CVS Health

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Manager, Operations Support

Procurement

• Lead complex sourcing initiatives and enterprise-level category strategies across Enterprise Operations
• Build and maintain category strategies and sourcing pipeline
• Lead complex RFx and negotiations
• Conduct total-cost negotiations
• Lead supplier performance routines
• Serve as trusted advisor to operations leaders
• Leverage Ariba sourcing/contracting tools

Senior Category Manager

Medical writer

• Comprehensively review outpatient provider notes for accuracy and completeness.
• Synthesize coding correction opportunities for ongoing provider education.
• Achieve 90%+ audit results on coding correction accuracy and less than 25% on missed coding correction opportunities.
• Review on average a minimum of 20 provider notes per day.
• Maintain and grow the current knowledge of the Medicare and Commercial Risk Adjustment outpatient/inpatient billing systems/processes
• Identify trends and training opportunities to support clinical documentation accuracy improvement.
• Champion Coding Corrections standards and drive integration into Canopy tools and ongoing Care Team processes
• Other duties as assigned.

Clinical Documentation Auditor

Director

• Lead a team of about 14 audit and compliance professionals to ensure the company meets all SOX regulatory requirements
• Oversee the strategy, governance, and execution of SOX testing across multiple business units
• Partner closely with internal teams and external auditors
• Drive improvements in financial controls, processes, and compliance
• Help advance cross‑functional initiatives tied to CVS Health’s broader transformation goals
• Lead annual SOX planning, including risk assessment, scoping, and materiality
• Provide training, guidance, and communication on financial compliance requirements
• Advise business partners on control design, key controls, and testing methods
• Monitor audit trends and recommend process and control improvements
• Assess deficiencies and work with teams and external auditors on remediation
• Track program hours, reporting progress and adjustments to leadership
• Serve as a subject matter expert on risk, controls, and financial frameworks
• Coordinate SOX activities with external auditors and assurance providers
• Build, manage, and develop a high‑performing team
• Recruit and retain strong audit and compliance talent
• Oversee audit methodologies, tools, and communication practices
• Support professional development, performance reviews, and career growth
• Champion technology and innovation to improve compliance efficiency
• Build strong relationships with business leaders to strengthen controls and reduce risk
• Provide strategic insights to help teams anticipate and address risk
• Support organizational transformation by aligning processes and risk practices
• Serve as a trusted advisor while maintaining audit independence
• Meet administrative requirements and support internal audit initiatives
• Promote integrity, diversity, and a positive team culture
• Ensure compliance testing is accurate, timely, and aligned with SOX requirements

Lead Director, Corporate Audit

Chief Marketing Officer

• Develop and execute a comprehensive, differentiated marketing strategy that supports the distinct business objectives of aligned segment P&Ls including CVS Caremark, CVS Specialty, CVS Healthspire, and Wellpartner
• Achieve revenue growth, financial goals, and transformational vision of the PBM and enterprise businesses
• Establish integrated, cross-functional relationships across people, processes, technology, and key stakeholders—internal and external—to drive strategic alignment, prioritize investments, and execute core and growth initiatives
• Attract and develop talent necessary to develop and execute our strategy capable of executing today while anticipating and leading the evolution into the future

SVP, Chief Marketing Officer

• Provide enterprise-wide leadership for asset protection strategy, analytics, and operational execution across CVS Health.
• Design, implement, and own end-to-end asset protection strategies and enterprise programs.
• Analyze shrink, theft, and fraud trends to identify risks and opportunities for continuous improvement.
• Provide cross-functional leadership on high-priority, enterprise-wide initiatives.
• Build alignment and influence with Vice Presidents and senior leaders.
• Partner with business leaders to identify vulnerabilities and develop scalable mitigation strategies.
• Educate, engage, and enable colleagues at all levels of the organization in enterprise asset protection strategies.
• Attract, develop, coach, retain, and promote top talent within Asset Protection and across the broader enterprise.
• Act as a primary business partner to Executive Directors and senior leaders supporting Pharmacy and Front Store Operations.

Executive Director, Asset Protection Strategy – Operations

Backend Engineer

• Design, build, and operate scalable backend services and RESTful APIs using Java/Spring Boot and Python to power internal developer platforms.
• Develop and maintain cloud‑native microservices on AWS/Azure, including containerized deployments, CI/CD automation, and integration with enterprise data sources.
• Build and optimize data pipelines and real‑time streaming solutions leveraging event-driven architectures and message brokers (Kafka, SQS, RabbitMQ).
• Ensure reliability, performance, and security of backend systems through monitoring, observability tooling, and adherence to authentication/authorization best practices.
• Collaborate with Staff Engineers and cross‑functional DevEx teams to translate architectural direction into production-ready solutions, drive automation, and improve overall developer productivity.

Senior BackEnd Engineer

Full-stack Engineer

• Design, oversee, and evolve scalable, distributed systems
• Recruit, mentor, and retain high-performing engineers
• Lead engineering initiatives end-to-end—from strategy and prioritization through delivery
• Establish KPIs and OKRs to optimize system and team performance
• Partner cross-functionally with engineering, platform, design, security, customers, and partners

Senior Manager – Software Engineering, Health100 Platform

Analyst

• 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.
• Effectively manage a caseload that includes supportive and medically complex members.
• Develop a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member's overall wellness through integration.
• Determine appropriate services and supports due to member's health needs; including but not limited to Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports.

Bilingual Analyst, Case Management

Product Manager

• Manage a mix of senior stakeholders to align on priority and goals, balancing interests across various stakeholders
• Conduct user research, usability testing, SME interviews, and cross functional stakeholder alignment to align on business needs and requirement
• Collaborate with designers to create UX flows, wireframes and designs
• Develop user stories, acceptance criteria, and detailed product specifications to communicate feature requirements to data science, engineering and stakeholder teams
• Support engineering and data science teams to implement features by clarifying requirements, facilitating squad ceremonies, and helping technical team members ground on users and business needs
• Manage product backlog, facilitate problem solving, scoping, and prioritization
• Run day-to-day planning and ceremonies, and champion Agile practices
• Clarify and coordinate dependencies with other teams and stakeholders
• Define, monitor and analyze user feedback and product performance metrics, identifying opportunities for improvement and optimization
• Work with end-users, stakeholders, and leadership to continuously evolve the product roadmap
• Demonstrate and support dissemination of best practices for product ways of working and champion change management

Product Manager – AI

Manager

• Manage a team of District Asset Protection Leaders (DAPLs)
• Provide oversight to enterprise Asset Protection objectives and programs to ensure compliance.
• Hiring, training, and developing a best-in-class Asset Protection team.
• Forge strong business partnerships with Regional Directors of Operations.
• Analyze market trends to create market-specific shrink mitigation tactics.
• Monitor the execution of Asset Protection strategies and key performance indicators.
• Report to the Divisional Asset Protection Director.

Senior Manager, Regional Asset Protection

• Responsible for driving Product Oriented ways of working, assessing current and innovative technology products and creating improvement plans
• Creating standards, guidelines, and prototype tools to be used in collaboration of teams as they mature in Product orientation
• Collaborate with Technology teams and business to understand product landscapes and opportunities for improvement
• Accountable for managing the team's backlog, preparing assessment sessions, conducting assessments, and educating and driving knowledge for change
• Preparing regular updates to keep program management informed of progress and any issues

Senior Manager, Product Transformation – Strategy Coach

Consultant

• Utilize your clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor, and evaluate options to facilitate appropriate healthcare services and benefits for members
• Gather clinical information and apply the appropriate clinical criteria, guidelines, policies, procedures, and clinical judgment to render coverage determinations and recommendations along the continuum of care
• Communicate with providers and other parties to facilitate care and treatment
• Identify members for referral opportunities to integrate with other products, services, or benefit programs
• Identify opportunities to promote quality and effectiveness of healthcare services and benefit utilization
• Consult and lend expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function
• Meet set productivity and quality expectations as established by UMNC

Nurse Consultant

Medical Director

• Responsible for providing clinical expertise and business direction in support of medical management programs.
• Promote the delivery of high quality, constituent focused medical care with a focus on clinical and payment policy.
• Support the appeal process, clinical claim review process, pre-certification, and predetermination of covered benefits.
• Be a subject matter expert in DRG reviews and ICD-10 code selection.
• Proactively use data analysis to identify opportunities for quality improvement.

Medical Director – Medical Policy Ops, DRG

Call Center Representative

• Create, manage, and optimize IVR flows across Portfolio, Conversion, Member Experience, and Hybrid use cases.
• Design and maintain clear IVR flowcharts to ensure all IVR paths are visible, documented, and easily understood by stakeholders.
• Manage dialers and outbound (OB) campaigns, ensuring alignment with business prioritization, compliance requirements, and operational capacity.
• Own and maintain the structure of roles and permissions, including views, teams, routing attributes, hours of operation (HOO), and do-not-call (DNC) configurations.
• Oversee and analyze interaction analytics to identify trends, performance gaps, and opportunities for optimization across IVR and agent-assisted journeys.
• Produce ad hoc reporting to support leadership requests, operational decision-making, and cross-functional initiatives.
• Develop and maintain process documentation for IVR logic, platform configurations, reporting workflows, and operational standards.
• Partner with Operations, Technology, and Compliance teams to ensure contact center platforms support business objectives and regulatory requirements.