaid members via an automatic dialer to explain and schedule healthcare evaluations. Meet daily productivity targets for outbound dials and appointments while adhering to approved scripts and privacy guidelines.
Responsible for designing, building, and supporting secure and scalable enterprise workloads on cloud platforms. The role involves partnering with security and infrastructure teams to deliver standardized cloud capabilities for application modernization.
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.
Acts as a liaison between IT and business units to develop and implement new systems and enhancements. Leads technology projects, gathers business requirements, and ensures solutions meet quality standards.
Executive Director, Care Delivery Performance Excellence
CVS Health
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Full Time
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a day ago
CVS Health
Lead the care delivery strategy for patients transitioning through critical stages of care, focusing initially on Post-Acute Medicare services. Drive systemic improvements in health and financial outcomes through data-led strategies and cross-functional governance.
Design, build, and maintain automation solutions for claims processing workflows within the Rocket Automation platform. Partner with business and operations teams to translate requirements into scalable technical logic and ensure production stability.
Medicaid Payment Policy Writer - Code Editing Manager Health Services
CVS Health
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Full Time
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2 days ago
CVS Health
Research and develop complex coding and payment policies for Medicaid and Duals lines of business while ensuring compliance with state and federal guidelines. Collaborate with interdisciplinary teams and business leaders to manage policy governance and provider notifications.
Lead and manage clinical innovation use cases and initiatives to solve business problems and create value within Aetna's Clinical Solutions. Collaborate with cross-functional teams to develop, test, and implement innovative healthcare solutions from ideation to scale.
Coordinate care for Dual Eligible Special Needs Plan members by collaborating with interdisciplinary teams and healthcare providers. Conduct annual Health Risk Surveys and address social determinants of health to close gaps in preventive care.
Provide telephonic nursing care, education, and support to patients regarding medication adherence and disease state management. Develop and implement comprehensive plans of care while collaborating with healthcare professionals to improve patient outcomes.
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.
Virtual Clinician Home Evaluations - Nurse Practitioner or Physician Assistant (Full Time) - NY
CVS Health
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Full Time
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2 days ago
CVS Health
Conduct 30-minute virtual video visits with health plan members to review medical histories and medications. Educate members on their health and help close gaps in care to connect them with appropriate medical services.
Coordinate care for Special Needs Plan members by conducting health risk assessments and addressing social determinants of health. Collaborate with an interdisciplinary team to develop individualized care plans and connect members with community resources.
Virtual Clinician Home Evaluations - Nurse Practitioner or Physician Assistant (Full Time) - NJ
CVS Health
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Full Time
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2 days ago
CVS Health
Conduct 30-minute virtual video visits with health plan members to review medical histories and medications. Educate members on their health and help close gaps in care to connect them with appropriate medical services.
Senior Manager, Business Analysis & Consulting (Medicare)
CVS Health
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Full Time
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2 days ago
CVS Health
The Senior Manager will shape and execute the care delivery strategy for Medicare patients requiring post-acute care through data-driven analytic evaluations. They will lead cross-functional initiatives to establish management reporting solutions and deliver executive-level briefings to drive performance results.
Lead the SOC Reporting team by overseeing the end-to-end process of SOC 1 and SOC 2 audits. Collaborate with internal and external stakeholders to assess risks, identify control gaps, and implement process improvements.
Design, build, and maintain scalable backend services and high-quality software solutions for critical digital platforms. Provide technical leadership through mentoring engineers and collaborating with stakeholders to ensure secure and reliable customer-focused solutions.
Facilitate Scrum events and remove impediments to drive continuous improvement and team collaboration. Coach Scrum Masters and Product Owners on Agile best practices while managing budgets, resource planning, and risk assessments.
The Senior Manager will develop and maintain customer tools and programs to optimize the customer experience and drive growth and retention. This includes managing enablement tools like Highspot, designing customer communications, and leading change management strategies for customer-facing initiatives.
Supervise customer service employees to ensure high member and provider satisfaction and retention. Manage staff performance through coaching, monitoring calls, and allocating resources to meet volume demands.
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.
The analyst monitors and reports on role-based access controls and performs internal audits to ensure data integrity and privacy. They act as a liaison between technical teams and internal audit while managing compliance reports and disaster recovery exercises.
Sr. Analyst, Provider Standardization & Strategic Initiatives
CVS Health
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Full Time
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2 days ago
CVS Health
Lead and support projects focused on provider data accuracy, process standardization, and operational effectiveness across multiple lines of business. Partner with cross-functional stakeholders to identify inefficiencies and implement scalable workflow improvements.
Lead the development and optimization of advanced search algorithms and machine learning models to improve provider discovery. Collaborate with cross-functional teams to integrate LLMs and RAG solutions into the search experience.
The role focuses on designing and implementing Population Health priorities, specifically regarding Transitions of Care and admission prevention. It involves collaborating with cross-functional teams to optimize workflows in Epic and manage key quality and financial metrics.
Identify and communicate provider, procedure, and population trends impacting medical cost trends to leadership. Analyze and size potential savings initiatives in collaboration with clinical, finance, and network leads.
Health Advocate- Inbound/Outbound Calls, Healthy Outcomes Team - Remote (IL, VA, LA, KY)
CVS Health
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Full Time
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2 days ago
CVS Health
Conduct inbound and outbound calls to Medicaid members and providers to schedule health screenings, vaccinations, and medication refills. Provide health education and document interactions in member records to improve overall health outcomes.
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.
Care Management Associate, Engagement Hub - Work From Home
CVS Health
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Full Time
·
2 days ago
CVS Health
The Associate performs telephonic outreach to enroll eligible Medicaid members into care management and facilitates warm transfers to care managers. They are responsible for coordinating healthcare services and maintaining accurate documentation to ensure regulatory compliance.
Inbound Outbound Queue Associate β Must reside in Oklahoma
CVS Health
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Full Time
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2 days ago
CVS Health
Coordinates medical services including intake, screening, and referrals for Aetna Better Health members and providers. Performs non-medical research such as eligibility and benefits verification while maintaining accurate regulatory documentation.
Provide remote medication therapy management and clinical consultation to healthcare professionals and customers. Ensure patient safety by verifying prescription accuracy and implementing medication safety plans.
Clinical Counselor - Employee Assistance Program (Tuesday-Saturday 11am-7:30pm EST)
CVS Health
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Full Time
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2 days ago
CVS Health
Provide immediate mental health support to members via video, chat, or phone, addressing situational concerns and addictions. Develop strategies for intensive case management and coach junior colleagues on clinical processes.
Acts as the primary day-to-day contact for customers regarding enrollment, claims, and escalated issues for Aetna Student Health. Collaborates with sales and account management teams to drive growth strategies and support plan administration activities.
The Service Advocate manages patient experiences by efficiently scheduling, rescheduling, and canceling appointments via inbound and outbound calls. They are responsible for accurate data entry and collaborating with medical staff to ensure smooth scheduling operations.
Senior Data Scientist - ML/AI Digital Workplace Experience
CVS Health
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Full Time
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2 days ago
CVS Health
Lead the design and deployment of production-grade ML and Generative AI solutions to enhance the digital workplace experience. Collaborate cross-functionally to implement intelligent assistants, predictive analytics, and workflow automation at scale.
The associate manages inbound and outbound queues by entering healthcare authorizations and coordinating data entry for various behavioral health facilities. They are responsible for researching certifications of needs and assigning medical records to the appropriate clinicians.
Respond to customer inquiries via the 1-800-SHOPCVS line to resolve concerns for retail pharmacy stores. Act as a customer advocate by researching and applying company policies to ensure professional issue resolution.
Senior Manager, Medicaid Compliance β Provider Data Services (PDS)
CVS Health
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Full Time
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2 days ago
CVS Health
Lead end-to-end audit readiness and execution for Medicaid provider data services, ensuring all responses are audit-defensible. Develop and oversee corrective action plans (CAPs) and implement scalable compliance frameworks to mitigate risks.
Manage client relationships and ensure high levels of customer satisfaction by acting as the primary operational point of contact. Analyze client needs to develop efficient solutions and provide regular reporting on account status and performance.
Manage a book of business to achieve customer satisfaction, revenue, and membership objectives through strong relationship building. Responsible for delivering renewals, cross-sales, and providing creative product solutions to meet evolving client needs.
Design and implement scalable AI-driven applications, including front-end interfaces and backend services with AI capabilities. Develop RESTful APIs and optimize machine learning pipelines using quantized models for legacy hardware.
Lead the end-to-end development and launch of analytics-powered applications for pharmaceutical and life science customers. Collaborate with cross-functional teams to translate business requirements into scalable data architecture and actionable product features.
The Revenue Cycle Coordinator resolves insurance claim issues and ensures timely follow-up on patient accounts to secure proper reimbursement. Responsibilities include processing refunds, correcting claim denials, and interfacing with payers via phone and web portals.
Serve as the Commercial Cost of Goods (COGS) subject matter expert to support PBM network contracting and pharmacy provider rate strategy. Build and maintain financial models to evaluate network improvement opportunities and deliver actionable insights to stakeholders.
Design, build, and operate the certificate lifecycle management infrastructure to secure a large healthcare enterprise. This includes automating certificate operations via Python and PowerShell, managing CA hierarchies, and ensuring Zero Trust alignment.
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.
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 benefits in Commercial and Medicare environments.
Acts as a liaison between IT and business units to develop and enhance systems based on evolving requirements. Conducts quantitative and qualitative analyses to identify business improvements and documents processes through flowcharts and requirement documents.
The role involves conducting outreach to members to promote behavioral health programs and coordinating care through education and resource location. You will partner with clinicians to track patient progress and handle administrative documentation to improve health outcomes.
Associate, Account Manager (Field, Northern California)
CVS Health
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Full Time
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3 days ago
CVS Health
Provides proactive account management and operational support for existing customers in the Large Group segment. Responsibilities include managing plan benefits, account setup, and serving as a liaison for plan sponsor reporting.
Responsible for end-to-end DataCap solution development, including business requirement acquisition, solution design, and application deployment. The role involves designing technical architecture, writing code for complex functionalities, and ensuring the scalability and maintainability of digital solutions.
Conduct telephonic assessments and develop personalized care plans to improve member health outcomes. Coordinate care across providers and resources while collaborating with a multidisciplinary team to remove barriers to care.
Review and evaluate behavioral health treatment plans using evidence-based guidelines to ensure high-quality care. Coordinate services, conduct triage, and collaborate with providers to optimize member outcomes and coverage recommendations.
Create and update scheduling definitions in IBM Workload Scheduler for both distributed and mainframe environments. Provide second-level support for troubleshooting production issues and participate in on-call rotations.
Act as a customer advocate by resolving inquiries regarding benefits and claims while educating members on available resources. Document all interactions and collaborate with internal departments to improve healthcare outcomes and customer satisfaction.
Inside Sales Rep-Hourly + Commission-Can live anywhere in U.S.
CVS Health
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Full Time
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3 days ago
CVS Health
Responsible for acquiring new members through inbound and outbound calls and managing the member relationship throughout the year. This includes servicing existing members, cross-selling ancillary products, and ensuring high member satisfaction.
Executive Director, Clinical Health Services - Aetna Specialty Programs
CVS Health
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Full Time
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3 days ago
CVS Health
Oversee enterprise clinical strategy and operations for specialty programs to drive high-quality care management and clinical outcomes. Lead multidisciplinary teams of up to 600 staff in a call center environment while partnering across the organization to optimize utilization and ensure regulatory compliance.
The Senior Coordinator is responsible for generating and analyzing daily, weekly, and monthly reports to identify trends and prevent issues within call recording systems. They also manage internal call recording projects, coordinating testers and ensuring business requirements are delivered to operations teams.
Lead Director, Value-Based Contracting (Central Region)
CVS Health
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Full Time
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3 days ago
CVS Health
The Lead Director is responsible for developing and managing a regional value-based network by negotiating complex contracts and alternative payment models with provider partners. They oversee the full contracting cycle and collaborate with internal clinical and analytics teams to meet total cost and quality goals.
Lead the execution of social media strategies and content plans to drive engagement and trust for Medicaid health plans. Manage digital community operations and translate platform insights into actionable recommendations for brand growth.
Collaborates with clients and clinical advisors to design and implement clinical operations plans and drug-level setups. Supports the loading of clinical data into adjudication systems and ensures compliance with federal and state guidelines.
Senior Manager - Customer Strategy & Business Integration
CVS Health
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Full Time
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3 days ago
CVS Health
This role focuses on connecting insights and strategy to drive customer-led growth through the evaluation of partnerships, insourcing, and strategic investments. The manager will develop financial business cases and lead cross-functional initiatives to improve the customer experience.
Provide telephonic patient care, education, and support regarding medication adherence and disease state management. Develop and implement comprehensive care plans while collaborating with healthcare professionals to improve patient outcomes.
Review clinical records to assess medical necessity and provide coverage recommendations based on clinical guidelines. Collaborate with providers and care teams to coordinate effective treatment and discharge planning across the care continuum.
Design, develop, and implement digital solutions for the Aetna Health website to improve member experience. Responsibilities include writing code, conducting system testing, and mentoring junior developers to ensure application stability and scalability.
Act as a compassionate advocate for customers by resolving inquiries regarding benefits and claims. Educate customers on available resources and document all interactions to ensure high levels of satisfaction.
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.
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.
Lead an agile marketing team to drive local patient acquisition and brand awareness through field marketing strategies and community outreach. Oversee marketing operations, creative services, and ensure all initiatives comply with CMS Medicare regulations.
Contact Medicare Advantage and Medicaid members via an automatic dialer to schedule free in-home or virtual healthcare evaluations. Meet daily productivity targets for outbound dials and appointments while adhering to approved scripts and HIPAA guidelines.
Medical Surgical - Registered Nurse β Health Coach Consultant
CVS Health
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Full Time
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3 days ago
CVS Health
Conduct clinical assessments and provide individualized telephonic health coaching to members with chronic conditions. Develop care plans and collaborate with medical directors to improve member health outcomes and behavior change.
Provides administrative and operational support for network management and provider relations, focusing on contract management and data analysis. Responsible for reviewing contracts, maintaining provider directories, and coordinating communication with internal and external partners.
Act as a compassionate advocate for customers by resolving inquiries regarding benefits and claims. Educate members on available resources while documenting all interactions to ensure high levels of customer satisfaction.
Manage a team of District Asset Protection Leaders to ensure compliance with enterprise objectives and shrink mitigation tactics. Forge partnerships with Regional Directors of Operations to validate the execution of asset protection strategies through KPIs.
Senior Analyst, Patient Retention Strategy and Analytics
CVS Health
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Full Time
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5 days ago
CVS Health
The role focuses on improving patient retention by analyzing data to drive strategic insights and coordinating outreach across clinical and engagement teams. The analyst will own reporting and workflows related to patient segmentation and annual wellness visit completion.
Acts as the primary point of contact for clients to oversee day-to-day PBM operations and coordinate between clients and internal teams. Responsible for resolving complex business requests and ensuring all client performance guarantees are met.
Perform telephonic case management for patients and care teams to ensure cost-effective quality care. Apply clinical guidelines and motivational interviewing to reduce risk factors and address complex health indicators.
The Program Integrity Auditor reviews medical and behavioral healthcare records to ensure correct coding and documentation standards are met. They identify aberrant billing patterns and potential fraud, waste, or abuse while providing technical education to providers.
The role focuses on improving the efficiency and effectiveness of business processes across CVS Finance through streamlining and reengineering. It involves collaborating with internal finance partners to integrate automation and data-driven insights to drive measurable business outcomes.
Provide enterprise leadership for payroll and benefits accounting within a Center of Excellence model to ensure accurate financial reporting. Partner with cross-functional teams to drive governance, standardization, and sustainable reporting outcomes.
Responsible for enabling and scaling enterprise AI capabilities across the ServiceNow platform, specifically focusing on Now Assist and Moveworks integration. The role ensures AI solutions are secure, governed, and reusable across HRSD, ITSM, and ITOM domains.
The role focuses on analyzing financial and business risks for Medicare Part D products through quarterly forecasting and monthly valuation. It involves collaborating with cross-functional partners to assess legislative impacts and owning the monthly financial reporting process.
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.
Case Manager, Registered Nurse (Oncology experience required)
CVS Health
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Full Time
·
6 days ago
CVS Health
Perform telephonic case management for patients and care teams to ensure cost-effective, quality care. Apply clinical guidelines and medical necessity reviews to reduce risk factors and address complex health indicators.
Coordinate care for Special Needs Plan members by conducting health risk assessments and addressing social determinants of health. Collaborate with an interdisciplinary team to develop individualized care plans and connect members with community resources.
Develop and validate statistical models and predictive algorithms to support clinical supplemental data acquisition and integration for quality measures. Partner with stakeholders to translate business questions into analytical solutions and produce dashboards for decision-making.
Design and develop scalable cloud services and microservices within a containerized CI/CD environment. Collaborate with cross-functional teams to build data products and implement real-time data streaming to improve health outcomes.
Leads cross-functional activities to address CAHPS and BH survey responses while ensuring compliance with NCQA standards and state requirements. Responsible for developing QAPI workplans and managing accreditation initiatives to maintain and advance the Health Plan's status.
Responsible for developing and maintaining rebate forecasting tools and processes within Caremark Underwriting. The role involves managing model inputs, performing ad hoc analyses, and coordinating with cross-functional teams to ensure accurate pricing deliverables.
Acts as a liaison between patients, providers, and pharmacists to manage medication refill requests and renewals. Handles high-volume inbound and outbound calls while documenting patient requests in electronic platforms.
Coordinate care for members with chronic conditions and social determinants of health through comprehensive assessments and individualized care plans. Perform telephonic engagement to provide disease management education and collaborate with interdisciplinary teams for optimal health outcomes.
Build strategic partnerships with producers and customers to achieve profitable growth and cross-sell objectives. Deliver polished presentations and collaborate with internal teams to align product offerings with client needs.
Design and operate cloud-native data solutions on GCP to support enterprise Finance use cases and reporting. Develop scalable data pipelines and optimized BigQuery models while integrating SAP S/4HANA Finance data.
Build strategic partnerships with producers and customers to achieve profitable growth and cross-sell objectives. Deliver polished presentations of health insurance solutions and coordinate with internal teams to ensure successful client installation and servicing.
Develop and execute the Trade growth strategy by identifying new initiatives and creating data-backed business cases. Lead the incubation and launch of new growth opportunities while managing personnel and providing thought leadership for senior stakeholders.
Lead initiatives to optimize pharmacy health services, focusing on retail testing and prescribing to enhance patient outcomes. Collaborate with internal and external stakeholders to develop scalable, compliant programs and field communication strategies.
Responsible for designing, building, and maintaining scalable data pipelines and architectures to enable reliable analytics and reporting. The role involves collaborating with cross-functional teams to deploy forecasting models and ensure data quality for healthcare metrics.
Drive financial performance across volume, revenue, and margin for the Coram Home Infusion business. Lead budgeting and forecasting processes while partnering with business leaders to mitigate risks and optimize financial outcomes.
Manage the resolution of complaint and appeal scenarios across various products by coordinating responses from multiple business units. Identify emerging trends and issues to recommend effective solutions and ensure customer-focused responses.
Senior Machine Learning Engineer - Generative AI & Full-Stack Applications
CVS Health
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Full Time
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6 days ago
CVS Health
Develop and scale GenAI and AI-powered capabilities, including RAG pipelines and prompt patterns, to integrate enterprise data with LLMs. Ensure system reliability through observability, security guardrails, and collaboration with cross-functional teams.
The Case Manager coordinates comprehensive health services for chronically ill or catastrophic cases through assessment, planning, and advocacy. They act as a liaison between members, providers, and insurance companies to optimize medical outcomes and facilitate return to work.
Facilitate the delivery of healthcare benefits and wellness activities through a collaborative process of assessment, planning, and care coordination. Act as a liaison between members, providers, and insurance companies to optimize medical outcomes and facilitate return to work.
Utilization Management - Behavioral Health Clinician - Must Reside in Ohio
CVS Health
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Full Time
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6 days ago
CVS Health
Perform clinical reviews of behavioral health prior authorized services to ensure appropriate treatment plans and evidence-based care. Coordinate with providers to facilitate optimal healthcare services and identify members at risk for poor outcomes.
Lead the creation of digital delivery automation and provide site reliability services for the CVS Health Enterprise Engineering platform. This includes managing end-to-end CI/CD pipelines, troubleshooting complex technical issues, and mentoring other engineers.
The Care Management Associate supports Health Coaches and Nurses by managing group coaching attendance, scheduling appointments, and assisting members with technical needs. Responsibilities also include handling voicemails and performing data entry for the Healthy Aging Support Program.
Utilization Management Nurse Consultant - Weekends (4-10 hour shifts)
CVS Health
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Full Time
·
6 days ago
CVS Health
Review and assess clinical information to support coverage determinations and coordinate treatment plans with providers. Serve as a clinical resource to enhance quality, efficiency, and member outcomes within utilization management.
Maintains, integrates, and implements software applications while coordinating testing, quality assurance, and configuration. Ensures proper controls are maintained over test and production systems and software source code.
The nurse provides telephonic medical, social, and psychological support to patients during and outside of regular clinic hours. Key duties include managing prescription refills, scheduling appointments, and maintaining precise clinical documentation.
Administer the implementation and support of inbound and outbound 834 and proprietary file formats for the Data Feed Management Team. Install, maintain, and troubleshoot data feeds for eligibility and claims information for Meritain Health clients.
Lead high-performing teams of full-stack engineers to build high-quality software products for finance technology. Oversee the entire software development life cycle, including technical strategy, project execution, and talent mentorship.
Directs the review and development of subcontractor and diverse supplier requirements for complex Medicaid procurements. Leads end-to-end proposal development, aligning cross-functional teams to ensure high-quality, compliant submissions.
Lead the implementation of strategic innovation initiatives for the Utilization Management organization from concept through full-scale operationalization. Partner with cross-functional teams to design and deliver solutions supporting clinical interoperability and CMS commitments.
Design models and reporting related to PBM financial, pricing, and analytics to drive business results. Provide guidance to internal constituents and consulting team members while transferring knowledge and best practices.
Formulate pricing strategies and execute financial modeling for PBM client contracts, including retail networks and rebates. Collaborate with sales and account services to achieve revenue targets and present financial analyses to executive leadership.
Design and operate cloud-native data solutions on GCP to support enterprise Finance use cases and reporting. Partner with Finance and SAP teams to build scalable, audit-ready data pipelines and optimized BigQuery models.
Coordinate care for members with chronic conditions and social determinants of health through comprehensive assessments and individualized care plans. Perform telephonic engagement to provide disease management education and collaborate with interdisciplinary teams for optimal health outcomes.
Coordinate care for members with chronic conditions and social determinants of health through comprehensive assessments and individualized care plans. Perform telephonic engagement to provide disease management education and collaborate with interdisciplinary teams for optimal health outcomes.
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.
The Account Executive serves as the primary relationship manager for mid-market and coalition pharmacy benefit manager clients, overseeing renewals and financial performance. They collaborate with a Managing Director to orchestrate cross-functional delivery and ensure high client satisfaction and retention.
Coordinate care for members with chronic conditions and social determinants of health through comprehensive assessments and individualized care plans. Perform telephonic engagement and collaborate with interdisciplinary teams to ensure optimal health outcomes and regulatory compliance.
The External Affairs Administrator executes outreach and engagement activities for the OhioRISE Plan within priority communities and with key stakeholders. This includes serving as a primary liaison for child-serving agencies and managing regional teams to identify and address service gaps.
Architect and implement scalable, cloud-native services and real-time streaming data pipelines to improve health outcomes. Lead technical roadmaps, mentor engineers, and ensure the reliability and performance of distributed systems.
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.
The Senior Analyst manages categories for the annual process and conducts financial analysis of manufacturer contracts. They also develop and implement projects for process improvement and automation using various software tools.
The role acts as a bridge between business, product, and technology to drive the Medicaid digital strategy and ensure stakeholder alignment. Key duties include managing the end-to-end intake process, tracking initiatives from intake to delivery, and maintaining governance structures.
Acts as a Product Owner for PBM pricing and forecasting tools, providing business user support and resolving production issues. Responsible for capturing product requirements, facilitating user training, and managing the implementation of model enhancements.
Principal Software Engineer β AI Platform (Production Engineering / Reliability)
CVS Health
·
Full Time
·
7 days ago
CVS Health
Lead production engineering and operational excellence for the AI Platform, focusing on scalability, observability, and resilience. Define SLOs and build monitoring ecosystems to ensure high availability for mission-critical AI services.
The consultant assesses the appropriateness of treatment plans for Behavioral Health and ABA services using evidence-based standards. They coordinate with providers to facilitate optimal care and identify members at risk for poor outcomes.
Virtual Clinician Home Evaluations Physician (Full Time) - NJ
CVS Health
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Full Time
·
7 days ago
CVS Health
Conduct 30-minute virtual video visits with health plan members to review medical histories and close gaps in care. Provide patient education and maintain high visit completion rates while adhering to clinical KPIs.
Virtual Clinician Home Evaluations Physician Full Time - WV
CVS Health
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Full Time
·
7 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.
Perform underwriting analysis and risk assessments for new and renewal large-group contracts to maximize revenue and membership. Prepare routine quotes and accountings while utilizing underwriting tools and collaborating with sales personnel.
The role involves writing complex SQL queries to extract data for predictive modeling and providing clinical insights on healthcare claims and HEDIS measures. The analyst will develop dashboards and collaborate with cross-functional teams to track product value and ensure data integrity.
Drive strategies to advance financial performance and profitability for clients and the PBM organization through trade industry analysis. Lead a team in developing analytic solutions to optimize rebate value and improve net cost performance.
Coordinate comprehensive healthcare and social determinant needs for members through assessment, planning, and advocacy. Act as a liaison between members, providers, and insurance companies to optimize medical outcomes and wellness.
Case Manager Registered Nurse - must have Illinois RN License
CVS Health
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Full Time
·
7 days ago
CVS Health
Assess, plan, and coordinate holistic care for members virtually to improve health outcomes. Collaborate with multidisciplinary teams to remove barriers to care and support smooth transitions across benefits programs.
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 analyzing service center trends, including volumes, arrival patterns, and staff productivity. The analyst is responsible for optimizing resource allocation to improve service center efficiency.
Lead the design of breakthrough user experiences across desktop and mobile platforms while collaborating with product and development managers. Manage and mentor junior designers to ensure high-quality delivery and alignment with overall UX strategy.
Leads the Clinical and Risk Modeling Data Science team in developing advanced AI/ML models to transform clinical and claims data into actionable insights. Oversees the end-to-end model lifecycle to improve member health outcomes and inform enterprise financial and clinical strategies.
Collaborate with cross-functional teams to design and deliver elegant user experiences across desktop, mobile, and native app platforms. Translate complex cognitive challenges into breakthrough designs while communicating vision and rationale to senior stakeholders.
Lead the design strategy and execution for consumer digital experiences by collaborating with product and development managers. Manage a team of designers to deliver high-quality, elegant user experiences across desktop and mobile channels.
Lead the Data, AI, and ML product portfolio for Personalization and Marketing within the Front Store business. Drive the strategic transition from rule-based systems to AI-driven, agent-based orchestration while managing high-performing engineering teams.
Develop predictive models, pricing logic, and financial simulations to support sales and underwriting decisions. Partner with cross-functional teams to translate business questions into production-ready code and reporting tools.
Provide high-level administrative support to the VP of Digital, including complex calendar management and stakeholder liaison. Coordinate travel, logistics, and operational support for the Digital organization's leadership reviews and team events.
Manager β Reporting Analytics & Insights Development
CVS Health
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Full Time
·
8 days ago
CVS Health
The role focuses on designing and maintaining reporting and analytical tools to provide actionable insights for health plan operations. The manager will leverage data analysis and stakeholder management to improve health outcomes and operational efficiency.
Own the roadmap and end-to-end delivery of analytics products for Caremark's sales and underwriting portfolio. Bridge the gap between technical teams and business leaders to ship adopted tools and measure outcomes via KPIs.
The role involves end-to-end ownership of the Adherence Solutions product suite, focusing on strategy, financial performance, and product development. Key tasks include managing product roadmaps, conducting data analysis to inform features, and collaborating with cross-functional teams to ensure client satisfaction.
Support the coordination of medical and social services by triaging care team tasks and conducting member outreach. Assist in the development of care plans and ensure compliance with regulatory and accreditation standards.
Lead a workstream within Caremark's sales and underwriting analytics portfolio, owning end-to-end delivery of pricing and risk models. The role involves designing analytical solutions, mentoring junior data scientists, and presenting findings to senior executives.
Senior Manager - Digital Product - Client & Clinical Experience
CVS Health
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Full Time
·
8 days ago
CVS Health
Lead a product development team to drive the execution of digital initiatives for client and clinical experiences. Responsible for managing product roadmaps, backlogs, and collaborating with engineering and design to achieve business OKRs.
Create intuitive user interfaces and experiences for digital products through user research, wireframing, and prototyping. Collaborate with cross-functional teams to implement content solutions and mentor junior content designers.
The role focuses on medical necessity reviews for ABA and clinical quality assurance audits for members with neurodevelopmental disorders. It also involves serving as a subject matter expert to support fraud investigations and provider education initiatives.
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 preparing materials for sales presentations.
The Clinical Team Lead supports day-to-day operations, serves as a clinical expert for staff, and manages onboarding and quality monitoring. They act as the first point of contact for clinical issues and ensure adherence to plan sponsor performance targets.
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.
Clinical Case Manager, Behavioral Health - Remote - IL
CVS Health
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Full Time
·
9 days ago
CVS Health
Facilitate physical and behavioral healthcare for members through comprehensive assessments, care planning, and provider coordination. Monitor care plans and utilize clinical tools to ensure cost-effective outcomes and appropriate resource utilization.
The Case Management Coordinator facilitates healthcare outcomes by scheduling appointments and assisting members in accessing benefits and education. They evaluate member needs, implement care plans, and collaborate with multidisciplinary teams to overcome barriers to care.
Lead high-impact clinical documentation initiatives by leveraging data analytics to identify key insights and trends. Manage team members and collaborate cross-functionally with corporate teams to drive population health excellence.
Conduct comprehensive clinical assessments and develop individualized care plans for members with complex behavioral and physical health needs. Coordinate care with providers and provide crisis intervention and follow-up support.
Conduct comprehensive clinical assessments and develop individualized care plans for members with complex physical and behavioral health needs. Coordinate care with providers and provide crisis intervention and follow-up support.
Perform order entry tasks and collaborate with pharmacists to ensure accuracy in the medication dispensing process. Responsibilities include triaging customer requests, verifying dosages, and maintaining accurate customer records.
The Case Management Coordinator facilitates healthcare outcomes by scheduling appointments and helping members access benefits and education. They evaluate member needs, implement care plans, and collaborate with multidisciplinary teams to overcome barriers to care.
Fraud, Waste & Abuse (FWA) Investigator β No Surprises Act (NSA)
CVS Health
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Full Time
·
9 days ago
CVS Health
Conduct complex investigations into healthcare fraud, waste, and abuse with a specific focus on the No Surprises Act. Analyze claims data to identify anomalies and collaborate with internal partners and law enforcement to mitigate financial losses.
The Account Executive serves as the primary relationship manager for mid-market and coalition pharmacy benefit manager clients. They are responsible for client renewals, financial performance, and orchestrating cross-functional service delivery.
Lead the technical strategy and execution for Specialty dispensing pharmacy initiatives, creating technical roadmaps and proof of concepts. Architect scalable solutions and drive delivery excellence while mentoring engineers and collaborating with enterprise architecture teams.
Senior Outreach Coordinator, Prevention & Wellness - Bilingual Spanish (Remote, Florida)
CVS Health
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Full Time
·
9 days ago
CVS Health
Coordinates prevention and wellness activities to promote timely preventive care through member and provider education. Evaluates and reports on the outcomes of health interventions and produces quarterly community newsletters.
Senior Network Provider Manager, National Medicaid Ancillary Contracting Remote
CVS Health
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Full Time
·
9 days ago
CVS Health
Negotiate and execute contracts with national ancillary providers to maintain network accessibility and financial goals. Manage contract performance, conduct data analysis to predict trends, and lead recruitment initiatives to meet network adequacy requirements.
The Lead Architect is responsible for designing scalable cloud solutions on GCP and translating business requirements into technical roadmaps. They will modernize legacy systems, document architectures, and provide technical mentorship to cross-functional teams.
Responsible for shaping product strategy and backlog direction for developer-facing platforms to improve productivity and delivery velocity. Partners with engineering leadership to align technical strategy with product goals across internal developer portals and operational workflows.
Responsible for shaping product strategy and backlog direction for developer-facing platforms to improve productivity and delivery velocity. Partners with engineering leadership to align technical strategy with product goals and reduce workflow friction.
Lead the technical development and operations of web-based tool platforms within the Pharmacy Benefits Management space. Collaborate with stakeholders to build multi-year roadmaps and mentor junior engineers to drive technical excellence.
Provide comprehensive behavioral health care management and physician oversight for the utilization management team. Lead the development and evaluation of clinical programs and medical policies to ensure quality of care.
Leads the Solutions Delivery vertical for pharmaceutical manufacturer analytics, overseeing end-to-end delivery governance and financial performance. Responsible for ensuring scalable execution, client satisfaction, and alignment with strategic commercial objectives.
Responsible for delivering predefined and ad hoc analytics solutions for pharmaceutical manufacturers. This includes conducting data analysis, developing dashboards, and preparing client-ready materials within established frameworks.
Own the end-to-end strategy and modernization of the IBM zSystems mainframe platform to ensure reliability and security for healthcare transactions. Lead a high-performing team of engineers to align platform performance with executive business outcomes and enterprise goals.
Drive new business growth and logo acquisition for Employee Assistance Programs (EAP) within a defined geographic territory. Lead end-to-end RFP processes and cultivate strategic relationships with consultants and brokers to deliver profitable revenue.
Insurance AR Resolution Coordinator, Revenue Cycle (Remote)
CVS Health
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Full Time
·
13 days ago
CVS Health
Review and resolve insurance claim and payment exceptions within Third-Party accounts to optimize revenue cycle performance. Research payer issues and document outcomes to reduce bad debt and ensure regulatory compliance.
Item Specialist Digital Merchandising, Consumer Health
CVS Health
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Full Time
·
13 days ago
CVS Health
Manage daily activities for CVS.com by maintaining accurate product content and supporting weekly promotions. Collaborate with internal and external partners to optimize product display pages and execute maintenance requests.
The Senior Analyst manages the strategic documentation and deployment of client prescription benefit plan designs. They act as a consultative problem-solver, translating client needs into internal requirements for coding and quality teams.
Responsible for designing and delivering AI-enabled reporting and analytical solutions within Specialty Mail Operations using GCP and Tableau. The role focuses on transitioning static dashboards into automated, governed insight delivery systems to support executive decision-making.
Perform medical claim reviews for the Special Investigations Unit to ensure coding compliance and identify potential fraud, abuse, or billing errors. Provide detailed written summaries of findings and collaborate with Medical Directors and legal counsel to validate decisions.
Perform audits of provider contracts, financial arrangements, and Facility Charge Master reporting to ensure operational compliance. Partner with internal stakeholders and external providers to validate accuracy, identify risks, and drive the resolution of audit findings.
Manage day-to-day relationships with health plan clients to ensure operational excellence and strategic alignment. Oversee financial performance, profitability, and process improvements to enhance service delivery and client satisfaction.
Develop strategic partnerships and negotiate high-value contracts with complex hospital systems and provider groups for the Kentucky Medicaid Health Plan. Manage value-based payment models and execute cost-saving initiatives to improve network quality and financial performance.
Lead the analysis, design, and deployment of critical integrated mainframe system releases to enhance the healthcare member enrollment experience. Oversee global onshore and offshore teams while transitioning legacy systems to modern technology platforms.
Pharmacist - Clinical Advisor (Sales & Account Management)
CVS Health
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Full Time
·
14 days ago
CVS Health
Manage clinical relationships with health plan decision-makers to drive financial targets, clinical goals, and product optimization. Develop comprehensive business plans to reduce inefficiency and maximize impact on chronic disease management through formulary and utilization management recommendations.
Lead a team of software engineers in designing and scaling cloud-native, distributed microservices for healthcare solutions. Collaborate with cross-functional partners to implement clinical workflows and ensure high code quality through automated workflows.
Principal Software Development Engineer (Customer Insight & AI Solutions)
CVS Health
·
Full Time
·
14 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 high-performing engineering teams to solve business-critical healthcare problems.
Complaint & Appeals Analyst (Must reside in Arizona)
CVS Health
·
Full Time
·
14 days ago
CVS Health
Verify member enrollment and collect accurate demographic information for the Mercy Care Plan. Document intake forms in QuickBase while providing empathetic support to callers.
Principal Software Development Engineer (PBM AI Solutions)
CVS Health
·
Full Time
·
14 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.
Provide physician oversight for the utilization management team, focusing on medical necessity decisions and high-risk behavioral health cases. Lead the development of medical policies and clinical programs while ensuring NCQA-compliant quality improvement activities.
Complaint & Appeals Analyst (Must reside in Arizona)
CVS Health
·
Full Time
·
14 days ago
CVS Health
Conduct mediation conferences and investigate behavioral health human rights violations to ensure compliance with Federal, State, and Arizona Administrative Code regulations. Research organizational policies to draft detailed investigation reports and decision letters while managing strict timelines.
Perform utilization management and precertification reviews for behavioral health services, focusing on inpatient mental health, detox, and rehabilitation. Ensure coverage determinations align with Medicare guidelines and coordinate care transitions with providers.
Conduct comprehensive clinical assessments and develop proactive care plans to improve member health outcomes. Coordinate care across programs and partner with interdisciplinary teams to remove barriers to wellness.
Associate Manager, Health Services - Must live in Florida
CVS Health
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Full Time
·
14 days ago
CVS Health
Oversee healthcare management staff and develop high-performing teams to ensure consistent clinical and non-clinical interventions for members. Accountable for meeting financial, operational, and quality objectives while maintaining compliance with regulatory and accreditation standards.
Licensed Independent Behavioral Health Clinician Case Manager
CVS Health
·
Full Time
·
14 days ago
CVS Health
The clinician provides comprehensive behavioral health assessments, care planning, and coordination of psychosocial services for members. They are responsible for managing complex clinical indicators and performing crisis interventions to ensure timely treatment.
Manager, Clinical Health Services - LTSS Service Decision Review - Aetna Better Health of VA
CVS Health
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Full Time
·
14 days ago
CVS Health
Oversees LTSS service authorization decision-making, Notice of Action compliance, and appeal readiness for Aetna Better Health of Virginia. Leads a clinical team to ensure timely and accurate service reviews in alignment with DMAS and regulatory requirements.
Lead the team responsible for delivering and operating the enterprise CI platform, including GitHub Enterprise and JFrog Artifactory. Drive the migration from legacy tooling and expand AI-powered coding support across the organization.
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 Medical Director serves as a Cardiology Subject Matter Expert leading utilization review, quality assurance, and case management. They act as a clinical liaison to network providers and handle predetermination and claim reviews.
Serve as a Subject Matter Expert in Orthopedics to lead utilization review, quality assurance, and case management. Act as a clinical liaison to network providers and facilities to support medical services programs and claim determinations.
The Outreach Coordinator acts as a subject matter expert in HEDIS to close care gaps through provider engagement and member outreach. They facilitate meetings, manage medical record collection, and implement process improvements to enhance healthcare outcomes.
Licensed Behavioral Health Clinician Case Manager - Work at Home
CVS Health
·
Full Time
·
15 days ago
CVS Health
The role involves conducting comprehensive behavioral health assessments and developing personalized care plans for members. The clinician will coordinate with providers and provide crisis intervention to ensure optimal health outcomes.
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 workflows to reduce manual effort.
Provide telephonic clinical case management for the Medicare population, including comprehensive assessments and individualized care planning. Collaborate with providers and internal partners to coordinate behavioral health resources and psychosocial services.
Lead the execution of finance system initiatives and SAP S/4HANA enhancements, focusing on M&A and enterprise projects. Act as a subject matter expert to align finance requirements with IT delivery and optimize business processes.
The specialist reviews and adjudicates medical claims according to processing guidelines to ensure accurate and timely resolution. Responsibilities include determining health plan coverage, making payment decisions, and identifying cost management opportunities.
The Team Lead supports day-to-day operations, onboarding, and quality monitoring for the clinical team without direct supervisory oversight. They serve as the first point of contact for clinical issues and ensure adherence to contractual regulations and performance targets.
Coordinate care for Special Needs Plan members by conducting health risk assessments and addressing social determinants of health. Collaborate with an interdisciplinary team to develop individualized care plans and connect members with community resources.
Manager, Business Communications, Federal Health Plans
CVS Health
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Full Time
·
15 days ago
CVS Health
Execute business communication strategies for federal and postal health plans, ensuring consistent and compliant messaging across various digital and print channels. Lead Open Enrollment communications and collaborate cross-functionally to deliver integrated outreach materials and training.
Maintain and enhance Anaplan models by translating business processes into functional and technical requirements. Collaborate with IT and Finance stakeholders to drive automation, ensure governance standards, and optimize financial processes.
The Care Management Associate initiates contact with members post-hospital discharge to coordinate follow-up visits with Primary Care Physicians. The role involves collaborating with internal teams and external providers to facilitate positive healthcare outcomes and member education.
Contact Medicare Advantage and Medicaid members via an automatic dialer to explain and schedule healthcare evaluations. Meet daily productivity goals regarding outbound dials and appointments set while adhering to approved scripts.
Conduct comprehensive clinical assessments and develop individualized care plans to guide members toward better health outcomes. Coordinate inpatient reviews, discharge planning, and advocate for members to ensure cost-effective and optimal care.
Provide day-to-day leadership and operational oversight for Aetna Pharmacy's portfolio across Medicare, Medicaid, and Commercial lines of business. Translate enterprise pharmacy strategy into actionable plans to optimize cost of care and improve member and provider experiences.
Provide financial consultation and pricing support to help CVS Caremark win and retain business through data-driven insights. Analyze pharmaceutical data to formulate recommendations for clients and senior leadership regarding healthcare strategies.
The Contract Manager serves as a subject matter expert responsible for negotiating, executing, and auditing complex provider contracts to enhance network accessibility and quality. They collaborate cross-functionally to manage provider compensation, resolve escalated claims issues, and ensure compliance with federal and state regulations.
Lead pricing strategy and execution across front store categories to drive profitable growth and customer value. Partner with Merchandising, Marketing, and Finance to ensure pricing decisions are analytically driven and operationally executable.
Lead operational reporting and performance management analytics for the Healthcare Affordability team to identify risks and opportunities in total cost of care. Collaborate with clinical and technical teams to develop executive-level summaries and data-driven strategies for cost improvement.
Serve as the senior liaison for large employer clients to drive business growth through renewals, retention, and up-selling. Lead account teams to ensure client satisfaction and deliver strategic reporting on drug trends and financial performance.
Serve as the senior liaison for Employer-Coalition clients to drive business growth through renewal, retention, and up-selling. Lead strategic account teams to ensure client satisfaction and deliver quarterly financial performance reporting on drug trends.
Manage a book of clients to integrate eConsults into clinical workflows and drive platform adoption. Establish relationships with clinic leadership and clinicians to ensure client retention and improve care delivery outcomes.
Lead clinical performance improvement projects for Aetna Medicare Provider Collaboration groups to improve Stars and quality outcomes. Act as a clinical expert and liaison to drive efficiencies in population health and utilization management.
Leads the department responsible for developing and delivering client reporting and interactive dashboards for the Clinical Program suite. Partners with technical and clinical teams to ensure data integrity, compliance, and the delivery of strategic insights to leadership and clients.
Facilitate the delivery of healthcare benefits and information to determine eligibility while promoting member wellness. Develop and implement health strategies and policies to ensure successful return-to-work and overall member health.
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.
Staff Software Engineer - Java Cloud (Health100 Platform)
CVS Health
·
Full Time
·
16 days ago
CVS Health
Lead the technical direction and architectural design of the AI-native Health100 platform within an Agile environment. Coordinate cross-functional delivery of scalable software while mentoring engineers and ensuring production readiness.
Manager, Behavioral Health Utilization Management - IL Medicaid
CVS Health
·
Full Time
·
16 days ago
CVS Health
The Manager, Utilization Management oversees clinical team processes and ensures adherence to policies and procedures. They are accountable for meeting financial, operational, and quality objectives while leading change efforts within the department.
Manage the end-to-end deal process for mid and late-stage venture investments, including financial modeling and due diligence. Provide ongoing portfolio support and develop strategic investment themes to enhance CVS Health's capabilities.
Coordinate care for members with chronic medical and behavioral health conditions through comprehensive assessments and individualized care plans. Engage members telephonically to provide disease management education and connect them with community resources.
Coordinate care for members with stable health conditions and social determinants of health needs through telephonic engagement and care planning. Collaborate with an interdisciplinary team to close gaps in preventative care and connect members with community resources.
Coordinate care for members with chronic conditions and social determinants of health through comprehensive assessments and individualized care plans. Perform telephonic engagement and collaborate with interdisciplinary teams to ensure optimal health outcomes and regulatory compliance.
Coordinate care for members with chronic conditions and social determinants of health through comprehensive assessments and individualized care plans. Perform telephonic engagement to provide disease management education and collaborate with interdisciplinary teams for optimal health outcomes.
Acts as a liaison between members, providers, and insurance companies to coordinate care for catastrophic and chronically ill patients. Develops and monitors individualized plans of care to optimize medical outcomes and facilitate a return to optimal functioning.
Executive Director, Platform Engineering- Health Care Delivery
CVS Health
·
Full Time
·
17 days ago
CVS Health
Lead the strategy, execution, and organizational health of the Platform Engineering function across multiple healthcare brands. Accountable for the reliability, security, and cost-efficiency of a multi-cloud environment while driving the transition to a unified software engineering capability center.
Lead the end-to-end analytics lifecycle to provide data-driven insights for Aetna's Utilization Management organization. Partner with clinical stakeholders to evaluate care models and translate complex healthcare data into actionable business recommendations.
The Decision Scientist provides data-driven insights to influence clinical and operational decision-making within the Utilization Management organization. Responsibilities include data extraction, validation, and analysis to evaluate care models and clinical program effectiveness.
The Case Manager RN uses a collaborative process of assessment, planning, and care coordination to meet the comprehensive health needs of individuals and families. They focus on promoting quality, cost-effective outcomes through advocacy and the utilization of available resources.
Manage a book of business for small to mid-size employer groups to achieve revenue, membership, and customer satisfaction goals. Build strong relationships with brokers and producers to ensure case renewal and implement creative product solutions.
Manage a book of business including self-funded and fully insured employer groups to achieve revenue and membership objectives. Build strong relationships with brokers and producers to ensure case renewal and deliver creative product solutions.
The role involves identifying and designing opportunities to address business challenges within the Pharmacy Workflow Innovation team. This includes collaborating on strategic roadmaps, executing project plans, and providing data-driven insights to enhance the colleague experience.
In-Home Nurse Practitioner or Physician Assistant Part Time - Johnstown
CVS Health
·
Full Time
·
17 days ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to bridge gaps in care. They will conduct assessments, answer health questions, and build trusted relationships to improve health outcomes.
The Registered Dietitian/Health Coach engages and educates members to promote optimal health through assessment, planning, implementation, and evaluation. They conduct comprehensive evaluations and develop plans of care to empower members in making healthy lifestyle choices.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Oneida Syracuse, NY
CVS Health
·
Full Time
·
17 days 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.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Minneapolis, MN
CVS Health
·
Full Time
·
17 days 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.
Virtual Primary Care Nurse Practitioner - Western Region
CVS Health
·
Full Time
·
19 days ago
CVS Health
Provide evidence-based primary care, including assessment, diagnosis, and treatment for patients 18 years and older. Collaborate with a dedicated care team to manage patient panels and drive better health outcomes via virtual visits.
Provide psychosocial support, education, and evidence-based mental health care to individuals and families aged 13 and older. Build and grow a clinical practice within the MinuteClinic framework using assessment and treatment planning tools.
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 in Commercial and Medicare environments.
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.
Design and implement ETL/ELT data pipelines to ingest and transform datasets for analytical and data science workloads. Optimize data models and ensure adherence to data quality, governance, and security policies.
Own the data architecture, advanced analytical models, and AI products to drive efficiency across the CVS Distribution Center network. Partner with IT and operational teams to translate raw warehouse data into actionable tools and semantic models for decision-making.
Lead the delivery of scalable enterprise-grade automations within the Automation Center of Excellence using platforms like Automation Anywhere and UiPath. Translate complex business requirements into secure, reusable automation solutions while mentoring junior engineers.
Senior Manager, Regional Asset Protection (Northern VA, DC)
CVS Health
·
Full Time
·
20 days ago
CVS Health
Manage a team of District Asset Protection Leaders to ensure compliance with enterprise objectives and shrink mitigation tactics. Forge partnerships with Regional Directors of Operations to validate the execution of Asset Protection strategies through KPIs.
Act as a company representative by answering and documenting complex incoming calls to resolve member and customer inquiries. Ensure high customer satisfaction by following established procedures and collaborating with diverse organizational departments.
Acts as the primary resource for providers to maintain positive relationships and resolve complex issues regarding policies, claims, and compensation. Manages provider recruitment, contracting activities, and ensures compliance with contract parameters and plan designs.
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.
Oversees the day-to-day operations of the claims processing team to ensure accuracy, efficiency, and adherence to company policies. Manages productivity metrics, implements process improvements, and collaborates with internal stakeholders to optimize operational effectiveness.
The pharmacist is responsible for interpreting physician medication orders and ensuring the accurate delivery of pharmaceutical care services. This includes supervising sterile compounding practices in accordance with USP 797 and managing drug therapy for clinical programs.
Provide analytical and operational support to Caremark Underwriting leadership by researching and synthesizing data to resolve time-sensitive questions. Investigate pricing and forecasting drivers while coordinating with cross-functional stakeholders to validate results.
Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health
·
Full Time
·
21 days ago
CVS Health
Conduct complex investigations to prevent, investigate, and prosecute healthcare fraud and abuse to recover lost funds. Collaborate with law enforcement agencies and provide expert testimony during civil and criminal proceedings.
Coordinate care for members with chronic conditions and social determinants of health through comprehensive assessments and individualized care plans. Perform telephonic engagement to provide disease management education and collaborate with interdisciplinary teams for optimal health outcomes.
The Senior Contract Analyst ensures contract negotiations are accurately reflected in final documents for pharmaceutical manufacturers. Responsibilities include generating, red-lining, and tracking Rebate, Confidentiality, and Settlement Agreements in compliance with regulatory requirements.
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.
Lead the strategy, architecture, and delivery of the AI LaunchPad platform to enable production AI agents across the enterprise. Manage a team of AI and software engineers while partnering with cross-functional leaders to accelerate AI adoption.
Staff Software Development Engineer β Application Architecture
CVS Health
·
Full Time
·
22 days ago
CVS Health
Serve as the technical authority for CAS architecture, leading the modernization from a monolithic on-prem system to a cloud-ready, API-first platform. Define architectural patterns, govern standards, and drive the delivery of a North Star Architecture across multiple engineering teams.
In-Home Health - Nurse Practitioner or Physician Assistant (Per Diem) -Bellingham, WA
CVS Health
·
Full Time
·
22 days ago
CVS Health
The role involves conducting in-home health evaluations, building trusted relationships with patients, and providing personalized health assessments. Clinicians will engage with patients to answer health questions and bridge gaps in care.
Lead and scale a high-performing L1 technical support organization to ensure exceptional customer experience and rapid issue resolution. Oversee P1/P2 incident response, monitor system performance, and collaborate with engineering teams to improve product quality.
Lead the strategic vision and execution of enterprise-wide quality engineering and automation frameworks for the CVS Digital team. Manage high-performing teams to drive a shift-left, automation-first mindset across complex distributed systems.
Establish technical standards and deliver scalable, AI-enabled analytics solutions to support clinical and operational areas. Collaborate with business partners to define metrics and automate manual processes through data staging and Tableau dashboards.
Assess the appropriateness of ABA treatment plans using evidence-based standards and clinical practice guidelines. Coordinate with providers to facilitate optimal healthcare services and identify members at risk for poor outcomes.
The Senior Epic Analyst serves as a subject matter expert responsible for the design, implementation, and optimization of Epic system solutions. This includes providing advanced technical support, leading complex projects, and mentoring junior analysts to improve operational efficiency.
The MinuteClinic Virtual Care Nurse Practitioner delivers patient care services through a remote technology platform, providing holistic, evidence-based care. Responsibilities include assessment, diagnosis, treatment, health counseling, and coordination of care for patients aged 18 months and above.
Develop, enhance, and maintain technical models and processes supporting the Medicare Part D line of business. Communicate insights and recommendations to stakeholders while implementing process improvements through automation.
Deliver holistic, evidence-based patient care through a remote technology platform for patients aged 18 months and older. Responsibilities include assessment, diagnosis, treatment, and documentation of encounters using Epic EHR.
Lead the strategic vision and implementation of ad technology and digital identity solutions across CVS Health. Manage data collection, media tagging, and vendor relationships with LiveRamp to maximize digital media capabilities and ensure privacy compliance.
Lead and manage clinical innovation use cases and initiatives to solve business problems and create value within Aetna's Clinical Solutions. Collaborate with cross-functional teams to develop, test, and implement innovative healthcare solutions from ideation through to scaled realization.
Strategic Account Executie - Meritain Pharmacy Solutions
CVS Health
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Full Time
·
24 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.
Lead and manage clinical innovation initiatives to modernize healthcare utilization management operations and create new business value. Oversee the end-to-end delivery of complex projects from concept design and pilot execution to scaled readiness and performance monitoring.
Lead the enterprise AWS platform by setting architectural direction, establishing engineering standards, and owning the end-to-end infrastructure. Drive cloud transformation through Infrastructure as Code, automation, and the implementation of secure, scalable landing zones.
Meritain Vice President of Sales - National Accounts
CVS Health
·
Full Time
·
24 days ago
CVS Health
Develop and implement sales strategies to acquire new large group accounts and government programs. Manage complex negotiations and coordinate cross-functionally to ensure successful client installation and servicing.
Lead the enterprise GCP platform by setting architectural direction, establishing engineering standards, and owning the landing zone. Drive the implementation of Infrastructure as Code and automation while mentoring engineers and aligning stakeholders on technical vision.
Act as the Linux engineering subject matter expert to drive the development and implementation of technical solutions for Store Systems Management. Provide regular status updates, resolve problems, and collaborate with stakeholders to ensure project goals and customer satisfaction are met.
Oversee day-to-day utilization management processes to ensure high-quality, cost-effective healthcare services. Lead and manage a team of UM physicians, providing guidance, performance evaluations, and professional development.
Conduct high-level, complex investigations into healthcare fraud and abuse to prevent fraudulent Medicaid claims. This includes performing data mining for aberrant billing patterns, collaborating with law enforcement, and providing guidance to junior investigators.
Medical Director - MPO (Medical Policy & Operations)
CVS Health
·
Full Time
·
a month ago
CVS Health
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 benefits within Medicare and commercial environments.
Lead Director, Portfolio Strategy & Commercial Enablement
CVS Health
·
Full Time
·
a month ago
CVS Health
Lead the strategic direction and operational execution of pharma data and analytics products and platform capabilities. Establish governance models and commercialization strategies to align enterprise priorities and drive revenue outcomes.
Define and scale the operating model for monthly welcome season readiness and member web error submissions. Focus on driving process rigor, automation, and people leadership to reduce operational risk and manual effort.
Conduct high-level, complex investigations into healthcare fraud and abuse, specifically focusing on Medicaid program integrity. Collaborate with medical directors and law enforcement to recover lost funds and prosecute fraudulent schemes.
Lead the SRE strategy and AI-driven operations to ensure the stability and reliability of mission-critical PBM-IT services. Manage technical vendor resources and global SRE teams to optimize incident response and operational excellence.
Senior Manager, Sales Enablement & AI-Driven Client Strategy
CVS Health
·
Full Time
·
a month ago
CVS Health
Lead sales enablement initiatives by translating complex PBM market dynamics and pricing models into actionable strategies for field teams. Drive the adoption of AI tools to streamline workflows, generate insights, and improve client value.
Lead the product strategy and innovative collaborations with external partners to enhance the Commercial product portfolio. Manage partner relationships, develop product roadmaps, and align cross-functional teams to drive organizational growth.
This role is responsible for the strategic management and oversight of dental vendor relationships to ensure compliance and alignment with organizational goals. Key duties include leading end-to-end contracting activities and monitoring vendor performance across Medicaid and Medicare programs.
Acts as a Subject Matter Expert in Orthopedic Spine or Neurosurgery to lead utilization review and quality assurance for medical management programs. Responsible for predetermination reviews, claim determinations, and serving as a clinical liaison to network providers.
Provide strategic advisory on Trade-related pharmaceutical purchasing and contracting to support PBM client pricing and underwriting strategies. Partner with cross-functional teams to analyze market intelligence and ensure contractual requirements are met in RFP responses.
Lead Director, New Business Operations and Enablement, Trade Strategy & Innovation
CVS Health
·
Full Time
·
a month ago
CVS Health
Lead sales operations and enablement for Life Sciences Innovation, focusing on improving contracting, invoicing, and revenue realization processes. Partner with cross-functional teams to manage pharmaceutical manufacturer partnerships and develop sales enablement materials.
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.
Inside Sales Rep-Hourly + Commission-Can live anywhere in U.S.
CVS Health
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Full Time
·
a month ago
CVS Health
Responsible for acquiring new members through inbound and outbound calls and managing the member relationship throughout the year. This includes servicing inquiries regarding plan benefits and cross-selling ancillary products to existing members.
Lead high-impact pricing initiatives and develop pricing and rebate guarantee models for PBM clients. Coordinate execution across IT, Underwriting, Modeling, and Finance teams while driving executive alignment on strategic decisions.
Direct and oversee the strategy, engineering, and execution of Zero Trust technologies within the Cybersecurity Workstation Assurance organization. Lead a team of security engineers to implement secure remote access and data protection policies aligned with regulatory standards.
Serve as the senior liaison for PBM clients to drive business growth through renewal, retention, and up-selling. Lead strategic account teams to ensure client satisfaction and deliver quarterly financial and drug trend reporting.
Lead the strategic roadmap and OKRs for the Claim Automation portfolio to optimize health plan claims processing. Manage cross-functional teams and vendor partners to drive product health and operational value across multiple lines of business.
The Staff Security Engineer is responsible for designing, implementing, and maintaining security measures to protect the organization's digital infrastructure. This role involves onboarding and monitoring data for security platforms, troubleshooting issues, and providing technical guidance to the Cyber Defense team.
The physician will conduct comprehensive in-home health evaluations, including medication reviews and physical assessments, to bridge gaps in patient care. They will also perform virtual visits and provide diagnostic services while maintaining accurate clinical documentation via an iPad.
Provide psychosocial support and evidence-based mental health therapy to individuals, couples, and families. Manage patient assessment and treatment planning while collaborating with the clinical care team.
The Lead Director will define and evolve the architecture strategy for member-facing digital platforms, ensuring they are scalable, secure, and intelligent. This role involves leading a team of architects while partnering with product, engineering, and data teams to drive AI-driven innovation and platform modernization.
In-Home Health - Physician (Part Time) - Bremerton, WA
CVS Health
·
Full Time
·
a month 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 (Full Time) - Minneapolis, MN
CVS Health
·
Full Time
·
a month 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.
The Staff Software Development Engineer will act as a technical lead to design and implement scalable, high-quality digital solutions while mentoring junior engineers. They will also collaborate with business leaders to identify system gaps and drive innovation through the development of new digital assets and proof of concepts.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Kings, NY
CVS Health
·
Full Time
·
a month ago
CVS Health
Conduct in-home health evaluations including medication reviews, physical assessments, and diagnostic tests for health plan members. Build trusted relationships with patients to bridge gaps in care and provide health education.
The Senior Manager will lead high-impact quality improvement initiatives within the Client and Networks Pricing team by identifying trends and root causes of pricing errors. They will facilitate cross-functional efforts to implement corrective actions and maintain quality scorecards to drive sustained performance improvements.
In-Home Health - Nurse Practitioner or Physician Assistant (Per Diem) - Wenatchee/ Grant County, WA
CVS Health
·
Full Time
·
a month ago
CVS Health
Conduct in-home health evaluations, including physical assessments, medication reviews, and diagnostic tests for health plan members. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Lebanon, NH
CVS Health
·
Full Time
·
a month ago
CVS Health
Conduct in-home health evaluations, including medication reviews, medical history assessments, and physical examinations for health plan members. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation using an iPad.
Lead the AIOps strategy and roadmap to modernize IT operations through observability, machine learning, and agentic AI. Build and operationalize agentic AI workflows for incident triage, resolution, and closed-loop automation within the ServiceNow ecosystem.
In-Home Health - Nurse Practitioner or Physician Assistant (Per Diem) - Bremerton, WA
CVS Health
·
Full Time
·
a month ago
CVS Health
Conduct comprehensive in-home health evaluations, including medication reviews, physical assessments, and diagnostic testing for health plan members. Provide patient education and bridge gaps in care to improve health outcomes while maintaining detailed clinical documentation.
The Case Manager will facilitate care coordination, assessment, and advocacy for dual-eligible members to ensure quality and cost-effective health outcomes. They will act as a liaison between members, families, providers, and insurance carriers while managing both catastrophic and chronic care cases.
The Principal Software Engineer will define and drive the technical vision for cloud-native applications using Flutter across web and mobile platforms. They will lead high-impact initiatives from prototype to production while mentoring senior staff and ensuring engineering excellence in security, performance, and scalability.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Boston MA
CVS Health
·
Full Time
·
a month 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.
Β In-Home Health - NP/PA (Part Time)- Boston (Bristol, Norfolk, Plymouth, Suffolk)
CVS Health
·
Full Time
·
a month ago
CVS Health
Provide in-home health evaluations for health plan members, including medication reviews, physical assessments, and diagnostic screenings. Engage with patients to bridge gaps in care and provide health education to improve overall health outcomes.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Grand Forks, MN
CVS Health
·
Full Time
·
a month 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 role involves providing financial tools and analytics to support network strategy, including developing discount review processes and emerging trend analytics. You will also provide pricing support for performance networks and assist in creating consistent, competitive fee schedules across state lines.
Lead Director, Network Management (Northern California)
CVS Health
·
Full Time
·
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 network performance. They lead negotiation teams, manage provider engagement, and collaborate cross-functionally to meet financial, accessibility, and quality goals.
The Client Relations Executive is responsible for selling specialty pharmacy services within the bleeding disorders segment and managing relationships with healthcare providers and support groups. Success is measured by the retention of existing business and the acquisition of new referral business within the assigned multi-state territory.
In-Home Nurse Practitioner or Physician Assistant Part Time - Beckley
CVS Health
·
Full Time
·
a month ago
CVS Health
Conduct in-home health evaluations for health plan members, including medication reviews, physical assessments, and diagnostic testing. Provide health education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Fergus Falls, MN
CVS Health
·
Full Time
·
a month ago
CVS Health
Conduct comprehensive in-home health evaluations for health plan members, including physical assessments and medical history reviews. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
In-Home Traveler Physician (Full-Time) - Connecticut
CVS Health
·
Full Time
·
a month ago
CVS Health
The physician will conduct in-home health evaluations, including medication reviews and physical assessments, to bridge gaps in patient care. They will travel extensively to provide these services and document findings using an intuitive clinical workflow on an iPad.
In-Home Nurse Practitioner or Physician Assistant Full Time - Beckley
CVS Health
·
Full Time
·
a month 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 Traveler Nurse Practitioner or Physician Assistant - Full Time - CT
CVS Health
·
Full Time
·
a month ago
CVS Health
Conduct comprehensive in-home health evaluations for health plan members, including medication reviews and physical assessments. Build trusted relationships with patients to bridge gaps in care and provide personalized health education.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Grand Rapids, MN
CVS Health
·
Full Time
·
a month 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 (Full Time) - St. Cloud, MN
CVS Health
·
Full Time
·
a month 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.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Duluth, MN
CVS Health
·
Full Time
·
a month 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 Nurse Practitioner or Physician Assistant Full Time - Charleston
CVS Health
·
Full Time
·
a month ago
CVS Health
Conduct comprehensive in-home health evaluations, including medication reviews and physical assessments, to bridge gaps in patient care. Build trusted relationships with patients to provide personalized health education and connections to appropriate care services.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Olympia, WA
CVS Health
·
Full Time
·
a month 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
·
a month 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 (Per Diem) - Boulder, CO - Boulder County
CVS Health
·
Full Time
·
a month ago
CVS Health
Conduct in-home health evaluations for health plan members, including medication reviews, physical assessments, and diagnostic testing. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
In-Home Health - NP/PA (Full Time) - Seattle, WA - King
CVS Health
·
Full Time
·
a month 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
·
Full Time
·
a month 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.
The Senior Advisor serves as a subject matter expert on regulatory compliance, leading initiatives to ensure the Pharmacy Network division meets all current and emerging requirements. They partner with cross-functional teams to translate these regulations into financially sound processes while monitoring performance through data analytics and KPI reporting.
The Senior Advisor serves as a subject matter expert on regulatory compliance, leading initiatives to ensure the Pharmacy Network division meets all current and emerging requirements. They partner with functional leaders to translate regulations into operational processes and proactively manage business risks.
The Chief Medical Officer will serve as a strategic partner to the executive team to drive clinical excellence, cost-effective care, and measurable health outcomes within the Medicaid program. Responsibilities include overseeing care models, ensuring regulatory compliance, and leading population health and quality improvement initiatives.
Provide psychosocial support, education, and evidence-based counseling to patients aged 13 and older. Collaborate with the clinical care team to develop and implement effective treatment plans.
Contract Negotiation Manager β Florida (Miami Dade, Broward, Palm Beach, and Treasure Coast)
CVS Health
·
Full Time
·
a month ago
CVS Health
The manager is responsible for recruiting healthcare providers and negotiating contracts to ensure network adequacy and financial targets. They also manage provider relationships, resolve escalated issues, and monitor contract performance throughout the lifecycle.
The Lead Domain Architect will own the detailed architecture across sales, enrollment, and broker domains, ensuring scalable and cloud-aligned solutions. This role acts as a design authority, enforcing architectural standards and providing corrective direction to delivery teams.
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.
The Principal Software Engineer will lead the architectural vision and modernization of the Sales & Acquisition ecosystem using cloud-native technologies. They will design and implement scalable microservices, APIs, and data pipelines while ensuring compliance with healthcare security standards.
Registered Nurse - RN - Cardiopulmonary Nurse Educator - PAH
CVS Health
·
Full Time
·
a month ago
CVS Health
Provide clinical education and infusion training to patients and caregivers managing complex Pulmonary Arterial Hypertension therapies. Collaborate with physicians, pharmacy operations, and sales teams to coordinate comprehensive patient care plans.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Fergus Falls, MN
CVS Health
·
Full Time
·
a month 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
·
a month 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.
The medical resident will gain a comprehensive understanding of pharmacy benefit management and the administration of pharmacy benefits. They will learn to appreciate the significance of formulary establishment and the application of various utilization management tools.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) -St. Cloud MN
CVS Health
·
Full Time
·
a month 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
·
2 months ago
CVS Health
Conduct in-home health evaluations for health plan members, including medication reviews, physical assessments, and diagnostic testing. Build trusted relationships with patients to help bridge gaps in care and provide personalized health education.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) Barnstable MA
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations for health plan members, including physical assessments, medication reviews, and diagnostic testing. Build trusted relationships with patients to bridge gaps in care and provide personalized health education.
Case Manager Behavioral Health (Field - Chinatown area) Bilingual Preferred
CVS Health
·
Full Time
·
2 months ago
CVS Health
The Case Manager facilitates care coordination and health strategies for dual-eligible members by assessing needs and developing comprehensive care plans. They act as a liaison between members, providers, and community resources to ensure quality outcomes and timely return to work or optimal functioning.
Lead Director, AI/ML Solutions Engineering & Delivery
CVS Health
·
Full Time
·
2 months ago
CVS Health
The Lead Director will build and lead an engineering organization responsible for designing, scaling, and delivering enterprise AI/ML solutions. This role involves partnering with cross-functional teams to establish technical standards, drive architecture decisions, and manage the end-to-end delivery of AI-powered products.
The Lead Director will build and scale enterprise AI/ML and data engineering platforms to support mission-critical health care workloads. This role involves leading product-oriented engineering teams to deliver reusable data products, AI accelerators, and robust MLOps/LLMOps operational frameworks.
In-Home NP/PA (Part Time) - Denver, CO - Jefferson County
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations for health plan members, including medication reviews, medical history assessments, and physical evaluations. Provide health education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
In-Home Health Clinician - Nurse Practitioner or Physician Assistant (Full Time) - Seattle/King
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct comprehensive in-home health evaluations for health plan members, including medication reviews and physical assessments. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
In-Home Health - NP/PA (Per Diem) - Boulder, CO - Grand County
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct comprehensive in-home health evaluations for health plan members, including medication reviews and physical assessments. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Kennewick, WA
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations for health plan members, including medication reviews, medical history assessments, and physical evaluations. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
In-Home Health - NP/PA (Per Diem) - Boulder, CO - Boulder County
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations for patients, including medication reviews, physical assessments, and diagnostic testing. Build trusted relationships with patients to bridge gaps in care and provide personalized health education.
Care Management Coordinator OhioRISE β Field β Must reside West Region of Ohio
CVS Health
·
Full Time
·
2 months ago
CVS Health
The Care Management Coordinator facilitates healthcare outcomes by providing care coordination, support, and education to members using established management tools. They collaborate with Child and Family Teams to monitor care plans and ensure appropriate service delivery for children with complex behavioral health needs.
In-Home Health - NP/PA (Full Time) - Spokane, WA - Stevens County
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct comprehensive in-home health evaluations, including medication reviews and physical assessments for health plan members. Provide patient education and facilitate connections to appropriate care services to improve health outcomes.
The Sr. Manager will oversee internal quality programs and coordinate alignment with payers to support Stars performance. They will lead a team to drive operational insights, manage reporting infrastructure, and collaborate with cross-functional leaders to ensure program success.
Contract Negotiation Manager β Pennsylvania & Delaware
CVS Health
·
Full Time
·
2 months ago
CVS Health
The manager negotiates, executes, and analyzes contracts with local and small group providers to maintain network quality and financial goals. They also manage provider relationships, resolve escalated issues, and contribute to network expansion and cost-saving initiatives.
The Principal Architect will own the technical architecture and engineering leadership for the Vulnerability Services Engine platform. This role involves hands-on design, implementation, and performance optimization of large-scale distributed systems and data products.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Wheeling
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations for health plan members, including physical assessments and medication reviews. Provide health education and bridge gaps in care while utilizing an intuitive clinical workflow on an iPad.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Seattle , Snohomish County
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations for health plan members, including medication reviews and physical assessments. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
In-Home Health - NP/PA (Full Time) - Spokane, WA - Stevens County
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct comprehensive in-home health evaluations for patients, including medication reviews and physical assessments. Provide patient education and facilitate connections to appropriate care services to improve health outcomes.
The Senior Manager will support the development and execution of pharma-facing initiatives to reduce costs and improve accessibility for CVS Health customers. This role involves creating business cases, managing external relationships, and identifying innovative growth opportunities within the pharmaceutical segment.
The Senior Manager negotiates and analyzes complex healthcare provider contracts to ensure alignment with financial, quality, and accessibility goals. They also lead a team of professionals, providing strategic guidance and mentorship to foster a collaborative work environment.
Senior Health Care Quality Management Specialist (Florida-Remote)
CVS Health
·
Full Time
·
2 months ago
CVS Health
The specialist designs and maintains quality management strategies to meet regulatory and accreditation requirements, including NCQA and Medicaid standards. They analyze performance data, support quality committee operations, and execute quality improvement initiatives to achieve business objectives.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Suffolk County, New York
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations for health plan members, including medication reviews, medical history assessments, and physical examinations. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
Senior Data Scientist - Clinical Informatics (Analytics Enablement)
CVS Health
·
Full Time
·
2 months ago
CVS Health
The Senior Data Scientist will activate clinical data repositories to improve healthcare outcomes by designing data models and building clinical data feature stores. They will also serve as a subject matter expert, collaborating with stakeholders to ensure data integrity, documentation, and alignment with clinical standards.
You will contribute code and tests to build and maintain Android applications while collaborating with product and design teams. Additionally, you will monitor, troubleshoot, and refactor existing code to ensure application stability, performance, and scalability.
Lead Data Scientist - Clinical Informatics (Claims Specialization)
CVS Health
·
Full Time
·
2 months ago
CVS Health
The Lead Data Scientist will activate clinical data repositories to improve healthcare outcomes and design robust data models and taxonomies. They will also govern claims data feature stores and mentor cross-functional teams to ensure data integrity and analytical excellence.
Lead Data Scientist - Clinical Informatics (Clinical Data Standards)
CVS Health
·
Full Time
·
2 months ago
CVS Health
The Lead Data Scientist will design and maintain clinical data models and taxonomies to ensure consistent interpretation of healthcare data across the organization. They will also lead cross-functional teams to build and govern clinical data products, ensuring compliance with regulatory standards and enabling self-service analytics.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Scranton
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct in-home and virtual health evaluations to bridge gaps in care for health plan members. Perform medication reviews, physical assessments, and diagnostic screenings while building trusted relationships with patients.
Provide psychosocial support and evidence-based mental health therapy to individuals, couples, and families aged 13 and older. Collaborate with clinical care teams to develop treatment plans and ensure continuity of care for patients.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Scranton
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations, including medication reviews, medical history assessments, and physical examinations for health plan members. Provide patient education and facilitate connections to appropriate care services while maintaining accurate clinical documentation.
Provide psychosocial support and evidence-based mental health counseling to individuals, couples, and families aged 13 and older. Collaborate with clinical care teams to develop treatment plans and ensure continuity of care for patients.
In-Home Health - Physician (Full Time) - Poughkeepsie, NY
CVS Health
·
Full Time
·
2 months ago
CVS Health
The physician will conduct in-home health evaluations, including medication reviews and physical assessments, to bridge gaps in patient care. They will also perform virtual visits and provide diagnostic services as required by health plans.
In-Home Health - Physician (Full Time) - Albany, NY
CVS Health
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Full Time
·
2 months ago
CVS Health
Conduct comprehensive in-home health evaluations, including medication reviews and physical assessments, to bridge gaps in patient care. Engage with patients to build trusted relationships and provide connections to appropriate care services.
In-Home Health - Physician (Full Time) - Syracuse, NY
CVS Health
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Full Time
·
2 months ago
CVS Health
Conduct comprehensive in-home health evaluations for patients, including medication reviews and physical assessments. Build trusted relationships with patients to bridge gaps in care and provide connections to appropriate health resources.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Bridgeport, CT
CVS Health
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Full Time
·
2 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
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Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations for patients, including physical assessments, medication reviews, and medical history documentation. Provide comprehensive health education and bridge care gaps while maintaining accurate clinical records using an iPad.
The Public & Labor Account Executive manages and grows a complex book of public sector and labor clients by serving as the primary relationship lead. This role drives account strategy, identifies cost-management opportunities, and coordinates across internal teams to ensure high client satisfaction.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Cumberland
CVS Health
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Full Time
·
2 months ago
CVS Health
Conduct in-home and virtual health evaluations to bridge gaps in care for health plan members. Perform medication reviews, physical assessments, and diagnostic tests while building trusted relationships with 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 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.
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.
The physician will conduct in-home health evaluations, including medication reviews, physical assessments, and diagnostic tests for health plan members. They will also perform virtual visits as needed and facilitate connections to appropriate care based on patient needs.
Conduct in-home health evaluations to bridge gaps in care and build trusted relationships with patients. Perform medication reviews, physical evaluations, and diagnostic tests while documenting findings through an intuitive clinical workflow.
Conduct 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.
Conduct in-home health evaluations for patients, including medication reviews, physical assessments, and diagnostic testing. Build trusted relationships with patients to bridge gaps in care and provide connections to appropriate health services.
In-Home Physician (Per Diem) - Williamsport - Region
CVS Health
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Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations for patients, including medication reviews, medical history assessments, and physical examinations. Facilitate connections to appropriate care and document findings using an intuitive clinical workflow on an iPad.
Conduct in-home health evaluations for health plan members, including medication reviews and physical assessments. Provide comprehensive health insights and bridge gaps in care through one-on-one patient engagement.
In-Home Nurse Practitioner or Physician Assistant (Per Diem) - Erie
CVS Health
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Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations for patients, including medication reviews, medical history assessments, and physical examinations. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
In-Home Health - Physician (Per Diem) - Harrisburg - Region
CVS Health
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Full Time
·
2 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.
The role involves designing and implementing digital health solutions by architecting systems, writing code, and collaborating with cross-functional teams. You will also be responsible for ensuring system scalability, performance, and reliability through rigorous testing, debugging, and code reviews.
In-Home Health - NP or PA (Part Time) - Kennewick, WA
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 evaluations for health plan members. Provide patient education and facilitate connections to appropriate care to improve overall health outcomes.
In-Home Health - Nurse Practitioner or Physician Assistant (Per Diem) - Okanagan, WA
CVS Health
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Full Time
·
2 months ago
CVS Health
Conduct comprehensive in-home health evaluations, including medication reviews and physical assessments, to bridge gaps in patient care. Provide health education and facilitate connections to appropriate care services based on individual patient needs.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Montgomery/ Albany, NY
CVS Health
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Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations for health plan members, including medication reviews, medical history assessments, and physical examinations. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation using an iPad.
The Principal Architect will own the enterprise observability reference architecture and drive the OpenTelemetry-first instrumentation strategy across all environments. They will also lead hybrid multi-cloud standards, including workload identity, compute runtime selection, and FinOps maturity.
Staff Software Development Engineer-Automation Engineer
CVS Health
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Full Time
·
2 months ago
CVS Health
The Staff Software Development Engineer leads the production support strategy for enterprise automation and RPA platforms to ensure operational stability and reliability. This role manages incident triage, root-cause analysis, and cross-team collaboration to drive proactive improvements and system resiliency.
Epic EHR Development Lead-Senior Manager-Software Development
CVS Health
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Full Time
·
2 months ago
CVS Health
The Epic EHR Development Lead is responsible for overseeing the design, configuration, and optimization of Epic EHR solutions across clinical and operational domains. This role provides technical leadership, ensures alignment with organizational strategy, and manages development teams to improve patient care and clinician efficiency.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Seattle - Snohomish County
CVS Health
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Full Time
·
2 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 Clinician - Nurse Practitioner or Physician Assistant (Full Time) - Wenatchee
CVS Health
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Full Time
·
2 months ago
CVS Health
Conduct comprehensive in-home health evaluations for health plan members, including medication reviews and physical assessments. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
In-Home Health - Nurse Practitioner or Physician Assistant (Per Diem) - Okanagan, WA
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct comprehensive in-home health evaluations, including medication reviews and physical assessments, to bridge gaps in patient care. Provide patient education and facilitate connections to appropriate care services based on individual health needs.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Montgomery/ Albany, NY
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations, including medication reviews, physical assessments, and diagnostic testing for health plan members. Build trusted relationships with patients to bridge gaps in care and provide personalized health education.
In-Home Health - NP or PA (Part Time) - Kennewick, WA
CVS Health
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Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations for health plan members, including medication reviews, medical history assessments, and physical examinations. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation using provided digital tools.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Fort Collins, CO
CVS Health
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Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations for health plan members, including medication reviews, medical history assessments, and physical evaluations. Provide patient education and bridge gaps in care while utilizing an intuitive clinical workflow on an iPad.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Greeley, CO
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct comprehensive in-home health evaluations for health plan members, including medication reviews and physical assessments. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
Conduct in-home health evaluations to bridge gaps in care and build trusted relationships with patients. Perform medication reviews, physical assessments, and diagnostic tests while documenting findings through an intuitive clinical workflow.
Conduct in-home health evaluations to review medical history, perform physical assessments, and identify gaps in care for health plan members. Provide diagnostic and preventive services while maintaining accurate clinical documentation using an iPad-based workflow.
Conduct in-home health evaluations to review medical history, perform physical assessments, and provide diagnostic services. Engage with patients to bridge gaps in care and ensure their health needs are communicated to their primary care teams.
Conduct in-home health evaluations to bridge gaps in care and build trusted relationships with patients. Perform medication reviews, physical evaluations, and diagnostic tests while documenting findings via an intuitive clinical workflow.
Conduct in-home health evaluations to bridge gaps in care and build trusted relationships with patients. Perform medication reviews, physical evaluations, and diagnostic tests while documenting findings through an intuitive clinical workflow.
Conduct in-home health evaluations for health plan members to review medical history, medications, and perform physical assessments. Facilitate connections to appropriate care and document findings using an intuitive clinical workflow on an iPad.
Conduct in-home health evaluations for health plan members, including medication reviews and physical assessments. Facilitate connections to appropriate care and document findings using an intuitive clinical workflow on an iPad.
Provide psychosocial support and evidence-based mental health therapy to individuals, couples, and families aged 13 and older. Collaborate with clinical care teams to develop treatment plans and ensure continuity of care for patients.
Conduct in-home health evaluations for patients, including medication reviews, physical assessments, and diagnostic testing. Build trusted relationships with patients to bridge care gaps and provide personalized health insights.
Conduct in-home health evaluations for health plan members, including medication reviews, physical assessments, and diagnostic testing. Build trusted relationships with patients to bridge gaps in care and provide connections to appropriate health resources.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Winchester
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct comprehensive in-home health evaluations for health plan members, including medication reviews and physical assessments. Build trusted relationships with patients to bridge care gaps and provide personalized health education.
In-Home Health Clinician - Nurse Practitioner or Physician Assistant (Part Time) - Durango, CO
CVS Health
·
Full Time
·
2 months ago
CVS Health
Conduct in-home health evaluations for members, including medication reviews, medical history assessments, and physical evaluations. Provide diagnostic and preventive services while building trusted relationships to help bridge gaps in patient care.
The Distinguished Architect will be responsible for architecting security reference architectures and enabling secure technology solutions that align with business strategy. This role involves defining security roadmaps, collaborating with partners, and mentoring junior architects.
In-Home Health - Physician (Per Diem) - Glenwood Springs, CO
CVS Health
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Full Time
·
2 months ago
CVS Health
Provide in-home health evaluations to patients, engaging with them to bridge gaps in care. Build trusted relationships to improve health outcomes and connect patients to the right care.
In-Home Health - Physician (Part Time) - Fort Collins, CO
CVS Health
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Full Time
·
2 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 - NP or PA (Full Time) - Denver, CO - Jefferson County
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. Responsibilities include conducting assessments, answering health questions, and connecting patients to appropriate care.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Boulder, CO
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 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 (Per Diem) - Glenwood Springs, CO
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.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Grand Junction, CO
CVS Health
·
Full Time
·
2 months ago
CVS Health
The role involves conducting in-home health evaluations, engaging with patients to answer health questions and bridge gaps in care. Clinicians will build trusted relationships and provide personalized health evaluations.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Pueblo, CO
CVS Health
·
Full Time
·
2 months ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to bridge gaps in care and improve health outcomes. Responsibilities include conducting assessments, answering health questions, and utilizing technology for evaluations.
In-Home Health - Physician (Part Time) - Grand Junction CO
CVS Health
·
Full Time
·
2 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.
The Distinguished Architect will be responsible for architecting security reference architectures and enabling secure technology solutions that align with business strategy. This role involves defining security roadmaps, collaborating with partners, and mentoring junior architects.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Bremerton, WA
CVS Health
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Full Time
·
2 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
·
2 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
·
2 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
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Full Time
·
2 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
·
2 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
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Full Time
·
2 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
·
2 months ago
CVS Health
The specialist provides care management services and evidence-based short-term psychotherapy to patients with behavioral health needs, acting as a key resource for Care Teams across primary clinics. Responsibilities include screening patients, developing care plans, coordinating referrals, and documenting encounters in the electronic medical record.
In-home Traveler Physician (Full-Time) -New Hampshire
CVS Health
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Full Time
·
3 months ago
CVS Health
The physician will provide comprehensive in-home health evaluations, which include medication and medical history review, a physical evaluation, and diagnostic tests, while engaging with patients one-on-one to answer health questions. This role requires extensive travel, up to 100% of the time, across defined coverage areas, potentially necessitating overnight stays.
In-home Traveler Physician (Full-Time) -Massachusetts
CVS Health
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Full Time
·
3 months ago
CVS Health
The physician will provide in-home health evaluations, which include medication and medical history reviews, physical evaluations, and potentially diagnostic tests, connecting with people in their homes to bridge gaps in care. This role requires up to 100% travel across defined coverage areas, potentially necessitating overnight stays, and involves conducting virtual visits as needed.
The physician will provide in-home health evaluations, engaging with individuals to bridge gaps in care, which includes medication and medical history review, physical evaluation, and potentially diagnostic tests. This role requires extensive travel, up to 100% of the time, across defined coverage areas, potentially necessitating overnight stays.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Shenandoah
CVS Health
·
Full Time
·
3 months ago
CVS Health
The clinician will conduct in-home health evaluations lasting about 45 minutes, which include medication and medical history review, a physical evaluation, and diagnostic tests if ordered. They will engage with people to bridge gaps in care and build trusted relationships to improve health outcomes.
In-Home Health - Nurse Practitioner or Physician Assistant (Per Diem) - Emporia
CVS Health
·
Full Time
·
3 months ago
CVS Health
The clinician will provide in-home health evaluations, connecting one-on-one with individuals to review health history, medications, and perform physical evaluations, while also conducting virtual visits as needed. This role involves joining a national network of clinicians dedicated to improving health outcomes by bringing personalized health evaluations directly to members' homes.
Case Manager Registered Nurse (Work from Home - New York License)
CVS Health
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Full Time
·
3 months ago
CVS Health
The Case Manager Registered Nurse coordinates care for members with complex medical and behavioral health conditions, focusing on addressing social determinants of health by conducting assessments and connecting members with resources. This role involves developing individualized care plans, providing education, monitoring progress, and meticulously documenting all care management activities, with 50-75% of the day dedicated to telephonic member engagement.
The Physician will conduct in-home health evaluations lasting about 45 minutes, which includes reviewing medical history and medications, performing a physical evaluation, and conducting diagnostic tests if ordered. This role involves engaging with patients one-on-one to build trusted relationships and help bridge gaps in care.
In-Home Health - Nurse Practitioner or Physician Assistant (Per Diem) - Kingsport
CVS Health
·
Full Time
·
3 months ago
CVS Health
The clinician will conduct comprehensive, personalized in-home health evaluations lasting about 45 minutes, which includes reviewing medical history, medications, and performing physical evaluations. They will also be responsible for fulfilling requirements for specified Signify Health services, including diagnostic and preventive services, while connecting patients to the right care.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Fredericksburg
CVS Health
·
Full Time
·
3 months ago
CVS Health
The clinician will conduct in-home health evaluations lasting about 45 minutes, which includes reviewing medical history, performing a physical evaluation, and potentially conducting diagnostic tests. They will join a national network of clinicians dedicated to improving health outcomes by connecting millions of people nationwide to the right care for their unique needs.
In-home Traveler Nurse Practitioner or Physician Assistant (Full-Time) - New York
CVS Health
·
Full Time
·
3 months ago
CVS Health
This role involves providing in-home care as a Nurse Practitioner or Physician Assistant, contributing to building a connected, convenient, and compassionate health experience for individuals. The position is full-time, anticipating 40 weekly hours, and is part of a team dedicated to simplifying healthcare one person, one family, and one community at a time.
In-home Traveler Nurse Practitioner or Physician Assistant (Full-Time) -New Hampshire
CVS Health
·
Full Time
·
3 months ago
CVS Health
The clinician will provide in-home health evaluations, engaging with people to bridge gaps in care, which includes medication and medical history review, and physical evaluations. This role requires extensive travel, up to 100% of the time, within a defined coverage area, potentially necessitating overnight stays.
In-home Traveler Nurse Practitioner or Physician Assistant (Full-Time) -Massachusetts
CVS Health
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Full Time
·
3 months ago
CVS Health
The clinician will provide comprehensive in-home health evaluations, which include medication and medical history review, a physical evaluation, and potentially diagnostic tests, lasting about 45 minutes per visit. This role involves extensive travel, up to 100% of the time, across a defined coverage area to build trusted relationships and improve health outcomes.
The Physician will conduct in-home health evaluations lasting about 45 minutes, which includes reviewing medical history, performing a physical evaluation, and potentially administering diagnostic tests. This role focuses on building trusted relationships and connecting patients to the right care within a national network of clinicians.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Elkins
CVS Health
·
Full Time
·
3 months ago
CVS Health
The clinician will conduct in-home health evaluations lasting about 45 minutes, which include medication and medical history review, a physical evaluation, and diagnostic tests as ordered. This role involves joining a national network of clinicians dedicated to improving health outcomes by providing connections to the right care for individuals' unique needs.
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 when ordered. They will engage with patients one-on-one to answer health questions and connect them to the right care for their unique needs.
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.
The Physician will conduct in-home health evaluations lasting about 45 minutes, which includes reviewing medical history and medications, performing a physical evaluation, and potentially conducting diagnostic tests. This role involves joining a national network of clinicians dedicated to improving health outcomes by connecting people to the right care for their unique needs.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Parkersburg
CVS Health
·
Full Time
·
3 months ago
CVS Health
The clinician will conduct in-home health evaluations lasting about 45 minutes, which include medication and medical history review, a physical evaluation, and diagnostic tests if ordered. They will engage with patients to build trusted relationships and help bridge gaps in care using an intuitive clinical workflow on an iPad.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Lancaster
CVS Health
·
Full Time
·
3 months ago
CVS Health
The clinician will conduct comprehensive 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 millions of people nationwide to the right care for their unique needs.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Harrisburg
CVS Health
·
Full Time
·
3 months ago
CVS Health
The clinician will conduct in-home health evaluations lasting about 45 minutes, which include medication and medical history review, a physical evaluation, and diagnostic tests when ordered. They will join a national network of clinicians dedicated to improving health outcomes by providing connections to the right care for individuals' unique needs.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Williamsport
CVS Health
·
Full Time
·
3 months ago
CVS Health
The clinician will conduct in-home health evaluations lasting about 45 minutes, which includes reviewing medical history, performing a physical evaluation, and potentially conducting ordered diagnostic tests. This role involves engaging with patients to answer health questions and bridge gaps in care within a national network of clinicians.
In-Home Nurse Practitioner or Physician Assistant Per Diem - State College
CVS Health
·
Full Time
·
3 months ago
CVS Health
The clinician will conduct in-home health evaluations lasting about 45 minutes, which includes reviewing medical history and medications, performing a physical evaluation, and conducting diagnostic tests as ordered. They will also be responsible for fulfilling all Signify Health services, including diagnostic and preventive services, and conducting virtual visits when necessary.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Altoona
CVS Health
·
Full Time
·
3 months ago
CVS Health
The clinician will conduct in-home health evaluations lasting about 45 minutes, which includes reviewing medical history, performing a physical evaluation, and conducting diagnostic tests as ordered. Responsibilities also involve joining a national network of clinicians dedicated to improving health outcomes and fulfilling Signify Health service requirements.
Therapists will provide psychosocial support and education to address the mental well-being of individuals, couples, and families aged 13 and older, utilizing evidence-based care and assessment tools to ensure continuity of treatment. They will practice at the top of their license with clinical team support while reaching patients within their communities.
In-Home Health - NP or PA (Full Time) - Otsego County, Albany NY
CVS Health
·
Full Time
·
3 months ago
CVS Health
The clinician will provide comprehensive in-home health evaluations, which include medication and medical history reviews, physical assessments, and diagnostic tests, lasting about 45 minutes per visit. They will join a national network of clinicians dedicated to improving health outcomes by connecting millions of people nationwide to the right care for their unique needs.
In-Home Health - Physician (Part Time) - Wenatchee, WA
CVS Health
·
Full Time
·
3 months ago
CVS Health
The Physician will provide in-home health evaluations, engaging with individuals to bridge gaps in care by conducting comprehensive assessments including medication review and physical evaluations. This role involves joining a national network of clinicians dedicated to improving health outcomes by visiting millions of people nationwide.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Wheeling
CVS Health
·
Full Time
·
3 months ago
CVS Health
The clinician will conduct comprehensive, personalized in-home health evaluations lasting about 45 minutes, which includes reviewing medical history, performing a physical evaluation, and conducting diagnostic tests as ordered. They will also be responsible for fulfilling all Signify Health services, including diagnostic and preventive services, while joining a national network dedicated to improving health outcomes.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Martinsburg
CVS Health
·
Full Time
·
3 months ago
CVS Health
The clinician will conduct in-home health evaluations lasting about 45 minutes, which include reviewing medical history and medications, performing a physical evaluation, and conducting diagnostic tests as ordered. This role involves joining a national network of clinicians dedicated to improving health outcomes by providing connections to the right care for unique needs.
The Physician will conduct in-home health evaluations lasting about 45 minutes, which includes reviewing medical history, performing a physical evaluation, and administering diagnostic tests as ordered. This role focuses on building trusted relationships and connecting people to the right care without prescribing medicine or altering current treatment regimens.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Charleston
CVS Health
·
Full Time
·
3 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 administering diagnostic tests when ordered. They will engage with members to build trusted relationships and help bridge gaps in care by connecting them to appropriate resources.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Tompkins & Binghampton, NY
CVS Health
·
Full Time
·
3 months ago
CVS Health
The role involves conducting in-home health evaluations, engaging with patients to answer health questions and bridge gaps in care. Clinicians will build trusted relationships and provide personalized health evaluations.
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
·
3 months ago
CVS Health
The role involves providing in-home health care to patients, ensuring a compassionate and connected health experience. The Nurse Practitioner or Physician Assistant will work closely with patients and their families to simplify health care.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Fulton & Albany, NY
CVS Health
·
Full Time
·
3 months ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to bridge gaps in care. Responsibilities include conducting health assessments and connecting patients to appropriate care.
In-Home Health - Nurse Practitioner (Full Time) - Minneapolis, MN
CVS Health
·
Full Time
·
3 months ago
CVS Health
The Nurse Practitioner will conduct 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 building trusted relationships and connecting people to the right care for their unique needs.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Brainerd, MN
CVS Health
·
Full Time
·
3 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
·
3 months ago
CVS Health
The clinician will conduct in-home health evaluations lasting about 45 minutes, which include reviewing medical history, performing a physical evaluation, and potentially conducting diagnostic tests. They will be responsible for fulfilling all Signify Health services, including Diagnostic & Preventive Services, while building trusted relationships with members.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - California (Traveler)
CVS Health
·
Full Time
·
3 months ago
CVS Health
The clinician will provide comprehensive in-home health evaluations, which include medication and medical history review, physical evaluation, and diagnostic tests, aiming to connect people to the right care for their unique needs. They must be flexible to travel locally and within licensed states and conduct virtual visits when required.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Mankato, MN
CVS Health
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Full Time
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3 months ago
CVS Health
The clinician will provide comprehensive, personalized in-home health evaluations, which include medication and medical history review, physical assessments, and diagnostic tests, aiming to connect patients to the right care for their unique needs. This role requires engaging with people to build trusted relationships and improve health outcomes while utilizing an iPad for clinical workflow.
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
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Full Time
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3 months ago
CVS Health
The clinician will conduct in-home health evaluations lasting about 45 minutes, which includes reviewing medical history, performing a physical evaluation, and conducting diagnostic tests as ordered. 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.
Case Manager Registered Nurse - Field MI (Southwest Michigan)
CVS Health
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Full Time
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3 months ago
CVS Health
Field Case Managers act as frontline advocates, responsible for assessing, planning, implementing, and coordinating all case management activities to evaluate medical needs and facilitate member wellness. Key duties include visiting members to evaluate waiver service appropriateness, developing proactive care plans, and collaborating with providers and community organizations to address complex health and social needs.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) Augusta, ME
CVS Health
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·
3 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
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·
3 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.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Poughkeepsie, NY
CVS Health
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Full Time
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4 months ago
CVS Health
The clinician will provide comprehensive in-home health evaluations lasting about 45 minutes, which includes reviewing medical history, medications, and performing physical evaluations. This role focuses on building trusted relationships and connecting individuals to the right care by conducting necessary diagnostic tests when ordered.
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
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Full Time
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4 months ago
CVS Health
The clinician will provide comprehensive in-home health evaluations lasting about 45 minutes, which includes reviewing medical history, medications, and performing physical evaluations. This role focuses on building trusted relationships and connecting people to the right care by conducting visits locally and virtually as required.
In-Home Health - Nurse Practitioner or Physician Assistant (Per Diem) - Pullman, WA
CVS Health
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Full Time
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4 months ago
CVS Health
The clinician will conduct in-home health evaluations lasting about 45 minutes, which includes reviewing medical history, performing physical evaluations, and potentially administering diagnostic tests. They will join a national network of clinicians dedicated to improving health outcomes by connecting people to the right care for their unique needs.
In-Home Health - Nurse Practitioner or Physician Assistant (Per Diem) - Olympia, WA
CVS Health
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Full Time
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4 months ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to bridge gaps in care. They will conduct assessments, answer health questions, and build trusted relationships to improve health outcomes.
In-Home Health - Physician (Per Diem) -Bellingham, WA
CVS Health
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Full Time
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4 months ago
CVS Health
The physician will conduct in-home health evaluations, engaging with patients to answer health questions and review their medical history. They will also provide connections to appropriate care based on individual needs.
The Account Director develops and implements account management and cross/up-sell strategies to maintain strong relationships and achieve customer satisfaction, revenue, and membership objectives for existing large market accounts. This role serves as the primary interface for all products, develops strategic account plans, manages the renewal process to ensure retention and profitability, and drives upsell activities.
In-Home Nurse Practitioner or Physician Assistant Full Time - Danville-Martinsville
CVS Health
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Full Time
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4 months ago
CVS Health
The clinician will conduct in-home health evaluations, engaging with patients to provide personalized care and bridge gaps in health services. They will build trusted relationships and help connect patients to the right care based on their unique needs.
In-Home Nurse Practitioner or Physician Assistant Full Time - Camden
CVS Health
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Full Time
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4 months ago
CVS Health
The clinician 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 bridge gaps in care. They will build trusted relationships and provide personalized health evaluations.
The Physician will conduct comprehensive in-home health evaluations lasting about 45 minutes, which includes reviewing medical history, medications, and performing a physical evaluation. This role focuses on building trusted relationships and connecting patients to the right care by providing personalized health evaluations right at their homes.
The physician will conduct in-home health evaluations, engaging with patients to bridge gaps in care and improve health outcomes. They will build trusted relationships and provide personalized health evaluations.
The physician will conduct in-home health evaluations, engaging with patients to 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 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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4 months ago
CVS Health
The Physician will provide In-Home Health Evaluations, which include medication and medical history review, a physical evaluation, and potentially diagnostic tests, lasting about 45 minutes per visit. They will join a national network of clinicians dedicated to improving health outcomes by connecting millions of people nationwide to the right care for their unique needs.
The physician will conduct 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 - VA
CVS Health
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Full Time
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4 months ago
CVS Health
The clinician will conduct in-home health evaluations, engaging with patients to assess their health needs and provide personalized care. This role requires extensive travel within a defined coverage area to meet patients in their homes.
The physician will conduct in-home health evaluations, engaging with patients to answer health questions and review their medical history. They will also 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.
The physician will conduct in-home health evaluations, engaging with patients to bridge gaps in care. This role involves building trusted relationships and providing personalized health evaluations.
In-Home Traveler Nurse Practitioner or Physician Assistant Full Time - PA
CVS Health
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Full Time
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4 months ago
CVS Health
The role involves conducting in-home health evaluations and engaging with patients to bridge gaps in care. Clinicians will connect with patients, review their medical history, and perform physical evaluations.
In-Home Traveler Nurse Practitioner or Physician Assistant Full Time - NJ
CVS Health
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Full Time
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4 months ago
CVS Health
The clinician will conduct in-home health evaluations, engaging with patients to assess their health needs and provide personalized care. This role requires extensive travel within a defined coverage area to meet patients in their homes.
The physician will conduct in-home health evaluations, engaging with patients to answer health questions and review their medical history. They will also help bridge gaps in care and connect patients to the appropriate health services.
The physician will conduct in-home health evaluations, engaging with patients to bridge gaps in care. They will build trusted relationships and provide personalized health evaluations.
The physician will conduct in-home health evaluations, 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 provide connections to appropriate care based on individual needs.
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 assess their health needs and 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 review their medical history and perform physical evaluations. They will also help bridge gaps in care and connect patients to the appropriate health services.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Minnesota (Traveler)
CVS Health
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Full Time
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4 months ago
CVS Health
The clinician will provide in-home health evaluations, engaging with patients to bridge gaps in care. This role requires extensive travel across a defined coverage area to conduct assessments and connect patients with appropriate care.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Minnesota (Traveler)
CVS Health
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Full Time
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4 months ago
CVS Health
The clinician will conduct in-home health evaluations, engaging with patients to assess their health needs and provide personalized care. This role requires extensive travel across a defined coverage area to meet patients in their homes.
The role involves providing psychosocial support and education to address the mental wellbeing of individuals, couples, and families aged 13 and older using evidence-based care and available assessment tools. Therapists will practice at the top of their license while reaching patients within their communities, supported by the clinical care team.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Rockingham County NH
CVS Health
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Full Time
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4 months ago
CVS Health
The clinician will conduct in-home health evaluations, engaging with patients to answer health questions and review their medical history. They will also provide connections to appropriate care based on individual needs.
The physician will conduct in-home health evaluations, engaging with patients to bridge gaps in care. They will build trusted relationships and provide personalized health evaluations.
In-Home Health - Physician (Part Time) - Seattle WA
CVS Health
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Full Time
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5 months ago
CVS Health
Provide in-home health evaluations to patients, engaging with them to address their health needs. Build trusted relationships and help bridge gaps in care through personalized health assessments.
In-Home Health - Nurse Practitioner or Physician Assistant (Per Diem) - Pullman WA
CVS Health
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Full Time
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5 months ago
CVS Health
Conduct in-home health evaluations and engage with patients to answer health questions. Build trusted relationships to improve health outcomes and connect patients to appropriate care.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Wilmar, MN
CVS Health
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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 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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5 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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7 months ago
CVS Health
The Care Management Associate manages enrollment for the Childrenβs Specialty program and supports comprehensive coordination of medical services. This includes developing wellness plans, engaging community resources, and ensuring effective utilization of healthcare services.
Responsible for all population health management components and oversee the strategic design, implementation, and evaluation of population health initiatives. Develop and implement operational plans that align with established population health goals and coordinate with various stakeholders on population health activities.
Care Management Coordinator OhioRISE β Field β Must reside West Region of Ohio
CVS Health
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Full Time
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7 months ago
CVS Health
The Care Management Coordinator collaborates and informs the case management process to facilitate appropriate healthcare outcomes for members. This includes conducting comprehensive evaluations, coordinating care plans, and monitoring progress to ensure quality of care.
The Senior Manager of Clinical Innovation manages and drives use cases within the clinical innovation portfolio to solve key business problems. This role involves collaborating with cross-functional teams to develop, test, and implement innovative solutions.
As a Staff Software Development Engineer, you'll lead efforts to create end-to-end CI/CD pipelines and build applications and tools that enhance the deployment experience across CVS Enterprise. You'll focus on delivering scalable solutions that improve customer experience and align with enterprise initiatives.
The Medical Director (Spine) will expand Aetna's medical management programs to address member needs across the continuum of care and support the Medical Management staff. They will lead utilization review and quality assurance, providing clinical expertise and business direction in support of medical management programs.
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.
Care Management Associate OhioRISE, must live in OHIO
CVS Health
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Full Time
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7 months ago
CVS Health
The Care Management Associate manages enrollment for the Childrenβs Specialty program and supports comprehensive coordination of medical services. This role involves developing wellness plans, engaging community resources, and ensuring effective utilization of healthcare services.
The Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal requests. This position is primarily responsible for Utilization Management, including prior authorization and pre-certification as well as concurrent review.
The UM Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal requests. This position is primarily responsible for Utilization Management, including prior authorization as well as concurrent review.
The Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal requests. This position is primarily responsible for Utilization Management, including prior authorization and precertification as well as concurrent review.
The Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal requests. This position is primarily responsible for Utilization Management, including prior authorization and concurrent review.
The Medical Director will oversee medical policy implementation and participate in the development and evaluation of clinical programs. They will focus on utilization review and quality assurance, ensuring effective execution of medical services programs.
The 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 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.
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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7 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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7 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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7 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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8 months ago
CVS Health
The Care Management Coordinator collaborates with various stakeholders to facilitate healthcare outcomes for members by providing care coordination, support, and education. They conduct comprehensive evaluations of members' needs and implement care plans while monitoring progress.
The Lead Director of UM Innovation Delivery manages and drives initiatives to solve key business problems and create new value for Utilization Management. This role involves leading strategic projects, collaborating with senior leadership, and overseeing the execution of complex initiatives aligned with corporate goals.
As a Medical Economics Analyst, you will provide consultative support and medical cost-based analysis of markets and network initiatives. You will analyze utilization and unit cost medical cost drivers and manage multiple projects to improve patient care.
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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8 months ago
CVS Health
This role ensures clinical programs and workflows are delivered accurately and on time, focusing on evaluating population health programs within Value Based Contracting. The Clinical Consultant provides consultative solutions to improve quality, increase efficiency, and drive cost savings within client organizations.