CVS Health

Account Manager

• Enable equitable, coordinated care by strengthening community and provider ecosystems
• Improve care navigation and equip the workforce to deliver integrated, culturally responsive care
• Build and steward trusted relationships with communities, providers, and partners
• Identify and build opportunities to increase member and provider engagement
• Create models for and execute on opportunities to enable community workforce to deliver integrated, culturally responsive care
• Ensures enterprise colleagues and community workforce have the necessary skills, tools, and confidence to support equitable care navigation (training, education, etc.)

Senior Manager – Community Engagement, Strategic Partnerships

Manager

• Provide oversight to the Part C/Part B Preservice Expedited/Standard Appeal team
• Ensure timely, customer focused response to appeals, complaints, and grievance
• Identify trends and emerging issues and report on and give input on potential solutions
• Independently research and translate policy and procedures into intelligent responses
• Successfully work across functions and segments to create and trend reports for resolution of escalated cases

Associate Manager, Complaint & Appeals

Financial Planning and Analysis

• Execute and support the monthly, quarterly, and annual consolidation process, including preparation of consolidated financial statements (income statement, balance sheet, and cash flow statement).
• Partner with segment finance teams to ensure accurate and timely submission of financial results and investigate and resolve consolidation variances.
• Analyze the accounting and financial reporting implications of operating, investing, and financing transactions.
• Maintain and enhance consolidation processes, systems, and internal controls to improve efficiency and accuracy.
• Support SOX compliance efforts by coordinating documentation and testing with Internal Audit.
• Collaborate with the Technical Accounting team to ensure compliance with U.S. GAAP and SEC reporting requirements.
• Assist in the preparation of supporting schedules and materials for quarterly and annual financial reporting and earnings releases.
• Contribute to system and process improvement initiatives related to financial consolidation and reporting.

Manager – Financial Reporting & Analysis

General

• Responsible for Oversight of that that investigates and resolution of appeals scenarios for all products
• Ensure timely, customer focused response to appeals
• Independently coaches others on appeals ensuring compliance with Federal and/or State regulations
• Manage control and trend inventory, independently investigate, adapts to changes or revise policy to resolve the most escalated cases
• Research incoming electronic appeals, complaints and grievance to identify if appropriate for unit
• Identify correct resource and reroute inappropriate work items that do not meet appeals, complaints and grievance criteria
• Research Standard Plan Design or Certification of Coverage relevant to the member to determine accuracy/appropriateness of benefit/administrative denial
• Research claim processing logic to verify accuracy of claim payment, member eligibility data, billing/payment status, prior to initiation of appeal process

Senior Coordinator, Complaint & Appeals

Full-stack Engineer

• design, develop, and implement digital solutions and systems
• apply advanced technical expertise to architect and code software applications
• conduct system testing and debugging
• collaborate with cross-functional teams
• contribute to the overall technical direction and innovation of digital engineering projects
• lead operational excellence through automation and reliability improvements
• drive root-cause resolution and enhance observability
• serve as the technical lead for complex production issues
• establish operational best practices
• ensure applications meet availability, compliance, audit, and supportability standards

Staff Software Development Engineer

Pharmacist

• Aggregate and analyze data to produce detailed reports
• Develop and implement performance measures for pharmacy network contracts
• Identify and flag potential fraud, waste, and abuse within the pharmacy network
• Collaborate with cross-functional teams across the enterprise to support strategic decision-making
• Manage relationships with internal stakeholders to ensure alignment and effective communication
• Support the Director of Network Pharmacy in monitoring pharmacy performance
• Assist in budget planning and financial performance analysis of the pharmacy network
• Contribute to quality improvement initiatives to enhance service delivery
• Ensure compliance with federal, state, and local regulations

Pharmacy Network Manager

• Support the pharmacy team in delivering operational and service excellence within the store
• Be the first point of contact for patients and customers
• Ensure that pharmacy operations run smoothly and prescriptions are filled promptly, safely, and accurately
• Operate as part of the pharmacy team by applying Standard Operating Procedures (SOPs) and best practices
• Complete basic inventory activities such as accurately putting away medication deliveries and completing cycle counts

Pharmacy Technician

• Leads the finance and contract compliance team carrying out the end-to-end contract management processes
• Collaborates with cross-functional teams and senior leadership
• Checks contract milestones and obligations
• Inspects contract proposals, identifies risks
• Evaluates opportunities for cost savings, performance improvements
• Consults with internal stakeholders to negotiate contracts
• Ensures efficiency and effectiveness of contract management processes
• Provides leadership in motivating team members to accomplish finance and contract compliance goals

Lead Director, Finance and Contract Compliance

Analyst

• Acquires necessary information and resources to support the development of proposals
• Advises in less complex proposal-related matters, providing insights and recommendations
• Analyzes basic proposal requirements and guidelines, ensuring compliance with client specifications
• Applies functional proposal development knowledge to create competitive proposals
• Arranges proposal-related activities, coordinating schedules, meetings, and communication
• Assists in various tasks related to proposals, supporting the proposal team in content creation
• Contributes to improvement of content quality by conducting basic proposal reviews
• Prepares and coordinates proposals, ensuring all necessary documents are submitted on time
• Reviews and edits proposal content for clarity, consistency, and adherence to guidelines
• Formats and designs proposal documents, ensuring a professional appearance

Proposals Analyst

Product Manager

• Own the performance and productivity ecosystem that drives an organization's top metrics
• Oversee the clinician-facing mobile app experience and internal management tools
• Define and implement AI-driven intelligence in products
• Collaborate with operations leaders and field teams to enhance performance metrics

Product Manager, Clinician Performance

• Own and scale an Advocacy storytelling program
• Lead the enterprise customer advocacy program, including strategy, governance, process, and infrastructure
• Partner with Marketing, Communications, Public Relations, and Social to drive coordinated storytelling and amplification across channels
• Position advocacy as complementary proof points that reinforce CVS Health’s differentiated capabilities and outcomes
• Build a continuous pipeline of high-impact stories and recognition opportunities
• Identify customer advocates and stories through VOC platforms (e.g., Medallia), social channels, and business partnerships
• Translate customer outcomes into compelling testimonials, case studies, and assets
• Manage our structured intake and prioritization model for advocacy content requests across lines of business
• Develop and manage enterprise storytelling assets and systems
• Maintain a centralized repository of customer stories, testimonials, and award submissions/wins, categorized by business line, solution, and theme
• Ensure content is accurate, compliant, and aligned to CVS Health messaging and brand standards
• Establish repeatable processes for intake, development, legal/compliance review, and activation
• Drive measurable impact and continuous optimization
• Track and analyze performance of advocacy content (usage, amplification reach, reputational impact)
• Provide insights and recommendations to evolve strategy, improve ROI, and increase enterprise adoption
• Contribute to executive-level reporting on storytelling effectiveness and external validation
• Support our growing and evolving Enterprise Awards Recognition program
• Support the scaling of the enterprise awards program as volume and scope increase, including coordinating cross-functional partner outreach, scheduling stakeholder interviews, maintaining the awards tracker, and ensuring timelines are met
• Expand internal awareness and engagement by developing and distributing updates (email communications, presentations), proactively onboarding new teams, and identifying emerging technologies across the enterprise
• Maintain and evolve a centralized portfolio of award stakeholders and subject matter experts, including POCs, technologies, and recent product achievements to enable efficient and targeted submissions
• Partner with internal innovation channels (e.g., patent pipelines and related efforts) to proactively identify new technologies, solutions, and teams for award consideration
• Support measurement and optimization of awards impact, including amplification tracking, process improvements, performance metrics, and use of internal tools and AI to enhance research and submission quality

Senior Manager, Customer Story Telling and Advocacy

Compliance

• Manage APCD compliance programs and reporting requirements across multiple states
• Lead projects from start to finish, including timelines, regulator communications, and extension requests
• Interpret state regulations and convert them into business and system requirements
• Oversee timely submission of reports, files, and responses to regulators and vendors
• Investigate compliance, reporting, and system issues; identify root causes and support corrective actions
• Write detailed business requirements to address compliance and data issues
• Use reporting tools, databases, and data analysis to monitor compliance and improve processes
• Identify opportunities to automate and streamline workflows
• Train, mentor, and coach team members and business partners
• Develop and maintain training materials, policies, procedures, and process documentation
• Build relationships across departments to improve collaboration and results
• Communicate effectively with regulators, vendors, clients, account managers, IT teams, and leadership
• Escalate risks, issues, and compliance concerns when appropriate
• Create management reports and provide recommendations for issue resolution

Compliance Manager

Data Specialist

• Compare and contrast the provider system with network data and regulatory sources
• Manage provider records for accuracy in the provider directory
• Review and submit requests to update the provider module for adds/changes
• Research updates to ensure compliance with CMS and AHCCCS regulations
• Utilize standard data elements for provider data to feed member directories and regulatory reports

Provider Data Services Specialist

• Responsible for the direct daily supervision of pharmacy service representatives (PSRs)
• Provide proactive compliance and ordering calls for all medications dispensed by CVS/specialty Pharmacy Network
• Guidance and direction to staff
• Direct daily workflow, schedule preparation and management
• Ensure adherence to standard operating procedures
• Interviewing/hiring process, staff training, and performance monitoring
• Conduct audits, review metrics, and prepare scorecards

Supervisor, Specialty Pharmacy Services

Business Analyst

• supports the Production team in meeting our regional or client goals
• responsible for the ongoing analysis, tracking of KPIs, and interpretation of data
• work closely with all Production team members across clients and regions
• use data to determine strengths and opportunities for improvement in operations
• develop and effectively communicate suggestions at client and regional levels
• research, track, and monitor client or regional commitments, goals, and expectations
• collect data from numerous sources, clean data, and analyze data to identify trends
• provide team with actionable insights and analysis reports based on data to support decision-making efforts
• monitor performance KPIs
• respond promptly to inquiries