CVS Health

Director

• establish and lead a new enterprise-wide knowledge enablement structure for IVL Medicare Advantage products
• translate complex benefit designs and product strategies into clear, consumable guidance for non-technical audiences
• partner with cross-functional teams—including Sales COE, Learning & Performance, Broker Communications, Care Management, Marketing, Operations, and Member Experience
• serve as a direct partner to Sales COE, facilitating product strategy conversations across internal and external distribution channels
• act as a trusted voice on Medicare Advantage IVL products
• integrate sales and distribution insights into product positioning
• partner closely with broker, agency, and field sales leadership
• establish and oversee a knowledge management framework
• ensure appropriate artifacts exist to communicate benefit intent, design rationale, and member impact
• partner with Learning & Performance and other teams to inform training development
• provide subject matter expertise on how Medicare products are marketed and sold
• gather feedback from stakeholders, monitor effectiveness of enablement approaches, and adapt strategies to improve impact and adoption

Lead Director, Medicare Product Knowledge – Enablement

Analyst

• Collaborate closely with multiple departments to ensure that client requests are executed accurately and efficiently
• Address any potential client configuration concerns that may arise
• Form relationships with key client partners through a consultative approach to fully understand clinical components of client benefit plan design
• Translate client requirements into operational formats for CVS Health teams such as Clinical Configuration, Quality Analysis and Testing
• Facilitate internal and external meetings and presentations to provide status updates and make decisions relative to client benefit setup

Clinical Requirement Analyst

Manager

• This Case Manager Registered Nurse position is with Aetna’s Long-Term Services and Supports (LTSS) team
• Field-based position out of Lake County IL
• Coordinate all case management activities with members to evaluate medical needs
• Facilitate member’s overall wellness
• Develop a proactive course of action to address issues

Case Manager, Registered Nurse – Field

Engineering Manager

• Lead, mentor, and develop a team of 4–6 enterprise application specialists and administrators
• Oversee the support and administration of core enterprise platforms with a primary focus on Google Workspace, Slack, and the broader SaaS tool portfolio
• Act as an escalation point for complex issues and serve as a hands-on contributor when team capacity or technical complexity demands it
• Own the operational health of each platform, including uptime, user access, configuration governance, and integration integrity
• Manage and triage a support and project queue, ensuring timely resolution of tickets and requests across all supported applications
• Lead quarterly license audits across all enterprise applications, and identify optimization opportunities
• Collaborate with the Lead Director, Software Development Engineering to communicate status, surface risks, and contribute to planning and roadmap discussions

Manager, Software Development Engineering – Enterprise Applications

Growth Marketing

• Align product strategies with overall business goals to develop and communicate a clear vision, strategy, and roadmap for Growth Analytics products.
• Own the end-to-end lifecycle of analytics and AI-driven products, focusing on adoption, utilization, and realized business value.
• Collaborate with data engineers, data scientists, and other stakeholders to develop and launch successful products that drive business value.
• Lead special projects across the GA organization including executive-level presentations, innovation problem solving sessions, and leadership updates.
• Foster collaboration and a strong GA culture through coordination of key events and organizational initiatives.

Lead Director – Product and Strategy, Growth Analytics

• Lead a high-impact Credentialing Operations unit dedicated to accelerating clinician "speed-to-market."
• Formulate and implement a forward-looking strategy for the Credentialing Operations unit.
• Serve as the final point of resolution for complex, high-priority credentialing issues.
• Analyze the efficacy of credentialing programs, utilizing business intelligence.
• Drive a sophisticated audit and rebuttal framework.
• Act as the primary operational liaison to Network Management, Provider Relations, and Tech teams.
• Manage all operational facets of the team, including budget, performance metrics, and compliance.
• Ensure all credentialing strategies maintain strict alignment with regulatory standards.

Senior Manager, Credentialing

• Leads, partners, and collaborates with cross-functional teams
• Develops, tests, and implements innovative solutions and programs
• Manages assigned projects through all stages
• Supports the evaluation of new areas of innovation and clinical operations/offerings benchmarking
• Fosters a culture that accelerates strategy through Heart At Work Behaviors

Senior Manager, Clinical Innovation

Medical Director

• participate in the development, implementation, and evaluation of clinical / medical programs
• expand Aetna's medical management programs to address member needs across the continuum of care
• support the Medical Management staff ensuring timely and consistent responses to members and providers
• provide clinical expertise and business direction in support of medical management programs through participation in clinical team activities
• act as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams

Medical Director – Commercial

• Serve as a program manager across key Provider Experience initiatives and workstreams, coordinating priorities, milestones, dependencies, stakeholders, and deliverables across a complex cross-functional portfolio
• Help organize and advance the Provider Experience portfolio by bringing structure, discipline, and follow-through to strategic initiatives that support transformation efforts
• Identify and elevate notable gains in provider NPS and related provider feedback as indicators of progress, helping connect operational outcomes to broader portfolio priorities
• Support development of leadership updates, presentations, timelines, case studies, and related materials that synthesize progress, priorities, risks, and decisions for a range of stakeholders, including executive leadership
• Partner with operational teams to ensure tangible improvements are understood, prioritized appropriately, and reflected in how progress is communicated internally and externally
• Partner with the Provider Claims Experience team to leverage emerging methodologies across Aetna for measuring provider abrasion and friction, including sources of administrative burden and A/R pressure, and help translate those insights into priorities, planning, and progress updates
• Partner cross-functionally with Marketing, Provider Communications, and other internal teams to align on how Provider Experience priorities, milestones, and outcomes are represented across the organization
• Help shape consistent ways of articulating Aetna’s impact on Provider Experience, including how operational improvements, communications, and experience strategies come together to support provider trust and perception
• Elevate key headlines, risks, tradeoffs, and progress updates to leadership regarding performance relative to strategic plans and portfolio priorities
• Establish strong cross-functional relationships across diverse business areas to stay informed on emerging work, key wins, interdependencies, and potential risks affecting provider experience and provider NPS outcomes
• Bring a provider-centered lens into strategic planning, portfolio prioritization, and cross-functional decision-making tied to the overall Provider Experience agenda

Senior Manager, Provider NPS Enablement

• drive KM strategy and roadmap across all IT domains
• champion a collaborative, "knowledge-first" culture across IT Services
• implement a "shift-left" strategy to increase self-service capabilities
• embed knowledge capture into daily engineering workflows
• consolidate fragmented knowledge bases into a central ITSM platform
• chair a cross-functional Knowledge Governance Board
• integrate Knowledge Management with CMDB processes to ensure technical documentation is accurately mapped to Configuration Items (CIs)

Senior Manager, Knowledge Management

Financial Planning and Analysis

• Collaborating with leaders across sales, underwriting, finance, and operations to drive alignment, manage timelines, and proactively identify risks and dependencies.
• Owning the development and continuous refinement of market insights, including competitor positioning and translating market dynamics into actionable strategy.
• Synthesizing complex data into clear, concise insights and recommendations that support executive decision-making.
• Leading the development of business reviews, strategic updates, and executive-level materials.
• Ensuring enterprise and business partner strategies are clearly translated and effectively shared across the organization to enable strong execution.

Senior Manager, Strategic Planning – Group Medicare

Operations

• Have a functional understanding of the CPH system, associated operational processes, and key resources, providing recommendations to business regarding proposed changes.
• Advise matrixed business partners, helping them translate their business vision into a defined project approach and requirements.
• Own scope identification and translating requirements into user stories, shepherding them through an agile systems development lifecycle with a passion for understanding user impact.
• Collaborate closely with IT and leadership to manage ongoing responsibilities related to CPH efforts.
• Effectively collaborate with technical resources across teams on program efforts; ensuring teams are aligned on project scope, user stories, testing, and acceptance criteria.
• Communicate technical solutions and design tradeoffs effectively to business and technology stakeholders; providing a delivery framework that ensures quality and success.
• Contribute to presentations tailored to project teams, stakeholders, and senior leadership, helping to provide status updates and “tell the story”.
• Maintain detailed work documentation as required.

Fin OPS Manager

Account Manager

• Develop and maintain strong internal and external relationships
• Drive customer satisfaction, revenue growth, membership retention, and overall financial performance
• Manage a portfolio of moderately complex, multi-product accounts
• Execute key components of the account team’s business plans
• Consult with internal and external stakeholders to develop innovative ways to retain BOB

Account Manager, Large Group

Bilingual

• responsible for reviewing requests and entering service authorizations within 24 hours into associated applications
• responsible for successfully sending service authorizations to providers and notifications to Case Managers.

Bilingual Inbound/Outbound Queue Associate

QA Engineer

• Lead various teams supporting the ongoing operation and evolution of the Wellpartner platform including datacenter, network, infrastructure operations and engineering
• Develop Test Strategy, Test Plans for existing and new backend, ETL/EDI, Data Integration solutions
• Test accuracy and performance of database code changes
• Report defects and drive it to closure and Reports test metrics
• Oversee and guide a group of Database QA Analysts/Engineers and review their work