CVS Health

Manager

• Manage member care through telephonic assessments and case management
• Develop personalized care plans to improve health outcomes
• Identify risks, remove care barriers, and support complex health needs
• Coordinate with multidisciplinary teams to ensure seamless care
• Use clinical expertise and data insights to guide decision-making
• Schedule Monday–Friday, 9:00 AM–5:30 PM (based on your time zone)
• Occasional evenings, weekends, or holidays as needed

Case Manager, Registered Nurse

Security Engineer

• Monitor and manage serialization exceptions using TraceLink SCWM platform, ensuring timely investigation and resolution; Troubleshoot CVS Health’s traceability and verification issues, escalating to trading partners
• Support the implementation of SOPs and compliance workflows for exception handling and traceability; Maintain and update knowledge management records, ensuring compliance documentation aligns with CVS Health’s policies and regulatory standards
• Act as a liaison between CVS Health’s internal teams and external trading partners (manufacturers, wholesalers), addressing quarantine inventory issues and exception resolutions
• Assist in training CVS Health teams (Retail pharmacies and distribution centers, PBM Mail, PBM Specialty, etc.) on serialization compliance, exception management, and best practices
• Support the development of systems and processes needed for on-going exceptions management. Stay up to date with DSCSA compliance milestones, providing input for process improvements and regulatory updates

Senior Analyst – DSCSA Product Flow

Pharmacist

• Support the pharmacy team in delivering operational and service excellence
• Assist in consistently delivering on the brand promise
• Ensure pharmacy operations run smoothly
• Fill prescriptions promptly, safely, and accurately
• Provide caring service that exceeds patient expectations
• Demonstrate genuine care and contribute to a safe and inclusive culture

Pharmacy Technician

Analyst

• Provide consultative support and medical cost-based analysis of markets and network initiatives
• Consult with network and clinical management on opportunities to improve discount position
• Analyze and research utilization and unit cost medical costs drivers
• Turn data into usable information by telling the story through data visualization
• Support the development of scoreable action items by identifying outlier cost issues
• Perform drill-down analysis to identify medical cost trend drivers
• Own, track, and document all aspects of related work from beginning to end of a project
• Work with Excel, MS-Access, Power BI, and Web-based query tools

Analyst, Medical Economics – Medical Expense Review

Operations

• maintaining steady state and new enhancements for existing and new models
• gathering and translating business processes into functional and technical requirements
• creating wireframes/mockups, application and enterprise reporting, user support and training
• identifying trends and issue resolution
• drive and track measurable results using agreed upon KPIs

Manager, Anaplan Systems – Operations

• Partner with account management teams to understand plan sponsor needs, business rules, and customization expectations.
• Serve as the primary point of contact for customized Resources for Living (RFL) and Provider Search configurations, ensuring high accuracy and client satisfaction.
• Clarify requirements through discovery sessions, documentation reviews, and sponsor-specific use cases.
• Translate plan sponsor requests into detailed business requirements, acceptance criteria, and configuration instructions.
• Document content, branding elements, links, and experience variations required for custom deployments.
• Maintain configuration logs, version history, and standard repeatable processes for ongoing updates.
• Configure or oversee configuration of content and branding elements passed through front-end tools into our content management systems.
• Validate that customizations render correctly across platforms (web, iOS, Android) and conduct quality checks, review QA environments, and ensure alignment with sponsor expectations.
• Work with engineering, UX, product, and QA teams to support enhancements to how customizations are handled within the platform.
• Participate in Scrum ceremonies and provide clarification on requirements during development sprints.
• Identify opportunities to streamline customization workflows, templates, and tooling.

Senior Analyst, Customizations

Full-stack Engineer

• responsible for the techno-functional impact analysis, design, and development of software solutions supporting CVS Retail Pharmacy systems
• drive innovation by integrating AI/ML and agentic workflows into enterprise-grade microservices
• collaborate closely with development managers, architects, data scientists, MLOps, QA teams, and business stakeholders to deliver scalable, reliable, and intelligent solutions
• ensure high-quality delivery and proactive risk mitigation prior to production deployment

Staff AI Software Engineer

• Define and execute the enterprise ERP strategy
• Lead full-lifecycle SAP S/4HANA programs at enterprise scale
• Serve as the senior enterprise architect for the ERP platform
• Translate complex transformation initiatives into clear value propositions for C-suite executives
• Own the design, implementation, and ongoing operations of SAP S/4HANA across various business functions
• Oversee integrations with adjacent enterprise platforms
• Drive process standardization, automation, and continuous improvement
• Build, mentor, and lead a high-performing global team

Executive Director, Software Engineering

• Coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness.
• Develops 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.
• Services strategies policies and programs are comprised of network management and clinical coverage policies.

Case Manager, Registered Nurse – Field

• Analyze recently approved policy and certificate form filings.
• Determine what optional language needs to be supported.
• Load approved language into ePublishing.
• Aid in the development of ePublishing logic used to drive inclusion of filed language in issued policies and certificates.
• Assist with the issuance of book of business updates related to new form filings as needed.
• Assist with compliance audits and the implementation of new state and federal legislation impacting policy and certificate forms.
• Work closely with other team members to ensure consistent language loading to ePublishing.
• Represent Drafting Support at new product or plan feature roll out meetings.

Business Analytics Analyst

• Conduct comprehensive clinical assessments and develop individualized care plans
• Coordinate inpatient reviews and discharge planning
• Advocate for members and connect them with appropriate services and resources
• Monitor care plans and adjust strategies to ensure optimal, cost-effective outcomes
• Use motivational interviewing and coaching to support behavior change and engagement
• Identify quality of care issues and contribute to program improvements
• Deliver exceptional member service in a remote environment

• Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychosocial wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes.
• Conducts comprehensive assessments of referred member’s needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member’s benefit plan and available internal and external programs/services.
• Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and address complex clinical indicators which impact care planning and resolution of member issues.
• Performs crisis intervention with members experiencing behavioral health or medical crisis and refers them to the appropriate clinical providers for thorough assessment and treatment, as clinically indicated.
• Provides crisis follow-up to members to help ensure they are receiving the appropriate treatment/services.
• Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promotes lifestyle/behavior changes to achieve optimum level of health.

Clinical Case Manager – Behavioral Health

Account Executive

• Manage sales growth by building a book of business leveraging field sales marketing activity and telesales programs.
• Sell, cross-sell, up-sell, and retain through the use of the Aetna IVL Medicare product portfolio.
• Deploy an operating model that supports 3 days in the field and 2 days in a call center queue.
• Own the member relationship throughout the year and will be the primary contact for member inquiries.
• Document in the hybrid field sales integrated tech stack the call interactions, COIs, and lead management protocols with new and existing members.
• Develop, continuously train, and learn new sales skills to support best in class customer acquisition metrics, sales goals, and other KPIs meant to drive complaint and quality sales.
• Accountable for telesales/field sales achievement of quality, sales effectiveness, retention, secret shopper initiatives, and state, federal, and CMS requirements for Medicare sales agents and programs.

Field Sales Representative

IT Support

• Attendance during the 21 week training period is required.
• Determine and understand the coverage provided under a member's health plan
• Efficiently use multiple systems and screens to obtain and record claim information
• Review claims information to determine the nature of a member's illness or injury
• Identify claim cost management opportunities and refer claims for follow up
• Make claim payment decisions
• Process claims accurately to enhance customer satisfaction and retention
• Process claims within quality and production standards
• Assist team members in support of achieving team, office, regional, and national goals

Claim Benefit Specialist

Cloud Engineer

• lead the evolution and maintenance of our high-availability cloud infrastructure
• responsible for the entire lifecycle of our Azure ecosystem
• using Terraform for provisioning
• Ansible for configuration management and OS-level orchestration.

Case Manager, Registered Nurse

Senior Analyst – DSCSA Product Flow

Pharmacy Technician

Analyst, Medical Economics – Medical Expense Review

Manager, Anaplan Systems – Operations

Senior Analyst, Customizations

Staff AI Software Engineer

Executive Director, Software Engineering

Case Manager, Registered Nurse – Field

Business Analytics Analyst

Case Manager, Registered Nurse

Clinical Case Manager – Behavioral Health

Field Sales Representative

Claim Benefit Specialist

Staff Cloud Engineer