CVS Health

Director

• Collaborate with stakeholders to understand business needs and translate them into licenses acquisition requirements
• Coordinate efforts with procurement and contract team
• Ensure software quality, SLA, cost effectiveness, privacy, and compliance
• Devise negotiation strategy and license matrix that is beneficial to the company
• Collaborate with product subject matter experts, procurement sourcing and contracts team, finance
• Provide guidance and support to leadership on software evaluation, acquisitions, and maintenance of contractual terms
• Identify opportunities for cost savings and efficiency improvements
• Negotiate favorable business terms and costs of third-party software
• Optimize the utilization of products and assets through effective management
• Cultivate and manage vendor relationships effectively

Lead Director – Technical Infrastructure

Actuary

• Collaborate with market actuaries and business partners to optimize persistency and gross profit for the assigned region
• Work closely with Sales, Finance, Underwriting, Network, and Product to develop best estimate and strategic rate actions
• Partner with Rate Review and Forecasting teams for strategic planning
• Participate in centralized rate filing and implementation efforts
• Perform actuarial functions leveraging advanced quantitative and analytical skills
• Serve as Subject Matter Expert in various data warehouses
• Support national Competitive Intelligence initiatives by maintaining rate intelligence dashboards

Senior Actuarial Analyst

Analyst

• Manages execution of strategic initiatives across Small Group organization
• Generates reporting to provide Small Group insights and learnings to functional leaders
• Drives development and execution of project plans
• Leads cross-functional communication and team accountability for deadlines
• Gathers and summarizes sales and retention data to identify trends and opportunities
• Develops presentations of data to summarize results for peers and leadership

Senior Reporting Analyst – PM

Manager

• Assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness
• Developing a proactive course of action to address issues presented to enhance short- and long-term outcomes as well as opportunities to enhance a member’s overall wellness through integration
• Conducting evaluations of member’s needs and benefit plan eligibility through the use of clinical tools and information/data review
• Applying clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators impacting care planning and resolution of member issues
• Reviewing prior claims to address potential impact on current case management and eligibility
• Assessing the member’s level of work capacity and related restrictions/limitations
• Using a holistic approach to assess the need for referral to clinical resources for assistance in determining functionality
• Consulting with supervisor and others to overcome barriers in meeting goals and objectives, presenting cases at case conferences for multidisciplinary focus

Case Manager, Registered Nurse

• Lead and manage several complex audit projects at once
• Review process documentation and develop project plans and timelines
• Assign work to team members and manage scope, risks, and resources
• Review project work, provide feedback, and complete sign-offs
• Prepare clear audit reports and communicate results to leadership and the Board
• Manage project budgets and escalate resource needs when required
• Participate in department training, development, and presentations
• Perform audit testing and documentation following professional standards
• Understand business processes, risks, and controls; communicate findings clearly
• Document workflows, testing, and exceptions accurately
• Work with Internal Audit and business leaders to resolve issues promptly
• Present audit findings to audit and business management
• Complete administrative requirements and support department initiatives
• Uphold company values, including integrity, diversity, and inclusion
• Contribute to a positive, collaborative team environment

Manager, Corporate Audit

• Telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate overall wellness
• Collaboratively develops 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
• Conducts an evaluation of member’s needs and available benefits to collaborate and refer to programs offered by the plan sponsor
• Applies clinical judgment to reduce risk factors, address complex health issues and social indicators
• Utilizes case management processes in compliance with regulatory and company policies and procedures
• Utilizes interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation

Registered Nurse, Care Manager

Operations

• Coordinates and aligns activities across different operational teams to ensure smooth execution of daily operations
• Manages staffing levels, scheduling, and workload distribution to ensure adequate coverage and efficient resource utilization
• Contributes to the achievement of business objectives and ensures the organization remains competitive in the market
• Analyzes workload patterns, forecasts resource needs, and makes recommendations for adjustments or enhancements
• Monitors operational performance metrics and key performance indicators (KPIs) to assess the efficiency and effectiveness of operations
• Identifies opportunities for process improvement within the operations support functions through workflow analyses
• Addresses customer or client concerns, investigates operational incidents, and works with relevant stakeholders to identify root causes and implement corrective actions
• Establishes and enforces compliance guidelines and quality control processes including implementing quality assurance programs, and driving initiatives to improve operational compliance and quality
• Collaborates with cross-functional teams to implement process improvement initiatives and measure the impact of changes
• Facilitates effective communication within the operations support teams and with other stakeholders
• Fosters a culture of continuous improvement within the operations team by encouraging innovation, gathering feedback from employees, and implementing initiatives to enhance operational effectiveness and customer satisfaction
• Oversees ongoing training to ensure all team members are fully versed and compliant within their respective roles

Clinician Operations Manager

• Use advanced clinical judgment and critical thinking to support members’ physical and behavioral health needs
• Conduct in-depth evaluations using clinical tools and plan benefits
• Develop strategies to reduce risk factors and manage complex clinical indicators
• Perform crisis interventions, ensuring members are connected to appropriate treatment and receive timely follow-up

Licensed Independent Behavioral Health Clinician, Case Manager

Machine Learning Engineer

• Partner with stakeholders to identify, evaluate, document, and shape GenAI use cases (copilots, automation, decision support, and insight generation) with clear success metrics.
• Design solution architectures that integrate LLMs with enterprise systems, data sources, and tool/function calling while meeting latency and reliability expectations.
• Develop prototypes rapidly and validate them through evaluation, red-teaming, and user feedback; document tradeoffs and recommendations.
• Build production-grade services and full-stack experiences (APIs, UIs, workflows) with secure authentication/authorization, audit logging, and scalable deployment patterns.
• Implement safety, privacy, and compliance controls (e.g., PHI/PII protection, prompt injection defenses, data residency constraints, and policy-based filtering).
• Instrument solutions end-to-end with metrics, traces, logs, and model/app observability; contribute to SLOs, error budgets, and operational runbooks.
• Build and maintain evaluation harnesses for LLM quality, safety, and business outcomes (offline tests, golden sets, regression suites, and online experiments).
• Implement RAG pipelines (chunking, embedding, vector search, reranking) and optimize for accuracy, cost, and latency.
• Collaborate with platform teams on deployment, monitoring, drift/quality detection, and incident response for model-backed services.
• Contribute reusable libraries and patterns for prompt management, retrieval, tool calling, and policy enforcement.
• Participate in design reviews and code reviews; mentor senior and mid-level engineers on GenAI engineering practices.
• Continuously improve developer experience through templates, CI/CD automation, and documentation that accelerates safe adoption.

Staff Machine Learning Engineer – Generative AI, Full-Stack Applications

• Implement AI-powered services and application features that integrate enterprise data and systems with LLMs and ML models
• Contribute to solution design by proposing approaches, identifying dependencies, and documenting tradeoffs and implementation plans
• Deliver features using strong engineering practices: test automation, code review, CI/CD, and operational readiness
• Build and tune RAG pipelines (retrieval, ranking, grounding) and implement prompt patterns that improve reliability and user experience
• Contribute to evaluation suites and regression testing to ensure quality and safety over time
• Implement guardrails and security controls (input/output validation, policy filtering, and data protection patterns) under guidance from senior engineers
• Instrument services with metrics, traces, logs, and dashboards; participate in incident response and post-incident improvements
• Support performance and cost optimization efforts (latency, throughput, caching, and model selection)
• Follow and reinforce platform standards for deployment, versioning, monitoring, and documentation
• Work closely with product, design, security, and platform teams to refine requirements and deliver customer-focused outcomes
• Mentor engineers at earlier career stages and share practical learnings with the broader AI/ML community of practice
• Stay current on GenAI and ML platform trends; propose incremental improvements that raise quality and accelerate delivery.

Senior Machine Learning Engineer – Generative AI, Full-Stack Applications

• Lead daily operations for virtual workspace services, ensuring stable execution of monitoring, alert response, and ticket queues
• Own operational execution for high-volume requests and support work, including provisioning workflows and manual remediation when automation fails
• Serve as the operational leader for escalations, coordinating triage and restoration across internal teams and vendor resources; drive disciplined updates and stakeholder communications through incident lifecycle
• Manage the staff augmentation partner relationship delivering offshore operations support: staffing/coverage, quality, adherence to process, service review cadence, KPIs, and corrective actions
• Coordinate operational readiness and execution for platform changes and maintenance activities; ensure schedule adherence and operational follow-through
• Deliver daily/weekly operational reporting with trends, escalations, backlog, and improvement actions; run regular service reviews with stakeholders and vendor leadership
• Leverage AI-powered operational capabilities within ServiceNow operations tooling (including AIOps-focused dashboards/features) to improve alert triage efficiency, correlation, and operational decision-making

Manager – Virtual Workspace Services Operations

Account Executive

• Serve as the senior level liaison for PBM clients
• Leading the strategic account team with full ownership for client satisfaction and service delivery
• Developing strong internal and client relationships through proactive interactions and strong verbal and written communication skills
• Working collaboratively with internal teams including medical, account management, clinical, product, operations, and underwriting
• Utilizing your consultative selling skills to recommend CVS Health solutions to meet key client needs and influence client up-sell opportunities
• Developing and delivering quarterly and annual reporting to clients on their drug trend, financial performance, and client cost-saving opportunities
• Executing client renewals by building relationships with key client stakeholders

• Oversee day-to-day operations for nine clinics and a team of approximately 200 colleagues and seven direct reports, ensuring high performance and alignment with Oak Street Health’s mission
• Own full P&L responsibility, driving profitability while maintaining high standards of care and service
• Consistently exceed clinical quality metrics, patient acquisition goals, and financial targets
• Build strategic partnerships with local healthcare providers, health plans, insurance agencies, and community organizations to accelerate growth and improve outcomes
• Serve as a visible and trusted leader in the community, cultivating relationships with key stakeholders and organizations
• Partner with your Senior Medical Directors (dyad partners) to foster a collaborative, high-performing team environment focused on delivering exceptional patient care
• Work with the Treehouse (Oak Street Health’s Shared Services) to develop and execute on Oak Street Health’s top strategic priorities
• Share best practices and collaborate with peers across markets to drive enterprise-wide success
• Embody and promote Oak Street Health’s mission-driven, patient-first culture.

Executive Director – Regional Leader

Call Center Representative

• Conduct outbound calls to patients that qualify for adherence-based programs, ensuring timely and consistent communication (i.e. provide one-on-one support for patients who were unable to fill their prescription due to an inventory shortage, patients who are non-adherent to medications, etc.)
• Address patient concerns, troubleshoot issues, and provide appropriate resolutions, ensuring patient satisfaction and program success
• Identify clinical support needs and escalate calls to Pharmacists on the team to further discuss concerns such as medication adherence barriers or clinical-related challenges faced by patients, enabling timely intervention and resolution
• Use CVS Procedures and guidelines to handle patient prescription requests within HIPAA guidelines and enter refill order for processing
• Utilize computer systems, software, and databases to accurately record patient information and interactions, call outcomes, program enrollments, and progress updates
• Maintain confidentiality and adhere to all relevant patient privacy regulations and company policies during all interactions and data handling processes
• Collaborate with cross-functional teams to identify areas for program improvement, propose innovative ideas, and contribute to the development and implementation of patient-centric enhancements
• Identify and communicate issues to senior level staff as appropriate
• Communicate effectively with team lead and supervisor through huddles, team meetings, cohort refreshers, technology updates

Pharmacy Technician, RX Call Center

• Implements incident management processes and procedures to ensure timely resolution of production issues
• Works with cross-functional teams to identify and address root causes of production incidents
• Develops actionable insights on system health and performance
• Coordinates the implementation of automated tools and software to enhance operational efficiency
• Conducts incident post-mortems and root cause investigations
• Creates and maintains relationships with business stakeholders
• Prioritizes support tasks based on criticality and business impact
• Guides junior-level production support team members
• Ensures that support procedures, incident resolutions, and system configurations are well-documented