CVS Health

Backend Engineer

• establish technical standards and deliver analytics solutions across operational areas
• define and maintain technical standards and industry best practices
• support data integration, automation, and reporting across data sources
• collaborate with business and operations partners to understand requirements
• enforce architectural standards and rapidly develop subject matter expertise

Manager, Technical Architect

Data Scientist

• Design, build, and deploy production-grade ML models with end-to-end pipelines and MLOps best practices to ensure scalability, reproducibility, and continuous improvement.
• Lead the design and deployment of GenAI solutions leveraging LLMs, RAG, prompt engineering, and fine-tuning to build intelligent assistants, conversational agents, and knowledge retrieval tools.
• Analyze large-scale datasets using statistical methods and advanced analytical frameworks to uncover actionable patterns and measure AI/ML impact.
• Partner cross-functionally to deliver high-impact AI/ML use cases—including predictive analytics, anomaly detection, and workflow automation—across enterprise digital workplace platforms.
• Serve as a subject matter expert in ML and GenAI, mentoring team members, driving actionable business recommendations, and contributing to responsible AI governance frameworks.

Senior Data Scientist – ML/AI Digital Workplace Experience

Manager

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Case Manager, Registered Nurse

Data Engineer

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• Implement best practices for performance tuning, partitioning, and clustering to optimize data queries
• Follow data quality standards, data governance frameworks, and security policies for data storage and access
• Develop and optimize data models and schemas to support analytics, reporting, and machine learning requirements
• Collaborate with data scientists and analysts to design data solutions that integrate with BI tools and machine learning models
• Create comprehensive documentation for data pipelines, workflows, and processes.

• Design, develop, and maintain scalable ETL/ELT pipelines for high-volume batch and real-time data
• Build and optimize analytics infrastructure that supports developer productivity and engineering metrics
• Partner with cross-functional teams to deliver data products and self-service insights
• Develop and maintain data models, schemas, and architectures for modern data platforms
• Ensure reliability, performance, and data quality across pipelines and platforms
• Contribute to DevOps and CI/CD practices for data and backend services
• Document designs, workflows, and best practices to support team knowledge sharing

Senior Data Engineer

Artificial Intelligence

• Define and articulate the vision, strategy, and roadmap for your portfolio of digital health insurance products.
• Work closely with architecture, design, content, engineering, legal, compliance, and analytics teams to develop and launch high-quality digital products.
• Advocate for the user by integrating customer feedback, usability testing, and market research into product development.
• Analyze performance metrics and user data to identify trends, inform product decisions, and optimize product features.
• Communicate product vision and updates to stakeholders, including executive leadership.
• Roll up your sleeves and guide teams to resolve business, design, and engineering problems quickly and efficiently.
• Lead agile epic and feature development and refinement processes, including PI planning, backlog management, and prioritization of features.
• Stay informed about industry trends, competitive landscape, and emerging technologies for your subject areas.

Senior AI Digital Product Manager

Therapist

• Empower Therapists to practice at the top of their license with the support of our clinical care team
• Provide psychosocial support and education needed to address the mental wellbeing of individuals, couples/families ages 13+
• Deliver evidence-based care and access to assessment and treatment planning tools to elevate and support the continuity of care for patients
• Engage in career growth and professional development within the organization
• Participate in in-depth training, development, and support

Mental Health Therapist

Pharmacist

• Support the pharmacy team in delivering operational and service excellence within your store
• Assist the pharmacy team to ensure that pharmacy operations run smoothly
• Deliver an exceptional experience to patients and customers
• Complete basic inventory activities as permitted by law and directed by the pharmacy leadership team
• Assist with immunizations and track patient information where permissible

Pharmacy Technician

Consultant

• Applies critical thinking, evidenced based clinical criteria and clinical practice guidelines for services requiring precertification
• The majority of the time is spent at a desk and on the phone collecting and reviewing clinical information from providers
• Precertification nurses use specific criteria to authorize procedures/services or initiate a Medical Director referral as needed

Utilization Management Nurse Consultant

• Develops a proactive plan of care to address identified issues to enhance the short and long-term outcomes
• Uses clinical tools and information/data review to conduct an evaluation of member's needs and benefits
• Applies clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators
• Conducts assessments that consider information from various sources
• Uses a holistic approach to assess the need for a referral to clinical resources and other interdisciplinary team members
• Collaborates with supervisor and other key stakeholders in the member’s healthcare
• Utilizes motivational interviewing skills to ensure maximum member engagement

Medical Director

• Provide clinical leadership and expertise in the development of quality improvement strategies and special projects to support the enterprise quality organization
• Advise teams about strategies for improvement or adjustment of their programs or products
• Clinical leadership of the environmental resiliency portfolio: coordinate research, manage relationships with key stakeholders, and present on findings to internal and external audiences
• Collaborate cross functionally with teams to review clinical products and programs for clinical accuracy and evidence
• Demonstrate agility and resilience while working in a dynamic, ever-changing work environment
• Be passionate about data and project work in a complex, large organization

Medical Director – Clinical Quality Initiatives

Financial Planning and Analysis

• developing complex budget insights based on analyses of historical financial data
• working closely with the Account Team on changes to client contracts
• communicating internally and externally to prepare financial reports
• conducting routine cost analysis to identify cost-saving opportunities
• implementing financial models and scenario analysis for strategic initiatives

Financial Operations Analyst

• Apply clinical judgment and evidence-based criteria to review inpatient and outpatient services.
• Collaborate with providers and authorize care while maintaining accurate documentation.
• Participate in occasional on-call rotations, including some weekends and holidays.
• Conduct clinical reviews via phone and collaborate with healthcare providers to gather necessary information.
• Navigate multiple computer systems efficiently while maintaining documentation accuracy.
• Flexibly provide coverage for other Utilization Management Nurses as needed.

Utilization Management Nurse Consultant – Specialty Medications

Vice President

• Oversee cross-functional collaboration across Medicaid business units, technology teams, and growth partners to ensure seamless, efficient, and compliant operations.
• Identify opportunities for process improvement and operational optimization, developing technology-enabled strategies that enhance efficiency, reduce friction, and improve service delivery.
• Direct end-to-end application development lifecycle for vendor provided and internally developed systems across a multi-state, multi-business environment.
• Develop and execute the technology platform strategy and investment roadmap, in collaboration with business units and corporate partners.
• Lead the implementation of automation tools, workflow systems, and digital capabilities to streamline Medicaid operational processes and increase overall productivity.
• Utilize data and analytics platforms to assess and improve performance, identifying trends, operational risks, and insights that drive better decision-making and outcomes.
• Partner closely with the Medicaid CFO and financial leaders to develop budgets, forecast technology spend, manage expenses, and ensure alignment with financial goals and state/regulatory requirements.
• Develop, lead, and execute enterprise-wide Medicaid technology initiatives, ensuring alignment with business strategy, regulatory timelines, and member/provider experience priorities.
• Manage and implement cost-saving initiatives across the Medicaid technology portfolio, leveraging modernization, automation, cloud optimization, and operational improvements.
• Build and maintain strong relationships with internal stakeholders, external partners, vendors, state agencies, and industry associations, ensuring effective collaboration and trusted partnerships.
• Oversee Medicaid risk activities, ensuring the organization meets compliance, audit, security, and regulatory obligations across all systems and operations.
• Lead organizational change management efforts, with a strong focus on revenue growth, cost containment, reimbursement methodologies, and member and provider support functions.

VP, Medicaid – Aetna Technology

• Apply critical thinking and evidence-based clinical criteria to evaluate outpatient and inpatient services requiring precertification and concurrent review.
• Conduct clinical reviews via phone and electronic documentation, collaborating with healthcare providers to gather necessary information.
• Use established guidelines to authorize services or escalate to Medical Directors as needed.
• Navigate multiple computer systems efficiently while maintaining accurate documentation.
• Thrive in a fast-paced, high-volume environment with strong organizational, multitasking, and prioritization skills.
• Ensure continuity of care and operational support as a Utilization Management (UM) Nurse across various UM specialty teams as needed.
• Participate in occasional on-call rotations, including some weekends and holidays, per URAC and client requirements.