CVS Health

Analyst

• Manage and oversee the acquisition and renewal of IT assets, software, maintenance, and associated services, ensuring compliance with company policies and industry standards.
• Coordinates the end‑to‑end procurement process by requesting quotes, validating business requirements, and ensuring renewals align with organizational needs and compliance expectations.
• Manages Labor‑Based Statements of Work (SOWs), including intake, validation, routing, tracking, and renewal, ensuring all labor engagements adhere to procurement policy, rate structures, required approvals, and contractual compliance.
• Ensures timely creation and processing of purchase orders to support maintenance renewals, new technology purchases, and labor SOW engagements.
• Supports audit readiness by maintaining contract, SOW, and renewals documentation in accordance with document retention and compliance standards.
• Collaborates closely with IT Teams, procurement, finance, legal and vendors to ensure alignment on requirements and compliance considerations.
• Works with vendor partners to clarify contract terms, SOW deliverables, renewal timelines and any required updates or modifications.
• Communicates status updates, issues, and key milestones to stakeholders throughout the acquisition and renewal lifecycle.

Senior Analyst, Tech Infrastructure

Sales

• Assist brokers with the contracting/certification process
• Handle enrollments
• Answer specific product questions
• Assist with escalated issues
• Report to the Broker Service Department in MSO but be dedicated to the appropriate market

Sales Support – Existing Business

Full-stack Engineer

• Develop a vision and formulate implementation plans to achieve end goals
• Design and implement complex software solutions for APIs, microservices, CI/CD pipelines, and real-time streaming on cloud platforms such as Azure or GCP
• Conduct research on emerging technologies, design principles, and development frameworks
• Provide technical guidance in software design and development activities
• Oversee the lifecycle process—including design, analysis, review, and testing results
• Lead the design, development, and optimization of AI/ML models for various use cases
• Perform model training, evaluation, and fine-tuning with consideration of constraints and opportunities posed by legacy architectures
• Partner with teams across functions and provide expert solutions to multiple complex technical projects/initiatives
• Establish and drive execution of technical direction, standards, guidelines, and methodologies
• Work to improve existing test automation processes, enhancing efficiency and reducing manual intervention

Staff Software Development Engineer – Agentic AI/ML

Frontend Engineer

• Responsible for designing, developing and implementing digital solutions and systems
• Apply advanced technical expertise to architect and code software applications
• Conduct system testing and debugging
• Collaborate with cross-functional teams
• Contribute to the overall technical direction and innovation of digital engineering projects

Senior Front End Engineer

Customer Support

• Creates an emotional connection with our members by understanding and engaging the member to the fullest to champion for our members' best health
• Taking accountability to fully understand the member’s needs by building a trusting and caring relationship with the member
• Anticipates customer needs
• Performs review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible
• Performs financial data maintenance as necessary
• Explains member's rights and responsibilities in accordance with contract

Customer Service Representative – Behavioral Health

Network Engineer

• Analyze network performance data to identify trends, opportunities, and areas for improvement
• Develop and maintain reports, dashboards, and data models to support decision-making
• Provide complete analyses and actionable insights to Sales and Account Management teams to support client strategies and business growth
• Utilize Microsoft Excel and Access for data manipulation, reporting, and analysis
• Collaborate with cross-functional teams to provide insights and recommendations
• Assist in the development of strategies to optimize network efficiency and effectiveness
• Ensure accuracy and integrity of data across multiple sources
• Manage multiple priorities and deliver results within tight deadlines

Network Analyst

• Manage the international supply chain financing process for CVS vendors
• Ensure accuracy of import purchase order data
• Oversee ocean‑freight invoice processing
• Support analysis for the import P&L
• Contribute to Foreign Corrupt Practices Act (FCPA) compliance
• Collaborate with suppliers, service providers, Accounts Payable, Category Management, and Inventory Management
• Serve as primary financial contact for external banking partners, Treasury, and suppliers
• Administer approximately $200M in annual product spend within the import vendor‑finance program
• Validate purchase order and product master data and coordinate corrections as needed
• Maintain amendment logs and administer the late‑shipment penalty program
• Oversee processing and payment of inbound ocean‑freight invoices
• Provide analytical support for forecasting, budgeting, and FCPA compliance

Senior Import Analyst

Data Engineer

• Architect and develop robust, scalable ETL/ELT pipelines using Cloud Dataflow, Cloud composer (Airflow), and Pub/Sub for both batch and streaming use cases
• Leverage BigQuery as the central data warehouse and design integrations with other GCP services (e.g., Cloud storage, Cloud functions)
• Build and optimize analytical data models in BigQuery
• Implement partitioning, clustering, and materialized views for performance and cost efficiency
• Ensure compliance with data governance, access controls, and IAM best practices
• Develop integrations with external systems (APIs, flat files etc.) using GCP-native or hybrid approaches
• Utilize tools like Dataflow or custom Python/Java services on Cloud Functions or Cloud Run to handle transformations and ingestion logic
• Build automated CI/CD pipeline using Cloud Build, GitHub Actions, or Jenkins for deploying data pipeline code and workflows
• Set up observability using Cloud Monitoring, Cloud Logging, and Error Reporting to ensure pipeline reliability
• Lead architectural decisions for data platforms and mentor junior engineers on cloud-native data engineering patterns
• Promote best practices for code quality, version control, cost optimization, and data security in a GCP environment
• Drive initiatives around data democratization, including building reusable datasets and data catalogs via Datapelx or Data Catalog

Senior Data Engineer

Financial Planning and Analysis

• Perform claims diagnosis to identify claims impacted by plan benefit changes
• Review the parameters of an issue and run AS400 queries to identify impacted claims
• Pull impacted claims for conversion/submission for R&R
• Complete a subsequent manual analysis in Excel of impacted claims
• Identify financial impacts to clients, members, and pharmacies due to benefit coding errors, eligibility changes, program features, and client requests
• Manage an individual queue of multiple projects in a fast-paced, process-driven environment
• Work closely with Sales, Account Management, Client Audit, Benefits, Clinical, Rebates, and other teams to manage and coordinate work

Financial Operations Analyst

• Support the development of financial models and strategic frameworks that inform clinical services initiatives and enterprise planning.
• Participate in the preparation and analysis of multi-year capital plans.
• Assist in coordinating the capital investment planning process across the organization.
• Partner with Finance and business leaders to ensure investments align with enterprise priorities.
• Help manage the investment portfolio by contributing to governance processes, compiling performance data, and supporting regular reporting on project status and outcomes.
• Contribute to the preparation of business cases and cost-benefit analyses for new initiatives.
• Support value realization by tracking and reporting financial and operational outcomes.
• Collaborate across cross-functional teams and serve as a liaison between business stakeholders, finance, and strategy teams.
• Present data and insights in a clear, structured manner to support decision-making.

Manager – Strategic Financial Planning, Investments

• Build and optimize analytical data models in BigQuery.
• Implement partitioning, clustering, and materialized views for performance and cost efficiency.
• Ensure compliance with data governance, access controls, and IAM best practices.
• Develop integrations with external systems (APIs, flat files etc.) using GCP-native or hybrid approaches.
• Utilize tools like Dataflow or custom Python/Java services on Cloud Functions or Cloud Run to handle transformations and ingestion logic.
• Build automated CI/CD pipeline using Cloud Build, GitHub Actions, or Jenkins for deploying data pipeline code and workflows.
• Set up observability using Cloud Monitoring, Cloud Logging, and Error Reporting to ensure pipeline reliability.

IT Support

• Review and complete provider solicited and unsolicited overpayment refunds and returned checks
• Research, resolve, and adjudicate complex, sensitive, and/or specialized medical claims
• Collaborate and partner with key business functions to ensure accuracy in posting overpayment refunds
• Process complex non-routine Provider Refunds and Returned Checks
• Review and interpret medical contract language using provider contracts to confirm whether a claim is overpaid
• Apply medical necessity guidelines, determine coverage, complete eligibility verification
• Ensure compliance requirements are satisfied
• Handle telephone and written inquiries related to requests for pre-approvals/pre-authorizations, reconsiderations, or appeals
• Review and handle relevant claims data mining work assigned to the team

Senior Claims Benefit Specialist – Checkwork, Refund

Auditor

• Perform second level quality inter-rater review audits of medical records coded by internal team and external vendor if applicable
• Ensure ICD codes submitted to CMS are appropriate, accurate, and supported by clinical documentation
• Act as mentor to provide education to internal staff based on audit findings
• Conduct process audits to ensure compliance with internal policies and procedures
• Work independently and collaboratively with other teams

Data Quality Auditor Analyst

• Acts as a liaison between the IT development group, business units, and the vendor for the development and implementation of enhancements to existing systems
• Evaluates quantitative and qualitative data, identifying systems requirements, end user needs, and strategies weighing upstream and downstream impacts
• Prepares communications and presentations on system enhancements and/or alternatives
• Conducts quantitative and qualitative analyses to assess business performance and identify opportunities for improvement
• Compiles clear and comprehensive documentation, such as business requirement documents and use cases
• Develops basic process maps, flowcharts, and diagrams to document as-is and to-be processes
• Conducts feasibility studies and cost-benefit analyses for proposed solutions
• Assists in conducting impact assessments and addressing user concerns timely
• Conducts meetings, workshops, and presentations to gather feedback and validate requirements

Senior Analyst, Business Analysis

Manager

• Support CMS 1/3 Financial Audits
• Coordinate and manage audit activities for health plan clients
• Work with CMS auditors, health plans, internal teams, and legal partners to ensure audits are completed smoothly
• Resolve audit exceptions—especially those related to rebates, DIR, and pharmacy contract testing
• Identify process improvements to prevent future issues