CVS Health

Director

• Develop and execute Trade growth strategy: Identify and implement new initiatives to meet or exceed growth targets.
• Create business cases for new initiatives: Design, construct, and execute analyses to meet business case requirements using data.
• Incubate and launch new growth opportunities: Ensure seamless project management of new ventures by influencing cross-functional partners.
• Manage personnel: Manage daily activities, including setting work activities, goals, priorities, and supporting colleague development.
• Produce thought leadership per executive requests: Research, draw relevant insights, and prepare responses for senior enterprise stakeholders.

Lead Director, Trade Formulary Innovation

Analyst

• Acts as the primary resource for assigned, high profile providers or groups to establish, oversee, and maintain positive relationships.
• Optimizes interactions with assigned providers and internal business partners.
• Monitors service capabilities and collaborates cross functionally to ensure that the needs of constituents are met.
• Supports or assists with operational activities that may include database management, and contract coordination.
• Performs credentialing support activities as needed.
• Educates providers as needed to ensure compliance with contract policies and parameters.

Senior Analyst, Network Relations

Account Executive

• builds strategic partnerships with assigned producers and customers to achieve profitable growth
• oversees targeted business prospects to develop new opportunities and cross sell business
• identifies opportunities to partner with the client by illustrating a keen understanding of clients' needs
• develops, executes, and communicates company objectives aligned with prospect’s objectives
• coordinates sales materials and support from SMEs for client presentations
• collaborates with underwriting to prepare competitive quotes
• creates open enrollment plans with producers and plan sponsors
• monitors industry information and competitive environment of the marketplace
• collaborates with internal and external partners to uncover opportunities.

Sales Executive

• Builds strategic partnerships with assigned producers and customers to achieve profitable growth
• Oversees targeted business prospects to develop new opportunities and cross sell
• Manages and builds producer relations as needed
• Identifies opportunities to partner with the client by drawing from the entire spectrum of product lines
• Develops, executes, and communicates company objectives that are aligned with prospect’s objectives
• Coordinates sales materials and testimonials to put together presentations for clients
• Delivers organized polished presentations of solutions with benefits tied to constituents’ needs
• Collaborates with underwriting to prepare competitive quotes
• Creates open enrollment plan with producer and plan sponsor
• Monitors industry information and competitive environment to position Aetna’s strength
• Ensures product, pricing and services meet client's needs
• Manages/coordinates the integration of client’s and Aetna’s internal organizations

Sales Executive – Northwest Region

Manager

• Lead SOX (Sarbanes-Oxley) compliance for the Health Services segment
• Partner with internal audit teams, business leaders, and external auditors to strengthen financial controls
• Manage multiple SOX projects from planning to completion
• Lead annual SOX planning (risk assessment, scoping, materiality)
• Evaluate key controls and define testing approaches
• Oversee audit fieldwork and review deliverables
• Complete required reporting and support department initiatives

Manager, Corporate Audit

Call Center Representative

• Field inbound calls for refill requests, investigate the status of refills, and fulfill medication renewal requests as indicated
• Contacts patients and assists/reminds them in obtaining refills on their medications from their respective pharmacy, whether it be retail, independent or mail-order pharmacy.
• Make outbound calls to pharmacies on behalf of the patient when needed
• Responsible for 40-50 calls per day volume inbound and/or 60-80 calls outbound
• Coordinate with center care teams to overcome identified barriers that prevent patients from receiving refills
• Utilize electronic medical record platform to send requests and updates to field care teams
• Document clear and precise information into applicable electronic platforms
• Capture and document all patient requests prior to ending the call
• Monitor the CareReq queue to ensure the completion of any open requisitions
• Arrange transportation for center visits
• Schedule off-cadence or requested patient appointments
• Utilize triage nurse line, using warm transfers, when needed for acute healthcare concerns
• Execute prescription requests according to up-to-date process standards and policies
• Engage with patients in an environment free from background distractions that supports a private home office that ensures patient information is protected
• Meet and exceed departmental metrics; stay informed of changes and updates to department metrics
• Responsible for maintaining licensure and certification
• Complete all Continuing Education expectations
• Other duties as assigned

Call Center Pharmacy Technician – Level 1

Account Manager

• Acts as the primary resource for assigned, high profile providers and/or groups (i.e. local, individual providers, small groups/systems) to establish, oversee, and maintain positive relationships
• Monitors service capabilities and collaborate cross-functionally
• Supports or assists with operational activities that may include, but are not limited to, database management, and contract coordination
• Performs credentialing support activities as needed
• Educates Medicaid providers as needed to ensure compliance with contract policies and parameters
• Meets with key Providers at regular intervals to ensure service levels meet expectations
• Provides guidance and training to team members
• Collaborate with Provider Enablement & Strategy

Network Relations Manager

Full-stack Engineer

• Design and develop cloud scalable services in a containerized and CI/CD environment
• Collaborate in solving problems complex data, features, service, platform issues and perform root cause analysis to proactively resolve product and operational issues
• Partner with business and product management counterparts to define and prioritize opportunities to improve value creation and align on shared KPIs to measure success
• Implement Circuit Breakers and Service Discovery patterns for the Microservices and ensure that patterns are stringently followed for every integration inbound to/outbound from Microservices
• Design and implement real-time Streaming of data from No-SQL/SQL databases to analytics
• Provide ongoing maintenance, support and enhancements in existing systems and platforms

Staff Software Development Engineer

• Contributes to the development of product strategies and roadmaps
• Analyzes customer needs, pain points, and preferences to guide product development
• Collaborates with cross-functional teams to define product vision
• Engages with key stakeholders to gather insights

Senior Manager, Product

• Support the execution and maintenance of rebate forecasting processes, including updates to model inputs, tables, and supporting assumptions.
• Assist with ongoing maintenance of forecasting tools, including updates to rates, modifiers, and override logic as needed.
• Contribute to coding and troubleshooting within forecasting tools (e.g., formula-based logic and model structures).
• Perform ad hoc analyses and reporting to support rebate forecasting decisions, including evaluation of formulary changes, pricing strategies, and forecasting assumptions.
• Support factor analysis and investigation of changes in forecast outputs, including identification of key drivers and validation of results.
• Assist in developing materials and summaries to support leadership review and decision-making processes.
• Support key forecasting cycles and periodic processes (e.g., bid support, annual refreshes, and assumption reviews), ensuring timelines and deliverables are met.
• Review and validate updates to forecasting assumptions, including confirmation of new or retiring strategies.
• Participate in cross-team testing efforts, including end-to-end validation of forecasting outputs with underwriting and partner teams.
• Support quality control processes, including review of model outputs, reconciliation activities, and issue identification/tracking.
• Partner with stakeholders across Underwriting, Trade, Pricing Strategy, and tool development teams to gather requirements, resolve issues, and ensure alignment on deliverables.
• Coordinate feedback intake and issue tracking processes, ensuring timely follow-up and resolution of identified items.
• Maintain and update documentation related to rebate forecasting tools, assumptions, and processes.
• Identify opportunities to improve efficiency, reliability, and transparency of rebate forecasting processes and tools.
• Support team-level metrics, reporting, and tracking of key activities where required.

Manager, Rebate Forecast Tools

Data Scientist

• This position will focus on clinical supplemental data acquisition and integration to support Aetna's quality measures including but not limited to Medicare Stars and Hedis.
• Develop and validate statistical models and predictive algorithms
• Perform exploratory data analysis on structured and unstructured datasets
• Build repeatable analytical solutions using established tools and best practices
• Partner with stakeholders to translate business questions into analytical approaches
• Produce insights, metrics, and dashboards to support decision‑making
• Operate within defined governance, ethical, and data‑privacy standard

• Assist the Executive Director of Trade Relations in the negotiation strategies with pharmaceutical manufacturers and suppliers.
• Implement pharmaceutical procurement strategies that directly supply to the bottom line of a Fortune 6 organization.
• Negotiate rebates as part of Zinc Health Services for CVS Health and other participants.
• Identify and develop formulary strategies in targeted therapeutic categories.
• Hold direct account responsibilities for manufacturers and play a significant role in maintaining and growing manufacturer relationships.
• Develop manufacturer level strategies account relationship management and direct accountability for rebate contracting with the manufacturer.
• Work with multiple internal and external partners to establish relationships and articulate potential management strategies with a deep understanding of utilization and cost patterns.
• Assist Zinc Trade leadership in meeting financial goals, including rebate generation.

Lead Director, Pharma Contracting

• Identify and communicate measurement best practices
• Manage a team of client‑facing insights managers
• Guide measurement roadmap with product and data science teams
• Serve as an advisor to external client leaders
• Lead complex, strategic discussions on measurement methodologies
• Develop insights to inform best practices and performance benchmarks
• Stay ahead of emerging trends in measurement

Director, Client Insights – Strategy

• overseeing all day-to-day PBM operations
• acting as the liaison between clients and cross-functional internal teams
• ensuring timely/successful delivery of client requests
• managing the resolution status of routine to complex requests
• driving resolution within a timely manner and ensuring that all Client Performance Guarantees are met

Account Manager – Analyst

Machine Learning Engineer

• 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 and implement prompt patterns
• Contribute to evaluation suites and regression testing to ensure quality and safety
• Implement guardrails and security controls under guidance from senior engineers
• Instrument services with metrics, traces, logs, and dashboards
• Support performance and cost optimization efforts