CVS Health

Analyst

• Prepares and distributes periodic financial statements for users other than those directly employed by the organization
• Ensures all reports and disclosures comply with applicable government regulations, professional standards, and organization policies
• Prepares consolidation journal entries, eliminates intercompany transactions, and consolidates divisional and subsidiary financial accounts in a timely and accurate basis for inclusion in internal and external financial statements

Self-Insured Banking Analyst

Account Executive

• Own the multi-year account strategy for assigned clients.
• Serve as the primary executive-level contact for client leadership.
• Help clients understand options, tradeoffs, and implications of complex pharmacy benefit decisions.
• Lead renewal strategy and negotiations, in partnership with underwriting, legal and finance.
• Develop and present clear recommendations on pricing, guarantees, and solution design.
• Identify growth opportunities through disciplined financial and strategic evaluation aligned to client goals.
• Leverage analytics platforms and AI-enabled tools to monitor performance and identify risks or opportunities.
• Maintain working knowledge of account economics, including drug trend, pricing, rebates, and guarantees.
• Interpret financial analyses and explain results clearly to client and internal leaders.
• Balance client value with long-term business sustainability.
• Manage relationships with consultants influencing assigned accounts.
• Represent the organization clearly and professionally in competitive situations.
• Bring relevant market and regulatory considerations into client discussions.
• Provide clear direction to internal partners, including Account Executives and functional teams.
• Escalate risks, resourcing needs, or execution issues through established leadership channels.
• Diagnose client pain points and partner across the matrix to drive to solution.

Account Executive – Strategic

Investigator

• Conduct investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse
• Recover lost funds
• Comply with federal and state regulations mandating fraud plans and practices

Investigator, Special Investigations Unit

Actuary

• Supports Aetna's Large Group Commercial Self-Insured Business
• Aids in explaining Aetna's value proposition on medical cost savings to prospects and customers
• Communicates analyses to others regarding tracking trend and program evaluations
• Maintains a repricing database.

Senior Analyst, Actuarial

Network Engineer

• Acts as the primary liaison for assigned geography of integrated providers
• Conducts provider education, ensures contract compliance, provider communication, claims research and assists with resolution
• Implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets

Senior Analyst, Network Relations

Manager

• Deliver transformation through phased, interdependent releases.
• Own and execute end-to-end change plans for assigned workstreams, from discovery through post–go-live reinforcement.
• Develop role-based change communications, including announcements, release updates, FAQs, and leadership messages.
• Identify impacted stakeholders and manage alignment across parallel initiatives.
• Participate in readiness checkpoints, release reviews, and retrospectives.

Manager, Change Management

Data Scientist

• support Specialty Operations through advanced analytics, predictive modeling, and AI-driven solutions
• partner closely with business stakeholders to identify opportunities, solve operational challenges, and drive measurable business impact
• develop predictive models, perform exploratory and statistical analyses
• translate complex findings into actionable recommendations for operational and executive audiences
• contribute to emerging AI initiatives, including the design and development of AI agents and intelligent automation capabilities

Data Scientist – Specialty Operations

Customer Advocate

• Servicing your assigned book of business
• Acknowledge customer’s inquiry within 1 business day
• Create and maintain PDET cases as outlined in policy guidelines
• Acts as the single point of contact for client’s operational inquiries and escalated issues.
• Resolutions to include but not limited to Claims, Enrollment, ID cards, COBRA, FSA, Network Ops, PBM, Customer Service, EDI Files and Finance
• Provides plan document interpretation and ensures the client’s questions are addressed.
• Conduct client portal training
• Supports operational departments to enhance the member experience through improved workflows and process improvements
• Identify opportunities that support account owners in developing and delivering strategic plans

Client Advocate I

Architect

• Define and execute architectural strategies aligned with project objectives
• Lead and supervise architectural initiatives within assigned projects or areas
• Develop architectural designs and solutions, ensuring adherence to standards and best practices
• Mentor and guide junior and senior architects in project-related tasks and skill development
• Collaborate with cross-functional teams to deliver effective architectural solutions
• Assess new technologies, tools, and methodologies to enhance application processes and recommend their adoption where applicable
• Play a key leadership role in architecture design reviews and identify gaps and recommend design changes
• Actively lead and participate in the Architecture community to drive modernization opportunities for Healthcare Business Unit while keeping in mind the complexities of our IT landscape.

Lead Architect – Clinical Program

Director

• responsible for the strategic planning, orchestration and execution of migrating core enterprise architecture from Oracle to S/4 HANA
• long term operational health of the new S/4 HANA application

Lead Director – PPD Delivery Services, Application Development

Content Writer

• Aetna’s Medicaid Proposal Writer supports the business by creating and executing strategic writing in response to Medicaid request for proposals (RFP) and requests for information (RFI)
• Drafts proposal responses for functional and operational topics such as Claims, Staffing, Finance, Corporate Capabilities, Account Management, and Resumes
• Partners with Proposal Managers, Capture Managers, and SMEs to gather information, develop content, and support proposal response development
• Collaborates and interviews subject matter experts (SMEs) to identify and obtain new information to create compliant and compelling responses
• Applies bid guidance, proposal requirements, and internal quality standards to assigned sections while continuing to develop proposal writing expertise
• Actively participates in kick-off meetings, color team reviews, status meetings, and critical milestones throughout the entire proposal process as defined by the proposal timeline
• Adheres to internal processes and communicates proposal related risks to the proposal team
• Reviews Pink and Red Team reviewer comments and prepares drafts for discussion during Pink and Red Team Review Meetings
• Seeks and incorporates feedback from proposal leaders, reviewers, and SMEs to continuously strengthen writing, compliance, and strategic messaging skills
• Builds knowledge of Medicaid programs, Aetna solutions, procurement processes, and proposal best practices.

Proposal Writer

Business Operations

• Design and implement new business processes
• Transform existing business processes by analyzing end-to-end mapping and identifying areas of opportunity through annual reviews, as well as formal and informal customer complaints
• Lead Process Discovery and Design workshops
• Ensure that all process designs align with and complies with the overall business goals and policies
• Support Process Analyst/Designer with performance measurement and reporting
• Coordinate and conduct annual process reviews with Process Owners and Process Council
• Provide coaching and support to Process Owners, Experts, and end-users as needed to ensure Process Management Framework is appropriately followed

Business Operations Process Designer

Medical Director

• Define and execute Medicaid risk adjustment strategy across markets and plans
• Lead and deliver high-impact strategic initiatives that improve revenue accuracy, compliance, and overall performance
• Align risk adjustment programs with state Medicaid models (e.g., CDPS, CRG, or state-specific methodologies)
• Represent risk adjustment Medicaid informatics in executive forums
• Oversee health plan performance using advanced analytics and use proactive data insights to drive strategies and evidence-based decision-making
• Lead development of scalable data pipelines and reporting frameworks using claims, encounters, pharmacy, and clinical data
• Ensure accuracy, integrity and completeness of Medicaid encounter submissions and data
• Establish and oversee processes to ensure accuracy, completeness, and integrity of risk capture
• Direct suspecting logic development, gap identification, and prioritization strategies for operational programs and interventions
• Lead and develop a high-performing, multidisciplinary team spanning informatics, risk analytics, reporting, and operational program support

Lead Director, Healthcare Medicaid Risk Adjustment Analytics

Cloud Engineer

• Partner with technical leaders and the open-source community to contribute to technical designs, frameworks, roadmap definition, and requirements-gathering.
• Provide domain knowledge and engineering insight to guide early designs, accelerate project decision-making, and maintain close oversight of technical execution.
• Encourage and maintain engineering excellence within the team to build reliable distributed systems that our customers can build their business on.
• Plot and execute on the path from prototype to production for features.
• Collaborate with business, product, architecture, security, digital, and engineering teams to deliver innovative solutions that address customer needs, solve complex challenges, and drive continuous improvement.
• Foster a collaborative and inclusive team culture by demonstrating ownership, accountability, and enthusiasm while contributing to automation initiatives and supporting high-performing remote teams.

Senior Software Engineer – Java Cloud

Project Manager

• Support the business by taking appropriate actions, strategies and/or alternatives to meet business needs typically tied to a key Aetna Medicaid practice.
• Manage multiple project and their work streams and/or most complex projects through to implementation.
• Lead projects and workgroups to impact process, system, function, and/or product.
• Work cross functionally to provide: Provider Engagement implementations, production Issue resolution and support, and functional expertise workgroups.
• Manage the entire project lifecycle of Medicaid Provider Engagement projects.