CVS Health

Medical Director

• Leads organizational efforts to develop long range clinical strategy and roadmap, in alignment with business objectives related to cost of care, quality, and provider and member experience.
• Responsible for Aetna-wide clinical leadership and governance for all levers focused on reducing total cost of care while maintaining/improving care quality, including: care models, vendor partnerships, value-based arrangements.
• Partners closely with business leadership to set and achieve performance targets (PMPM, admissions/1,000, ED/1,000, MLR), and develops synthesized view and strategy with CMOs for UM, Network, as well as LOB CMOs.
• Ensures cross-functional operational excellence through deep payer experience, focused on delivering measurable results across Medicare, Commercial, and Medicaid.
• Responsible for monitoring trends, developing actionable clinical insights, creating integrated views of clinical opportunities and performance across lines of business and functions, proactively driving performance.
• Drives accountability and achievement across clinical leaders and functions responsible for provider network strategy and engagement, clinical program development and execution, and specialty care strategy and SME teams.

VP, Chief Medical Officer – High Value Care

Business Intelligence Analyst

• Support the operations team with various operational processes, reporting, and project tasks across Commercial, Medicare Advantage, and Medicare Part D plans
• Run reports for various stakeholders, including complying with contractual requirements for the U.S. Office of Personnel Management (OPM), vendors and Clients
• Collaborate with internal stakeholders across different departments, such as operations, finance, marketing, and IT, to gather information, understand business needs to drive alignment.
• Document and develop action plans that aim to address business challenges
• Document process and workflow improvements and maintain repository
• Identify improvement opportunities by conducting complex and informative business and systems process analysis
• Ability to learn new software tools and apply to improve efficiency
• Support team members with project tasks on reporting and benefits implementation

Federal Plans Reporting Analyst

Full-stack Engineer

• As a Senior Fullstack Software Engineer, you’ll play a key role in building and enhancing a new application that powers critical ID card setup and generation capabilities within the Member & Enrollment ecosystem at Aetna Tech.
• Design, build, test, deploy, and support high‑quality software solutions that drive business value, ensure application stability, and deliver exceptional performance at scale.
• Work within an Agile environment and collaborate closely with product owners, business partners, architects, and fellow engineers.
• Write code, develop software components, and implement complex functionalities according to product requirements.
• Collaborate across a cross-functional development team and stakeholders to make high-level architectural decisions, propose design patterns, and ensure scalability, performance, and maintainability 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 between different parts of the digital solution.
• Write and execute comprehensive test cases, conduct code reviews, perform debugging, and troubleshoot issues to ensure the reliability, stability, and high quality of digital solutions.

Senior Fullstack Software Engineer

Customer Support

• Define and drive the product vision, strategy, and roadmap for our digital twin and customer simulation capabilities, ensuring alignment with enterprise business goals and customer experience objectives.
• Oversee the entire product lifecycle from ideation, requirements gathering, and prototyping through to development, testing, launch, and iteration.
• Lead, mentor, and develop a high-performing team of product and research professionals, fostering a culture of innovation, expertise, and continuous improvement.
• Partner with key stakeholders across the organization to align product strategies, manage resources, and facilitate effective collaboration to drive product success and customer satisfaction.
• Oversee the operational health and ongoing success of the platform.
• Manage the relationship with technology vendors to ensure stability, resolve issues, and co-develop future enhancements.
• Champion evidence-based decision-making by analyzing platform data, monitoring the competitive landscape, and effectively communicating product performance and strategic recommendations to senior leadership.
• Deliver innovative solutions that integrate seamlessly with existing technologies while ensuring strict compliance with regulatory, safety, quality, and confidentiality standards.
• Create and implement repeatable frameworks and processes to operationalize insights, maximize ROI, and enhance brand visibility through data-driven storytelling.

Senior Product Manager, Customer Experience Strategy

Compliance

• Oversee and support market conduct exams from state regulators.
• Lead planning and execution of compliance initiatives.
• Implement policies and processes that support strong compliance practices.
• Manage team operations, including budget, staffing, and performance.
• Coordinate market conduct exams across business areas and with Legal.
• Serve as the main point of contact for state regulators and third-party auditors.
• Ensure accurate, timely collection and delivery of exam materials.
• Oversee responses to exam findings and corrective action plans.
• Maintain strong documentation of all exam-related work.
• Advise on compliance standards to reduce regulatory risk.
• Communicate compliance expectations and drive ethical decision-making across the organization.

Lead Director, Corporate Compliance

Security Engineer

• Help develop and maintain engineering and data security policies and standards
• Contribute to security awareness efforts across the organization
• Support Engineering and Business teams in applying secure engineering practices
• Assist with application security reviews and participate in security discussions
• Learn how to integrate security into each stage of the software development lifecycle
• Assist in configuring and analyzing security tools across cloud and on‑prem environments
• Support security testing, vulnerability analysis, and documentation
• Participate in an on‑call rotation with guidance and mentorship
• Help develop incident response procedures and learn recovery strategies

Information Security Analyst

Artificial Intelligence

• Define the enterprise Agentic AI vision and roadmap, aligned to business outcomes (cost reduction, revenue growth, productivity, experience uplift).
• Establish clear differentiation between LLM tools, copilots, workflows, and autonomous/multi-agent systems.
• Identify and prioritize high-value agentic use cases (e.g., customer support resolution, claims/prior auth automation, contract leakage reduction, operational orchestration, developer productivity).
• Own the design and evolution of the Agentic AI Platform.
• Lead delivery of production-grade agentic solutions, not POCs.
• Ensure agents are embedded into real digital experiences (chat, IVR, portals, internal tools).
• Drive build-once, reuse-everywhere agent capabilities across channels and domains.
• Define and enforce Agentic AI governance frameworks, including safety boundaries and guardrails, explainability and auditability, data privacy and security controls, bias, hallucination, and failure-mode mitigation.
• Build and lead high-performing AI engineering and applied science teams.

Executive Director, Agentic AI

Consultant

• Utilizes a collaborative process of assessment, planning, implementation and evaluation, to engage, educate, and promote/influence members decisions related to achieving and maintaining optimal health status
• Facilitates effective health care decision-making
• Improves the quality of care
• Improves member satisfaction with their health care plan
• Facilitates appropriate use of health care resources
• Provides up-to-date health care information to help facilitate members’ understanding of their health problems and possible options
• Provides assistance by clarifying available options for the member's particular health problem or issue
• Helps members actively and knowledgeably participate with their provider in their own health care decision-making
• Promotes healthy lifestyles to help lower personal health risks, preventing illness
• Awareness of the member’s available health and wellness programs, and makes referrals to these programs as appropriate

Health Coach Consultant, RN

Operations

• Lead the annual strategic planning process, ensuring alignment with business objectives and rigorous KPI monitoring.
• Apply deep industry, customer and business acumen to anticipate trends, inform decisions, and drive competitive advantage.
• Lead special projects across the organization including executive-level presentations, innovation partnerships, return on investment (ROI) and impact reporting.
• Transform data and insights into compelling narratives and strategic points of view that influence decision-making.
• Demonstrate sound judgment in knowing when to ‘lead versus do’—providing strategic guidance and direction to teams, while leaning into hands-on execution when necessary to ensure quality and timely delivery.
• Communicate key messages ensuring information flow, clarity, and visibility across team, senior leaders and stakeholders through effective communication channels.
• Develop and execute strategies that showcase the value of activities, drive leadership engagement, and ensure organizational awareness of impact.
• Oversee departmental operations with attention to detail and follow through, including leading planning, budgeting, recruiting, and colleague performance review and promotion process.
• Provide leadership and oversight for one direct reports, including: performance management, professional development, and alignment to organizational goals.
• Drive colleague engagement initiatives, including analysis of engagement data and operationalization of action plans.

Lead Director, Strategy and Operations

Recruitment

• Craft and execute creative sourcing strategies to attract both active and passive candidates.
• Build and maintain diverse, high-quality pipelines for critical roles across analytics and corporate functions.
• Collaborate closely with recruiters and hiring leaders to understand business needs and long-term talent goals.
• Leverage market intelligence and data to inform sourcing strategies and provide actionable insights.
• Conduct in-depth candidate assessments and present top talent to hiring teams.
• Champion our employer brand through social media, events, and networking.
• Represent CVS Health at industry conferences, career fairs, and diversity events.
• Ensure all sourcing activities align with compliance standards and best practices.

Senior Talent Acquisition Sourcer

Manager

• Lead commercialization efforts of health plan and employer products across B2B lines of business
• Partner with Sales, Marketing, Account Management, Client Services, Finance, Underwriting/Actuarial/Data Science, and other related teams to launch and grow products
• Work with data to understand product performance and partner with Reporting and Marketing to create compelling results stories.
• Champion product enhancements and serve as the voice of the customer in partnership with Product peers.
• Unpack complex opportunities, quantify and prioritize them through business case development
• Lead groups of diverse stakeholders to deliver on objectives.

Senior Manager, Product Commercialization, Payor Solutions

Actuary

• Develop a working understanding of available data sources, field definitions, and data collection methods.
• Gather, analyze, and interpret data to identify trends and actionable insights for development of assumptions.
• Establish repeatable processes and maintain ownership of regularly reviewing and refreshing assumptions.
• Gain a comprehensive understanding of business processes and systems.
• Work with business teams on appropriate execution strategies for implementing assumptions.
• Communicate analysis findings and recommendations to managers, supervisors, and individual contributors, ensuring methods align with organizational goals and objectives.
• Review and interpret data models, making recommendations for planning, forecasting, and reporting.
• Anticipate and recognize issues that materially affect financial results, making recommendations on these matters.
• Provide support for broader actuarial priorities, such as ad-hoc analyses and strategic projects.

Senior Actuarial Analyst, Assumptions Specialist

Designer

• Independently leading dozens of partners across Product, Operations, Medical Affairs, Legal, Sales, Account Management, Data Science & Engineering, IT, Client Analytics to structure and execute on new product designs and enhancements
• Partner with Marketing, Sales, and Account Management to commercialize our products and communicate product performance and our product roadmap
• Build business cases to justify and prioritize product enhancements and design a measurement strategy to measure their impact
• Define longitudinal patient journeys that meet engagement and clinical outcomes, write requirements, and then partner with Operations and Technical stakeholders to bring these experiences to life
• Evaluate KPI and SLA performance, measuring product efficacy to formulate and subsequently deliver upon quality improvement plans
• Leverage data-driven insights and a deep understanding of patient and client needs and market dynamics to identify and prioritize enhancements
• Conducting deep dive quantitative and qualitative analyses to identify opportunities for innovation and process improvement

Manager, Product Strategy and Design – Payor Solutions

Call Center Representative

• Conduct outbound calls to patients that qualify for adherence-based programs, ensuring timely and consistent communication (i.e. provide one-on-one support for patients who were unable to fill their prescription due to an inventory shortage, patients who are non-adherent to medications, etc.)
• Address patient concerns, troubleshoot issues, and provide appropriate resolutions, ensuring patient satisfaction and program success
• Identify clinical support needs and escalate calls to Pharmacists on the team to further discuss concerns such as medication adherence barriers or clinical-related challenges faced by patients, enabling timely intervention and resolution
• Use CVS Procedures and guidelines to handle patient prescription requests within HIPAA guidelines and enter refill order for processing
• Utilize computer systems, software, and databases to accurately record patient information and interactions, call outcomes, program enrollments, and progress updates
• Maintain confidentiality and adhere to all relevant patient privacy regulations and company policies during all interactions and data handling processes
• Collaborate with cross-functional teams to identify areas for program improvement, propose innovative ideas, and contribute to the development and implementation of patient-centric enhancements
• Identify and communicate issues to senior level staff as appropriate
• Communicate effectively with team lead and supervisor through huddles, team meetings, cohort refreshers, technology updates

Pharmacy Technician, Call Center

• Responsible for defining user stories and prioritizing the team backlog
• Partnering with the Product Lead to drive day to day development for Retail Pharmacy initiatives
• Streamlining the execution of team priorities while maintaining the conceptual and technical integrity of the features/components for the team
• Responsible for team backlog maintenance/prioritization
• Collaborating with Agile teams to continuously review business needs, refine priorities, outline deliverables, and identify and address dependencies, opportunities, and risks
• Working with Product Managers and stakeholders to decompose features into prioritized user stories that deliver value and tangible business results
• Validating that the story meets acceptance criteria and has met acceptance tests; approving stories as complete
• Participating in daily sprint ceremonies to facilitate quality and speed of delivery; holding team accountable for what they committed to deliver
• Maintaining relationships within and outside the local team and preparing user stories for inclusion in Program Increment Planning
• Collaborating with the team to produce the PI system demo and presenting it to program stakeholders