CVS Health

Medical Director

• Provide strategic leadership and clinical oversight for DSNP/FIDE complex populations.
• Lead a team of Senior Medical Directors/Medical Directors within the Center of Excellence (COE) Duals.
• Drive medical management programs and policies that improve quality, cost, and outcomes across the continuum of care.
• Ensure compliance, operational excellence, and superior member experience.
• Actively participate in scheduled team and leadership meetings supporting the EMD.

Lead Senior Medical Director, DSNP

Pharmacist

• Support the pharmacy team in delivering operational and service excellence
• Assist patients and customers to deliver an exceptional experience
• Ensure pharmacy operations run smoothly, prescriptions are filled promptly and accurately
• Deliver additional patient health care services where allowable by law

Pharmacy Technician

Solutions Engineer

• Establish and drive adoption of enterprise architectural standards, frameworks, and best practices across business units and initiatives
• Partner with business stakeholders to translate features and requirements into end-to-end architectural solutions, including business process models and system designs
• Lead architecture initiatives supporting claims and payment processing systems, including development of an enterprise Claim Cache strategy
• Design and deliver scalable, event-driven architectures leveraging APIs, microservices, and cloud-native technologies
• Develop system impact models and integration strategies across large-scale ecosystems (50+ applications, 250+ integrations)
• Create detailed solution architectures, including NFRs (scalability, resiliency, failover, observability, and performance)
• Drive mainframe modernization initiatives, enabling migration to cloud and microservices-based platforms with minimal business disruption
• Identify, evaluate, and integrate emerging technologies such as AI/ML, cloud services, and low-code/no-code platforms to accelerate solution delivery
• Leverage AI-assisted tools (e.g., Claude, copilots) and cloud platforms to build POCs, prototypes, and user experience concepts
• Collaborate with cross-functional teams (Business Analysts, Engineering, QA, Infrastructure, and Product) to ensure alignment from design through execution
• Evaluate solution options and develop technology roadmaps balancing legacy systems with modernization goals
• Develop cost models and ROI-driven recommendations to support strategic decision-making
• Serve as a trusted advisor to leadership by providing guidance on enterprise integration strategies and future-state architecture vision

Principal Solutions Architect – Enterprise Architecture, Modernization

• Responsible for screening orders, specializing in research, review and entry of prescription overrides
• Ensure patients receive their correct prescriptions in a timely manner
• Direct questionable prescriptions to the prescriber for clarification
• Meet specified production and quality standards as defined by the management team
• Perform other pharmacy functions as required

Pharmacy Technician – Non Clinical Diverts

IT Support

• Review and adjudicate claims in accordance with ACAS claim processing guidelines
• Work closely with other members of the Commercial Services Operations team providing root cause analysis and precise resolution of affected claims
• Ensure the rework project claims are resolved accurately and on time
• Serve as a medical/hospital claim processor for rework projects, compliance, and complex issues

Claim Benefit Specialist

General Counsel

• Advising on business initiatives, product design, filings, claims, utilization management, pharmacy, and provider network matters;
• Leading responses to regulatory inquiries, investigations, and market conduct exams;
• Providing proactive guidance on evolving state laws and requirements.
• Serving as counsel to the Banner | Aetna joint venture in Arizona, advising on governance, regulatory strategy, and business initiatives.

Senior Legal Counsel, West Regional

Manager

• Provide strategic advisory on Trade implications of PBM client pricing strategies and client requests
• Contribute formulary, rebate, and other Trade insights to inform Underwriting RFP strategy and enhance rebate value for prospects and renewing clients
• Ensure Trade-related contractual requirements are appropriately addressed within RFP responses
• Provide input on key Underwriting assumptions that may impact future rebate value
• Analyze and apply market intelligence to support strategies for formulary initiatives
• Partner with Trade, Underwriting, and Finance teams to support Connected PBM Ecosystem initiatives and ensure alignment across functions
• Maintain and improve processes related to RFP support, advisory workflows, and Trade-related deliverables

Senior Manager, Trade Contract Advisory

• Drive strategic problem solving, opportunity analyses & new idea generation for initiatives within the Specialty Care team at Oak Street
• Manage detail-oriented programs with extensive data needs & stakeholder engagement (Population health, Product, third party vendors, field care teams)
• Drive critical business analytics – interest in learning new programs and skills, and strong analytical chops
• Engage frequently with field care teams to understand pain points in our current workflows, creatively problem solve, train team members on new processes, and ultimately drive utilization of our Preferred Networks to improve patient care
• Partner with the Product and Engineering teams on problem solving, idea generation, and issue tracking
• Manage third party vendor relationships
• Create metrics and reports to monitor success of programs and identify opportunities for improvement
• Identify and implement opportunities to improve efficiency of workflows and overall project development
• Opportunities for management as determined by business needs
• Other duties as assigned

Population Health Manager, Specialty Care – Performance Improvement

• telephonically assessing, planning, implementing and coordinating all case management activities with members from our Federal Plans
• evaluating the medical needs of the member in order to facilitate and promote the member’s overall wellness
• developing a proactive course of action to address issues presented to enhance the member's short and long term outcomes
• applying data driven methods of identification of members to fashion individualized case management programs and/or referrals to alternative healthcare programs
• conducting comprehensive clinical assessments
• evaluating needs and developing flexible approaches based on member needs, benefit plans or external programs/services
• advocating for patients to the full extent of existing health care coverage
• promoting quality, cost effective outcomes, and making suggestions to improve program/operational efficiency
• identifying and escalating quality of care issues through established channels
• providing an expected very high level of customer service
• utilizing assessment techniques to determine member’s level of health literacy, technology capabilities, and/or readiness to change
• utilizing influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health

Case Manager, RN

• Support the pharmacy team in delivering operational and service excellence
• Assist patients and customers to deliver an exceptional experience
• Ensure pharmacy operations run smoothly and prescriptions are filled accurately
• Complete inventory activities and contribute to a high-performing team
• Comply with all relevant laws and regulations including those regarding patient safety

Operations

• Drive store execution and performance
• Build consumer loyalty through customer service
• Support Store Manager in overall store management
• Supervise and direct store crew activities
• Promote CVS customer service culture

Operations Manager

• Support the pharmacy team in delivering operational and service excellence within your store
• Assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients' prescriptions are filled promptly, safely, and accurately
• Contribute to positive patient experiences by showing empathy and genuine care
• Complete basic inventory activities, as permitted by law, and as directed by the pharmacy leadership team
• Remain flexible for both scheduling and business needs

Full-stack Engineer

• building tools and services that help developers do their best work
• supporting tens of thousands of developers across CVS Health
• driving the delivery automation of CVS Health Enterprise Engineering
• identifying, analyzing system design weaknesses, and troubleshooting complex technical issues
• assisting the team technically around automation of incidents and End to end CI/CD pipelines

Senior Software Development Engineer – Developer Tooling

• Design and deliver analytic and reporting solutions based on business needs
• Query and analyze large datasets using SQL, Python, and similar tools
• Build and maintain summary data layers to support reporting and analysis
• Identify data gaps and partner with data strategy and business teams to address them
• Develop interactive dashboards using Power BI and or Tableau
• Work closely with internal and external stakeholders to understand requirements
• Perform analysis ranging from basic reporting to advanced statistical and predictive models
• Translate complex technical concepts into simple, clear insights for non technical audiences
• Create documentation and training materials to support data tools and reporting
• Customize analytic solutions based on timelines, data availability, and stakeholder needs
• Use creativity to develop insights and present findings clearly through reports and presentations
• Communicate results and recommendations using tools like PowerPoint and dashboards

Manager, Payer Insights – Analytics

Data Engineer

• build and maintain the cloud infrastructure, data pipelines, and deployment workflows
• turn our team's machine learning models into reliable, production-grade services that support STARS ratings
• work across three key areas: cloud data engineering on Google Cloud Platform, backend API development, and DevOps/container orchestration
• collaborate with data scientists, product owners, and business stakeholders to deliver scalable, well-architected solutions that move insights from development to production

Lead Senior Medical Director, DSNP

Pharmacy Technician

Principal Solutions Architect – Enterprise Architecture, Modernization

Pharmacy Technician – Non Clinical Diverts

Claim Benefit Specialist

Senior Legal Counsel, West Regional

Senior Manager, Trade Contract Advisory

Population Health Manager, Specialty Care – Performance Improvement

Case Manager, RN

Pharmacy Technician

Operations Manager

Pharmacy Technician

Senior Software Development Engineer – Developer Tooling

Manager, Payer Insights – Analytics

Senior Data Engineer, GCP