CVS Health

Manager

• Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities
• Develops, implements and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work
• Acts as a liaison with member/client/family, employer, provider(s), insurance companies, and healthcare personnel as appropriate
• Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care
• Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care
• Communicates with member/client and other stakeholders as appropriate
• Prepares all required documentation of case work activities as appropriate
• Interacts and consults with internal multidisciplinary team as indicated to help member/client maximize best health outcomes
• Provides educational and prevention information for best medical outcomes
• Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes

Case Manager RN, Compact License

Scrum Master

• Develop agile based SDLC/APLC for new software development organization creating necessary standards, tools and best practices in a clearly documented form.
• Participate and support initial development pilots during the initial phases of the project.
• Organize and facilitate project planning, daily stand-up meetings, reviews, retrospectives, sprint and release planning, demos and other Scrum-related meetings.
• Track and communicate team velocity and sprint/release progress.
• Maintain process documentation.
• Ensure the development teams are practicing the core agile principles of collaboration, prioritization, team accountability, and visibility.
• Update agile tracking systems to provide transparency on Product & Sprint Backlogs.
• Recommend improvements and assist in changes to best practice.
• Support the development managers and project leads as necessary.
• Assist with internal and external communication, improving transparency, and radiating information.
• Assist team with making appropriate commitments through story selection and task definition.
• Identify and remove impediments, prevent distractions that interfere with the ability of the team to deliver the sprint goal.
• Facilitate discussion and conflict resolution.
• Empower the teams to self-organize
• Improve the productivity of the teams in any way possible.
• Ensure the team strives to make each increment of functionality potentially shippable.
• Participate in the organization and planning of the development schedule based on methodology that has been developed to create a cohesive plan with identifiable critical path, task dependencies, and major milestones, and manages the agreed project plans and schedules, ensuring successful completion within scope, budget, time, and quality parameters.
• Adapt project plans, schedules, and resource assignments as required throughout pilot projects to respond to emerging requirements and risks.

Manager – Scrum Master

Analyst

• Implements an all-product quality management strategy that meets internal and external constituent expectations for demonstrating quality outcomes
• Participates in the development and ongoing implementation of Quality Management (QM) work plans and activities
• Assists in the development and implementation of QM projects and activities
• Perform audits to ensure compliance with AHCCCS regulations and requirements
• Converts results of data analysis into meaningful business information to disseminate conclusions about the overall function of the department

Health Care Analyst

Consultant

• Provides Plan Sponsors with benefit plan consulting services
• Ensures all plan contracts and certificates are completed accurately and in a timely fashion
• Executes both routine and non-routine business support tasks for the Benefit area under limited supervision
• Prepares, reviews and/or edits employer certificates, contracts, and employee booklets according to pre-determined standards ensuring benefits are mapped accordingly
• Communicates any required revisions and or changes to avoid unintended liability in support of the plan
• Completes legislative comparisons and assists with state filing processes

Senior Plan Document Consultant

Backend Engineer

• design, build, and support backend services and integrations that enable Clinical Shared Services technical engineering work across clinical platforms
• contribute to modernization initiatives, troubleshoot complex production issues through root-cause analysis, and improve automation and delivery practices that increase reliability, reduce risk, and improve time-to-market in a regulated healthcare environment
• Collaborate closely with Clinical products, QA, architects, vendors, and production support to meet clinical, operational, and compliance requirements

Senior Platform Engineer – Cloud, Backend Services

Artificial Intelligence

• Architect Signify’s AI Outreach and Rescheduling strategy, including the AI-driven orchestration logic required to capture and re-engage members following a cancelled appointment.
• You will leverage Conversational AI (Voice and RCS) to create intelligent, supply-aware re-engagement flows and rigorous evaluation frameworks that maintain care continuity and protect our clinicians' productivity.
• Communicate complex concepts, both written and verbally, to influence peers and stakeholders to make decisions or adjust approaches when needed.
• Proactively identify user or business needs and recommend innovative solutions.
• When necessary, drive tradeoff conversations and negotiate with teams and stakeholders to achieve roadmap objectives.
• Deliver incremental user value by having a cross-functional view of the problem.
• Develop a clear vision and short term and long-term roadmap with value definitions and measurable output; communicate this roadmap with customers and across the organization.
• Observe and interview users across multiple product lines to aggregate and connect their feedback into defined problem statements.
• Coordinate dependencies, communicate timelines, and manage stakeholder expectations across departments and product lines.
• Understand high-level strategic levers and drivers of the business.
• Develop and measure KPIs for the product to define, track and communicate value delivery.
• Understand the healthcare industry, key trends, and current news and movement in the market.

Senior Manager, Digital Product – Conversational AI Strategy

Compliance

• provide dedicated Medicaid, Exchange, and Commercial regulatory guidance and implementation support to Carelon.
• support regulatory activities for Medicaid, Exchange and Commercial lines of business, which includes review of model contracts.
• collaborate with business teams to draft best-in-class client communications on regulatory implementations to help drive a more positive health plan customer experience.
• advocate for the Client to our internal partners, and for CVS Caremark to the Client.

Senior Manager, Regulatory Affairs

• responsible for leading pricing strategy and execution across front store categories to drive profitable growth, price competitiveness, and customer value
• partners closely with Merchandising, Promotions, Marketing, Store Operations, and Finance to ensure pricing decisions are analytically driven, strategically aligned, and operationally executable
• serves as a key pricing thought leader, influencing high‑impact decisions in a fast‑paced retail environment

Senior Manager – Front Store Pricing

Pharmacist

• Ensure accurate entry of orders
• Maintain security of the pharmacy
• Adhere to required delivery schedules
• Verify orders entered by technician staff for accuracy
• Check for completeness and precision of all new and refill labels and orders
• Check for content and accuracy of all drug packaging and labeling
• Preparation and/or supervision of sterile IV drug products or solutions, if required
• Assist in maintaining a perpetual inventory for schedule II drugs
• Provide evening, weekend, and holiday coverage during scheduled rotation based on the needs of the business
• Follow all applicable state and government regulations including HIPAA
• Other duties as assigned (these vary by location)

Dispensing Pharmacist – Long Term Care

Operations

• Own and mature the Technical Health program for TPA & Payer Solutions
• Lead planning, coordination, and execution oversight for operating system upgrades, database upgrades, and software upgrades
• Drive security vulnerability remediation programs
• Monitor and improve application and platform health
• Identify systemic issues and opportunities to reduce toil
• Establish and maintain technical health metrics
• Translate technical health and platform risk into clear business impact for senior business leaders
• Provide executive-ready updates on health trends
• Partner across engineering, infrastructure, database, security, and support teams to drive coordinated action
• Keep customers, colleagues, and end-user experience front and center

Senior Manager – IT Operations

Communications

• Execute communications strategies for federal and postal health plans, translating business and membership growth strategies into clear, consistent, and compliant messaging
• Develop and deliver member communications, including newsletters, letters, postcards, brochures, presentations, website content, and digital materials
• Lead Open Enrollment communications, including Mail Handlers Benefit Plan (MHBP) Open Season Seminar materials, presentations, webinars, and member collateral
• Support client meetings, in‑person events, webinars, and virtual events by developing presentation materials and attending/hosting as needed
• Develop training and presentation materials for field service representatives and open enrollment volunteers to ensure consistent execution
• Ensure all communications comply internal requirements and external regulations; manage review and approval workflows and conduct quality checks for accuracy, brand alignment, and appropriateness
• Collaborate cross‑functionally with strategy, compliance, legal, marketing, account management, and external vendors to deliver timely, integrated communications
• Coordinate procurement of promotional items and branded materials to support outreach, events, and enrollment efforts

Manager, Business Communications, Federal Health Plans

• Negotiates, executes, reviews, and analyzes contracts
• Manages contract performance in support of network quality
• Recruits providers to ensure attainment of network expansion
• Collaborates cross-functionally to contribute to provider compensation and pricing development activities
• Identifies recommendations to manage cost issues and support cost saving initiatives

Contract Manager

Call Center Representative

• Provide Telephony & Routing Analytics Support across inbound, outbound, and IVR call flows.
• Maintain and monitor key workforce and telephony KPIs to inform short- and long-term capacity models, including handle time, utilization, shrinkage, and volume trends.
• Manage and support the flow of telephony and interaction data from NiCE platforms into Enterprise Data Analytics environments.
• Identify, investigate, and resolve data discrepancies between telephony platforms, workforce systems, and downstream reporting.
• Execute ad hoc reporting requests to support leadership inquiries, operational reviews, and cross-functional initiatives.
• Deliver Workforce & Operational Insights by analyzing agent performance, volume patterns, and routing outcomes to surface risks and opportunities.
• Support TFN, IVR, and Telephony Structure by validating routing logic, number assignments, hours of operation, and queue configuration.
• Proactively flag routing anomalies, call distribution issues, or performance irregularities and partner with Operations, Technology, and Platform teams on remediation.
• Contribute to documentation of data definitions, KPI logic, and telephony reporting standards to promote consistency and transparency.

Manager, Contact Center Operations – Insights

Director

• Manages the cross-functional product leadership team, including strong partnership with Business General Manager (GM)
• Accountable for the teams’ delivery and final output to stakeholders
• Partners with business general manager and stakeholders to make decisions on investment priorities and develop business cases
• Defines and socializes the product vision, strategy and roadmap in collaboration with the business leaders and engineering; assesses and refines as needed
• Translates customer and business needs into short-term and long-term product strategy by creating Epics/initiatives defined to meet targeted outcomes
• Connects the roadmap to specific value drivers that contribute to business priorities, objectives and key results, and strategic programs
• Sets the direction for discovery work, ensuring that the product team is focused on continuous exploration
• Champions strong product management and agile mindsets
• Defines product objectives and key results (OKRs), aligned with business objectives, to evaluate progress towards outcomes
• Tracks product objectives and key results (OKRs), aligned with business objectives, to understand progress towards outcomes and metrics to understand product health, socializes progress, and consistently reinforces objectives and alignment with broader product portfolio outcomes

Lead Director – Enterprise Patient Safety Digital Product

Financial Planning and Analysis

• Provides financial consultation and pricing support to help CVS Caremark win and retain business
• Works directly with the client and the sales team to provide insight into a client’s pharmaceutical data
• Analyzes client’s business problems and formulates data-driven approaches to solve them
• Communicates findings and recommendations to key business leaders of clients
• Builds and maintains effective working relationships with internal partners
• Manages tight deadlines and ensures deliverables are met and accurate
• Participates in on-site or teleconferenced presentations as needed