CVS Health

Manager

• oversees the day-to-day management and provide leadership to critical aspects of billing operations
• develop a team to manage timely billing of claims and payment posting
• create process documentation to ensure efficient, accurate and compliant billing workflows
• work with other business leadership to provide consistent billing guidance and improve clean claim rate

Manager, Revenue Cycle

Sales

• Develop and execute RFL’s growth strategy, including target segments, market opportunities, and competitive positioning.
• Translate market, client, and performance insights into clear strategic priorities and growth initiatives.
• Partner with sales and consulting teams to accelerate pipeline growth and influence large, complex opportunities.
• Support finalist presentations and key pursuits with compelling value stories, outcomes data, and differentiation.
• Equip field teams with clear messaging, tools, and enablement assets.
• Serve as a visible representative of RFL to employer consultants, brokers, and strategic partners.
• Participate in finalist meetings, key client engagements, and industry conferences to elevate RFL’s credibility and market presence.
• Build trusted relationships that shape perception, influence buying decisions, and surface emerging market needs.
• Inform product, clinical, and experience roadmaps by translating customer needs and market trends into actionable innovation priorities.
• Partner with internal teams to ensure RFL evolves in alignment with enterprise wellbeing strategies and client expectations.
• Build strong internal partnerships across employer, health plan, and specialty segments to ensure RFL’s value proposition is consistently understood and embedded.
• Align RFL positioning with broader Aetna and CVS Health solutions to drive integrated growth.
• Lead and influence across product, clinical, operations, marketing, analytics, and sales through clear governance and accountability.
• Drive alignment on priorities, investments, and execution progress.

Head of Sales, Mental Wellbeing

Analyst

• Assess, evaluate, and assist in resolving pharmacy operations system and technology issues.
• Provides support to Business Owners and Business Leads in delivery of key Operations Technology initiatives (multiple initiatives simultaneously).
• Utilize the Rally platform to log, track, and manage multiple areas in the platform such as User Stories, Test Cases, Defects, and more.
• Perform User Experience Testing based on various changes and implementations in the system.
• Demonstrates ability to support problem identification, solution definition and refinement, measurement and tracking of outcomes – including a clear understanding of what defines success.
• Identifies and clears, through coordination with Operations and IT/Engineering teams, roadblocks to unlock organization and operational barriers to ensure initiative success.
• Escalate issues/concerns appropriately if issues arise.

Analyst, User Acceptance Testing

• Design data ingestion and reports to translate business needs and client needs into systems that support clients.
• Serve as the data and reporting owner for one or more clients, managing the backlog and prioritizing enhancements and issue resolution using Agile methodologies (e.g., JIRA).
• Oversee program and report implementation and data ingestion - using dashboards and queries for early alerting of issues
• Collaborate with engineering and strategy teams to ensure technical specifications align with product goals and user needs.
• Ensure the integrity and accuracy of data leveraged within reporting and analytical tools.
• Establish and manage strong relationships with stakeholders across multiple business units, acting as the primary interpreter of business requirements from clients.
• Communicate updates, progress, and results clearly to stakeholders and leadership.

Senior Analyst, Client Data

Business Intelligence Analyst

• Provides plan benefit review, interpretation, and systematic setup, essential for online viewing and processing, related to customer service, claims, enrollment, billing, and reporting, in support of internal and external partners
• Ability to utilize Meritain’s proprietary system for analytical coding of detailed customized plans, rather than standard offerings
• Develops and executes implementation strategy consistent with client expectations; ensures strategy is administered in accordance with all performance guarantee arrangements
• Consults and advises internal stakeholders on complex benefit administration
• Advises on options to minimize manual processing and disruption for the clients
• Uses business knowledge and experience to make plan design and processing recommendations when working with clients
• Reviews benefit provisions to ensure compliance with state and federal mandates
• Collaborates on review, analysis, and development of recommendations for the design of complex account and benefit structures based on customers’ objectives and Meritain’s system
• Executes system setup and mapping of client level benefits to align with industry coding (ICD 10, place of service, healthcare reform, etc.), similar to entry-level IT programming
• Solicits and assesses internal and external customer feedback to drive continuous quality improvement on the renewal process (i.e. system tools, resources, etc.)

Renewal and Reporting Analyst

Full-stack Engineer

• partner closely with product, architecture, QA, security, and operations teams to ensure high‑quality, scalable, and compliant application delivery
• work with fast paced delivery teams to execute on timelines
• work closely with leader to communicate progress and challenges
• drive modernization initiatives and roll up your sleeves in design and code reviews

Senior Software Development Engineer – Delivery Manager

Product Manager

• Lead operational oversight and lifecycle management for national value-added benefits and member incentives
• Develop and implement collaborative processes to improve product performance
• Build and maintain product portfolio catalog with key information and dashboards
• Direct the development of marketing materials for external stakeholders
• Create and manage health plan product roadmaps and communicate strategy
• Leverage in-depth product knowledge in directing new product initiatives
• Lead vendor relationship management for managed products
• Collaborate with internal functional areas for vendor performance reviews

Senior Manager, Product Management, Development

• Principal ISTS/ Lead Director Product Management Development Experience is responsible for shaping and driving the product strategy
• Collaborates with engineering to define multi-year product strategy for the ISTS Developer Experience platform
• Identifies where friction in developer workflow is highest
• Conducts structured and informal research to understand developer pain points
• Partners with platform engineering and cross-functional teams to translate strategy into a well-prioritized, executable backlog
• Monitors delivery progress on key initiatives, removes blockers, and adapts plans in response to changing priorities
• Communicates product direction clearly to stakeholders, aligning around the product vision and roadmap
• Builds awareness of the DevEx platform's value and champions adoption of new capabilities

Principal Director – Product Management, Development Experience

• Independently develops and manages assigned policy and coding reviews by evaluating clinical and payment policies and identifying potential issues.
• Ensures coding aligns with defined medical and pre-payment policies, identifies opportunities to optimize performance, and supports organizational goals and regulatory requirements.
• Partners closely with claims operations to apply policy intent across end-to-end claims processing (intake, edits, adjudication, denials, appeals, and adjustments) and to drive consistent, compliant outcomes.
• Collaborates with cross-functional teams—such as IT, compliance, operations, and provider relations—to ensure seamless integration of claims coding changes and resolve complex configuration issues.
• Monitors and reports on claims coding and configuration accuracy, trends, and key performance indicators (KPIs), providing actionable insights for process improvement.
• Leverages claims processing experience to evaluate end-to-end workflows (front-end edits, adjudication logic, denials, appeals, and adjustments) and translate findings into actionable policy/coding guidance and claims platform configuration or testing support.
• Stays up to date with industry developments, payer and provider requirements, and regulatory changes affecting claims coding and configuration.
• Develops and maintains documentation for identifying claims trends, pinpointing policy or coding issues, and communicating required configuration changes across claims platforms.
• Leads or participates in audits and reviews related to claims coding and configuration, ensuring readiness and timely resolution of findings.
• Provides expert guidance on correct coding practices, resolving complex coding issues and supporting audits as needed.

Senior Manager – Medical and Payment Policy Performance Research, Correct Coding Analysis

• MPPP Application Ownership
• Manage scope, schedule, testing and deployment of vendor deliverables.
• Manage application change documentation for Production and non-production environments
• Support change deployments and validations of MPPP360 application and validation of integrated CVS applications
• Ensure enterprise procedures are followed by vendor and in-house teams
• Support queries from and responses to business teams and clients
• Drive timely responses to Security and Compliance questionnaires and periodic submissions.
• Operations Work with the leaders to identify and focus on critical weekly and monthly priorities.
• Manage team allocation and project assignments.
• Work cross-functionally to align planning and budget to functional and org priorities.
• Plan and facilitate meetings, staff development trainings and quarterly reflections.
• Manage the development of operating policies, and procedures and directs implementation of approved changes.
• Collaborate cross-functionally with IT, business and security stakeholders to align security & Compliance initiatives with organizational goals.

Staff Software Developer Engineer – Adjudication, Commercial & MPPP

• Support the National Ancillary Contracting Team focused on National Laboratory contracting
• Complete negotiations and re-negotiations, executing provider contracts
• Analyze and report meaningful changes in network adequacy for applicable Commercial and Medicare products
• Collaborate effectively across internal business units

Network Ancillary Provider Contracting Manager

Counselor

• Responsible for provision of telephone-based assessment, triage, consultation, counseling and informational services
• Delivered in a call center environment using a variety of advanced clinical assessments, motivational Interviewing and solution focused/short-term problem resolution
• Provides risk, substance abuse and mental health assessments to develop immediate action/safety plans based on level of urgency
• Collaborates with team of professionals in a way that supports a positive clinical outcome and continuity of care for all members
• Protects the confidentiality of member information and adheres to enterprise, EAP policies regarding confidentiality
• Maintains accurate and complete documentation of required information that meets risk management and regulatory requirements
• Maintains current independent behavioral health license in good standing in the state where they reside, seeking professional development and meeting all state licensure requirements
• Holiday work is expected.

Clinical Counselor, Employee Assistance Program – Overnight Shift

IT Support

• Lead and coordinate enterprise Release Management activities across multiple technology teams, portfolios, and initiatives.
• Establish and align structured Release Management processes with ITIL best practices while remaining adaptable to both traditional and high-velocity delivery models.
• Facilitate release readiness reviews, risk and dependency assessments, and Go/No-Go decision processes.
• Maintain enterprise release calendars, deployment schedules, and maintenance windows.
• Ensure alignment with Change Management governance and ITIL operational disciplines.
• Utilize ServiceNow ITSM to manage Change and Release records and ensure process compliance.
• Partner with Engineering, Infrastructure, Product, and Operations teams to coordinate release planning and implementation.
• Identify risks, dependencies, and potential deployment conflicts across initiatives and value streams.
• Provide clear communication and reporting on release readiness, risks, and outcomes to stakeholders and leadership.
• Develop and maintain release templates, implementation frameworks, and operational playbooks.
• Leverage tools such as Jira, Confluence, and SharePoint to document and track release activities.
• Support coordination between ITSM platforms and DevOps delivery tools such as GitLab and GitHub.
• Identify opportunities to automate repeatable Release Management processes and reporting activities to reduce manual overhead at enterprise scale.
• Promote continuous improvement within Release Management operations and processes.
• Drive innovation within Release Management by identifying and exploring opportunities to leverage AI, automation, and intelligent agents.

IT Manager, Release Management

• Own day‑to‑day execution of a defined care model workstream, delivering tasks and milestones as planned
• Develop and maintain task‑level work plans; track actions, owners, dependencies, and due dates
• Coordinate functional contributors to support timely completion of workstream deliverables
• Identify and manage workstream‑level risks and issues; propose mitigation options and timing impacts
• Escalate risks, issues, or slippage impacting the broader care model critical path
• Provide accurate, timely status updates and inputs to integrated workstream reporting
• Maintain workstream documentation, action logs, and supporting artifacts
• Ensure operational rigor, attention to detail, and accountability for assigned outcomes

Manager – Care Model Management

Backend Engineer

• Lead backend architecture across core services, shared platform packages, and workflow-driven backend systems
• Own the design and evolution of GraphQL APIs, service boundaries, data contracts, and typed backend integrations
• Drive development of backend services built with TypeScript, Node.js, Fastify, PostgreSQL, and workflow orchestration technologies
• Shape and improve systems that provision, configure, and integrate with API gateways and related platform infrastructure
• Define patterns for service reliability, observability, security, authentication, and operational readiness
• Guide schema design, data access strategy, migrations, and long-term maintainability of relational data models
• Improve engineering standards through code review, technical design reviews, testing strategy, and mentoring
• Partner closely with frontend engineers, product teams, and platform stakeholders to ensure backend capabilities support the full product workflow
• Identify architectural risks, reduce knowledge silos, and create scalable patterns for a growing engineering organization
• Contribute to a culture of strong ownership, high-quality delivery, and pragmatic technical leadership