CVS Health

Content Marketing Manager

• Serve as the primary author and owner for knowledge articles, job aids, decision trees, and visual decision flows supporting frontline operations.
• Translate complex policy, regulatory, and operational changes into concise, plain‑language content that is accurate, compliant, and actionable.
• Lead content initiatives using project management best practices, including scoping work, developing project plans, defining milestones, managing timelines, and identifying risks and mitigation strategies.
• Manage version control, approvals, and timely content updates in alignment with content governance standards and audit requirements.
• Apply information design standards to ensure consistency, readability, and usability across all knowledge assets.
• Create and maintain visual artifacts such as decision flows, quick reference cards, and job aids to support efficient frontline decision‑making.
• Monitor content quality and effectiveness through routine reviews, audits, and frontline feedback; identify knowledge gaps and implement improvements.
• Communicate project status, risks, dependencies, and deliverables to stakeholders, ensuring clarity of roles, expectations, and outcomes.
• Collaborate with Training and operational partners to support reinforcement materials, learning integration, and adoption of knowledge content.
• Apply continuous improvement practices to enhance content processes, tools, and methodologies, driving efficiency, scalability, and quality.

Knowledge Content Specialist

Systems Engineer

• Support the deployment and ongoing operations of the Anthropic Claude platform across business units
• Assist in building and testing prompts, scripts, and lightweight automations under the guidance of senior engineers
• Help onboard end users and teams to Claude, providing hands-on support and answering questions
• Log, track, and troubleshoot issues reported by users
• Assist with testing and quality assurance of AI workflows and integrations before and after release
• Document processes, user guides, and best practices to support enterprise-wide adoption
• Collect and organize user feedback to help the team identify improvement opportunities

Systems Engineer, Analyst

Account Executive

• Managing sales growth by building a book of business leveraging field sales marketing activity and telesales programs
• Sell, cross-sell, up-sell, and retain through the use of the Aetna IVL Medicare product portfolio
• Deploy an operating model that supports 3 days in the field and 2 days in a call center queue
• Own the member relationship throughout the year and be the primary contact for member inquiries, including but not limited to, any questions related to plan benefits, product, and services offerings
• Resolving any issues with respect to the utilization of the product
• Document in the hybrid field sales integrated tech stack the call interactions, COIs, and lead management protocols with new and existing members
• Develop, continuously train, and learn new sales skills to support best in class customer acquisition metrics, sales goals, and other KPIs meant to drive complaint and quality sales
• Accountable for telesales/field sales achievement of quality, sales effectiveness, retention, secret shopper initiatives, and state, federal, and CMS requirements for Medicare sales agents and programs

Field Sales Representative

Solutions Engineer

• Own the architecture vision and roadmap for Aetna’s member‑facing digital platforms (web, mobile, APIs)
• Ensure architectures are explicitly designed to improve member experience outcomes
• Provide architectural oversight for end‑to‑end member journeys
• Drive consistent adoption of modern experience architectures
• Define architectural patterns for AI‑enabled digital experiences
• Establish architecture standards, guardrails, and reference architectures
• Lead, mentor, and develop a high‑performing team of Architects
• Serve as a trusted architecture advisor to senior Product, Digital, and Technology leaders.

Lead Director – Cloud Solution Architecture

QA Engineer

• Assesses the effectiveness of critical functions, including test planning, test case development, test execution, and test reporting.
• Designs a systematic approach for detecting software defects and determining the severity and priority of identified issues.
• Coaches the quality assurance team to enhance capabilities and reinforce standards in alignment with industry trends and software engineering practices.
• Conducts most complex evaluations for the quality assurance team to assess the quality of software and applications.
• Confers with test automation experts to help optimize the quality assurance processes within the software engineering department.
• Delivers a comprehensive quality assurance strategy that outlines the roadmap, timelines, and standards for software projects.
• Designs a monitoring system to track project progress and manage expectations to ensure alignment with engineering project goals.
• Forecasts the resource requirements for quality assurance activities based on project scope, deadlines, and complexity.
• Helps establish and implement metrics and reporting mechanisms to track the effectiveness of the quality assurance initiatives for software projects.

Senior Manager, Quality Engineering

Medical Director

• Provides strategic direction, professional oversight, and leadership throughout the precert process and other clinical operations.
• Collaborates with executive leadership to develop and implement strategies that align with healthcare objectives, improve processes, drive innovation, and positively impact members and providers.
• Leverages medical and operational expertise to develop and align the company's goals with clinical strategies and regulatory requirements.
• Collaborates with cross-functional leaders to shape and drive the clinical operations strategy and initiatives, ensuring optimal quality and efficiency.
• Establishes clinical standards and oversees clinical governance structures to ensure patient safety and the provision of quality care.
• Leads the development of clinical processes and programs, such as clinical protocols, guidelines, treatment pathways, and training curricula.
• Manages operations of the Medicare Precertification MD Team, in alignment with governing policies and procedures.
• Leads teams through Medicare audits and on-going audit readiness.
• Stays updated on relevant scientific evidence, industry standards, and regulatory changes to ensure organizational compliance and relevance.
• Develops and maintains relationships with key stakeholders, such as government agencies, providers, and professional organizations.
• Develops and continuously monitors key metrics to assess the performance of strategic initiatives and processes, making adjustments as needed.
• Provides mentorship, professional development opportunities, and support to physicians, promoting their growth and ensuring a cohesive and skilled medical team.
• Collaborates with legal and compliance teams to ensure developed clinical processes and solutions comply with all applicable regulatory requirements.

Senior Medical Director – Precertification

Data Scientist

• Lead the data science and analytics strategy for underwriting transformation software products, from problem framing through production deployment.
• Design and operationalize causal, predictive, and scenario‑based analytical capabilities supporting underwriting, pricing, and risk decisions.
• Partner closely with Product Management and Engineering to embed analytics and reporting into core product workflows.
• Define, track, and report product, operational, and business metrics and OKRs aligned to organizational and underwriting transformation goals.
• Establish scalable reporting frameworks and dashboards that provide transparency into product performance, financial impact, and delivery outcomes.
• Deliver executive‑ready insights that clearly articulate progress, risks, and tradeoffs.
• Provide technical leadership in causal inference and counterfactual analysis to assess underwriting and pricing changes.
• Facilitate continuous, cross‑functional communication across Product, Engineering, Underwriting, Finance, Actuarial, and Executive teams.

Principal, Analytics and Data Science – Pricing Forecasting

Financial Planning and Analysis

• review client pricing terms
• identifying inaccuracies
• completing the pricing implementation within our rebate system
• support various requests and provide feedback on client setups
• identify potential issues which could result in financial misstatement
• manage workflows and ensure deliverables are completed
• promptly and proactively resolve issues that arise from internal controls and/or service failures

Financial Operations Analyst – Rebates

• Ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal request.
• Primarily responsible for Utilization Management, including prior authorization and precertification as well as concurrent review.
• Cases could focus on inpatient or outpatient, acute and post-acute as well as peer to peer calls and first level appeals.
• Participate in a rotating on call schedule to provide weekend and holiday coverage.

Medical Director – Medicaid

• 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 – Aetna Duals Center of Excellence

Security Engineer

• Designing, implementing, and maintaining security measures to protect the organization’s digital infrastructure
• Familiarizing themselves with the capabilities of each tool in our security stack
• Understanding the standard operating procedures of the Security Platform team and stakeholders
• Onboarding, parsing, and monitoring data for the security platform
• Troubleshooting any potential issues with the security platform
• Partner with systems and security architecture, application, databases and storage teams
• Creating visualizations, queries, detections, and automations required for the functioning/use of the platform
• Understands the Enterprise logs and acquires knowledge on the relevant processes need for project delivery
• Participation in entire software lifecycle development, testing, CI/CD and production operations
• Document platform processes, workflows, and systems for reference and knowledge-sharing purposes
• Implements data quality checks and validation processes to ensure the accuracy, completeness, and consistency of the data
• Provide technical guidance and solutions for Cyber Defense team members
• Work with team members for business solutions and implementations

Staff Security Engineer

• ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal request
• ensure Utilization Management, including prior authorization and pre certification as well as concurrent review
• focus on inpatient or outpatient, acute and post acute as well as peer to peer calls and first level appeals

Medical Director – Kentucky Medicaid

Consultant

• Assists the facility in identifying, evaluating, and addressing pharmacy-related concerns and issues that affect resident care, medical care, quality of life, and/or regulatory compliance.
• Responsible for collaboration with facility leaders and staff to coordinate pharmaceutical services within long term facilities.
• Recommends clinical reviews as required by federal and state regulation to company leadership.
• Advances issue resolutions and communicates early warning signs of potential issues.
• Represents the company when communicating with customers to promote and drive organic growth as well as new business.

Pharmacist Consultant – Long Term Care

Manager

• Oversee and manage the end-to-end delivery of accurate and complete required documentation for network growth initiatives, including document intake, audit review and approval process and tracking and documentation
• Drive collaboration cross-functionally to support network growth initiatives
• Offer expert guidance on provider application requirements, conducts audits to ensure data integrity, and initiates or supports remediation efforts as needed to maintain high standards of operational excellence
• Project management oversight, process improvement and documentation development and maintenance
• Develop and maintain key performance indicators for team production, designs and regularly presents timely and transparent performance reporting to leadership with proactive identification of risks and appropriate mitigation plans
• Identify and mitigate risks, escalating issues promptly and proposing effective solutions to overcome project challenges
• Coordinate with cross-functional implementation team, collaborates effectively with network partners and health plan SMEs to meet implementation initiative needs
• Work closely with leadership & business stakeholders to secure new implementation planning approval, funding/resource alignment and initiate execution plans
• Manage pipeline of new implementation initiatives and overseeing the evaluation of multiple requests at any given time
• Manage multiple concurrent reporting initiatives with critical deadlines, while working within established processes and identifying improvement opportunities
• Ensure intake, audit and tracking standards are followed
• Cultivate and manage relationships with various internal business partners
• Exercise sound judgment and critical thinking skills, demonstrates analytical/problem-solving skills
• Assess organizational needs to optimally build a functional team through formal training, diverse assignments, communication, coaching, mentoring and performance management accountable for hiring and developing staff members
• Manage operational aspects of the team (e.g., budget, performance, and compliance), and implements workforce and succession plans to meet business needs

Senior Manager, Provider Documentation Audit

DevOps Engineer

• Develop and enforce engineering security policies and standards
• Develop and enforce data security policies and standards
• Drive security awareness across the organization
• Drive accountability in collaborative team Kanban practices
• Collaborate with Engineering and Business teams to develop secure engineering practices
• Serve as a Subject Matter Expert for Application Security
• Work with cross-functional teams to ensure security is considered throughout the software development lifecycle
• Analyze, develop, and configure security solutions across multi-cloud, on-premises, and colocation environments, ensuring application security, integrity, confidentiality, and availability of data
• Lead security testing, vulnerability analysis, and documentation
• Design, develop, and maintain enterprise-level reporting utilizing platforms such as PowerBI, Grafana, Tableau, and similar tools
• Participate in operational on-call duties to support infrastructure across the enterprise
• Develop incident response and recovery strategies