CVS Health

Full-stack Engineer

• Lead Level 1–3 application production support for QL Eligibility, Drug, Prescriber business customers, including monitoring, incident resolution, and proactive system health checks.
• Analyze and troubleshoot complex application and systems issues; perform root cause analysis and implement long-term corrective actions.
• Collaborate with engineering, product, QA, operations, and business teams to ensure timely and accurate resolution of production incidents.
• Code fix, optimize, and improve existing codebases to enhance system reliability, stability, and scalability.
• Perform debugging and validation across distributed application environments.
• Handle Job failures, Batch processing, Job scheduling, and queues in DCU3 Mainframe Environment.
• Participate in on-call rotations as needed to support critical production services.
• Contribute to the technical roadmap, driving innovation and continuous improvement within the engineering ecosystem.
• Document solutions, operational procedures, and knowledge-base articles to support cross-team learning and operational excellence.

Staff Software Development Engineer – Mainframe

Payroll

• Collaborates with business and technical partners to support the Workday Payroll and Absence functional areas and roadmap, including the established list of global priorities
• Work closely with business leaders and stakeholders to develop vision, goals and roadmap for the Product
• Maintains clear and up to date list of key deliverables and timelines, developing plans to achieve those targets and proactively communicating progress to a variety of stakeholders
• Ensures that the delivered product meets or exceeds the business' needs and business objectives
• Responsible for timely delivery of enhancements, project requests and defects, with optimal and scalable solutions
• Accountable for the health of the product
• Gathers requirements, business process optimization, fit-gap analysis, functional design, configuration and testing
• Creates necessary documentation in each stage
• Collaborates with key cross-functional partners to maintain transparency, consistency in delivery, and set expectations
• Understands the needs of the business and evaluates Workday capabilities through research and testing
• Actively participates in Workday's semi-annual release process, engaging with release team on cross-functional initiatives and liaising with Business Leads on critical impacts and upcoming enhancement opportunities
• Supports regression testing and guide regression testing teams
• Awareness of new and planned Workday functionality, actively engaging with the Workday Community to prepare and communicate changes that could impact business
• Leads the translation of business requirements to technical solutions and creating appropriate timelines
• Responsible for fit-gap analysis, functional design, configuring the application, user acceptance testing and maintenance of the software solution
• Ensures up to date documentation, necessary approvals and artifacts are documented and maintained in tracking tools
• Performs and supports user acceptance testing and creates necessary documentation including test plans, test scenarios, test cases and test results
• Responsible for adherence to industry best practice, actively engaging with Workday Community on future releases
• Encourages product innovation and alternative ways of approaching business
• Integrates relevant data and information and apply the findings to positively impact the Workday strategy and share key insights and actions based on data and metrics
• Challenges partners to think differently regarding HR and Payroll business processes and operational issues act as a thought partner and model creative problem-solving to impact business decisions
• Generates reports and analytics to support various business needs
• Provides strategic direction and guidance to product team and shared services teams, with accountability for mentoring and developing team members

Senior Techno-Functional Workday Payroll Consultant

Manager

• Deliver high-quality, member-centered care by conducting comprehensive in-home assessments
• Develop individualized care plans and coordinate services across physical, behavioral, and social needs
• Facilitate access to Long-Term Services and Supports (LTSS)
• Advocate for members during care transitions
• Monitor progress toward care goals
• Document timely and accurately in the electronic health record

Case Manager, Registered Nurse – Field

Pharmacist

• Support pharmacy team in delivering operational and service excellence
• Ensure pharmacy operations run smoothly
• Assist patients and customers for an exceptional experience
• Complete inventory activities
• Contribute to a high-performing team

Pharmacy Technician

Customer Support

• Actively listen and be an advocate for customers, understand their needs and provide guidance and support
• Resolve customer inquiries and issues efficiently while documenting all interactions.
• Educate customers about available resources and assist them in navigating their options.
• Anticipate customer needs and provide proactive solutions to enhance satisfaction.
• Collaborate with team members and other departments to address service issues and improve outcomes.
• Document all customer correspondence and maintain confidential records of patient information.
• Follow policies, procedures, and the CVS/Aetna Code of Conduct.

Customer Service Representative

• Define program reporting strategy and corresponding assets / enhancements.
• Execute plans against this strategy in coordination with critical cross-functional partners.
• Direct and conduct data analyses to extract clinical/business intelligence and identify actionable opportunities.
• Build and maintain strong working relationships with leaders and their team members across the enterprise, notably within Clinical, Analytics, and Operations.
• Define adjusted reporting needs across Post-Acute program, and implement reimagined management process to drive outcomes within specific membership sub-groups and markets
• Lead discrete initiatives as-needed, beyond business analytics (example: design and deploy a new patient-facing intervention strategy)
• Craft and deliver executive-level briefings and recommendations.
• Lead systematic reviews to assess and monitor key macro and micro drivers of healthcare quality, affordability, and experience.
• Drive successful and timely deliverables.
• Anticipate, identify, and troubleshoot barriers to success.
• Advise on strategies and options to meet target needs and opportunities for improvement.

Senior Manager, Business Analysis & Consulting – Medicare

Director

• Leads and oversees the business strategy team by setting strategic objectives and driving the organization's overall business strategy.
• Collaborates with senior leadership to develop long-term plans and align business strategies with the company's vision and mission.
• Conducts performance evaluations, mentors team members, and provides guidance on strategic analysis and planning.
• Evaluates new business opportunities, fosters innovation, and adapts strategies to meet evolving market conditions and industry trends.
• Administers the ACAS Payment Integrity strategy to drive the successful execution of strategic initiatives and programs within the organization.
• Advises general managers on strategic alignment tools, program management methodologies for risk management and change control processes to ensure cohesiveness in departmental operations and processes.
• Identifies and capitalizes on potential business opportunities, partnerships, and collaborations that align with the organization's strategic objectives.
• Creates executive-ready reporting/measurement of program outcomes, business impacts, and lessons learned through documentation to inform future program planning efforts.
• Explores opportunities for ACAS digital transformation, process optimization, and the adoption of new technologies to enhance operational efficiency and patient outcomes.
• Contributes to planning budgets for strategic initiatives and programs that drive organizational growth, operational effectiveness, and innovation.
• Leads and facilitates change initiatives that arise from strategic programs and communicates changes to stakeholders while managing resistance and ensuring smooth transitions.
• Develops and maintains relationships with a wide range of stakeholders including business partners, IT, other data and analytic teams, Legal, etc.

Lead Director – ACAS Strategic Implementation

Communications

• Writing email campaign copy to support recruitment marketing, clinician communication/engagement initiatives (including but not limited to regular newsletters, go-to-market launches for clinician-facing products and more)
• Own the end-to-end build and deployment of digital messages and push notifications (including but not limited to list management, HubSpot campaign setup, workflow setup, etc.)
• Developing internally and externally facing content to promote the clinician experience (i.e., blog posts, internal team spotlights, features about key clinician personas)
• Contributing to and/or maintaining marketing and communication project plans and schedules
• Developing basic creative assets for internal/external communications (email headers, social media images, etc.)
• Other relevant duties as assigned to support Signify Health Clinician Communications

Senior Analyst, Business Communications

Operations

• analyzing Client's specialty benefit requests and inputting data into RxClaim
• building of new Specialty benefits for clients
• emphasizing data analysis and review of client documentation
• using RxClaim and analytical tools (i.e. MS Excel and MS Access)
• ensuring complete client documentation is included with all requests

Client Operations Analyst

Financial Planning and Analysis

• Lead a team within the Network Finance organization
• Oversee a highly complex Network P&L representing more than $130 billion dollars in pharmacy revenue
• Serve as the primary financial partner to the Network Pricing and Business teams
• Translate network strategy into rigorous financial plans, forecasts, and margin performance insights

Lead Director, FP&A Network

Consultant

• Assists with planning and execution of various strategic, operational, project management, and reporting needs with and for internal constituents.
• Drives solutions and strategic initiatives that enable the Large Group sales and service teams to be more competitive in the marketplace.
• Partner with internal stakeholders and business owners to optimize the achievement of strategic business objectives including profitable growth and improved organizational effectiveness.
• Shares joint accountability for initiative’s return on investment.
• Communicates compelling and concise results to empower client groups in decision making process regarding project opportunities.
• Supports engagements using a disciplined repeatable methodology.
• Designs and develops interventions and facilitates work sessions.
• Develops and delivers all required analysis, reporting, and presentation materials.
• Gathers, analyzes, and synthesizes business intelligence to drive achievement of strategic business objectives.
• Develop communications for leaders and drive end-to-end management processes.
• Proactively identifies opportunities for improvement within assigned initiatives.
• Leverages internal and external networking to drive optimal initiative results and knowledge/best practice transfer.
• Assists with planning internal and external conferences and events.

Senior Business Consultant, Large Group COE

• define system objectives
• develop technical specifications
• handle all phases of application and systems programming to address complex problems efficiently

Software Development Engineer – Universe PICK Developer

Content Writer

• Work on writing assignments varying in length and detail supporting strategic, functional, and operational topics across the entire proposal.
• Collaborate with Capture and Proposal Managers, Proposal Directors, and Subject Matter Experts to outline and prepare final proposal responses.
• Analyze proposal sections and content development to identify connections, ensure alignment, and support a cohesive overall narrative.
• Interviews with subject matter experts (SMEs) to identify and collect pertinent information for compliant and compelling responses, update resumes, write past performances, and develop other proposal responses.
• Leverage past proposals or the proposal library to establish a first draft.
• Conducts qualitative and quantitative research and analyze data to help formulate new content focused on client solutions that highlight company differentiation, innovation, and operational strategies.
• Collaborate with Graphic Designers on proposal graphics and visual storytelling.
• Actively participate in proposal meetings, color team reviews, and varying status meetings through the entire proposal process as defined by the proposal timelines.
• Develop a proposal response that aligns with internal quality standards, bid guidance and adheres to proposal requirements in a compliant and compelling manner.
• Develop creative strategies that effectively articulate customer needs and win themes critical to generating business goals.
• Maintain expert understanding of Aetna Medicaid products and services.
• Support the content management lifecycle by working with SMEs to identify new content for the Medicaid Content Library (MCL).
• Actively engage in team meetings and openly accept and share new ideas to drive innovation and creativity.
• Develop strong work relationships with health plan leaders, proposal peers and SMEs to support business goals to win and retain business.
• Support and drive ongoing development of internal processes and procedures, including scorecards, quality business reports, style guides, and internal measures for performance.

Medicaid Proposal Writer

• The Care Manager—Registered Nurse is a key member of our Special Needs Plan (SNP) care team
• responsible for coordinating care for members who often face multiple chronic medical and behavioral health conditions
• involves conducting comprehensive assessments to evaluate members’ needs and addressing SDoH challenges
• develops and implements individualized care plans, monitors member progress, advocates for necessary services
• collaborates with the interdisciplinary care team to ensure optimal health outcomes
• Support other members of the Care Team through clinical decision making and guidance

Care Manager – Registered Nurse

• Managing categories for the annual process
• Conducting financial analysis of manufacturer contracts
• Transitioning financial modeling from Excel to Python
• Contributing to the development and implementation of projects
• Navigating various software programs to build financial tools
• Collaborating with stakeholders