CVS Health

Business Analyst

• Support case management team in delivering high-quality, member-centered care
• Apply critical thinking and sound judgment to collaborate across disciplines
• Coordinate care, provide education and support, and connect members to resources
• Assess member needs, identify risks, and develop effective plans
• Monitor and evaluate care plans, ensuring compliance with regulatory standards

Case Management Analyst – Field

Manager

• Conduct comprehensive health assessments of members enrolled in healthcare programs
• Provide telephonic and/or digital education, nursing interventions, and coaching to members on various health topics
• Coordinate with healthcare providers and community resources
• Regularly monitor individuals' health status and progress towards their health goals
• Maintain accurate and up-to-date documentation of telephonic and/or digital tool interactions

Telehealth Nurse Case Manager

• design, develop, and maintain enterprise-grade dashboards using PowerBI and Tableau
• build and manage Power BI semantic models optimized for both human and AI consumption
• apply DAX best practices, data modeling standards, and documentation practices
• partner with business stakeholders to translate requirements into scalable analytics solutions
• own SQL‑based analysis and data validation as the foundation for all reporting, semantic models, and AI‑assisted insight
• design AI-ready semantic models with business-friendly naming, descriptions, and classifications
• define trusted measures, verified answers, and visibility rules to support Copilot usage
• leverage Power BI Copilot and Copilot Studio to create AI-assisted insights and guided analytics experiences
• design effective prompts and conversational analytics experiences aligned to business questions
• validate and refine AI-generated insights, understanding where outputs are reliable versus exploratory
• build analytics automation and workflows using Power Automate
• orchestrate AI-enabled workflows that trigger insights, summaries, or alerts based on data changes
• design human-in-the-loop processes for AI-assisted decision support
• enable proactive insight delivery rather than passive dashboard consumption
• ensure analytics solutions adhere to enterprise governance, data quality, and compliance standards
• design reporting and AI experiences that respect row-level security, object-level security, and sensitivity labels
• understand how AI inherits security context and validate outputs against regulated data constraints
• apply responsible AI practices, including awareness of bias, hallucinations, and validation requirements
• translate analytical and AI-generated outputs into clear business narratives
• explain the “why” behind trends, patterns, and AI-identified insights
• frame insights appropriately for executive and operational audiences
• design AI-generated summaries that align with established business language and definitions

Manager, Business Reporting & Analytics

Operations

• Develop and maintain forecasting models that project Oak Street’s performance in various CMS Stars measures.
• Regularly analyze performance data to identify areas for improvement and recommend strategies to enhance ratings.
• Draw insights from performance data and highlight areas of opportunity by market for field leaders and Oak Street’s senior leadership team.
• Prepare clear and concise reports, dashboards, and presentations to communicate performance metrics, trends, and recommendations to Oak Street senior leadership (VP, SVP, & C-suite) and other key stakeholders (Oak Street Medical leadership).
• Develop a reconciliation process to ensure Oak Street receives accurate and complete payer data files.
• Partner with payer data teams and Managed Care Operations to address gaps in payer data.
• Regularly review escalations from stakeholders regarding data quality.
• Partner with Product and Engineering on improving data quality.
• Collaborate with cross-functional teams, including Product, Data, Engineering, and Managed Care Operations to integrate analytical insights into Oak Street’s overall quality improvement efforts.
• Other duties as assigned.

Senior Associate, Stars – Operations Analytics

Pharmacist

• Support the pharmacy team in delivering operational and service excellence
• Assist pharmacy team to ensure that pharmacy operations run smoothly
• Operate as part of the pharmacy team through consistent application of Standard Operating Procedures (SOPs), best practices, and effective communication
• Complete a rigorous company training program and satisfy all registration, licensing, and certification requirements according to their State’s Board of Pharmacy guidelines
• Deliver additional patient health care services (e.g., immunizations, point-of-care testing, and voluntarily staffing offsite clinics)

Pharmacy Technician

Financial Planning and Analysis

• Support the HCD performance management reporting cadence (close and monthly deliverables)
• Consolidate business unit submissions into a HCD-level view; perform completeness/accuracy checks
• Track and reconcile key financial and operating metrics and headcount across business units
• Perform variance and trend analysis; develop clear drivers/bridges and risks & opportunities commentary
• Support executive-ready materials for all enterprise asks

Senior Analyst, HCD FP&A

• Support strategic thinking and planning efforts
• Develop presentations, storyboards, and materials
• Conduct market research and competitive assessments
• Partner with internal teams for commercialization strategies
• Synthesize insights and data into clear recommendations
• Contribute to strategic and operational planning processes
• Serve as a trusted partner to leaders across teams

Senior Manager, Omnichannel Commercialization Strategy

Analyst

• Provide programmatic support by conducting analyses
• Own high visibility reports
• Assist with strategic conversations
• Drive strategic analyses & develop data-driven insights
• Build and analyze large-scale datasets to identify trends
• Communicate analytical insights clearly across various levels of the organization
• Own reporting to support workstreams
• Co-produce reporting structures with business owners
• Maintain high-visibility tools and dashboard
• Actively participate in small and large group trainings
• Seek feedback and mentorship from peers and senior colleagues
• Collaborate with team members across the organization
• Other duties as assigned

Analyst, Development Program

• Build strong relationships with finance teams to understand their processes and needs
• Maintain and improve data models used for budgeting and forecasting
• Ensure tools can handle large data sets efficiently
• Create better system connections to reduce duplicate data
• Improve data accuracy and quality
• Own and support finance systems, working with business partners and IT to solve problems
• Lead agile development efforts and adjust as business needs change

Manager, Finance Transformation

• coordinating care for members with chronic medical and behavioral health conditions
• conducting comprehensive assessments of members’ needs and addressing SDoH challenges
• developing and implementing individualized care plans
• monitoring member progress and advocating for necessary services
• collaborating with the interdisciplinary care team for optimal health outcomes

Registered Nurse, Case Manager

• 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 promptly and accurately
• Complete basic inventory activities as permitted by law

Sales

• Develop and execute effective sales strategies in conjunction with the Market SVP to exceed National Account business development goals and objectives.
• The Sales Executive serves as a strategic growth partner to the Market SVP and Regional Sales Lead, responsible for shaping and executing multi‑year National Account sales strategies that drive profitable growth, enterprise differentiation, and sustained market share expansion.
• This role serves as a strategic business partner to both internal and external constituents (peers, producers, prospects).
• Specific responsibilities will be to assess the competitive environment and collaborate to define and execute sales strategies to exceed targets.
• This role is accountable for maintaining and updating prospect specific pipeline and strategy, supporting prospecting and target marketing strategies, and the execution of Aetna’s response to a RFP including defining strategy, qualitative and quantitative responses, finalist preparation, and participation in finalist.
• The role will also support administrative requirements for collaboration with these partners including CRM entry, reporting, form submissions, and analysis of key components of qualitative and quantitative dynamics of region and targeted prospective clients.

Sales Strategy Consultant – National Accounts

• Clinically interprets and evaluates all physician medication orders for therapeutic appropriateness, cost effectiveness, accuracy, safety, and completeness
• Initiates, reviews, and updates all required documentation to verify accuracy, communicating clinical and technical information
• Works with product procurement/reimbursement team to provide payor specific formulary products
• Participates in patient evaluation for acceptance, product selection, device selection, and supply management
• Directly supervises pharmacy support personnel in the appropriate compounding, packaging, and labeling of compounded sterile products
• Maintains security of all legend items and accurately maintains all legally required records
• Participates in Performance Improvement activities, educational programs, and departmental/branch meetings
• Assists in training and orientation of new employees as requested by pharmacy manager or designee
• Performs other duties and responsibilities as assigned, including on-call responsibilities

Pharmacist – Specialty Compounding Pharmacy

• Manages day-to-day activities of team by providing strategic leadership and overseeing the operations of the claims processing team(s)
• Directs work flow to ensure the efficient and accurate processing of medical claims by establishing and monitoring productivity and quality metrics
• Addresses any complex or escalated claims issues to provide guidance to claim processors in handling challenging cases
• Designs quality control processes to ensure the accuracy and consistency of claim processing
• Assists with the development of the claim processing budget by monitoring expenses and identifying cost-saving opportunities
• Analyzes claim processing data and generates reports to track and evaluate key performance metrics
• Collaborates with other departments to ensure effective communication and coordination in the claim processing workflow
• Ensures compliance with industry regulations and company policies

Manager, Claim Processing

• Acts as the primary resource for assigned providers or groups to establish, oversee, and maintain positive relationships
• Optimizes interactions with assigned providers and internal business partners to establish and maintain productive, professional relationships
• Monitors service capabilities and collaborate cross-functionally to ensure that the needs of constituents are met
• Supports or assists with operational activities that may include, but are not limited to, database management, and contract coordination
• Performs credentialing support activities as needed
• Educates providers as needed to ensure compliance with contract policies and parameters, plan design, compensation process, technology, policies, and procedures
• Meets with key providers periodically ensure service levels are meeting expectations
• Manages the development of agenda, validates materials, and facilitates external provider meetings
• May collaborate cross-functionally on the implementation of large provider systems

Case Management Analyst – Field

Telehealth Nurse Case Manager

Manager, Business Reporting & Analytics

Senior Associate, Stars – Operations Analytics

Pharmacy Technician

Senior Analyst, HCD FP&A

Senior Manager, Omnichannel Commercialization Strategy

Analyst, Development Program

Manager, Finance Transformation

Registered Nurse, Case Manager

Pharmacy Technician

Sales Strategy Consultant – National Accounts

Pharmacist – Specialty Compounding Pharmacy

Manager, Claim Processing

Senior Analyst, Network Relations