CVS Health

Manager

• elevate patient care to a whole new level
• join Community Care team as an industry leader
• facilitate the delivery of appropriate benefits and/or healthcare information
• develops, implements, and supports Health Strategies, tactics, policies, and programs
• acts as a liaison with member/client /family, employer, provider(s), insurance companies, and healthcare personnel
• implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients
• interacts with members/clients telephonically or in person
• assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status
• communicates with member/client and other stakeholders as appropriate
• prepares all required documentation of case work activities as appropriate
• interacts and consults with internal multidisciplinary team

Case Manager, Registered Nurse – Field

Account Manager

• Collaborate with Account Directors to implement client strategies and ensure successful outcomes.
• Build and maintain strong relationships with clients and brokers to support retention and growth.
• Provide expert administrative support and guidance to client constituents.
• Deliver insightful reporting and analysis to inform client decisions.
• Monitor market trends and identify competitive opportunities.
• Maintain accurate and up-to-date client records.
• Participate in and/or lead client meetings as appropriate.
• Partner with internal teams (underwriting, sales, operations, analytics, etc.) to ensure client needs are met.

Account Manager, Middle Market – West Coast

Consultant

• Ensure facilities remain compliant and aligned with federal regulations
• Complete clinical reviews as required by federal and state regulation
• Own issue resolution and communicate early warning signs of potential issues
• Drive adoption of Omnicare programs and service offerings
• Use existing customer relationships to promote and drive organic growth as well as new business
• Conduct Executive Reviews and other customer meetings as required
• Collaborate with Account Management, Sales, Operations, and appropriate corporate functions to meet overall site goals and objectives
• Perform Medication Regimen Reviews (MRR) as outlined by regulation or contract for facility type and provide written reports of these reviews to applicable facility staff
• Spend an appropriate amount of time on each resident’s review as defined by their clinical needs
• Use OSC2OR software on-site to generate MRR, including therapeutic interchange and Omnicare clinical program-related recommendations and document responses to previous recommendations
• Utilize the "Minimum Data Set" (MDS 3.0) health assessment tool to identify specific residents needing targeted focuses
• Complete the “Quality Improvement: Consultant Pharmacist Summary Report” for all applicable facilities and transmit this and the “Summary for Consultant Services” after each month of consulting has been completed
• Educate facility staff including the Director of Nursing, Medical Director, and Administrator when new programs are implemented and perform specific functions required of new programs to be conducted by Consultant Pharmacist

Pharmacist Consultant – Long Term Care

• Build and maintain executive-level dashboards and operational scorecards using Tableau or other BI platforms.
• Establish and enforce data visualization standards to ensure consistency and accessibility of reporting across the MA division.
• Proactively identify trends, anomalies, and opportunities within complex datasets and communicate (and present) them through compelling data stories.

Senior Manager, Analytics & Insights

Project Manager

• Support intake, prioritization, and sequencing of new AI use cases
• Coordinate the full lifecycle of AI initiatives from intake through deployment
• Collaborate with IT and business stakeholders to define requirements and AI use cases and to deliver AI-enabled solutions to meet operational challenges
• Track initiative status, dependencies, risks, and outcomes
• Support vendor onboarding and contract coordination
• Ensure consistent project documentation and post-implementation reviews
• Support executive presentations and leadership updates
• Build clear narratives on AI value, risks, and progress
• Stay current with AI trends, tools and regulatory developments

Project Manager – Automation/AI Team

Analyst

• Acts as the primary resource for assigned, high profile providers or groups to establish, oversee, and maintain positive relationships with complex issues regarding policies and procedures
• Optimizes interactions with assigned providers and internal business partners
• Monitors service capabilities and collaborates cross functionally to ensure that the needs of constituents are met
• Supports or assists with operational activities that may include, but are not limited to, database management, and contract coordination
• Educates providers as needed to ensure compliance with contract policies and parameters
• Meets with key providers periodically to ensure service levels are meeting expectations

Senior Network Relations Analyst

Human Resources

• Serve as a strategic human resources business partner within a retail Division
• Develop region people strategies and align, build and execute the strategies
• Provide thought partnership to Talent Development Business Partner and HR Director
• Sustain Leader focus on engagement of colleagues
• Facilitate dialogue and discussion to align others on values

Senior Manager, HR Business Partner

• Manage and influence health care quality projects and initiatives
• Collaborate with colleagues to gather and prepare evidence of compliance for NCQA accreditation
• Review analyses, policies, and documentation against NCQA guidelines
• Accountability for health care quality projects supporting NCQA accreditation
• Develop quality activities aligned with company strategies and values
• Link quality management activities to business goals
• Build strong teams and business relationships internally and externally

Health Care Quality Accreditation Project Management Manager

• prepare, validate, and load member data files in accordance with established processes, layouts and schedules
• coordinate internal handoffs of files to downstream teams
• review files for completeness, formatting accuracy, and data integrity prior to release
• track timelines and flag risks or delays early
• maintain clear internal documentation and status updates throughout the transition lifecycle
• support issue resolution by identifying root causes and partnering with internal stakeholders
• adhere to established controls, deadlines, and audit requirements

Member Data Transition Analyst

Account Executive

• Develops and implements account management and cross/up sell strategies
• Serves as the primary interface for all products and services
• Develops and executes account management strategy for a strategic, multi-geography or high tier book of business
• Supports New Business Sales team with finalist meetings
• Retains and cultivates a profitable book of business by coordinating the renewal process
• Responsible for Customer Strategy & Relationship Management for day-to-day contacts, senior management, and key decision makers.

Senior Account Executive – Central Region

• manage Pharmacy Benefit Management processes
• ensure timely and accurate eligibility data processing
• collaborate with cross-functional teams to improve service delivery

Eligibility Analyst

• Develop and execute complex multi-year strategies for the Immunizations portfolio, using deep market and competitive insights to inform strategic choices and recommendations.
• Communicate a clear, compelling story—both in writing and verbally to influence, align, and inspire key stakeholders, synthesizing diverse inputs (business opportunities, insights, constraints, and experience) into actionable recommendations.
• Demonstrate proactive ownership and high accountability, anticipating needs, initiating action, and driving work through to completion with minimal oversight while leading and collaborating effectively in a highly matrixed environment.
• Manage and strengthen strategic, cross-functional partnerships, facilitating regular communication to gain alignment across functions and ensure progress and successful execution of key initiatives.

Manager, Immunizations Strategy – Insights

• Provide end-user support, analyzes and diagnoses system problems, identifies root cause, and then solves the problem or escalates issues to other appropriate IT staff when outside area of responsibility or expertise.
• Partners with vendor to troubleshoot and resolve system problems, to improve product performance and usability.
• Provides vendor with recommendations for system improvements.
• Addresses technical issues that occur during installation and maintenance activities.
• Designs, implements, and supports applications while ensuring ongoing optimization and performance.
• Translates technical requirements into development specifications and provides product management support.
• Evaluates and documents system updates, upgrades, and their impacts in collaboration with analysts and end users.
• Participates in system implementations, upgrades, and continuous improvement initiatives.
• Conduct system testing, validation, and quality assurance to ensure compliance and optimal system performance.
• Develop and maintain documentation, including build specifications, test scripts, and training materials, including the delivery of training when necessary.
• Partner with clinical staff and IT professionals to evaluate, design, develop, test, implement, and maintain systems.
• Partner with clinical staff and IT teams, to ensure workstations, printers, scanners, mobile devices, and other peripherals are aligned with the functional and compatibility requirements of Epic applications.
• Strategically lead and collaborate on cross-functional application initiatives with application and operational teams to ensure seamless integration, streamlined workflows, and optimal system performance.
• Maintain vendor certifications required to support the analyst's application areas of responsibility.
• Support system integrations and interoperability efforts with other third-party applications and interfaces.
• Assisting as needed with after hour activities such as go lives, upgrades, downtimes, and other special project.

Senior Epic Analyst

Operations

• Manage a team of direct reports (Analyst - Manager levels) to support Growth analytics and efficiency
• Drive strategic problem solving, opportunity analyses & new idea generation for initiatives within the Growth team
• Scope and execute initiatives to drive growth efficiency
• Drive cross-functional stakeholder engagement across Growth, Product, Data, Patient Experience & Service Operations to achieve alignment on key initiatives
• Elicit feedback/input on these strategic Growth initiatives from various field cohorts (e.g., Regional Directors of Growth, Regional Vice Presidents, Division Presidents)
• Closely collaborate with corporate teams to drive operational decisions
• Analyze performance data across Growth channels to derive insights that will improve performance, guide field leader conversations, and support management decisions
• Drive transformation and process improvement for data/analytics function, including implementation of best-in-class analytics tools, automation, and use of Artificial Intelligence in team’s work
• Create content for executive-level meetings
• Other duties as assigned

Lead Director, Growth Operations & Strategic Initiatives

• Serves as an owner of the Large Group Case Installation process, with a particular focus on National Accounts, Public & Labor, PEO and Large group clients 200+ members.
• Leads strategic projects that impact Commercial PSS and/or Case Implementation/Installation.
• Responsible for leading/managing all aspects of projects such as planning, coordination, development and implementation, and ensuring the end state of a project meets business objectives.
• Provides technical and subject matter expertise relative to case installation policies and procedures and installation applications/systems tools.
• Supports the business by recommending appropriate actions, strategies and/or alternatives to meet business needs.
• Maintains process maps.
• Influences change to improve performance results, organization effectiveness and/or systems/quality.