CVS Health

Solutions Engineer

• Establish and drive adoption of enterprise architectural standards, frameworks, and best practices across business units and initiatives
• Partner with business stakeholders to translate features and requirements into end-to-end architectural solutions, including business process models and system designs
• Lead architecture initiatives supporting claims and payment processing systems, including development of an enterprise Claim Cache strategy
• Design and deliver scalable, event-driven architectures leveraging APIs, microservices, and cloud-native technologies
• Develop system impact models and integration strategies across large-scale ecosystems (50+ applications, 250+ integrations)
• Create detailed solution architectures, including NFRs (scalability, resiliency, failover, observability, and performance)
• Drive mainframe modernization initiatives, enabling migration to cloud and microservices-based platforms with minimal business disruption
• Identify, evaluate, and integrate emerging technologies such as AI/ML, cloud services, and low-code/no-code platforms to accelerate solution delivery
• Leverage AI-assisted tools (e.g., Claude, copilots) and cloud platforms to build POCs, prototypes, and user experience concepts
• Collaborate with cross-functional teams (Business Analysts, Engineering, QA, Infrastructure, and Product) to ensure alignment from design through execution
• Evaluate solution options and develop technology roadmaps balancing legacy systems with modernization goals
• Develop cost models and ROI-driven recommendations to support strategic decision-making
• Serve as a trusted advisor to leadership by providing guidance on enterprise integration strategies and future-state architecture vision

Principal Solutions Architect – Enterprise Architecture, Modernization

Pharmacist

• Responsible for screening orders, specializing in research, review and entry of prescription overrides
• Ensure patients receive their correct prescriptions in a timely manner
• Direct questionable prescriptions to the prescriber for clarification
• Meet specified production and quality standards as defined by the management team
• Perform other pharmacy functions as required

Pharmacy Technician – Non Clinical Diverts

IT Support

• Review and adjudicate claims in accordance with ACAS claim processing guidelines
• Work closely with other members of the Commercial Services Operations team providing root cause analysis and precise resolution of affected claims
• Ensure the rework project claims are resolved accurately and on time
• Serve as a medical/hospital claim processor for rework projects, compliance, and complex issues

Claim Benefit Specialist

General Counsel

• Advising on business initiatives, product design, filings, claims, utilization management, pharmacy, and provider network matters;
• Leading responses to regulatory inquiries, investigations, and market conduct exams;
• Providing proactive guidance on evolving state laws and requirements.
• Serving as counsel to the Banner | Aetna joint venture in Arizona, advising on governance, regulatory strategy, and business initiatives.

Senior Legal Counsel, West Regional

Manager

• Provide strategic advisory on Trade implications of PBM client pricing strategies and client requests
• Contribute formulary, rebate, and other Trade insights to inform Underwriting RFP strategy and enhance rebate value for prospects and renewing clients
• Ensure Trade-related contractual requirements are appropriately addressed within RFP responses
• Provide input on key Underwriting assumptions that may impact future rebate value
• Analyze and apply market intelligence to support strategies for formulary initiatives
• Partner with Trade, Underwriting, and Finance teams to support Connected PBM Ecosystem initiatives and ensure alignment across functions
• Maintain and improve processes related to RFP support, advisory workflows, and Trade-related deliverables

Senior Manager, Trade Contract Advisory

• Drive strategic problem solving, opportunity analyses & new idea generation for initiatives within the Specialty Care team at Oak Street
• Manage detail-oriented programs with extensive data needs & stakeholder engagement (Population health, Product, third party vendors, field care teams)
• Drive critical business analytics – interest in learning new programs and skills, and strong analytical chops
• Engage frequently with field care teams to understand pain points in our current workflows, creatively problem solve, train team members on new processes, and ultimately drive utilization of our Preferred Networks to improve patient care
• Partner with the Product and Engineering teams on problem solving, idea generation, and issue tracking
• Manage third party vendor relationships
• Create metrics and reports to monitor success of programs and identify opportunities for improvement
• Identify and implement opportunities to improve efficiency of workflows and overall project development
• Opportunities for management as determined by business needs
• Other duties as assigned

Population Health Manager, Specialty Care – Performance Improvement

• telephonically assessing, planning, implementing and coordinating all case management activities with members from our Federal Plans
• evaluating the medical needs of the member in order to facilitate and promote the member’s overall wellness
• developing a proactive course of action to address issues presented to enhance the member's short and long term outcomes
• applying data driven methods of identification of members to fashion individualized case management programs and/or referrals to alternative healthcare programs
• conducting comprehensive clinical assessments
• evaluating needs and developing flexible approaches based on member needs, benefit plans or external programs/services
• advocating for patients to the full extent of existing health care coverage
• promoting quality, cost effective outcomes, and making suggestions to improve program/operational efficiency
• identifying and escalating quality of care issues through established channels
• providing an expected very high level of customer service
• utilizing assessment techniques to determine member’s level of health literacy, technology capabilities, and/or readiness to change
• utilizing influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health

Case Manager, RN

• Support the pharmacy team in delivering operational and service excellence
• Assist patients and customers to deliver an exceptional experience
• Ensure pharmacy operations run smoothly and prescriptions are filled accurately
• Complete inventory activities and contribute to a high-performing team
• Comply with all relevant laws and regulations including those regarding patient safety

Pharmacy Technician

Operations

• Drive store execution and performance
• Build consumer loyalty through customer service
• Support Store Manager in overall store management
• Supervise and direct store crew activities
• Promote CVS customer service culture

Operations Manager

• Support the pharmacy team in delivering operational and service excellence within your store
• Assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients' prescriptions are filled promptly, safely, and accurately
• Contribute to positive patient experiences by showing empathy and genuine care
• Complete basic inventory activities, as permitted by law, and as directed by the pharmacy leadership team
• Remain flexible for both scheduling and business needs

Full-stack Engineer

• building tools and services that help developers do their best work
• supporting tens of thousands of developers across CVS Health
• driving the delivery automation of CVS Health Enterprise Engineering
• identifying, analyzing system design weaknesses, and troubleshooting complex technical issues
• assisting the team technically around automation of incidents and End to end CI/CD pipelines

Senior Software Development Engineer – Developer Tooling

Analyst

• Focus on coordinating expedited resolution of root cause corrective actions
• Engage with leadership team to define requirements for analyzing root causes
• Review and update Quickbase records and statuses based on feedback from business partners
• Lead cross-functional meetings with business partners
• Deliver monthly and ad-hoc reports on status of ongoing or resolved issues
• Communicates with project teams to ensure clarity of roles and responsibilities
• Conducts routine collaboration with stakeholders
• Administers leadership and guidance to project teams
• Installs project management best practices to drive efficiency

Senior Analyst, Appeals and Complaints

Consultant

• Conduct clinical assessments and review health data to evaluate member needs and program eligibility
• Assess member readiness, health literacy, and technology capability
• Engage members in chronic condition support and personalized coaching
• Provide individualized telephonic health coaching using motivational interviewing
• Support sustainable behavior change and promote positive health outcomes
• Empower members to make informed healthcare decisions
• Apply clinical guidelines, policy criteria, and regulatory standards
• Consult with supervisors and Medical Directors to address barriers
• Identify and escalate quality-of-care concerns
• Provide accurate health information to support understanding
• Develop and maintain individualized care plans
• Document all interactions per regulatory and accreditation requirements
• Monitor progress and adjust plans to meet member needs

Health Coach Consultant, Registered Nurse

• Architect and deliver enterprise AI platform capabilities including workflow orchestration engines, multi-provider LLM integration, and automated deployment pipelines that enable healthcare teams to build and deploy AI applications at scale
• Design multi-tenant infrastructure with automated provisioning, namespace isolation, and role-based access control to support secure, per-team dedicated environments across the platform
• Build backend services and APIs for workflow authoring, execution orchestration, and platform observability using cloud-native patterns on Kubernetes infrastructure
• Implement production observability and reliability practices including distributed tracing, performance monitoring, and incident response for platform health and cost management
• Partner with business stakeholders, product teams, and engineering leadership to align platform roadmap with healthcare automation objectives and adoption strategy
• Champion security posture including secrets management, audit logging, compliance requirements, and production readiness standards

Senior Software Development Engineer

Cloud Engineer

• Architect and engineer enterprise storage platforms that ensure data integrity, availability, security, and disaster recovery readiness
• Design and implement end-to-end storage solutions, including Software Defined Storage, SAN, NAS, and object storage across private cloud and data center environments
• Drive strategic technology decisions by evaluating emerging products, tools, and standards supporting storage, data protection, cloud, and compute platforms
• Lead infrastructure initiatives involving storage modernization, data protection, cyber recovery, data migration, and resilience engineering
• Develop and execute enterprise strategies for backup, recovery, cyber vaulting, and business continuity
• Create and maintain comprehensive documentation of storage architectures, configurations, policies, and operational procedures
• Partner closely with enterprise security teams to define and enforce controls protecting sensitive data from cyber threats and unauthorized access
• Stay current on emerging technologies in cloud storage, data protection, resiliency, and cybersecurity, recommending innovations to enhance performance and reduce cost
• Provide expert-level guidance for multi-vendor storage technologies, ensuring optimal lifecycle, supportability, and performance outcomes
• Mentor and guide engineering teams, fostering technical excellence and continuous improvement
• Serve as a senior technical advisor to application, operations, and leadership teams, influencing strategy for compute, storage, cloud, and data protection services
• Drive standardization, automation, and orchestration to optimize storage operations and improve infrastructure efficiency

Principal Solutions Architect – Enterprise Architecture, Modernization

Pharmacy Technician – Non Clinical Diverts

Claim Benefit Specialist

Senior Legal Counsel, West Regional

Senior Manager, Trade Contract Advisory

Population Health Manager, Specialty Care – Performance Improvement

Case Manager, RN

Pharmacy Technician

Operations Manager

Pharmacy Technician

Senior Software Development Engineer – Developer Tooling

Senior Analyst, Appeals and Complaints

Health Coach Consultant, Registered Nurse

Senior Software Development Engineer

Principal Cloud Engineer