CVS Health

Pharmacist

• Processes prior authorization requests received by phone, fax, or electronically
• Completes prior authorization approvals and denials
• Reviews potential prior authorization denial language
• Answers a potentially high volume of prior authorization inquiry calls
• Maintains a balance of productivity, quality and timeliness of work.
• Participates in training and continuing education as required.
• Participates in team/departmental meetings as required.
• Excellent attendance is a must.
• Successful pharmacy technicians will be proficient in drug name and diagnosis pronunciation.

Pharmacy Technician – Prior Authorization

Manager

• Leads and oversees the planning, execution, and successful completion of projects by defining project scope, objectives, and timelines, allocating resources, and managing project budgets.
• Collaborates with cross-functional teams, communicates project progress to stakeholders, and mitigates risks to ensure projects are delivered on time and within budget while meeting quality standards.

Senior Manager, Project Management

Medical writer

• Support all care teams across the region in comprehensive and targeted chart reviews
• Partner with regional leaders on workflow optimization
• Access and review HIE/EMRs to identify potential suspects based on test results
• Identify the need for Medical Records requests
• Prepare and lead monthly Rejected Suspect Reviews
• Identify and analyze opportunities for improving patient quality outcomes and cost of care
• Monitor clinical documentation efforts
• Other duties, as assigned

Senior Clinical Documentation Specialist

Consultant

• Gather clinical information and apply appropriate clinical criteria, guidelines, policies, and procedures
• Communicate with providers and other parties to facilitate care and treatment
• Identify members for referral opportunities to integrate with other products, services, or benefit programs
• Identify opportunities to promote quality and effectiveness of healthcare services and benefit utilization
• Consult and lend expertise to internal and external constituents in coordination and administration of utilization management function
• Meet productivity and quality expectations as established by UMNC

Utilization Management Nurse Consultant – Weekend

Actuary

• Perform pricing and analytic work to support Medicare Advantage business
• Collaborate with business partners to provide sound risk management advice
• Compile and analyze filing data
• Develop and recommend pricing and trends
• Create and maintain accurate documentation and training materials

Manager, Actuarial – Individual Medicare Advantage

Analyst

• Leverage analytical skills to review claims data and identify patterns of suspected potential FWA.
• At the direction of the Sr. Manager, assist in the triage, preliminary investigation of all internal and external FWA complaints
• Refer all cases of suspected FWA to regulatory agencies within required timeframes
• Assist in the monitoring of the FWA hotline and shared email box
• Participate in prepayment review process including detailed review of medical records against claims data

Senior Analyst, Fraud Waste and Abuse

Engineering Manager

• Own the technical vision for product and platform capabilities; guide architectural decisions across distributed systems.
• Build, mentor, and retain high-performing engineering teams; coach managers on effective leadership practices.
• Drive execution through clear goal-setting, accountability, and continuous improvement of team velocity and quality.
• Collaborate with product, design, architecture, and operations to align engineering work with business priorities.
• Evaluate and integrate emerging technologies—particularly cloud services and AI—to enhance member experiences and operational efficiency.
• Monitor team health, remove blockers, and resolve workflow impediments proactively.

Senior Engineering Manager – Digital Engineering

• Communicate well verbally and in writing to support and lead your team
• Perform customer care duties to provide high levels of service
• Execute merchandising strategies to support store sales growth
• Manage the store inventory and assets to maintain profitability
• Actively engage with your leader in Key Learning Experiences to support you on your path to promotion during the structured program
• Support your store as management team member and lead in a manner that is consistent with CVS values and policies
• Engage your colleagues in support of the company's purpose of "helping people on their path to better health."

Store Manager – Training

Compliance

• Manage market conduct exams and regulatory inquiries
• Interact with state regulators and drive successful implementation of corrective action plans
• Provide subject matter expertise on state regulatory environment to business areas and compliance teams
• Coordinate market conduct exams across business areas and with Legal
• Serve as a point of contact for state regulators and third-party auditors
• Ensure accurate, timely collection and delivery of exam materials
• Oversee responses to exam findings and corrective action plans
• Maintain strong documentation of all exam-related work

Manager, Corporate Compliance – Market Conduct Exams

User Researcher

• Act as a top-level specialist in digital UX research, leveraging advanced expertise to generate actionable insights.
• Plan, design, and execute a wide range of qualitative and quantitative research studies, including moderated/unmoderated usability testing, tree testing, card sorting, and surveys.
• Translate business questions into rigorous research plans and methodologies.
• Identify and implement appropriate methods for gathering user feedback across channels.
• Employ research tools (online or AI based), such as UserTesting.
• Synthesize findings into clear, actionable recommendations that influence product, design, and business strategy.
• Apply AI tools to support analysis, synthesis, secondary research, and reporting, using strong judgment where human rigor is required.
• Coordinate external research efforts with vendors or partners, seeking industry-leading practices and benchmarking opportunities (QXscore).
• Consult on UX-related matters with cross-functional teams, fostering collaboration and knowledge-sharing across departments.
• Coach other professionals within the UX research team, providing guidance and mentorship to junior colleagues.
• Evaluate and implement new tools, including AI-enabled research solutions.

Senior Manager, User Research

• Assist in accurately reading, interpreting and entering prescriptions into the computer system
• Calculate doses and assign directions
• Accept proper insurance payment in a timely fashion
• Route incomplete or unclear prescriptions to the prescriber for clarification
• Enter incomplete prescription information once clarification has been obtained
• Assist with inbound phone calls; interact with customers and cross-functional team to answer questions, solve problems, provide education, and maintain our company’s reputation for high-quality service
• New patient enrollment, verification of insurance coverage and perform benefit investigations
• Process medication orders for both new and existing patients
• Working knowledge of insurance, health care, reimbursement-related requirements for dispensing, processing of new referrals, and providing customer education, and routine assessment and problem identification with appropriate escalation to a pharmacist

Pharmacy Care Technician

• assist in accurately reading, interpreting and entering prescriptions into the computer system
• calculation of doses and assignment of directions
• accepting proper insurance payment in a timely fashion
• routing incomplete or unclear prescriptions to the prescriber for clarification
• assist with inbound phone calls
• interact with customers and cross functional team to answer questions
• solve problems, provide education, and maintain high-quality service
• new patient enrollment and verification of insurance coverage
• perform benefit investigations and processing of medication orders for both new and existing patients

• Assist in accurately reading, interpreting, and entering prescriptions into the computer system
• Calculate doses and assign directions
• Accept proper insurance payment in a timely fashion
• Route incomplete or unclear prescriptions to prescriber for clarification
• Enter incomplete prescription information once clarification is obtained
• Assist with inbound phone calls and interact with customers
• Cross-functional teamwork to answer questions, solve problems, and provide education
• Maintain company reputation for high-quality service
• New patient enrollment and verification of insurance coverage
• Perform benefit investigations and processing of medication orders for both new and existing patients.

• assist in accurately reading, interpreting and entering prescriptions into the computer system
• calculation of doses and assignment of directions and accepting proper insurance payment in a timely fashion
• routing incomplete or unclear prescriptions to the prescriber for clarification
• entering incomplete prescription information once clarification has been obtained
• assist with inbound phone calls; interact with customers and cross functional team to answer questions, solve problems, provide education
• maintain our company’s reputation for high-quality service
• new patient enrollment, verification of insurance coverage and perform benefit investigations and processing of medication orders

Financial Planning and Analysis

• Lead and mentor teams responsible for reporting modernization and AI/ML-enabled process transformation
• Set strategic direction and execution standards for reporting, analytics, and automation initiatives
• Develop and implement transformation strategies aligned with enterprise goals and business priorities
• Ensure teams are appropriately skilled, trained, and enabled to deliver modern reporting and AI/ML solutions
• Drive standardization, simplification, and automation of reporting processes across functions
• Establish scalable reporting and analytics frameworks that improve transparency, speed, and decision quality
• Partner with Finance and business stakeholders to define KPI frameworks and performance measurement models
• Identify and deliver AI/ML use cases that improve efficiency, accuracy, and insight generation
• Oversee multiple transformation initiatives and workstreams, balancing priorities and dependencies
• Communicate progress, insights, and value delivered through reporting and AI/ML initiatives

Pharmacy Technician – Prior Authorization

Senior Manager, Project Management

Senior Clinical Documentation Specialist

Utilization Management Nurse Consultant – Weekend

Manager, Actuarial – Individual Medicare Advantage

Senior Analyst, Fraud Waste and Abuse

Senior Engineering Manager – Digital Engineering

Store Manager – Training

Manager, Corporate Compliance – Market Conduct Exams

Senior Manager, User Research

Pharmacy Care Technician

Pharmacy Care Technician

Pharmacy Care Technician

Pharmacy Care Technician

Lead Director – Finance Reporting, AI/ML Transformation