CVS Health

Financial Planning and Analysis

• Assisting in the development and preparation of annual budgets, forecasts, and long-term financial plans by collaborating with stakeholders to gather inputs, analyze financial data, and provide recommendations for financial targets and resource allocation.
• Perform financial analysis including conducting research, identifying, designing, and implementing applications and tools to fulfill reporting and analysis needs.
• Support the forecasting process by analyzing trends, identifying key drivers, and preparing financial models to evaluate different scenarios and their impact on financial outcomes.
• Implement improvements in forecasting methodologies, data collection, and analysis techniques to enhance forecasting capabilities.
• Edit and improve team processes and workflows to enhance efficiency and effectiveness and implement changes to optimize team performance.
• Perform ad hoc analysis for internal management team and external customers.
• Taking ownership of the budget and financial forecasting models in order to present accurate representation of future business performance.
• Meeting with operational business partners to provide insight into business performance and help influence strategic decisions.

Senior Analyst, FP&A

Director

• Lead a national contracting team in enterprise-wide negotiations with large national provider, ensuring alignment with CVS Health’s strategic priorities.
• Manage the provider relationship, ensuring consistent execution of strategic initiatives, performance metrics, and relationship management.
• Develop and implement innovative national contracting strategies that leverage CVS Health’s integrated assets, including the care delivery model.
• Achieve strategic national network goals by successfully closing provider negotiations, managing day-to-day operations, and overseeing the full contracting lifecycle from strategy through execution.
• Drive execution and closure of complex national provider agreements, ensuring alignment with enterprise cost, adequacy, and compliance standards.
• Demonstrate strong executive presence in high-level engagements, facilitating strategic discussions with senior leadership to ensure alignment and support.
• Deliver compelling executive-level presentations that influence decision-making and advance enterprise-wide initiatives.
• Provide strategic direction and coaching to account executives to ensure high-impact engagement with Tenet and internal stakeholders.
• Manage the operational performance and infrastructure of the Tenet network to meet cost containment, profitability, and regulatory goals.
• Collaborate with Clinical and Medical Economics teams to analyze market trends and implement cost management strategies that improve medical cost outcomes.
• Evaluate market dynamics and partner with Clinical Functions to drive national initiatives that improve cost structure and partnership effectiveness.
• Oversee national agreements, Joint Operating Committees (JOCs), and complex projects, streamlining and centralizing operational processes for efficiency and scalability.
• Represent the organization in high-stakes negotiations and external engagements, ensuring alignment with legal, regulatory, and reputational standards.
• Establish national network strategy and drive innovation across traditional and emerging care models for all lines of business.
• Lead expansion efforts and strategic partnerships with Tenet to support enterprise growth and market differentiation, aligned with local and national goals.
• Foster strong collaboration across local networks and enterprise functions to ensure internal alignment and successful external partnerships.
• Develop and deliver key messaging and represent the company at industry conferences, external forums, and provider negotiations.
• Build and maintain trusted relationships with Market Chief Network Officers and Territory Chief Network Officers, and engage with Market Presidents, CFOs, and Medicare GMs to align and execute strategies that drive profitable membership growth.

Executive Director – National Network Management

Scrum Master

• Support Sr. Project Managers (or drive independently) planning, estimating, forecasting, providing oversight and day-to-day management across the full project lifecycle on small to medium size IT initiatives and projects
• Manage competing priorities
• Oversee IT budgeting and capital purchase processes
• Coordinate vendor management, both local and offshore

Senior Analyst, Scrum Master

Consultant

• Conduct telephonic outreach to members with diabetes to assess needs and close gaps in care
• Provide education and support to promote member engagement and self-management
• Identify and address social determinants of health impacting care
• Refer members to appropriate care management programs and community resources
• Collaborate with providers and interdisciplinary teams to coordinate care
• Apply nursing processes in compliance with company and regulatory standards
• Document interactions and care plans accurately in electronic medical records
• Consult with supervisors to resolve challenges and improve member outcomes

Health Coach Consultant – CDCES Certified Registered Nurse

Account Executive

• Managing sales growth by building a book of business leveraging field sales marketing activity and telesales programs
• Selling, cross-selling, up-selling, and retaining through the use of the Aetna IVL Medicare product portfolio
• Deploying an operating model that supports 3 days in the field and 2 days in a call center queue
• Owning the member relationship throughout the year as the primary contact for member inquiries
• Documenting call interactions, COIs, and lead management protocols with new and existing members
• Developing, continuously training, and learning new sales skills to support best-in-class customer acquisition metrics, sales goals, and other KPIs
• 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

Frontend Engineer

• Accurately and efficiently reading, interpreting, and entering prescriptions into our system.
• Ensure patients receive their correct prescriptions in a timely manner, directing questionable prescriptions to the prescriber for clarification, and entering complete prescription information once clarification is received.
• Meet specified production and quality standards as defined by the management team.
• Offer solutions needed to help enter patient and prescription information into our system, and faxing physicians for prescription clarification, substitutions, and formulary changes.
• Perform other pharmacy functions as required to support development and maximize workflow.
• Work in a complex, team-oriented environment while developing and strengthening technical skills and pharmacology knowledge.

Pharmacy Technician II, Front End

Compliance

• Lead and implement an effective Compliance Program as described in CMS Medicare Managed Care Manuals/regulations
• Develop and manage compliance strategies, programs, and processes
• Track, analyze, research, interpret and monitor applicable CMS
• Maintain in-depth working knowledge and expertise in Medicare regulations
• Build and maintain positive relationships at senior levels
• Monitor and audit as outlined in Medicare Compliance Work Plan
• Lead and support broader compliance initiatives and needs as assigned

Manager, Medicare Compliance

• Manage and lead a group of colleagues responsible for pulling together responses to member and provider regulatory complaints
• Oversee the scheduling, drafting, timeliness and quality of regulatory responses
• Proactively monitor team case load, status of response letters and associated due dates
• Interface and negotiate with state and federal regulators, as needed
• Build, maintain and promote positive and effective working relationships with internal and external stakeholders
• Identify opportunities to streamline processes and improve efficiencies within the RRT and key business partners
• Encourage staff to embrace new processes and identify change management opportunities within the team
• Hold team accountable for meeting goals, due dates and expectations, identifying areas of individual performance concerns and coaching opportunities

Senior Manager, Regulatory Resolution

• Manage 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
• Support organization by reducing acquisition costs and increasing field agent productivity
• Own member relationship and serve as the primary contact for member inquiries
• Document call interactions and manage lead protocols

DevOps Engineer

• Implement and maintain comprehensive observability solutions, providing real-time insights into system performance and overall health
• Investigate and resolve incidents quickly during critical situations and perform root cause analysis
• Collaborate with cross-functional teams to build robust monitoring, alerting, and telemetry solutions
• Design and implement observability solutions tailored for edge computing environments
• Define and maintain Service Level Indicators (SLIs), Service Level Objectives (SLOs), and business KPIs
• Build and optimize dashboards, visualizations, and alerting systems
• Implement distributed tracing and log aggregation systems
• Collaborate with engineering teams to ensure applications and infrastructure at edge locations are designed with observability in mind
• Drive proactive identification of issues in edge facilities through advanced observability tools
• Lead incident postmortems and implement observability-driven improvements
• Develop and maintain tools, scripts, and automation to enhance observability pipelines
• Evaluate and integrate industry-standard observability tools
• Optimize observability data storage, retention, and querying
• Mentor and guide junior SREs and engineers on observability best practices
• Partner with solution, engineering, and business teams to align observability efforts with business objectives
• Stay current with emerging observability trends, tools, and methodologies
• Contribute to the development of observability standards, runbooks, and documentation
• Drive cost optimization for observability infrastructure while maintaining high-quality monitoring

Staff Engineer – SRE, Retail & Pharmacy

Software Engineer

• Play a pivotal role in supporting CVS Health's Procurement and Supply Chain initiatives.
• Design, develop, and support within diverse business areas, including accounts payable, account receivable, Sales and distribution, materials, procurement, warehouse, and inventory.
• Create and change programs and applications aligned with client and business requirements.

SAP Application Developer

Analyst

• Analyze and interpret complex data to support decision-making processes
• Identify trends, patterns, and correlations to support decision-making processes
• Contribute to the design, data collection, analysis, and reporting phases of new projects to generate evidence-based insights
• Design and develop reports, dashboards, and visualizations to effectively communicate data-driven insights to stakeholders
• Ensure data integrity, quality, and consistency by implementing data management strategies and protocols
• Help define project scope, objectives, deliverables, and establish clear metrics for measuring project success
• Help develop project plans, timelines, and ensure adherence to project milestones and deadlines

Senior Analyst, Reporting & Insights – Network

Security Engineer

• Oversight of Issues Management and related workflows
• Find data entry, manage GRC and executive approval workflows
• Support application teams with process, procedures in the Vulnerability Management space
• Participate in the expansion of the Vulnerability Management program
• Interact closely with the internal team, application teams, and security teams
• Assist with entry of Findings and application team support
• Provide general guidance and support to application teams
• Maintain key files and relevant data sources for compliance reporting

Senior Analyst, Security Risk Management, Issues/Vulnerability Management

• Partner with teams to find opportunities for process improvement and automation
• Research and implement technical solutions (AI tools, internal apps, ETL, custom code, etc.)
• Gather, analyze, and interpret data from many different sources
• Present findings clearly to internal and external partners
• Create documentation for all technical solutions
• Build and maintain dashboards and reports that support performance and continuous improvement

Senior Analyst, Corporate Compliance

Full-stack Engineer

• Develop Cloud native services
• Own the features you develop from engineering to supporting in production
• Follow software best practices, such as CI/CD and automated testing