CVS Health

Operations

• directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits
• ensuring cases are accurately set up for members
• review clinical information for decisioning the request
• performing outreach to providers for more information when needed
• ensuring accurate decisions that comply with compendia and Medicare guidance and timelines
• initiating a career with a leading healthcare company by reviewing information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines, while promoting a best-in-class service experience

RPh Operations Advisor – Med D

Account Executive

• Builds strategic partnerships with assigned producers and customers to achieve profitable growth
• Oversees targeted business prospects to develop new opportunities and cross sell business
• Manages and builds producer relations as needed depending on book of business or market segment(s)
• Develops, executes, and communicates company objectives aligned with prospect’s objectives
• Delivers organized polished presentations of solutions with benefits tied to constituents’ needs
• Collaborates with underwriting to prepare competitive quotes for targeted prospects
• Creates open enrollment plan with producer and plan sponsor to maximize enrollment

Account Manager, Senior Analyst, Sales Executive

Administration

• Administer and support Epic Cogito platforms, including Clarity, Caboodle, and SlicerDicer.
• Monitor, validate, and troubleshoot nightly ETL processes to ensure data completeness, accuracy, and timeliness.
• Maintain and support Clarity Console and Caboodle Console environments used to move data from Epic operational systems into reporting databases.
• Partner with database administrators to ensure optimal SQL Server performance, capacity planning, and data integrity.
• Investigate and resolve ETL failures, performance degradation, and data quality issues.
• Coordinate Cogito activities across production and non‑production environments, including upgrades, refreshes, and migrations.
• Support reporting and analytics consumers by ensuring data availability and platform reliability.
• Enforce security, access controls, and audit requirements in alignment with enterprise governance standards.
• Participate in change management, incident response, and release activities, including Epic upgrades and environment refreshes.
• Maintain documentation, runbooks, and operational standards for Cogito platforms.
• Collaborate with Epic, infrastructure, and application teams to implement best practices and continuous improvements.

Epic Cogito Administrator

Medical Billing and Coding

• Leads the work and deliverables of multiple, complex programs
• Supports new business initiatives
• Collaborates and partners with other functional managers
• Develops and implements innovative ideas that support work/teams
• Assists others to identify solutions to issues impacting program and/or project plan
• Develops documentation templates and systems to support projects and initiatives

Health Services Manager – RN, LPN, MA, Coder

Financial Planning and Analysis

• Perform a critical role in the analysis of Medicare and Commercial formularies to determine client eligibility for rebates
• Support accurate rebate invoicing by meeting manufacturer contractual obligations
• Conduct specific formulary research to support Rebate forecasting and underwriting teams
• Collaborate on tasks such as assisting during pharmaceutical disputes
• Adhere to quality control processes in review of formulary rebate eligibility
• Review contract language necessary to support formulary rebate contracts
• Maintain filings for Caremark and client specific formulary publications
• Exhibit strong analytical skills and demonstrate flexibility and adaptability to support the department

Rebate Analyst, Financial Operations

Manager

• support Anaplan as a product owner for P&L Forecast and Planning
• serve as the subject matter expert and key point of contact for all users
• P&L planning support, intake, prioritization and execution of all changes (defects, enhancements, projects, models), user acceptance testing, training, issue analysis & resolution, trending, and Segment/Enterprise reporting
• Partner with engineers, architects, and UX designers in daily standups, sprint planning, backlog grooming, and retrospectives
• Prioritize features and technical work to maximize value delivery, balancing customer impact, technical feasibility, and business priorities
• Identifying innovative Finance automation technologies and use cases
• Governance – Change Control board from intake through post execution
• Gather and incorporate feedback from stakeholders to iterate quickly
• Drive and track measurable results using agreed upon KPIs
• Data migration, integration and financial reporting
• Build effective internal relationships
• Identify process risks, issues, and mitigations throughout project lifecycle
• Help remove roadblocks to keep delivery on track
• Identify and source Finance optimization and automation opportunities
• Collaborate across peers to ensure governance process is effective and repeatable

Senior Manager, Anaplan COE Implementation

Consultant

• Develop and maintain recurring and ad hoc reports to support the needs of internal and external customers
• Collaborate with cross-functional teams to develop and maintain reports and resources required by internal and external constituencies
• Review complex reporting requirements and apply the requirements to available data in the EDW and elsewhere
• Review existing reports to look for opportunities to increase efficiency and improve accuracy
• Utilize SQL and other available tools to create ad hoc reports as needed
• Monitor deadlines to finish projects accurately and on time
• Keep leadership and requesters apprised of risks
• Work constructively with team members to achieve common goals

Medical Economics Consultant

Customer Support

• Speak with members enrolled in various Medicare Advantage and Medicaid plans
• Serve as a liaison between our Member Engagement team, health plans and affiliates, health plan members, and physician practices
• Make outbound calls to members and medical facilities
• Schedule Primary Care Physician (PCP) appointments
• Coordinate communication between members, clinicians, and doctors’ offices
• Document all member interactions thoroughly and maintain accurate notes and records
• Support warm transfers to and from clinicians, doctors’ offices, and other call center representatives

Member Engagement Customer Service Coordinator – Spanish Speaking

Android Engineer

• Contribute code and tests according to criteria established by our product team
• Monitor, troubleshoot, and support our application in production
• Seek opportunities to enhance the stability, performance, maintainability, and extensibility of our application

Senior Android Engineer

Human Resources

• Serve as a strategic enablement partner to the HR Business Partner (HRBP) team
• Provide analytical, operational, and executional support to senior HRBPs
• Own workforce reporting, dashboards, and proactive insights across colleague relations
• Partner closely with COEs, HR Shared Services, and business stakeholders
• Drive process improvements and lead the execution of change initiatives

Manager, HR Consultant

Frontend Engineer

• responsible for designing, developing and implementing digital solutions and systems
• applying advanced technical expertise to architect and code software applications
• conduct system testing and debugging
• collaborate with cross-functional teams
• contribute to the overall technical direction and innovation of digital engineering projects

Senior Front End Engineer

• Leverages technology and data to improve healthcare outcomes by designing, implementing, and maintaining health information systems
• Analyzes healthcare data and utilizes technology to support clinical workflows and decision-making
• Assesses the requirements of the informatics department and identifies integration opportunities for new technologies and system processes
• Assists the informatics team in the management of the data, reporting, and analytics function
• Coaches the informatics team on how to apply statistical and computational methods to analyze research data
• Conducts thorough literature reviews to understand the current state of knowledge data management, information systems, machine learning, and artificial intelligence
• Confers with industry partners on ways to apply research findings to real-world settings to advance industry knowledge
• Designs a documentation system for the informatics system to outline system specifications, architectural diagrams, and user guides
• Determines best approaches to define data models, data integration processes, and data governance policies for the informatics department
• Develops complex data migration systems to coordinate with data management teams to ensure accuracy in transferring information into new informatics systems
• Establishes a testing system for the informatics department to ensure defined requirements and functions are met

Quality HEDIS Informatics Manager

Analyst

• Responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members.
• Evaluate the medical needs of the member to facilitate the member's overall wellness.
• Effectively manage a caseload that includes supportive and medically complex members.
• Develop a proactive course of action to address issues presented to enhance outcomes.

Bilingual Analyst, Case Management

• Build strong relationships with new clients to understand their unique needs, requirements, and expectations for a successful implementation.
• Develop and manage detailed project plans, defining tasks, timelines, and key milestones while collaborating with internal and external stakeholders to drive projects to completion.
• Proactively identify risks, develop mitigation strategies, resolve issues efficiently, and provide consistent project status updates to clients and stakeholders.