CVS Health

Medical Director

• Perform concurrent and prior authorization reviews with peer to peer coverage of denials.
• Perform appeals in their 'base plans' and may round robin based on 'same or similar specialty' needs.
• Perform pharmacy reviews.
• Participate in and be able to lead rounds.

Medical Director – Duals Center of Excellence

Pharmacist

• Support the pharmacy team in delivering operational and service excellence
• Assist the pharmacy team to ensure that pharmacy operations run smoothly
• Operate as part of the pharmacy team through consistent application of Standard Operating Procedures (SOPs)
• Contribute to positive patient experiences by showing empathy and genuine care
• Complete basic inventory activities as permitted by law

Pharmacy Technician

QA Automation Engineer

• Design, develop, and maintain UI, API, and integration automation frameworks for web and backend applications
• Analyze functional and technical requirements to identify high-value automation candidates and test coverage gaps
• Create, execute, and maintain automated test scripts within Agile sprints and release cycles
• Collaborate with developers and product owners to shift testing left and ensure quality from design through deployment
• Integrate automated test suites into CI/CD pipelines to support continuous testing and faster feedback loops
• Perform API testing, data validation (SQL), and backend verification to ensure end-to-end quality
• Identify, log, track, and triage defects using standard defect management tools, and perform root cause analysis
• Support SIT, UAT, regression, and smoke testing, including automation of repetitive test scenarios
• Continuously improve automation frameworks for stability, scalability, and maintainability

Software Quality Automation Engineer

Financial Planning and Analysis

• Act as the ‘tip of the spear’ for AI, retail, pharmacy, and market intelligence
• Work with cross-functional teams to assess opportunities and build robust business cases
• Shape and codify the product strategy through corporate planning
• Lead the evaluation and piloting of next-generation products and services
• Conceptualize initiatives that leverage Artificial Intelligence (AI)
• Collaborate with Pharmacy and Consumer Wellness business partners
• Grow to collaborate with Enterprise Strategy teams

Senior Manager – Strategic Planning

Manager

• The HFW CM is responsible for completing a comprehensive strengths-based assessment/screening.
• Working in full partnership with the High-Fidelity team members to develop and implement a service plan.
• Facilitating High Fidelity team meetings.
• Actively conducting regular home visits, monitoring all services.
• Identifies high risk factors and service needs.
• Coordinates and implements assigned care plan activities and monitors care plan progress.
• Presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes.

Field Case Manager, High Fidelity

Customer Support

• Operates as a representative of the company by answering and documenting all incoming contacts to determine their nature while responding to complex calls.
• Ensures that every member is shown respect and kindness and that all questions are thoroughly answered to ensure a high level of customer satisfaction and loyalty.
• Identifies and evaluates appropriate data to determine and implement the appropriate course of action to resolve the member and customer inquiries.
• Follows established procedures to meet customer/member needs and successfully enhance the company's brand recognition and competitive advantage in the industry.
• Communicates effectively with diverse work units and relevant organizational departments to ensure that issues are properly and quickly resolved.
• Performs required training to understand how to use tools available to recall necessary information.

Bilingual Japanese Customer Service Representative

• The Care Manager—Registered Nurse is responsible for coordinating care for members.
• Conducting comprehensive assessments to evaluate members’ needs.
• Addressing SDoH challenges by connecting them with appropriate resources and support services.
• Providing education and guidance to members and their families.
• Developing and implementing individualized care plans.
• Monitoring member progress and advocating for necessary services.
• Collaborating with the interdisciplinary care team for optimal health outcomes.
• Documenting assessments and interventions.

Care Manager – Registered Nurse

Growth Marketing

• leverage CVS Health’s size and scale to create differentiated solutions for pharmaceutical manufacturers
• support the Lead Director, Pharma Services Growth in articulating the vision and strategy of pharma facing initiatives
• develop business cases, manage external relationships, and execute new initiatives
• innovate and achieve the growth targets the enterprise has set
• stay ahead of relevant trends in healthcare; form and defend opinions on where CVS is best positioned to win
• create business cases for top ideas; incubate and launch big bets

Senior Manager, Pharma Services Growth

Operations

• directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits
• ensuring cases are accurately set up for members
• reviewing clinical information for decisioning the request
• performing outreach to providers for more information when needed
• ensuring accurate decisions that comply with compendia and Medicare guidance and timelines
• completing timely and accurate documentation of all Medicare Part D requests in compliance with Medicare guidelines

RPh Operations Advisor – Med D

Risk

• Manage assigned territory within the risk adjustment program from planning through completion, including leading cross-functional meetings, setting timelines, and tracking progress.
• Ensure timely and accurate chart retrieval by managing processes, resolving barriers, and maintaining compliance.
• Conduct outreach to providers to address retrieval challenges and negotiate fees when necessary.
• Extract data from vendor portals and update designated spreadsheets, ensuring accuracy and timeliness.
• Build and maintain vendor relationships, monitor performance and risks.
• Analyze data to identify trends, and develop actionable insights for program optimization.
• Track and report on key metrics to ensure retrieval targets and internal benchmarks are consistently achieved.
• Partner with Market/Network teams and Provider Relations to align initiatives with organizational objectives.

Risk Adjustment Outreach Manager

• The Analyst serves as a key partner for ensuring the accuracy, compliance, and operational integrity of the organization’s Medicare Part D programs.
• Assist with the P2P monthly process, DIR Reporting, PDE Reporting functions, and audit support.
• Partner with Compliance, Finance, Audit, Pharmacy Operations, and external stakeholders to resolve complex issues.
• Contribute to automation, data governance, and ETL optimization initiatives to enhance efficiency and reliability of enterprise reporting.

Analyst, Medicare FP&A

Accounting Manager

• Execute month-end close activities, including journal entries and balance sheet reconciliations.
• Conduct research on expense account balances within the general ledger, particularly in the Selling, General, and Administrative (SG&A) area, to analyze payments and determine the necessity of accruals.
• Support quarter-end close activities, including reporting and serving as a liaison for audit requests.
• Coordinate with manager to implement opportunities to improve accuracy, strengthen controls, and increase efficiency by enhancing manual processes.
• Partner cross-functionally with Finance and Reporting teams to ensure clarity, accuracy, and consistency in financial reporting.
• Support system enhancements and finance transformation initiatives, as applicable.

Senior Analyst, Accounting – Pharmacy Services

Engineering Manager

• Lead and grow a team of engineers, testers, and Data engineers; drive hiring, performance, and career development
• Own architecture and delivery of multi-agent AI systems on Vertex AI, Gemini models, and GCP AI/ML services
• Oversee CVS Health's enterprise SMS and RCS messaging platforms — orchestration, routing, carrier integrations, and conversational AI flows
• Engineer TCPA compliance controls — consent management, suppression lists, opt-out workflows, and audit trails
• Drive GCP-first infrastructure strategy across GKE, Pub/Sub, BigQuery, Cloud Run, and Dataflow
• Partner with Product, Legal, and Compliance to translate regulatory requirements into durable system controls

Senior Manager, Software Engineering – Agentic AI, Messaging Platforms

Full-stack Engineer

• Design, build, and operate production Agentic AI systems using Vertex AI, Gemini models, and GCP-native tooling
• Develop and maintain enterprise SMS and RCS messaging services - routing, delivery tracking, opt-in/opt-out handling, and vendor integrations
• Implement and enforce TCPA compliance controls including consent management, suppression logic, quiet hours, and audit logging
• Build event-driven, cloud-native architectures on GCP (Pub/Sub, Dataflow, Cloud Run, GKE, BigQuery)
• Collaborate with ML engineers to integrate RAG pipelines, tool-use agents, and LLM-based workflows into messaging products
• Participate in on-call rotations; drive reliability improvements through SLIs, SLOs, and blameless postmortems

Senior Software Development Engineer – Agentic AI, Messaging Platforms

Analyst

• Effectively perform and document audit activities in accordance with professional standards and the organization’s audit methodology
• Execute testing and create work paper documentation
• Understand procedures, results and business impacts; document and express understanding in both written and verbal form
• Perform detail testing as defined by the test program to define, analyze and validate information
• Create clear and accurate documentation and workflows of business processes and testing results and exceptions
• Lead individual project components and testing areas; oversee the work of more junior auditors and/or interns
• Interacts with various levels of Internal Audit and business line management to resolve issues in a timely manner and to maintain effective communications
• Reports related audit findings to audit and business management
• Meets administrative reporting requirements and supports department initiatives
• Demonstrates a commitment to integrity and the company code of conduct, and a respect for diversity and inclusion
• Contributes to overall Internal Audit Department team norms to promote a positive environment and improve team effectiveness