CVS Health

Full-stack Engineer

• Lead the end-to-end design, development, testing, deployment, maintenance, and enhancement of highly scalable, reliable, and secure AI services and applications utilizing AWS Bedrock (including Foundation Models, Knowledge Bases, Agents), the Converse API, AWS SageMaker, AWS Lambda, Amazon S3, and other relevant AWS AI/ML and core services.
• Architect robust, efficient, and secure AI/ML computing infrastructures and application stacks capable of handling large-scale data processing and inference demands.
• Design and implement solutions leveraging the AWS Bedrock Converse API for unified interaction with foundation models, incorporating advanced features like tool calling and multimodal input processing (text, image, documents).
• Develop and implement Retrieval-Augmented Generation (RAG) patterns using AWS Bedrock Knowledge Bases, integrating proprietary data from sources like Amazon S3 and leveraging vector databases to enhance model relevance and accuracy.
• Build comprehensive solutions that effectively integrate Bedrock's managed services with custom components, such as AWS Lambda functions for implementing Bedrock Agent actions or custom data processing logic.
• Actively research, evaluate, and stay current with the latest advancements, trends, and research in AI/ML, particularly in generative AI, foundation models, large language models (LLMs), and evolving AWS capabilities.
• Champion and implement responsible AI practices, ensuring fairness, transparency, security, and ethical considerations are integrated throughout the development lifecycle, potentially leveraging tools like AWS Bedrock Guardrails.
• Collaborate with cross-functional teams, including product managers, architects, and software developers, to define technical requirements and create robust and scalable architectures that meet business objectives.
• Mentor and guide junior engineers, helping them enhance their technical skills and grow professionally through knowledge-sharing activities, technical training, and fostering a culture of learning within the team.

Staff Software Engineer

Business Operations

• Lead the documentation of business process for operational workflows critical to the success of Employer Portal administration.
• Include operational support team process, business partner process that needs to change/modify as a result of features introduced in the portal, and registration workflows through AccessHub.
• Develop and document migration plans for applications and tools that will be sunset once the features in the Employer Portal are available for clients to utilize.
• Work closely with the Business General Manager and Program Manager of the Employer Portal to ensure all business readiness needs are identified, supported and implemented.

Business Process Lead

Program Manager

• Responsible for providing program/project oversight, day-to-day management, leadership, direction, and administration across the full project lifecycle.
• Managing team/stakeholder expectations and engagement through clear communication of roles and responsibilities and regular status updates.
• Oversee the work of other Project Managers and provide timely, written feedback on project and performance reviews.
• Lead large, cross-organizational programs and projects with high visibility and critical timelines.
• Drive successful delivery of all programs and projects on time, within scope, within budget, and in full compliance of CVS Health requirements.
• Resolve complex business issues / risks and understand when to escalate to ensure resolution.
• Define and document project scope, ensuring all relevant subject matter experts are engaged to produce competent and comprehensive requirements.
• Work with business users and owners to understand their needs and translate into final project deliverables.
• Produce a detailed project plan and monitor and control activities to remain on plan.
• Produce regular and thorough stakeholder communications.
• Manage resource availability, allocation, and project financials where applicable.
• Manage changes to scope, schedule, and cost.
• Ensure required project artifacts are completed and stored in the project repository.
• Help on board and mentor new PMs.
• Identify and implement process improvements related to the project management standards for the team.

Senior Manager, Program Management

Consultant

• Schedule is Mon-Fri 8:00 or 8:30 -5:00 PM with one 7:00 PM rotational shift
• Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members
• Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation along the continuum of care
• Communicates with providers and other parties to facilitate care/treatment
• Identifies members for referral opportunities to integrate with other products, services and/or programs
• Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization
• Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function

Utilization Management Nurse Consultant – Medicare Acute Care

Operations

• Leads process improvement (PI) opportunities with relevant deliverables: process maps, baseline performance metrics, root cause analysis, recommended actions, and control plans
• Participate in strategic and lead targeted assessments and support relevant deliverables: framing, data collection, analysis/interpretation and recommendations/report-out
• Run FOX topics with relevant deliverables: problem statement, story/narrative, root cause analysis (5 why’s), corrective actions (as applicable), supporting questions and facilitate the live call
• Utilize FOX, DMAIC, LEAN, 8D and other relevant methodologies in delivery of results
• Ability to act as an improvement/change agent, supporting efforts from identification through delivery and validation of results
• Develop project charters in conjunction with Subject Matter Experts (SME's) and stakeholders, edit and gain approval on updates to approved charters as required
• Document current and target state processes using Supplier, Input, Process, Output, Customer (SIPOC), flow charts and value-stream mapping (VSM) tools
• Use Pareto diagrams, 5 Why's, time-series, process control charts and inferential statistics to support opportunity definition, root cause analysis and validate result(s)
• Lead working teams through FOX, Improvement and Assessment projects leveraging project management basics to create the plan, define team member role & responsibility, develop a working team package, and publish bi-weekly leadership updates
• Use a RAID (risks, issues, actions, decisions) to effectively identify, track, resolve and escalate items (as required) to keep project(s) moving forward in a timely fashion

Process Improvement Specialist – 6 Sigma Black Belt

Analyst

• Provides comprehensive support and service to behavioral health clinical teams in support of member engagement
• Provides outreach to members to educate them about available specialty programs and to solicit their participation
• Assists members locate services
• Facilitates follow-up calls
• Collects information on patient progress and adherence to treatment plan
• Provides information to members regarding mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and Aetna policies and procedures
• Works closely with the clinician to ensure healthy outcomes for the member
• Miscellaneous administrative duties such as Provider/community resource searches
• Handling Transition of Care requests
• Executing letters of agreement with non-par providers
• Obtaining discharge verifications and non-complex authorizations
• Monitor referral task lists in multiple systems
• Log and assign new case management cases to Case managers across the department
• Verify eligibility for case management by verifying member's insurance coverage
• Ensure applicable turnaround times are met
• Participates in designated team meetings with team members and clinical staff
• Adheres to compliance and Patient Management policies and regulatory requirements
• Maintains accurate and complete documentation of required information meeting risk management, regulatory, and accreditation requirements
• Participates in designated clinical quality management initiatives

Behavioral Health Care Planner, Analyst

• Collaborate with product managers, architects, and fellow engineers to design and implement services and features that improve patient experience and clinical workflows
• Proactively identify opportunities for improvement, drive solutions forward, and model best practices in software engineering
• Take ownership of complex technical challenges and deliver robust software
• Influence the direction of our next-generation platform

Senior Software Engineer

Manager

• Lead multiple engineering teams responsible for delivering the next generation of clinical and patient-facing platforms
• Guide teams of Software Engineers and related engineering functions—including QA, DevOps, and Architecture partners—to build scalable, reliable, and secure solutions
• Provide strategic and technical leadership, build high-performing teams, and ensure execution excellence across multiple initiatives
• Foster a culture of continuous learning, promoting self-motivated ownership, and empowering engineers to deliver high-impact outcomes
• Partner closely with Product, Architecture, Clinical Operations, and enterprise technology teams to translate business goals into actionable engineering plans

Senior Manager

DevOps Engineer

• Develop and enforce engineering security policies and standards
• Drive security awareness across the organization
• Collaborate with Engineering and Business teams to develop secure engineering practices
• Serve as the Subject Matter Expert for Application Security
• Work with cross-functional teams to ensure security is considered throughout the software development lifecycle
• Design and implement automated workflows for security processes across CI/CD pipelines
• Automate manual reporting tasks by building scripts, dashboards, and integrations
• Integrate security controls into CI/CD pipelines
• Analyze, develop, and configure security solutions across multi-cloud, on-premises, and colocation environments
• Lead security testing, vulnerability analysis, and documentation
• Participate in operational on-call duties to support infrastructure across multiple regions and environments
• Develop incident response and recovery strategies