CVS Health

Full-stack Engineer

• Define and drive the technical direction for cloud-native applications across web and mobile platforms
• Partner closely with product, architecture, and engineering leadership
• Architect greenfield initiatives from the ground up
• Serve as a senior technical authority for high-impact, cross-team initiatives
• Design and evolve proprietary frameworks and developer tooling
• Lead solutions from prototype to production
• Deploy full-stack observability strategies
• Define and influence platform, framework, and tooling direction
• Mentor senior engineers and foster cross-functional collaboration

Staff Software Engineer

Account Manager

• Develops and executes the sales strategy for national distribution partnerships across Individual Medicare Advantage, Medicare Supplement, and ancillary Senior Supplemental Insurance products.
• Establishes long‑range plans for market expansion, revenue optimization, and portfolio growth through national distribution channels, NMOs, and strategic distribution partnerships.
• Evaluates emerging trends, regulatory developments, competitive positioning, and partner insights to inform enterprise‑level decision‑making and anticipate market shifts.
• Shapes policy and programmatic direction for sales, account management, and aligns with retention strategy to support profitable growth and organizational objectives.
• Serves as the senior executive interface for national strategic partners, large‑scale aggregators, and distribution organizations.
• Cultivates trusted, multi‑layered relationships with partners, advancing collaboration, innovation, and shared business outcomes.
• Provides strategic, data-driven guidance to partners on Aetna products, capabilities, market strategy, and compliance requirements.
• Represents Aetna and CVS Health externally as a thought leader and ambassador for Medicare and SSI distribution strategy.
• Oversees end‑to‑end external distribution strategy, forecasting, pipeline development, and performance analytics for both Medicare and SSI national distribution channels.
• Directs the use and evolution of CRM systems, reporting frameworks, and business intelligence tools to enhance transparency, predictability, and data‑driven decision‑making.
• Ensures alignment of sales forecasts, partner commitments, reporting, and performance insights across product portfolios and distribution segments.
• Establishes KPIs, dashboards, and performance benchmarks and leverages insights to drive timely course‑correction and opportunity capture.
• Oversees negotiation of high‑impact distribution agreements, and NMO relationships, ensuring alignment with enterprise financial, operational, and compliance standards.
• Ensures governance over pricing, contractual terms, incentive programs, and partner performance requirements.
• Leads resolution of complex partner escalations and ensures consistent, high‑quality service delivery and operational execution.
• Advises and collaborates with marketing, product development, actuarial, field strategy, operations, compliance, and consumer experience teams to drive integrated go‑to‑market execution.
• Ensures synchronization of product, distribution, and operations strategies to deliver compelling partner value propositions and superior broker and member experiences.
• Champions innovation and cross‑functional problem‑solving to accelerate profitable growth initiatives and unlock strategic opportunities.
• Leads, mentors, and develops a team of 9 direct reports and a total of 32+ high‑performing colleagues spanning Medicare National Strategic Partnerships and the SSI Sales team.
• Builds a cohesive leadership structure for the combined teams and establishes performance goals aligned to the Medicare Sales and the Enterprise strategy.
• Drives an accountable, inclusive, and growth‑oriented culture focused on talent development, operational discipline, and continuous improvement.
• Oversees workforce planning, succession planning, and capability building to ensure strong leadership pipelines and organizational scalability.

AVP, Head of Medicare National Strategic Partnerships

Pharmacist

• Support the pharmacy team to consistently deliver on brand promise
• Assist the pharmacy team to ensure that pharmacy operations run smoothly
• Fill patients’ prescriptions promptly, safely, and accurately
• Provide caring service that exceeds patient expectations
• Complete basic inventory activities

Pharmacy Technician

Operations

• Help shape and deliver on technology and cybersecurity priorities
• Turn business goals into actionable plans
• Monitor the progress and implementation of strategic initiatives
• Manage and coordinate the work with external strategy advisories
• Build and communicate senior executive presentations

Senior Manager – Technology Strategy and Operations

Financial Planning and Analysis

• Partner with internal cross-functional areas such as Sales, Finance, Trade and Reporting to ensure all client requirements are met and supported
• Review and analysis of reporting to identify trends and opportunities, plus quality inspection prior to client delivery
• Solve for opportunities identified through trend analysis – process improvement / strategic projects
• Independently manage client issues and projects with little involvement from leadership
• Triage of Finance specific Aunt Team requests
• Support multiple complex client escalations and projects– requiring 'outside of the box' solutions and ideas
• Conduct 'lessons learned' and feedback meetings post resolution of issues to improve processes for the future, including FOX and CSX support
• Create and maintain issue and project tracking support tools as needed (Milestone Report/CRAID/Agendas/etc.)
• Partner with cross-functional partners to align on client and project expectations
• Escalate appropriately when support is needed or risk is identified, linear and/or cross-functional escalation
• Send weekly meeting agenda and meeting notes 24hrs prior and after meeting takes place
• Regular summary updates to Finance leadership

Senior Analyst, Financial Operations

Data Engineer

• Lead Financial data modeling and data product delivery
• Oversee the design and buildout of ETL/ELT data pipelines
• Implement best practices for performance tuning and data governance
• Create documentation for data pipelines, workflows, and processes
• Share best practices and mentor junior data engineers

Senior Manager, Data Engineering

Technical Product Manager

• Own end-to-end product delivery and roadmap execution
• Drive product backlog, roadmap, release planning, and delivery across multiple AI agent programs
• Translate business requirements into epics, user stories, and acceptance criteria
• Drive cross-functional alignment and stakeholder engagement
• Act as the primary point of contact for program status, roadmap decisions, and delivery outcomes
• Lead agile execution and delivery operations at scale
• Own program performance, financials, and operational metrics
• Enable enterprise adoption and technical problem solving

Senior Manager, AI Technical Product Manager

• Work in a leading retail pharmacy company
• Deliver compassionate care to millions of patients every day
• Manage all assigned pharmacy workstations and tasks
• Support the team in filling patient prescriptions accurately and safely
• Complete an extensive CVS Pharmacy Technician Training Program
• Satisfy all registration, licensing and certification requirements
• Maintain patient confidentiality and ethical conduct at all times

Machine Learning Engineer

• design and implement robust AI/ML applications that drive innovation and business insights
• collaborate closely with data scientists, software engineers, and product managers to integrate ML capabilities into products and services
• ensure high performance and scalability of applications

Manager

• negotiate and execute provider contracts
• manage contract performance
• conduct high-level review and analysis
• represent company with high visibility constituents
• collaborate with internal partners

Senior Network Contracting Negotiation Manager, Medicaid

Account Executive

• Develops and implements sales strategies to sell products and services to new large group accounts or government programs in an assigned business segment, product, or geography
• Performs business development activities in pursuit of new growth channels and identifies potential new clients in a specified territory or geographic area
• High influence on sales and retention business
• Develops new business opportunities and cultivates strong, productive, and influential relationships to generate new sales of large or more complex accounts and prospects
• Implements strategies necessary to attain sales objectives in assigned areas
• Manages complex negotiations and consults on challenging renewals to position products, rate levels, ad expanded product portfolios to increase sales or support difficult renewals and maximize revenue
• Works with the clients to identify their needs and utilize our full product array to put together a multifaceted package for the client
• Manages the integration of client's and Aetna’s internal organizations and partners cross-functionally to complete sales, installation, servicing, and product development activities as appropriate
• Identifies opportunities to partner with the client by drawing from the entire spectrum of product lines, illustrating a keen understanding of clients' multifaceted needs and benefits utilizing Aetna's full product array (e.g., fully vs. self-insured, product combinations and/or product specializations by industry)
• Coordinates sales materials, testimonials, and subject matter expert involvement in support of the successful delivery of constituent presentations
• Oversees communication and planning among key stakeholders and presents a successful finalist presentation
• Identifies and capitalizes on emerging trends in the marketplace by participating in community and industry events as an Aetna representative
• Collaborates with account management on their assigned book of business
• Ensures product, pricing and services meet client's needs while meeting Aetna revenue growth and profit objectives
• Identifies opportunities to partner with the client by drawing from entire spectrum of product line illustrating a keen understanding of client's multifaceted needs and benefits of Aetna's full product array (e.g., fully vs. self-insured, combination of products and/or covers a range of industries)
• Collaborates with internal and external partners to uncover profitable growth and cross-sell opportunities within new or existing customers and to support post-sale activities
• Manages/coordinates the integration of client’s and Aetna’s internal organizations and partners cross-functionally to complete sales, installation, and servicing
• Accountable for overall Sales Planning, Distribution Channel, Sales Processes, RFP & Quoting Process
• Identified within the business unit as "a person to ask" when complex questions
• Participate in more senior level discussions with higher-level leaders
• Consistently provide practical/relevant ideas and perspectives on process or practice improvements

National Accounts Specialty Sales Executive – Dental, Vision, Voluntary

• Own a Data, AI/ML product portfolio spanning Growth and Pharmacy Store Operations — delivering insights that advance CVS Health's mission of helping people on their path to better health
• Define and drive the technical roadmap, balancing bold innovation with agile delivery, operational stability, and reliability at enterprise scale
• Define and lead our AI roadmap, architecting the strategic shift from general-purpose LLM deployment to intelligent, agentic automation that drives measurable operational and health outcomes across lines of business
• Lead the strategic shift from rule-based process to AI and agent-based orchestration, enabling intelligent, autonomous workflows across CVS Health's lines of business
• Spearhead the adoption and scaling of the Claude Skills Framework — establishing governance, design standards, and reusable patterns that enable consistent, enterprise-wide AI skill development
• Design and oversee modular Claude Skill modules (SKILL.md, YAML metadata, and execution scripts) to automate high-impact business processes including pharmacy reporting, code deployment workflows
• Champion progressive disclosure strategies for LLM context optimization — mapping specialized Claude Skills to targeted triggers to maximize precision, minimize latency, and deliver scalable enterprise value
• Evaluate emerging agentic AI technologies and frameworks, translating innovations into actionable roadmap investments aligned with CVS Health's strategic priorities
• Architect and oversee the end to end development of Data and ML/AI products following CVS security principles.
• Establish engineering standards and best practices across MCP integrations and Claude Skills Framework development — ensuring consistency, reusability, and alignment with CVS Health's security, data governance, and HIPAA compliance requirements
• Lead hands-on architecture reviews, technical design forums, and solution trade-off discussions across Data Science, Engineering, and Technology teams
• Lead end-to-end AI/ML pipeline integrity — from Claude Skills authoring and MCP server deployment through to production monitoring and continuous optimization
• Ensure engineering standards are maintained across the portfolio — covering solution design, security, and Data/AI Ops practices
• Drive agile delivery within CVS Health's Squad model, managing dependencies across a matrixed environment and removing blockers to accelerate delivery
• Coach and grow engineering leaders and senior individual contributors, building a strong internal talent pipeline that reflects CVS Health's commitment to colleague development and inclusion
• Serve as a trusted technology partner to senior stakeholders across Data Science, Business, and Enterprise Technology teams
• Translate complex technical concepts — including agentic AI architectures, MCP integrations, Claude Skills Framework, and LLM optimization strategies — into clear, business-relevant narratives for Executive and non-technical audiences
• Ensure all data interactions and AI-driven workflows operate in strict adherence to CVS Health's enterprise data governance policies, HIPAA requirements, authentication standards, and role-based access controls
• Partner closely with Information Security and Compliance teams to embed governance into every layer of the AI/ML platform.

Lead Director, AI/ML Engineering

Software Engineer

• supports Aetna growth initiatives in Network through data analytics, file preparation, and provider roster loads
• QuickBase development/maintenance
• translation of business requirements into actionable reports
• ensuring data accuracy
• project management oversight
• process improvement and documentation

Senior Analyst, QuickBase Developer

IT Support

• Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines
• Functions as a subject matter expert by providing coaching, and offering guidance on escalated or technically challenging issues
• Supports customer service operations by addressing inquiries and resolving issues to ensure a positive member experience
• Reviews pre‑specified claims and those that exceed specialist adjudication authority or processing expertise
• Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication
• Ensures compliance with all regulatory requirements and confirms that payments align with company policies and procedures
• Identifies and reports potential overpayments, underpayments, and other claim irregularities
• Performs claim rework calculations as needed
• Trains and mentors as needed to enhance team performance and technical proficiency
• Conducts outbound calls to obtain required information for claims or reconsideration requests

Senior Claim Benefit Specialist

• Design and develop integration solutions between Workday and external systems
• Write code, develop software components, and implement complex functionalities
• Use Workday Studio to develop complex integrations
• Leverage Workday Cloud Connect and other pre-built connectors to integrate Workday with third-party applications
• Customize integrations to meet business requirements
• Build integration workflows that trigger business processes in Workday
• Oversee the deployment of integration solutions into production environments
• Assist with data migration efforts
• Ensure that integrations are updated to remain compatible with Workday’s quarterly releases
• Collaborate with cross-functional teams to make high-level architectural decisions
• Communicate effectively with stakeholders
• Manage external integrations with third-party vendors

Staff Software Engineer

AVP, Head of Medicare National Strategic Partnerships

Pharmacy Technician

Senior Manager – Technology Strategy and Operations

Senior Analyst, Financial Operations

Senior Manager, Data Engineering

Senior Manager, AI Technical Product Manager

Pharmacy Technician

Machine Learning Engineer

Senior Network Contracting Negotiation Manager, Medicaid

National Accounts Specialty Sales Executive – Dental, Vision, Voluntary

Lead Director, AI/ML Engineering

Senior Analyst, QuickBase Developer

Senior Claim Benefit Specialist

Senior Workday Integration Developer – Extend