CVS Health

Manager

• uses advanced clinical judgment and critical thinking to support members’ physical and behavioral health needs
• conducts in‑depth evaluations using clinical tools
• develops strategies to reduce risk factors
• manages complex clinical indicators
• performs crisis interventions

Licensed Independent Behavioral Health Clinician, Case Manager – MST or PST Preferred

Analyst

• Implements an all-product quality management strategy that meets internal and external constituent expectations for demonstrating quality outcomes
• Participates in the development and ongoing implementation of Quality Management (QM) work plans and activities
• Assists in the development and implementation of QM projects and activities
• Perform audits to ensure compliance with AHCCCS regulations and requirements
• Converts results of data analysis into meaningful business information to disseminate conclusions about the overall function of the department

Health Care Analyst

Backend Engineer

• design, develop, and maintain backend services and APIs
• ensure that releases are well-coordinated, fully prepared, and successfully deployed to production
• maintain high engineering standards
• ensure smooth release cycles
• drive operational excellence across the development lifecycle

Senior Java Software Engineer

• Leverages technology and data to improve healthcare outcomes by designing, implementing, and maintaining health information systems
• Analyzes quality healthcare data, and applying statistical analysis to create effectiveness analyses and other health outcomes analyses
• Provides support in completing regulatory reporting requirements and contributes to the development and execution of HEDIS strategy
• Leads the management of quality data, regulatory reporting, and analytics functions to enable internal teams to draw meaningful, actionable conclusions
• Partners with clinical, operations, and quality leadership to inform measure-level strategy

Senior Quality Management Analyst

Compliance

• provide dedicated Medicaid, Exchange, and Commercial regulatory guidance and implementation support to Carelon.
• support regulatory activities for Medicaid, Exchange and Commercial lines of business, which includes review of model contracts.
• collaborate with business teams to draft best-in-class client communications on regulatory implementations to help drive a more positive health plan customer experience.
• advocate for the Client to our internal partners, and for CVS Caremark to the Client.

Senior Manager, Regulatory Affairs

• responsible for leading pricing strategy and execution across front store categories to drive profitable growth, price competitiveness, and customer value
• partners closely with Merchandising, Promotions, Marketing, Store Operations, and Finance to ensure pricing decisions are analytically driven, strategically aligned, and operationally executable
• serves as a key pricing thought leader, influencing high‑impact decisions in a fast‑paced retail environment

Senior Manager – Front Store Pricing

Pharmacist

• Ensure accurate entry of orders
• Maintain security of the pharmacy
• Adhere to required delivery schedules
• Verify orders entered by technician staff for accuracy
• Check for completeness and precision of all new and refill labels and orders
• Check for content and accuracy of all drug packaging and labeling
• Preparation and/or supervision of sterile IV drug products or solutions, if required
• Assist in maintaining a perpetual inventory for schedule II drugs
• Provide evening, weekend, and holiday coverage during scheduled rotation based on the needs of the business
• Follow all applicable state and government regulations including HIPAA
• Other duties as assigned (these vary by location)

Dispensing Pharmacist – Long Term Care

Operations

• Own and mature the Technical Health program for TPA & Payer Solutions
• Lead planning, coordination, and execution oversight for operating system upgrades, database upgrades, and software upgrades
• Drive security vulnerability remediation programs
• Monitor and improve application and platform health
• Identify systemic issues and opportunities to reduce toil
• Establish and maintain technical health metrics
• Translate technical health and platform risk into clear business impact for senior business leaders
• Provide executive-ready updates on health trends
• Partner across engineering, infrastructure, database, security, and support teams to drive coordinated action
• Keep customers, colleagues, and end-user experience front and center

Senior Manager – IT Operations

Communications

• Execute communications strategies for federal and postal health plans, translating business and membership growth strategies into clear, consistent, and compliant messaging
• Develop and deliver member communications, including newsletters, letters, postcards, brochures, presentations, website content, and digital materials
• Lead Open Enrollment communications, including Mail Handlers Benefit Plan (MHBP) Open Season Seminar materials, presentations, webinars, and member collateral
• Support client meetings, in‑person events, webinars, and virtual events by developing presentation materials and attending/hosting as needed
• Develop training and presentation materials for field service representatives and open enrollment volunteers to ensure consistent execution
• Ensure all communications comply internal requirements and external regulations; manage review and approval workflows and conduct quality checks for accuracy, brand alignment, and appropriateness
• Collaborate cross‑functionally with strategy, compliance, legal, marketing, account management, and external vendors to deliver timely, integrated communications
• Coordinate procurement of promotional items and branded materials to support outreach, events, and enrollment efforts

Manager, Business Communications, Federal Health Plans

• Negotiates, executes, reviews, and analyzes contracts
• Manages contract performance in support of network quality
• Recruits providers to ensure attainment of network expansion
• Collaborates cross-functionally to contribute to provider compensation and pricing development activities
• Identifies recommendations to manage cost issues and support cost saving initiatives

Contract Manager

Call Center Representative

• Provide Telephony & Routing Analytics Support across inbound, outbound, and IVR call flows.
• Maintain and monitor key workforce and telephony KPIs to inform short- and long-term capacity models, including handle time, utilization, shrinkage, and volume trends.
• Manage and support the flow of telephony and interaction data from NiCE platforms into Enterprise Data Analytics environments.
• Identify, investigate, and resolve data discrepancies between telephony platforms, workforce systems, and downstream reporting.
• Execute ad hoc reporting requests to support leadership inquiries, operational reviews, and cross-functional initiatives.
• Deliver Workforce & Operational Insights by analyzing agent performance, volume patterns, and routing outcomes to surface risks and opportunities.
• Support TFN, IVR, and Telephony Structure by validating routing logic, number assignments, hours of operation, and queue configuration.
• Proactively flag routing anomalies, call distribution issues, or performance irregularities and partner with Operations, Technology, and Platform teams on remediation.
• Contribute to documentation of data definitions, KPI logic, and telephony reporting standards to promote consistency and transparency.

Manager, Contact Center Operations – Insights

Director

• Manages the cross-functional product leadership team, including strong partnership with Business General Manager (GM)
• Accountable for the teams’ delivery and final output to stakeholders
• Partners with business general manager and stakeholders to make decisions on investment priorities and develop business cases
• Defines and socializes the product vision, strategy and roadmap in collaboration with the business leaders and engineering; assesses and refines as needed
• Translates customer and business needs into short-term and long-term product strategy by creating Epics/initiatives defined to meet targeted outcomes
• Connects the roadmap to specific value drivers that contribute to business priorities, objectives and key results, and strategic programs
• Sets the direction for discovery work, ensuring that the product team is focused on continuous exploration
• Champions strong product management and agile mindsets
• Defines product objectives and key results (OKRs), aligned with business objectives, to evaluate progress towards outcomes
• Tracks product objectives and key results (OKRs), aligned with business objectives, to understand progress towards outcomes and metrics to understand product health, socializes progress, and consistently reinforces objectives and alignment with broader product portfolio outcomes

Lead Director – Enterprise Patient Safety Digital Product

Financial Planning and Analysis

• Provides financial consultation and pricing support to help CVS Caremark win and retain business
• Works directly with the client and the sales team to provide insight into a client’s pharmaceutical data
• Analyzes client’s business problems and formulates data-driven approaches to solve them
• Communicates findings and recommendations to key business leaders of clients
• Builds and maintains effective working relationships with internal partners
• Manages tight deadlines and ensures deliverables are met and accurate
• Participates in on-site or teleconferenced presentations as needed

Client Financial Analysis – Optimization Analyst

• Assessing member needs and developing personalized care plans
• Coordinating care and connecting members with appropriate resources
• Identifying risks and removing barriers to better health
• Collaborating with multidisciplinary teams to drive positive outcomes
• Supporting members through telephonic and occasional virtual interactions

Case Manager, Registered Nurse

• Deliver high-quality, member-centered care by conducting comprehensive in-home assessments
• Develop individualized care plans and coordinate services across physical, behavioral, and social needs
• Facilitate access to Long-Term Services and Supports (LTSS)
• Advocate for members during care transitions
• Monitor progress toward care goals
• Document timely and accurately in the electronic health record