CVS Health

Manager

• Play critical role in leveraging data analytics and strategic thinking to identify key insights and trends to drive high-impact initiatives across clinical documentation
• Lead other high-priority Clinical Documentation initiatives as needed
• Manage team member(s) who are supporting with these efforts
• Develop materials and lead discussions with relevant organizational leaders
• Other duties, as assigned

Manager, Screening and Diagnoses Excellence

Pharmacist

Pharmacist, Automated Dispensing Unit – Long Term Care – Part Time

Product Manager

• Act as the product owner for business solutions
• Coordinate with business teams and other key business partners to create a product vision
• Partner with business, product, analytics, and operational leaders across portfolios
• Translate business needs and engagement strategies into well-defined features and user stories
• Communicate product updates to stakeholders, including executive leadership
• Manage expectations and solicit feedback to ensure alignment across the organization
• Coordinate with technical partners from engineering, data science, user design, and architecture teams
• Define, monitor, and use KPIs to assess performance
• Identify and proactively manage dependencies, integrations, platform constraints, and delivery risks

Senior Digital Product Owner – Mental Wellbeing

Backend Engineer

• Leading and driving strategic direction for their line of business
• Providing technical vision and guidance for complex projects
• Instilling and authoring engineering best practices
• Collaborating with management and cross-functional teams
• Mentoring and coaching junior engineers and peers
• Leading team discussions and cross-team initiatives
• Influencing technical direction and aligning decisions with business goals
• Driving innovation and introducing new methods or technologies

Lead Software Development Engineer – Backend, NestJs

Analyst

• The lead reviewer is accountable for the validation of existing Fraud, Waste and Abuse business rules/leads designed to detect aberrant billing patterns as reviewing incoming referrals
• Research and ad hoc report development to identify fraud, waste and abuse schemes and trends
• Review company clinical & payment policies to determine the impact of the scheme on Aetna business
• Identify all possible issues related to fraud, waste and abuse when reviewing a new lead or referral
• Keep current with new & emerging fraud, waste and abuse schemes and trends through training sessions and industry resources
• Interpret, analyze and present key findings to internal customers (project team, investigators) providing recommendations based on analytical findings

Senior Analyst, Investigator

Operations

• support cost management programs to reduce medical claim expenses
• gather data and compile cost analyses to identify cost-saving opportunities and cost reduction strategies to achieve financial goals

Medical Claims Analyst

• Completing data analysis to derive insights on operational performance
• Leading business case creation
• Supporting strategy development and implementation planning
• Collaborating extensively with cross-functional teams and field partners
• Preparing materials and insights for senior leadership
• Tracking progress against key initiatives, milestones, and outcomes
• Acting as a bridge between field support teams and centralized patient support functions

Senior Analyst, Operations Strategy

• focus on improving the efficiency and effectiveness of business processes across CVS Finance
• engage internal finance business partners to integrate process improvement, reengineering, automation, and other related capabilities
• analyze and interpret complex data to support process reengineering, waste reduction, and overall process improvement

Senior Analyst, Process

Frontend Engineer

• Reviewing and entering prescriptions
• Researching and resolving prescription overrides
• Conducting outbound and inbound calls with prescribers and members
• Communicating with physicians to obtain prescription clarifications
• Assisting members and prescribers by addressing questions related to prescriptions
• Supporting insurance verification processes and managing insurance claims

Pharmacy Tech II – Front End

• telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members
• evaluate the medical needs of the member to facilitate the member’s overall wellness
• develops a proactive course of action to address issues presented to enhance the short- and long-term outcomes
• enhance a member’s overall wellness through integration
• conducts an evaluation of member’s needs and benefit plan eligibility
• applies clinical judgment to incorporate strategies designed to reduce risk factors and barriers

Case Manager, Registered Nurse – Compact RN License Required

Full-stack Engineer

• use your experience to build resilient and scalable APIs for Aetna Health customers
• maintain a user centric and business-as-priority approach in design perspective and practice
• partner and collaborate with the Engineering manager, Architects, Quality assurance, Business partners, Product Owners, Scrum Masters, Developers, and Project managers
• work closely with Product Management, Site Reliability Engineering (SRE) and Architecture
• deliver highly reliable and performant products that drive business value
• make high-level architectural decisions, propose design patterns, and ensure scalability, performance, and maintainability of digital solutions
• involved throughout the entire development life cycle of a product
• write code, develop software components, and implement complex functionalities according to product requirements
• write and execute comprehensive test cases, conduct code reviews, perform debugging, and troubleshoot issues

Senior Software Engineer

• The Principal Software Development Engineer, reporting to the Executive Director Software Engineering, will work with High Visibility Enterprise teams to develop and execute Enterprise Solution Strategy.
• Developing and landing Specialty dispensing pharmacy Initiatives.
• Compile, research technologies across the organization into one cohesive Technical Roadmap and create Proof of Concepts that will improve projects that address customer challenges.
• Working with a team of engineers to drive delivery excellence, partner with business and other IT leaders to build digital assets, provide expert level support to resolve complex issues, and provide RCA, identify gaps in systems, and provide solutions to enhance overall performance.
• Establishing and ensuring adherence to technical direction, standards, guidelines, and methodology for use of specified technologies in the department.

Principal Software Development Engineer – Flutter

• 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 a rigorous company training program and satisfy registration and licensing requirements

Pharmacy Technician

Financial Planning and Analysis

• Lead the design and development of financial, economic, and strategic frameworks for clinical services initiatives
• Support the multi-year enterprise capital planning process, overseeing and driving high-value projects that shape product and service delivery
• Manage the ACS capital planning process, securing $100M+ annually for strategic investments
• Collaborate closely with ACS leadership, Finance, and other key stakeholders to ensure alignment with enterprise funding guidelines and organizational priorities
• Optimize the prioritization and utilization of resources across internal and external projects to maximize value
• Provide portfolio governance, regular status updates, and key insights on ACS investment portfolio performance
• Oversee scope management and backlog prioritization to ensure successful delivery of strategic goals
• Lead the evaluation and development of business cases for new initiatives, ensuring alignment with strategic goals and performing cost-benefit analysis
• Track value realization and develop methods to measure actual performance against expected benefits
• Lead initiatives that require significant change management within large and complex organizations
• Build and maintain strong senior-level relationships, influence strategic decision-making, and present key findings in a clear and impactful manner.

Senior Manager – Strategic Financial Planning, Investments

Accounting Manager

• Managing core accounting activities (especially month-end close)
• Improving processes and driving automation within finance
• Leading projects that modernize and make accounting operations more efficient
• Work closely with finance, accounting, IT, and operations teams to improve how work gets done