CVS Health

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.

Senior Project Manager, Provider Enablement

Executive Assistant

• conduct online 'Video Visits' with health plan members
• review medication and medical history
• educate members about their health
• maintain training and compliance with Video Visit requirements
• provide 40 hours of availability weekly

Clinical Evaluations Nurse Practitioner, Physician Assistant

• Conduct online “Video Visits” with health plan members
• Provide 40 hours of availability weekly
• Execute a strong visit completion rate
• Maintain training, affiliation, and compliance with Video Visit requirements

Virtual Clinician – Home Evaluations Nurse Practitioner / Physician Assistant

• Conduct online “Video Visits” with health plan members
• Engage with health plan members primarily online, helping to close gaps in care
• Provide 40 hours of availability weekly
• Execute a strong visit completion rate
• Maintain compliance with operational, clinical, and member experience key performance indicators

Virtual Clinician, Home Evaluations, Nurse Practitioner

General

• Provide In-Home Health Evaluations, engaging with people in the comfort of their own homes
• Travel locally and within licensed states
• Conduct virtual visits as needed
• Provide all Signify Health services as indicated including Diagnostic & Preventive Services products

In-Home Traveler Physician

Per Diem

• Provide In-Home Health Evaluations, engaging with people in their homes
• Conduct virtual visits as needed
• Bring your heart into every visit, joining a national network of purpose-driven clinicians
• Work with Signify Health as a clinician colleague, fulfilling the requirements of the specified role

In-Home Physician, Per Diem

• Provide In-Home Health Evaluations
• Engage with people in the comfort of their own homes and help bridge gaps in care
• Conduct virtual visits as needed
• Ensure a comfortable and safe visit in diverse home environments

• Provide In-Home Health Evaluations, engaging with people in their homes
• Conduct virtual visits as needed
• Bring your heart into every visit, joining a national network of purpose-driven clinicians

In-Home Physician, Part Time

• Provide In-Home Health Evaluations
• Engage with people one-on-one in the comfort of their homes
• Conduct virtual visits as needed
• Provide Diagnostic & Preventive Services products (i.e., spirometry, DEE, bone density screening, etc.)

In-Home Physician

• Provide In-Home Health Evaluations
• Engage with people in the comfort of their own homes
• Conduct virtual visits as needed
• Provide all Signify Health services as indicated including Diagnostic & Preventive Services products

Physician Assistant

• Provide In-Home Health Evaluations, engaging with people in the comfort of their own homes
• Build trusted relationships to improve health outcomes
• Conduct virtual visits as needed
• Provide Diagnostic & Preventive Services products (i.e., spirometry, DEE, bone density screening, etc.)

Proposal Writer

Business Operations Process Designer

Lead Director, Healthcare Medicaid Risk Adjustment Analytics

Senior Software Engineer – Java Cloud

Senior Project Manager, Provider Enablement

Clinical Evaluations Nurse Practitioner, Physician Assistant

Virtual Clinician – Home Evaluations Nurse Practitioner / Physician Assistant

Virtual Clinician, Home Evaluations, Nurse Practitioner

In-Home Traveler Physician

In-Home Physician, Per Diem

In-Home Physician, Per Diem

In-Home Physician, Part Time

In-Home Physician

In-Home Physician

In-Home Nurse Practitioner, Physician Assistant, Per Diem