CVS Health

Project Manager

• Support planning, execution, and delivery of projects across assigned client accounts.
• Develop and maintain project timelines, work plans, and status trackers.
• Monitor progress against milestones and proactively identify risks or delays.
• Coordinate internal resources and ensure alignment across teams.
• Partner with Account Managers & Account Management leads to support client deliverables, reporting, and strategic initiatives.
• Prepare client-ready materials, including presentations, updates, and summaries.
• Maintain organized documentation for projects, accounts, and deliverables.
• Document and maintain account management policies, procedures, and standard operating practices.

Account Management Project Manager – Small to Mid Size Business

Account Executive

• Own Territory Growth & New Logo Acquisition
• Drive new business sales strategy and execution across assigned territory
• Identify, develop, and close new logo opportunities
• Build and manage a robust pipeline aligned to growth targets
• Cultivate trusted advisor relationships with key consultants and brokers
• Proactively position RFL capabilities within consultant channels
• Manage RFPs & Finalist Pursuits
• Lead end-to-end RFP strategy, response, and submission
• Shape deal strategy, messaging, and win themes
• Deliver compelling finalist presentations that differentiate RFL
• Navigate Pricing, Underwriting & Deal Approvals
• Partner cross-functionally to develop competitive, profitable proposals
• Lead pricing strategy and negotiation in alignment with margin goals
• Secure internal approvals and drive deals to close
• Clearly articulate RFL’s clinical, digital, and operational differentiation
• Maintain accurate forecasting, pipeline management, and reporting
• Collaborate with internal partners across account management, clinical, product, and underwriting

Senior Sales Executive, Mental Wellbeing

Manager

• Direct in-depth market, customer, and competitor research to inform capture strategy
• Collaborate with capture leadership, proposal teams, and consultants
• Organize and maintain research outputs in SharePoint
• Track progress and ensure timely completion of deliverables
• Direct proposal team members during the proposal process

Manager, Medicaid Market Research and Competitive Analysis

• working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured clients
• application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, policies, procedures and regulatory standards while assessing benefits and/or member’s needs to ensure appropriate administration of benefits
• applies 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
• assessments utilize information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality
• consults 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
• utilizes case management processes in compliance with regulatory and company policies and procedures
• utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversations
• identifies and escalates member’s needs appropriately following set guidelines and protocols
• need to actively reach out to members to collaborate/guide their care
• perform medical necessity reviews.

Case Manager, Registered Nurse – Oncology Experience Required

Director

• Designs enterprise-wide and/or cross-functional solutions to address business problems
• Advises management through strategic business consultation to support the organization's goals and objectives
• Develops standard procedures related to researching, collecting, analyzing, and compiling data and information for business consulting department reports
• Develops and implements processes for auditing files, reports, and financial records ensuring compliance with relevant laws and regulations
• Communicates with top management to lead individuals to develop a high degree of customer service by fielding internal and external inquiries, finding resolutions, or redirecting as appropriate
• Communicates strategically internally and externally with clients and senior management regarding the organization's goals and objectives
• Counsels the internal and external department point of contact ensuring concise communication with employees, stakeholders, and members of the senior management
• Advises management regarding current business trends and best practices preparing analysis for senior management, stakeholders, and clients
• Controls all systems for performance appraisals within the business consulting department ensuring compliance and continuous improvement
• Evaluates performance through regular, timely feedback to ensure delivery of exceptional services and engagement, motivation, and team development

Lead Director, Business Consultant

Engineering Manager

• Run the platform day-to-day — reliability, performance, security, and developer ergonomics
• Operate the partnership model with application teams
• Drive AI and agentic coding adoption (e.g., GitHub Copilot, Claude Code)
• Partner with InfoSec and platform peers on software supply chain security, artifact governance, and access management
• Own the metrics — reliability, build success and duration, adoption, developer satisfaction

Senior Engineering Manager – Developer Tooling

• Provides direct leadership and oversight of LTSS service authorization and decision review operations, including initial, concurrent, and retrospective reviews.
• Ensures compliance with DMAS requirements, contractual obligations, CMS regulations, and internal medical management policies.
• Oversees timely and accurate issuance of Notices of Action, ensuring regulatory timeframes, content, and member rights are met.
• Leads and supports appeal review processes, including preparation of clinical rationales, file reviews, and collaboration with Medical Directors and Appeals teams.
• Establishes and monitors performance expectations related to productivity, timeliness, quality, and compliance outcomes.
• Recruits, hires, coaches, and develops staff, supporting a culture of accountability, consistency, and continuous improvement.
• Utilizes data and audit findings to identify trends, risks, and opportunities for process improvement.
• Escalates quality, compliance, and regulatory concerns through established governance channels.
• Serves as a clinical resource and subject matter expert for LTSS service authorization policy interpretation.
• Communicates effectively with internal and external stakeholders, including state partners, in both written and verbal formats.
• Leads change initiatives and process enhancements to improve member experience, decision accuracy, and operational efficiency.
• Ensures all administrative and people management responsibilities are completed in accordance with company standards.

Manager, Clinical Health Services – LTSS Service Decision Review

• uses advanced clinical judgment and critical thinking to support members’ physical and behavioral health needs through comprehensive assessment, care planning, provider collaboration, and coordination of psychosocial services
• conducts in‑depth evaluations using clinical tools and plan benefits
• develops strategies to reduce risk factors
• manages complex clinical indicators
• performs crisis interventions, ensuring members are connected to appropriate treatment and receive timely follow‑up

Licensed Independent Behavioral Health Clinician – Case Manager

Social Media Manager

• Execute platform‑specific social strategies aligned to overarching brand and business priorities.
• Lead development of platform‑native content plans, episodic storytelling, and always‑on programming.
• Partner with Creative and Agency teams to deliver culturally relevant, audience‑first storytelling.
• Ensure consistent application of channel frameworks including tone of voice, content formats, and audience targeting.
• Identify emerging trends, formats, and social moments to inform timely content opportunities.
• Lead daily digital community management operations across priority platforms.
• Ensure high‑quality, authentic engagement that builds trust and strengthens brand reputation.
• Manage response quality, timeliness, and sentiment across owned social channels.
• Partner with Customer Service, Comms, and Brand teams on escalations and issue resolution.
• Maintain and evolve response playbooks, moderation guidelines, and community standards.
• Monitor and analyze platform performance, engagement, sentiment, and audience behaviors.
• Translate insights into clear recommendations for content optimization and audience growth.
• Develop performance reporting that connects social activity to brand and campaign objectives.
• Share actionable insights with cross‑functional partners to inform planning and creative direction.
• Directly manage specialists and/or junior managers across social content.
• Oversee agency partners supporting content production and platform operations.
• Provide coaching, feedback, and development to build strong social media content.
• Ensure efficient workflows, clear priorities, and consistent execution across programs.
• Partner closely with Brand, Creative, Influencer, Comms, and CRM teams on integrated initiatives.
• Support campaign launches, tentpole moments, and reactive opportunities.
• Serve as a key day‑to‑day social media point of contact for internal stakeholders.
• Escalate insights, risks, and opportunities to the Lead Director with clear recommendations.
• Support management of social publishing, moderation, listening, and reporting tools.
• Ensure adherence to governance, brand safety, and crisis response protocols.
• Champion process improvements that increase efficiency and quality of execution.
• Support experimentation with new platforms, features, creators, and engagement models.

Senior Manager, Medicaid Social Media Marketing

Operations

• Lead others and work effectively with store crews
• Supervise, assign and direct activities of the store’s crew
• Effectively communicate information to store crew and supervisors in an open and timely manner
• Support Store Manager with actions plans for operational and service improvement
• Assist customers with their questions, problems and complaints
• Promote CVS customer service culture (greet, offer help, and thank)

Operations Manager

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

Full-stack Engineer

• Design and lead architecture for enterprise-scale applications and integrations
• Partner closely with enterprise and G&A architecture teams to ensure technical and strategic alignment
• Collaborate with product owners and managers to understand requested capabilities and translate them into architectural and technical designs
• Guide technical leads and engineers across multiple projects and workstreams
• Serve as the senior architect for major initiatives, including key clinical programs
• Provide architectural oversight and hands-on support throughout the full software development lifecycle

Staff Software Development Engineer

• Define and communicate the broader vision
• Serve as the primary point of contact for stakeholders
• Establish epics and initiatives that align with strategic goals
• Develop and maintain roadmaps that align critical business needs with scalable technical solutions
• Leverage performance data to create feedback loops that drive continuous insight and improvement
• Champion strong product management and agile mindsets
• Build and lead high-performing teams capable of overcoming complex technical challenges

Principal Software Development Engineer – Customer Insight, AI Solutions

Account Manager

• Managing the clinical relationship by influencing multiple key decision makers at a health plan
• Proactively managing client priorities, financial targets, and clinical goals
• Collaborating with internal partners to optimize product offerings
• Analyzing and evaluating client data and competitive marketplace conditions
• Conducting provider and member outreach as needed

Pharmacist – Clinical Advisor, Sales & Account Management

Financial Planning and Analysis

• Prepares and distributes periodic financial statements
• Ensures all reports and disclosures comply with regulations
• Prepares journal entries and accumulates information for financial statements
• Performs various financial analytics on legal entities' financial results