CVS Health

Artificial Intelligence

• Aetna Marketing is seeking a Manager – AI User Enablement to accelerate responsible adoption of AI across marketing workflows
• Own marketing skills mapping and inventory of existing AI learning materials
• Define learning paths and training & certification milestones relevant to Aetna Marketing needs
• Design and deliver 3–4 training workshops annually for Aetna Marketing at a team-level; create micro-learning, guides, videos, and quick-start checklists
• Build and maintain toolkits (prompt libraries, brand/compliance checklists, starter kits) that reduce time to value and improve output quality
• Launch and coordinate an AI Champion/Change Agent program (volunteer cohort): office hours, monthly roundtables, and best-practice circles
• Perform platform usage analysis (e.g., Copilot/365, Writer AI, Adobe), identify friction points, and recommend optimizations
• Triage skills gaps and maintain known-issues documentation; coordinate with vendors and internal teams for resolution
• Partner with Brand, Compliance, and DDAT AI Governance to operationalize responsible AI practices and maintain audit-ready documentation
• Support the adoption and scaled rollout of brand voice and compliance AI agents, ensuring outputs align with Aetna brand standards and policies
• Align activities with the Project Manager and with the Lead Director

Manager – Marketing AI User Enablement

Machine Learning Engineer

• Lead, coach, and develop a team of AI Engineers, including team leads and senior engineers
• Establish clear goals, performance expectations, and development plans aligned with AI Engineering career frameworks
• Foster a culture of technical excellence, accountability, inclusion, and continuous improvement
• Support hiring, onboarding, and team capacity planning to meet delivery and growth objectives
• Provide regular feedback, mentorship, and succession planning for key technical and leadership roles
• Own delivery of multiple concurrent AI initiatives, ensuring solutions are scalable, reliable, and production-ready
• Guide architecture and design decisions for AI systems, pipelines, and platforms in partnership with senior engineers
• Ensure best practices across model development, deployment, monitoring, and AI lifecycle management
• Drive operational excellence, including reliability, performance, cost efficiency, and incident management
• Partner with product, data science, engineering, and business leaders to translate business needs into AI solutions
• Contribute to AI Engineering strategy, roadmaps, and prioritization decisions
• Communicate progress, risks, and trade-offs clearly to leadership and stakeholders

Senior Manager, Machine Learning Engineering

Director

• Provide strategic leadership by serving as the business owner of our Provider Relationship Management assets owning the platform strategy and developing and executing a multi‑year platform roadmap aligned to business priorities, customer needs, and enterprise strategy
• Set and communicate investment priorities, facilitate business case development, and guide funding decisions
• Champion delivery of measurable business outcomes, tying product work directly to growth, cost, quality, and provider experience objectives
• Develop and ensure operational and service excellence and adherence to SLAs and Key Performance Indicators, manage ad-hoc requests, and ensure compliance with regulatory requirements
• Lead and mentor a high performing team fostering a culture of accountability, continuous learning, and collaboration
• Promote a product mindset through continuous improvement methodologies to implement new platform capabilities, improve operational efficiency, and ensure project delivery rigor
• Provide cross functional leadership by working with IT, business customers, and other stakeholders to implement operational processes and performance tracking to ensure consistent delivery that is both on time and on budget
• Plan and execute change management activities to drive adoption and ensure smooth transitions for end users during enhancements, new features, and process changes

Lead Director, Network Platform Solutions

Medical Director

• Provide leadership and day-to-day physician oversight for utilization management team, including the management of high-risk cases and medical necessity decisions
• Provide comprehensive behavioral health care management to facilitate delivery of appropriate quality care and improve program/operational efficiency involving clinical issues
• Participate in the appeals process, including the investigation of adverse events and quality of care concerns
• Provide psychiatric leadership to an interdisciplinary utilization management team, including medical/clinical oversight, consultation and training
• Provide day-to-day physician oversight including management of high-risk cases throughout treatment/levels of care and medical necessity decisions
• Assist with the development, implementation, monitoring and evaluation of the utilization management program and action plan, ensuring quality and appropriateness of care
• Assist with the development, implementation and interpretation of medical policy including medical necessity criteria, clinical practice guidelines and new technology assessments
• Participate in the development, implementation, and evaluation of clinical/medical programs
• Confer with behavioral health practitioners regarding the care of patients with severe, complex and/or treatment resistant illnesses
• Identify and address quality of care concerns with providers involved in a member's care
• Provide psychiatric leadership for NCQA-compliant clinical quality improvement activities in collaboration with clinical and quality improvement staff
• Participate in the triage and referral for care management
• Provide weekend coverage every 6-7 weeks.
• Perform other duties as deemed necessary.

Behavioral Health Medical Director

Auditor

• Audit NOA letters for compliance with AHCCCS (Arizona Health Care Cost Containment System), CMS (Centers for Medicare & Medicaid Services), and other regulatory standards.
• Ensure letters are easy to understand, free of spelling/grammar errors, and clinically accurate.
• Review and validate clinical definitions and terminology used in letters.
• Audit requests across multiple service types: pharmacy, medical, dental, and behavioral health.
• Provide feedback to letter writers and team leads to support quality improvement.
• Track audit results and identify trends or recurring issues.
• Collaborate with QA (quality assurance) and Training teams to refine audit tools and update training materials.
• Participate in calibration sessions to ensure consistency in audit standards.
• Stay current with changes in clinical guidelines and regulatory requirements.
• Assist in completing NOA letters and faxes when needed due to volume.
• Help translate complex medical language into member-friendly terms.

Clinical Auditor, Notice of Action

Manager

• Conducting telephonic assessments and coordinating all aspects of case management
• Developing proactive care plans to improve both short‑ and long‑term member outcomes and promote holistic wellness
• Use clinical tools, data, and benefit plan knowledge to assess member needs and coordinate seamless transitions into Aetna programs and services
• Apply clinical judgment to address barriers, risk factors, and complex medical or social issues that influence care planning
• Conduct thorough assessments that incorporate multiple data sources and consider all relevant conditions, including co‑morbidities
• Review historical claims to identify potential impacts on current case management or eligibility
• Evaluate members’ work capacity and functional limitations
• Identify when referral to additional clinical resources is needed using a holistic perspective
• Collaborate with supervisors and multidisciplinary teams to overcome barriers and improve care outcomes; present cases in case conferences
• Ensure compliance with regulatory requirements and company case management protocols
• Use effective interviewing and engagement techniques to understand members’ health status and needs

Case Manager, Registered Nurse

Content Marketing Manager

• Translate complex concepts and processes into compelling, easy-to-follow design with exceptional content.
• Conduct UX research and champion data science to understand user behaviors and uncover new opportunities to reach customers with appropriate content and reduce friction.
• Create content and design ecosystems for multiple channels, devices and touch points across user journey flows, meeting user needs and adhering to enterprise standards.
• Challenge the status quo and know when to advocate for new design patterns versus relying on old systems.
• Drive collaboration with designers, product managers, and diverse business stakeholders to inform requirements to think beyond the product lifecycle and optimize content and user journey.
• Lead other content strategists/designers in developing user stories and providing guidance on priorities.
• Facilitate workshops and design crits and own content reviews and iterations across stakeholders from product to legal.

Senior Content Designer

Compliance

• Responsible for the management, execution, and oversight of the compliance program activities and deliverables of a Medicaid managed care organization
• Acts as the primary liaison to the state Medicaid agency, facilitating compliance and contract-related communications and activities
• Maintain the systems and tools to track, monitor, review, and submit required regulatory and compliance related deliverables
• Independently prepares and oversees the submission of complex regulatory reports and deliverables as needed
• Facilitates the preparation for and management of external audits conducted by state Medicaid and related agencies or partners
• Lead and execute all elements of the Medicaid compliance program for Aetna’s OH Medicaid health plan
• Conduct research and develop recommendations to help develop compliant business operations, processes, and policies
• Develop compelling, strategic, and appropriate compliance related communications
• Maintain an in-depth working knowledge of the health plan’s contractual, regulatory, and program policy related obligations
• Identify key areas of risk or concern and conduct oversight and monitoring to evaluate levels of compliance; support business partners in the development of mitigation and corrective action plans
• Maintain positive, productive relationships with internal and external senior level constituents
• Provide training and guidance to less experienced team members

Senior Manager, Medicaid Compliance

Backend Engineer

• Develop and maintain backend microservices using Java and Spring Boot
• Build and integrate APIs (both GraphQL and REST) for scalable service communication
• Deploy and manage services on Google Cloud Platform (GKE)
• Work with Google Cloud Spanner (Postgres dialect) and pub/sub tools like Confluent Kafka (or similar)
• Automate CI/CD pipelines using GitHub Actions and Argo CD

Senior Software Engineer – Java Backend

AI Engineer

• Lead, coach, and grow a team of senior and principal AI, backend, and front-end engineers
• Define technical strategy, roadmaps, and priorities in partnership with Product
• Establish standards and processes that enable consistent, predictable delivery
• Scale and enhance production AI systems to improve reliability, performance, and impact
• Hire and develop top-tier engineering talent
• Ensure solutions meet security, compliance, and responsible AI expectations
• Represent the team in cross-functional and leadership forums

Director, AI Engineering

• Partner and collaborate with engineering managers, business analysts, architects, quality assurance, business partners, developers, and product owners to translate business requirements and architectural designs into engineering components
• Involved throughout the entire development life cycle of a product and must deliver an efficient solution
• Write and execute unit tests, conduct code reviews, debug, and troubleshoot issues to ensure reliability and stability of digital solutions
• Leverage advanced programming skills to design and implement complex features, optimize performance, and ensure code efficiency
• Integrate various software components or systems, ensuring seamless communication and interoperability
• Participate in SAFe agile methodologies, attend meetings, and contribute to project planning and progress tracking
• Explore new tools, frameworks, and techniques to improve digital solutions and drive innovation
• Create and maintain technical documentation, including system designs, architecture diagrams, and code documentation

Full Stack Software Development Engineer, Java

Analyst

• Telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members
• Evaluating the medical needs of the member to facilitate the member's overall wellness
• Effectively manage a caseload that includes supportive and medically complex members
• Developing a proactive course of action to address issues presented to enhance outcomes and opportunities for member's overall wellness
• Determining appropriate services and supports due to member's health needs

Bilingual Analyst, Case Management

Therapist

• Provide psychosocial support and education needed to address the mental wellbeing of individuals, couples/families ages 13+.
• Empower therapists to practice at the top of their license with the support of clinical care team, while reaching patients within their communities.
• Access to assessment and treatment planning tools to elevate and support the continuity of care for patients.
• Career growth and professional development within the organization.
• In-depth training, development, and support.

Mental Health Therapist

Human Resources

• Collaborating with senior executives and business leaders to understand the organization's strategic direction and translate it into Human Resources strategies and initiatives.
• Assessing the organization's structure, identifying opportunities for optimization, and developing strategies to enhance organizational effectiveness.
• Providing thought leadership and strategic advice on people-related issues, helping to shape the overall business strategy.
• Leading or participating in Human Resources projects or initiatives aimed at enhancing Human Resources processes, employee engagement, or diversity and inclusion efforts.
• Utilizing Human Resources data and analytics to provide insights and recommendations to business leaders by analyzing workforce data, identifying trends, and developing metrics to measure the effectiveness of HR programs and initiatives.
• Providing strategic Human Resources guidance, influencing decision-making, and fostering strong partnerships across the organization.
• Supporting change management initiatives and fostering employee engagement within the organization by helping leaders effectively communicate and manage change, anticipating, and addressing employee concerns, and creating strategies to foster a positive and inclusive work environment.
• Providing guidance and support to business leaders on employee relations matters and performance management.
• Ensuring Human Resources policies and practices strictly align with legal requirements and industry regulations.

Senior Manager, HR Business Partner

Account Executive

• Develops strong personal and collaborative internal and external relationships to manage a book of business
• Utilizes account management objectives to build and maintain strong external and internal relationships
• Achieves customer satisfaction, revenue, membership, and earnings objectives
• Executes tactical components of the account team’s business plan for each customer
• Manages daily service Plan Sponsor/Producer Concerns
• Monitors client’s product lines and services to ensure needs are met
• Consults with stakeholders to develop innovative ways to retain customers
• Collaborates cross-functionally to identify, implement, and monitor customer service efficiencies