CVS Health

Manager

• Lead the development, execution, and optimization of Directed Payment Programs (DPPs)
• Ensure compliance with SoonerSelect and OHCA regulatory requirements
• Act as the primary point of contact for providers
• Monitor program performance, identify risks, and implement process improvements

Manager, Managed Care Directed Payments

Support Engineer

• Document problems, complete problem tickets, and request information in the support tools.
• Maintain knowledge with accurate up-to-date information relating to current policies, procedures, and troubleshooting techniques.
• Effectively manages call workload.
• Provide outstanding customer support by analyzing, diagnosing, and resolving problems and requests within service level agreements.
• Collaborate well in a team environment.

Technical Support Representative

Analyst

• Provide end-user support, analyzes and diagnoses system problems, identifies root cause, and then solves the problem or escalates issues to other appropriate IT staff when outside area of responsibility or expertise.
• Partners with vendor to troubleshoot and resolve system problems, to improve product performance and usability.
• Provides vendor with recommendations for system improvements.
• Addresses technical issues that occur during installation and maintenance activities.
• Designs, implements, and supports applications while ensuring ongoing optimization and performance.
• Translates technical requirements into development specifications and provides product management support.
• Evaluates and documents system updates, upgrades, and their impacts in collaboration with analysts and end users.
• Participates in system implementations, upgrades, and continuous improvement initiatives.
• Conduct system testing, validation, and quality assurance to ensure compliance and optimal system performance.
• Develop and maintain documentation, including build specifications, test scripts, and training materials, including the delivery of training when necessary.
• Partner with clinical staff and IT professionals to evaluate, design, develop, test, implement, and maintain systems.
• Partner with clinical staff and IT teams, to ensure workstations, printers, scanners, mobile devices, and other peripherals are aligned with the functional and compatibility requirements of Epic applications.
• Strategically lead and collaborate on cross-functional application initiatives with application and operational teams to ensure seamless integration, streamlined workflows, and optimal system performance.
• Maintain vendor certifications required to support the analyst's application areas of responsibility.
• Support system integrations and interoperability efforts with other third-party applications and interfaces.
• Assisting as needed with after hour activities such as go lives, upgrades, downtimes, and other special project.

Senior Access Analyst – Prelude & Referrals

• The Care Manager—Registered Nurse is responsible for coordinating care for members with chronic conditions and SDoH needs.
• Conduct comprehensive assessments and connect members to appropriate resources.
• Develop and implement individualized care plans, monitor member progress, and advocate for services.
• Document assessments and interventions in the electronic health record.
• Collaborate with interdisciplinary care team to address barriers and develop maintenance strategies.

Care Manager, RN

• Own Signify’s scheduling and fulfillment product roadmap
• Design intelligent fulfillment and scheduling products that connect member needs with clinician supply
• Define and execute the product strategy for member-to-provider matching and scheduling
• Own appointment fulfillment and influence day-of execution experiences like reschedules, cancellations, no-shows, and last-minute changes
• Partner with engineering, data science, and operations to design scheduling logic
• Communicate complex concepts to influence peers and stakeholders
• Proactively identify user or business needs and recommend innovative solutions
• Develop a clear vision and short term and long-term roadmap with value definitions
• Observe and interview users to aggregate and connect feedback into defined problem statements
• Coordinate dependencies, communicate timelines, and manage stakeholder expectations
• Develop and measure KPIs for scheduling fill rate, completed visit rate, etc.
• Understand the healthcare industry and key trends

Senior Manager, Digital Product – Scheduling and Fulfillment Planning

Account Manager

• Build and maintain strong relationships with clients, acting as the primary point of contact
• Ensure high levels of customer satisfaction by addressing client needs and resolving issues promptly
• Analyze complex client needs and assist in developing practical solutions
• Maintain reporting and tracking of client issues
• Provide regular updates and reports on account status and client feedback
• Proactively identify and address potential issues before they escalate

Pharmacy Account Manager

Director

• Leads department responsible for developing and delivering client reporting on behalf of the entire Clinical Program suite.
• Deeply understands the Care Management market landscape and client expectations on client reporting.
• Develops the report’s value story, the creation of impactful visualizations, and generation of the reports.
• Provides our account teams with the tools needed to successfully deliver reports and when necessary, presents results directly to clients.
• Manages custom client or internal questions by providing strategic recommendations or custom reports based on data insights.
• Fosters collaboration with stakeholders, ensuring data governance and compliance, and driving continuous learning and skill development within the team.
• Drives work with a customer centric mentality.

Director of Care Management, Client Reporting

• Apply quality engineering practices across ACAS benefits testing for assigned initiatives.
• Support early validation of requirements, benefit configurations, and adjudication logic to reduce downstream defects.
• Ensure quality gates and test readiness criteria are followed within programs.
• Support the adoption of automation‑enabled testing for benefits and claims adjudication scenarios.
• Work with automation engineers to leverage existing test frameworks and reusable assets.
• Execute and support risk‑based testing approaches, focusing on high‑impact benefit and claim scenarios.
• Manage and support a team of quality engineers and testers (onshore/offshore).
• Track and report quality metrics such as defect trends, test coverage, and execution effectiveness.
• Collaborate closely with configuration teams, business SMEs, and engineering partners.

Manager, ACAS/Commercial Benefits Testing

Financial Planning and Analysis

• Join a high-impact finance team supporting the Coram Home Infusion business.
• Play a pivotal role in driving financial performance across Volume, Revenue, and Margin.
• Partner closely with business leaders to influence strategy and results.
• Reporting to the Executive Director, the role offers strong visibility and cross-functional collaboration.
• Shape financial outcomes in a dynamic healthcare environment.
• Responsibilities include daily, weekly, monthly volume reporting, month end close responsibilities, tracking performance against forecast, identifying risks/opportunities, leading the Budgeting & Forecasting process and being a resource for business leaders.

Manager, FP&A

Executive Assistant

• Provide high-level executive administrative support to the Vice President of Caremark Trade Relations
• Proactively manage and coordinate the VP’s daily schedule, calendar, contacts, and high volume of communications
• Arrange and schedule internal and external meetings
• Execute complex meeting and event preparation
• Arrange domestic and international travel and all related accommodations

Executive Assistant – Caremark Trade Relations

Operations

• Own and manage core sales operations processes, including pipeline management, opportunity tracking, and forecasting cadence (weekly, monthly, quarterly, annual)
• Establish and enforce standardized sales processes, definitions, and workflows to ensure consistency and data integrity across the sales organization
• Partner with Revenue Operations and Business Systems to optimize CRM (Salesforce) processes, reporting structures, and system adoption
• Monitor pipeline health, including stage progression, conversion rates, and deal velocity, to ensure accurate visibility into business performance
• Support sales goal setting and quota allocation processes, ensuring alignment to revenue targets and organizational priorities
• Identify process gaps and inefficiencies, driving continuous improvement initiatives to increase scalability and seller productivity
• Lead the sales forecasting process, ensuring accuracy, consistency, and transparency through disciplined pipeline inspection and risk assessment
• Develop and maintain standardized reporting and dashboards that provide visibility into pipeline, bookings, revenue, and key performance metrics

Senior Manager, Sales Operations and Analytics

Consultant

• Responsible for the review and resolution of clinical appeals
• Reviews documentation and interprets data obtained from clinical records
• Independently coordinates the clinical resolution with internal/external clinician support as required
• Support UM, MPO, Coding, or Behavioral Health appeals.

Appeals Nurse Consultant

• lead initiatives that optimize performance, enhance patient outcomes, and support development of new pharmacy and healthcare services
• manage testing strategies and evaluate operational models
• ensure regulatory alignment and embed patient safety in innovation
• collaborate with internal and external stakeholders

Manager, Rx Product Development

Data Engineer

• Oversight and responsibility for designing, building, and maintaining scalable data pipelines and architectures
• Partner closely with analytics, data science, product, and business teams to ensure high-quality, well-structured data is available for decision-making and operational needs
• Design, build, and maintain scalable data pipelines and ETL/ELT processes
• Develop and optimize data models, data warehouses, and data lakes by working with stakeholders
• Build, optimize, and deploy forecasting models using time-series modeling, machine learning, and MLOps practices
• Apply advanced modeling and statistical analysis to Healthcare Quality metrics spanning NCQA HEDIS measures and CMS Clinical Stars
• Integrate data from multiple sources including internal systems, APIs, and third-party vendors
• Collaborate with analytics, BI, and data science teams to support reporting and advanced analytics

Manager, Data Engineering

• Perform execution of the company’s Sarbanes-Oxley (SOX) regulatory requirements
• Promote collaboration with business partners, external auditors, and management
• Execute SOX testing and support the annual planning process
• Evaluate and recommend operational and process improvements to financial compliance processes
• Collaborate on cross-functional project teams providing value in support of CVS Health’s transformational goals
• Testing and design of IT automated controls