CVS Health

Registered Dietitian

• Provide safe, high-quality, patient-centered nutrition support services
• Review clinical documentation to determine qualification under Medicare standards
• Collaborate with internal and external customers to support smooth transitions to Coram CVS/specialty infusion services
• Assist with documenting medical necessity for parenteral and enteral therapies
• Provide patient and caregiver instruction related to medical nutrition therapy at home

Medicare Qualification Specialist – Registered Dietitian

Physician Assistant

• Provide In-Home Health Evaluations
• Engage with people in the comfort of their own homes
• Conduct virtual visits as needed
• Bring your heart into every visit
• Work with Signify Health as a clinician colleague

Nurse Practitioner, Physician Assistant

Consultant

• Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members
• Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation along the continuum of care
• Communicates with providers and other parties to facilitate care/treatment
• Identifies members for referral opportunities to integrate with other products, services and/or programs
• Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization
• Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function
• Typical office working environment with productivity and quality expectations
• Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor
• Sedentary work involving periods of sitting, talking, listening
• Work requires sitting for extended periods, talking on the telephone and typing on the computer.
• Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
• Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding
• Effective communication skills, both verbal and written

Nurse Consultant – UM

Associate

• Providing differentiated customer service by anticipating customer needs, demonstrating compassion and care in all interactions, and actively identifying and resolving potential service issues
• Focusing on the customer by giving a warm and friendly greeting, maintaining eye contact and offering help locating additional items, when needed
• Accurately perform cashier duties - handling cash, checks and credit card transactions with precision while following company policies and procedures
• Maintaining the sales floor by restocking shelves, checking in vendors, updating pricing information and completing inventory management tasks as directed by store manager
• Supporting opening and closing store activities, when needed
• Providing customer support to all departments, including photo and beauty, ensuring departments are fully stocked and operational while remaining current with all updated services and tools
• Assisting pharmacy personnel when needed, including working regular shifts in the pharmacy as part of opportunities for growth and career development
• Embracing and advocating for new CVS services and loyalty programs that support our purpose of helping people on their path to better health

Store Associate

Manager

• Conduct face-to-face home visits using comprehensive assessment tools for members enrolled in Managed Long-Term Services and Supports (MLTSS) and/or Dual Special Needs Programs (D-SNP/FIDE)
• Perform in-person assessments for non-MLTSS members to determine medical needs and support appropriate service referrals (e.g., adult medical daycare, pediatric medical daycare, personal care assistant services, nursing facility custodial care, Personal Preference Program, and MLTSS enrollment)
• Successfully complete and maintain NJ Choice Certification (required for continued employment)
• Work with diverse populations, including pediatric and medically complex members
• Coordinate and collaborate with members, authorized representatives, primary care providers, and interdisciplinary care teams
• Schedule and participate in interdisciplinary meetings, advocating for members to ensure safe transitions and appropriate services
• Develop individualized care plans and authorize services within MLTSS/FIDE program benefits in a cost-effective manner
• Document all assessments, interactions, and care planning activities accurately and in a timely manner in the electronic health record
• Utilize strong critical-thinking and problem-solving skills in daily work
• Mentor new staff once appropriate proficiency has been achieved

Case Manager, Registered Nurse - Field

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.
• Knowledge of DEA and state law with regards to controlled drug dispensing.
• 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

• assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member
• develop a proactive course of action to address the issues presented to enhance their short and long-term outcomes
• Use clinical tools and information/data review to conduct an evaluation of members’ needs and benefits.
• Apply clinical judgment to incorporate strategies designed to reduce risk factors and barriers
• Conduct assessments that consider information from various sources to address all conditions including co-morbid and multiple diagnoses
• Collaborate with supervisor and other key stakeholders in the member’s healthcare in overcoming barriers in meeting goals and objectives

Case Manager – Registered Nurse – Telehealth

Salesforce Developer

• define, govern, and scale enterprise use of the Salesforce platform
• lead the operating model, standards, and governance
• partner with business leaders and stakeholders
• standardize integration, data, and identity patterns
• drive security, compliance, and data governance
• build COE capability through enablement
• establish a feedback loop from delivery teams
• own the Salesforce platform roadmap in partnership with enterprise architecture

Salesforce Architect – Center of Excellence

Backend Engineer

• own the technical direction and architecture across several teams building API capabilities
• establish the engineering practices that teams build on
• define how APIs are designed and governed at scale
• lead the effort to embed AI-powered capabilities into the developer experience
• lead the design and delivery of AI capabilities embedded into the developer platform
• architect and build MCP servers exposing the enterprise API catalog as a queryable context
• participate in architecture reviews, design documents, and pull requests

Principal Engineer, API Platform

Case Coordinator

• Utilizes critical thinking and judgment to collaborate and inform the case management process
• Facilitates appropriate healthcare outcomes for members by providing assistance with appointment scheduling, identifying and assisting with accessing benefits and education for members through the use of care management tools and resources
• Conducts comprehensive evaluation of member’s needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member’s benefit plan and available internal and external programs/services
• Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate
• Coordinates and implements assigned care plan activities and monitors care plan progress
• Consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes
• Identifies and escalates quality of care issues through established channels
• Utilizes negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs
• Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health
• Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices
• Engages with colleagues in ongoing team meetings and offers peer mentoring/training
• Helps member actively and knowledgably participate with their provider in healthcare decision-making
• Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures

Field Case Management Coordinator

Data Engineer

• Build and maintain the cloud infrastructure, data pipelines, and deployment workflows
• Calculate measure ratings for the med adherence and avoidance measures
• Collaborate with data scientists, product owners, and business stakeholders
• Deliver scalable, well-architected solutions that move insights from development to production

Senior GCP Data Engineer – Patient Safety Measure Engine

• Utilizes critical thinking and judgment to collaborate and inform the case management process
• Facilitates appropriate healthcare outcomes for members by providing assistance with appointment scheduling
• Identifies high risk factors and service needs to impact member outcomes and care planning
• Coordinates and implements assigned care plan activities and monitors care plan progress
• Consults with case managers and Medical Directors to overcome barriers to meeting goals
• Engages with colleagues in ongoing team meetings and offers peer mentoring/training

Case Management Coordinator – Field, Illinois

Data Scientist

• Partner with Trade leaders to solve complex business problems using data, analytics, and quantitative decision-making
• Focus on building and productionizing Agentic AI solutions
• Translate ambiguous business questions into analytical frameworks
• Develop AI-powered tools and workflows
• Influence strategic and operational decisions
• Serve as a trusted advisor to business stakeholders
• Combine hands-on AI engineering skills, strong statistical reasoning, business acumen, and structured problem-solving to identify and act on trade insights
• Emphasize designing and deploying Agentic AI solutions via APIs
• Conduct rapid hypothesis generation, statistical analysis, experimentation, forecasting
• Communicate clear recommendations that drive measurable business outcomes

Senior Data Scientist – Health100 AI

• Utilize critical thinking and judgment to collaborate and inform the case management process
• Facilitate appropriate healthcare outcomes for members by aiding with appointment scheduling
• Identifying and assisting with accessing benefits and education for members through the use of care management tools and resources
• Conduct comprehensive evaluation of referred member’s needs/eligibility and recommend an approach to case resolution
• Coordinate and implement assigned care plan activities and monitor care plan progress.
• Consult with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives
• Utilize negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs
• Provide coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices

Case Management Coordinator, Assessor Team

• Support pharmacy team in delivering operational and service excellence
• Assist the pharmacy team to ensure that pharmacy operations run smoothly
• Ensure prescriptions are filled promptly, safely, and accurately
• Deliver caring service that exceeds patient expectations
• Complete basic inventory activities, as permitted by law
• Remain flexible for both scheduling and business needs