CVS Health

Support Engineer

• Deliver high‑quality customer support by handling inbound calls and providing accurate, timely information
• Support the inbound Fox Corporation call queue, serving as the first point of contact for Fox members
• Manage a consistent flow of incoming calls, actively listen to member concerns, and provide clear guidance or resolutions
• Maintain strong adherence to service‑level agreements, quality standards, and confidentiality requirements
• Support departmental and cross‑functional initiatives by coordinating and executing project tasks, documenting progress, and ensuring project deliverables are completed on schedule

Operations Support Analyst

Manager

• Coordinate effective resolution of member and/or provider/practitioner appeals, complaints and grievances.
• Responsible for day-to-day management of staff to ensure effective resolution of member or provider/practitioner appeals, complaints and grievances for all products.
• Ensure timely, customer focused response to appeals, complaints and grievances.
• Responsible for day-to-day implementation of Aetna's appeals, complaints and grievances policies and procedures.
• Identifies trends and issues; reports on and recommends solutions.
• Accountable for meeting the financial, operational, and quality objectives of the unit.
• Manages team's productivity and resources, communicates productivity expectations and balances workload to achieve customer satisfaction through prompt/accurate handling of customer concerns.
• Serves as a content model expert and mentor to team regarding Aetna's policies and procedures, regulatory and accreditation requirements.
• Manages to performance measures and standards for quality service and cost effectiveness and coaches the team/individuals to take appropriate action.
• Participation in the staff selection process using clearly defined requirements in terms of education, experience, technical and performance skills.
• Build strong functional teams through formal training, diverse assignments, coaching, mentoring and other developmental techniques.
• Assesses developmental needs and collaborates with others to identify and implement action plans that support the development of high performing teams and individuals.
• Ensures work of team meets federal and state requirements and quality measures, with respect to letter content and turn-around time for appeals, complaints and grievances handling.
• Holds individuals/team accountable for results; recognize/reward as appropriate.
• Lead change efforts while managing transitions within a team.
• Identifies trends and emerging issues and reports on and gives input on potential solutions.

Medicaid Appeals & Grievance Associate Manager

Account Manager

• Develop and execute national distribution strategies that accelerate growth across the Small Group and Individual lines of business
• Manage key relationships with General Agencies (GAs), broker partners, and external distribution organizations to expand market reach, improve sales execution, and drive profitable membership growth
• Serve as a strategic bridge between Sales Leadership, Product, Actuarial, Marketing and Operations to ensure alignment between enterprise priorities and field execution
• Oversee distribution performance, support contract negotiations, drive incentive programs and identify new partnership opportunities that enhance competitiveness in the Dental & vision marketplace

Senior Manager, Dental & Vision Distribution Partnerships

• 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 the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness through integration
• Conducting an evaluation of member’s needs and benefit plan eligibility and facilitating integrative functions as well as smooth transition to Aetna programs and plans
• Applying clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact 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
• Consulting with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management

Case Manager – Registered Nurse, Compact RN License Required

• Lead the development and execution of enterprise-wide customer experience change initiatives.
• Partner with cross-functional teams to align change efforts with business goals and strategic priorities.
• Serve as a trusted advisor to business leaders on change readiness, stakeholder engagement, and communication planning.
• Design and execute engagement strategies to increase adoption of our Enterprise Customer Experience & Insights strategies, initiatives, and innovative technologies.
• Implement systems to ensure that business goals, analytic findings, and proposed solutions are defined in objective terms that clearly state the nature of the opportunities and their value to customer solutions.
• Adjust existing change management processes, tools, and skillsets to ensure the optimal usage of existing capabilities, developing new tactics as needed.
• Support internal communication plans to drive awareness and engagement with our customer experience strategy.
• Conduct training needs assessments to identify performance gaps, learning objectives, and audience requirements.
• Design and develop instructional design plans that outline learning strategies, delivery formats, and evaluation methods tailored to business needs.
• Create a variety of change management deliverables including: Self-paced learning modules, Facilitator-led workshops, How-to guides and FAQs.
• Produce, edit, and deliver video content for internal campaigns, training, and storytelling.
• Collaborate with creative and communications teams to ensure video and visual assets align with learning objectives.
• Design visual assets for presentations, FAQs, and internal communications.

Manager – CX Change Management

Full-stack Engineer

• Provide strategic and hands-on leadership for engineering teams supporting the Sales Enablement Platform
• Lead a hybrid, cross-time-zone engineering organization, managing managers, contractors, and full-time engineers
• Define, plan, and execute modernization roadmaps in partnership with product, architecture, security, compliance, and Medicare sales business stakeholders
• Ensure delivery excellence through modern engineering and delivery practices, including Agile, DevOps, CI/CD, and quality automation
• Drive platform stability, scalability, and performance across sales workflows, agent-facing tools, and supporting services
• Oversee budget planning, vendor management, resource allocation, and long-term capacity planning
• Ensure compliance with enterprise policies, Medicare regulatory requirements, HIPAA, and other applicable standards
• Promote engineering best practices, talent development, and a culture of accountability and continuous improvement
• Partner with enterprise data teams to align platform capabilities with broader data strategy

Lead Director, Software Engineering

Data Engineer

• Identifying, analyzing, and drawing conclusions from raw data
• Using software to automate data collection and modification
• Sourcing missing data
• Predicting trends or patterns in complex data sets
• Developing, updating, and automating reports and dashboards using visualization tools
• Assessing the quality of data, removing or cleaning data

Associate Data Engineer – Enterprise Identity Services

Analyst

• Supports the daily processing of appeals in the Par Provider Dental Appeals department
• Completing appeals determination letters
• Prepping dental requests
• Updating systems
• Completing reporting as necessary
• Working collaboratively with clinical support staff (Medical Directors, Nurses, Providers, etc.)
• Movement of cases in the MedHok system
• Responsible for managing to resolution complaint/appeal scenarios for dental products
• Ensure timely, provider focused response to complaints/appeals
• Identify trends and emerging issues and report and recommend solutions

Dental Healthcare Analyst

• Responsible for the oversight and integration for successful onboarding of new or reactivated providers
• Establish and maintain comprehensive onboarding implementation processes with recruitment, credentialing, HR, IT, and clinical teams
• Confidently own a “book of business” and KPIs of the health of each stage
• Create and maintain detailed project plans and timelines for onboarding activities
• Facilitate education to enable completion of key onboarding activities including training sessions and job aides
• Provide 1:1 onboarding support to providers during standard and non-standard business hours
• Ensure completion of all learning management system module completion
• Organize orientation, first month’s schedule, travel requirements, and system access

Analyst, Provider Onboarding

• Ensure technical design supports objectives and measures appropriately tying back to concept objectives supporting business goals
• Lead the technical design process
• Prioritize the product backlog as a list of work for development derived from the product roadmap and its requirements
• Define what can be delivered according to project plans
• Utilize retrospectives as an opportunity to reflect on collaboration efforts
• Conduct demos to show the value of the product, project or service

Senior Manager – Digital Product, Healthcare Delivery

• Accountable for the delivery of outstanding Absence Management and related Colleague Services
• Support a service delivery model that reflects empathy and care for all colleagues
• Administer leave of absence requests under FMLA, State regulations and Company leave policies
• Utilize the myLeave system for leave of absence to ensure compliance
• Review and analyze leave of absence requests that are not eligible
• Research and resolve tier 2 escalations and ensure outcome is documented
• Conduct colleague outreach calls to ensure support through the leave
• Communicate with colleagues and stakeholders to assist with questions
• Work collaboratively with members of the LOA Team to ensure compliance
• Perform all other leave of absence case management duties assigned

LOA Case Manager I

Consultant

• Plays a critical role in advancing national growth strategies across Small Group, Individual and Student Health lines of business.
• Partners closely with Sales leadership, Product, Actuarial, Distribution, Marketing, and Operational teams to drive scalable solutions.
• Leads strategic initiatives aligned to enterprise priorities, including quoting simplification and distribution expansion.
• Serves as a trusted advisor to leadership, leveraging data-driven insights to influence decision making.
• Identifies performance opportunities and translates strategy into execution.

Senior Business Consultant Manager, Dental and Vision

Accounts Receivable

• Enter monthly invoices, debit notes, and credit notes into accounting system
• Process deposits against the appropriate customers and accounts
• Balance deposits in the accounting system
• Follow systems of checks and balances
• Allocate broker commissions for payment
• Answer internal and external customer calls
• Update customer-related information in accounting system
• Identify and resolve problems in timely manner
• Follow up on delinquent accounts and own accountability for open items
• Collect and post claim payments against monthly invoices in accounting system
• Enter and process monthly fee claims for ancillary product offerings via claim system
• Process advanced accounting entries, such as reclasses, debits & credits

Senior Accounts Receivable Specialist

Operations

• Support execution of strategic transformation initiatives across the Digital Engineering organization
• Coordinate large-scale modernization efforts including platform evolution, digital experience improvements, AI adoption, and engineering productivity initiatives
• Help drive change management strategies that enable teams to successfully adopt new platforms, tools, and operating models
• Track and coordinate cross-team initiatives spanning Digital Experience, Platform Engineering, AI, SRE, and Integrations
• Establish mechanisms to monitor progress, risks, and dependencies across complex transformation programs
• Ensure leadership visibility into critical milestones, program health, and execution outcomes
• Manage the operating cadence of the Digital Engineering leadership team
• Partner with leadership to strengthen employee engagement, collaboration, and organizational morale

Senior Manager – Technology Transformation, Operations

ServiceNow

• Collaborate with Risk and business stakeholders to refine and prioritize new BCM requirements.
• Oversee the full development lifecycle of user stories, ensuring clarity, alignment, and timely delivery.
• Provide direction to developers, reinforcing platform standards and leading coding practices.
• Stay current on upcoming ServiceNow release features and assess relevance with stakeholders.
• Triage, investigate, and resolve product issues in accordance with enterprise SLAs, driving continuous improvement.