CVS Health

Customer Support

• Play a critical role in helping CVS Health achieve optimal customer experiences
• Lead analysis of customer experience signals across various channels
• Translate complex data into actionable insights for senior leadership
• Identify risks and opportunities impacting customer experience
• Contribute to reporting and storytelling for executive presentations

Senior Manager – Enterprise Customer Experience Analysis

Analyst

• Own and execute analytics that support the success of the Preferred Networks program.
• Support the ideation, development, and execution of new Specialty Care initiatives, including ROI / opportunity analyses, qualitative research, pilots, and project planning.
• Own quality assurance of data analytics, escalating concerns and risks as necessary.
• Collaborate cross-functionally with field teams, vendors, Service Operations, and other Specialty Care stakeholders to advance programs.
• Other duties as assigned.

Analyst, Population Health – Specialty Care

Outside Sales

• Generate leads that contribute to pipeline development, specifically aligned to respective budgets, as measured by key performance indicators (KPI’s) within market team structure; accomplished by completing in-person cold visits and leveraging other communications media
• Leverage the Omnicare Value Proposition and execute initial Needs and Discovery Meetings with prospects, in order to further qualify self-sourced and referred leads
• Ensure quality pipeline expansion by providing appropriate sales materials and strategy, in an effort to support positive client interface during needs and discovery through closing
• Contribute to market team objectives by exceeding required activity and sales results, actively participating in market team pipeline reviews
• Record prospect information and maintain database (SFDC) by obtaining, entering, and verifying required data
• Performing other duties as needed

Outside Sales Development Associate – Field

Pharmacist

• deliver compassionate care to patients
• fulfill medication needs and regulatory compliance standards
• manage pharmacy workstations and tasks
• provide caring service that exceeds customer expectations
• complete pharmacy technician training program
• satisfy registration, licensing and certification requirements

Pharmacy Technician

Actuary

• Provide actuarial leadership and oversight for DCS pricing activities, including rate reviews, underwriting, and annual pricing submissions.
• Establish and maintain actuarial standards, pricing frameworks, and governance processes.
• Review, approve, and recommend rate actions, pricing assumptions, and risk positions.
• Own actuarial evaluation of margin performance and profitability drivers.
• Ensure pricing strategies and rate execution are aligned with target margins and durable growth goals.
• Identify emerging risks and develop mitigation strategies in partnership with Business Leads, Finance and Underwriting.
• Assess and manage the financial and pricing implications of federal and state regulatory changes impacting Commercial Pharmacy and Mental Health Parity.
• Oversee intercompany pharmacy pricing discussions and work with both Caremark and Aetna IBU teams to ensure pharmacy value is effectively deployed for Fully Insured, AFA and integrated ASC business.
• Lead and mentor a multi-disciplinary team, fostering organizational agility and development.

AVP, Commercial Specialty Actuarial & Underwriting

Account Manager

• leads and manages an Account Executive team
• builds strong personal and collaborative partnerships with an assigned book of business
• achieves customer satisfaction, retention, and profitable growth
• executes cross-sell and conversion initiatives
• ensures consistent service to constituents by monitoring performance measures

Senior Manager of Account Management – Local Markets, International Team

Manager

• Accountable for strategic alignment and operational success of Medicare Advantage Value-Based Contracts (VBC)
• Serve as the analytics partner for VBC contracts
• Provide analytical research, financial modeling, and business decision support
• Establish and maintain productive relationships with provider systems and networks
• Educate internal and external parties for compliance with contract terms
• Drive provider performance and collaborate with local markets
• Advocate for and drive strategy consultation on improvements.

Senior Manager, Value Based Contracts Analytics

• Design and deliver analytic and reporting solutions based on business needs
• Query and analyze large datasets using SQL, Python, and similar tools
• Build and maintain summary data layers to support reporting and analysis
• Identify data gaps and partner with data strategy and business teams to address them
• Develop interactive dashboards using Power BI and or Tableau
• Work closely with internal and external stakeholders to understand requirements
• Perform analysis ranging from basic reporting to advanced statistical and predictive models
• Translate complex technical concepts into simple, clear insights for non technical audiences
• Create documentation and training materials to support data tools and reporting
• Customize analytic solutions based on timelines, data availability, and stakeholder needs
• Use creativity to develop insights and present findings clearly through reports and presentations
• Communicate results and recommendations using tools like PowerPoint and dashboards

Manager, Payer Insights – Analytics

• Demonstrates mastery of Provider Data Services job responsibilities and associated criteria
• Oversee the day-to-day activity and production across the team
• Responsible for establishing strategy for team and balancing priorities and workload
• Must exhibit strong leadership qualities, strong communication skills, and strategic thinking
• Uses independent judgment to make decisions to put the team in the best position to succeed
• Able to provide guidance to team and drive decisions based on data analysis
• Handles escalated issues from the team

Senior Manager, Provider Data Services

IT Support

• provide strategic technical leadership across the enterprise
• define and govern the architectural direction for platforms, applications, cloud infrastructure, and AI capabilities
• partner with senior technology and business leaders to align architecture decisions with organizational strategy
• drive modernization initiatives
• ensure the enterprise technology portfolio is secure, scalable, and cost-effective
• define and maintain the enterprise architecture vision, principles, reference architectures, and technology roadmap
• lead architecture governance
• drive cloud infrastructure strategy
• own the enterprise technology radar
• lead application portfolio rationalization
• partner with security and compliance teams
• establish patterns for API governance, service mesh, identity, and zero-trust architecture
• translate complex architectural trade-offs into clear, outcome-oriented narratives
• represent architecture in budget and investment discussions
• build and maintain relationships with strategic technology vendors and partners
• build, lead, and mentor an architecture team

Executive Director, Enterprise Architecture

Data Engineer

• build and maintain the cloud infrastructure, data pipelines, and deployment workflows
• turn our team's machine learning models into reliable, production-grade services that support STARS ratings
• work across three key areas: cloud data engineering on Google Cloud Platform, backend API development, and DevOps/container orchestration
• collaborate with data scientists, product owners, and business stakeholders to deliver scalable, well-architected solutions that move insights from development to production

Senior Data Engineer, GCP

Project Manager

• Lead end-to-end delivery of initiatives involving data processing, eligibility and enrollment workflows, and reporting solutions
• Partner with business and technical teams to translate requirements into structured plans, functional requirements, and testable deliverables
• Drive coordination across teams to ensure successful implementation and a smooth transition to operations
• Drive User Acceptance Testing (UAT) to validate system behavior, data outputs, and operational readiness
• Lead data validation and reconciliation activities to ensure consistency across source systems and downstream platforms
• Perform or support targeted data analysis using SQL or similar tools to validate requirements, investigate issues, and support operational decision-making
• Support implementation and production readiness, including transition to operations, issue triage, and post-release monitoring
• Ensure documentation, processes, and deliverables meet regulatory, compliance, and quality standards
• Act as the central point of coordination across stakeholders, managing scope, risks, dependencies, and delivery timelines
• Identify and drive improvements to data quality, workflow efficiency, and delivery practices
• Promote Agile and hybrid methodologies where applicable
• Identify opportunities to streamline operations, improve data quality, and enhance automation

Manager, Project Management – Medicare Reporting and Analytics

Account Executive

• Acquisition of new members via engagement in community event activity to generate leads and referrals
• Assessing customer needs for products and services using insightful, probing questions, and demonstrating superior listening skills
• Servicing of existing members and inquiries related to utilization of their product, benefits, etc.
• Cross selling ancillary products as well as any other applicable products to existing members
• Retention of existing members
• Maintaining knowledge levels with respect to CMS and states regulations
• Ability to multitask, and effectively use computer while interacting with prospects and members via phone
• Ensuring that the relevant information is captured in Customer Relationship Management system (CRM)
• Meeting sales goals, conversion rates, and cross sell rates for acquisition of new members as outlined in the annual performance plan.
• Contacting prospective members within the time limit outlined in the annual performance plan.
• Achieving the member retention rate as outlined in the annual performance plan.
• Highest levels of member satisfaction as measured by various member surveys and member retention rate.
• Expert level understanding of products, services, and processes offered by the company.
• Ability to pass on an annual basis: American Health Insurance Plans (AHIP) Continued Education (CE’s) Product Certification Required Security and Compliance Client/Carrier Certifications Any required CMS Certifications

Bilingual Medicare Field Sales Representative

Compliance

• Collaborates with departments and stakeholders across Meritain Health to plan, coordinate, and manage resources
• Supports operational improvement initiatives and strategic projects
• Leads corrective action efforts
• Develops and reviews policies and procedures
• Reinforces accountability by helping ensure team deliverables, priorities, and follow-up activities are completed
• Provides oversight of workflow, coordination, and execution across assigned areas of responsibility

Compliance, Risk, and Operations Manager

Backend Engineer

• Leverage Python to develop new reporting and analytics using healthcare data (medical, pharmacy, lab)
• Create business applications to deliver clinical or analytic solutions to constituents in a self-service fashion using Plotly Dash Enterprise
• Drive forward enterprise modernization opportunities leveraging Python and cloud-native technologies
• Refactor legacy programming code to improve turn-around-times and to take advantage of modern technologies
• Communicate with key stakeholders in a way that is easy to understand and actionable
• Define and deliver new technical capabilities in support of healthcare business initiatives that drive short- and long-term objectives
• Work to expand, scale, and automate the analyses available to the broader team and the Aetna field
• Ability to mentor and knowledge share with peers
• Monitor and maintain applications and production processes required to deliver on business commitments
• Use analytics and technology to solve business needs as well as to demonstrate to customers the value of Aetna’s integration with CVS Health