CVS Health

Solutions Engineer

• Implement MAWM technical configuration controls, extend MAWM functionality, support MAWM production as well as integrate Manhattan with other systems (Host, MHE, 3rd Party systems etc.)
• Leverage programming skills to design and implement efficient and reliable digital solutions
• Write code, develop software components, and implement functionalities according to project requirements
• Collaborate with the development team and other stakeholders to design and define the technical architecture and infrastructure required for the digital solutions
• Contribute to technical discussions, propose design patterns, and make architectural decisions to ensure scalability, performance, and maintainability
• Test own code and participates in the overall quality assurance process
• Write and execute unit tests, conduct code reviews, debug, and troubleshoot issues to ensure the reliability and stability of digital solutions
• Participate in agile or other development methodologies, attend meetings, and contribute to project planning and progress tracking
• Create and maintain technical documentation, including system designs, specifications, user guides, and other relevant documentation
• Seek opportunities for professional development and growth, such as attending conferences, taking online courses, or participating in relevant training programs

Senior Solutions Engineer – Manhattan Active Warehouse Management

Application Engineer

• Lead development and enforcement of application and AI security policies, standards, and guardrails, embedding security-by-design across both traditional and AI-driven systems.
• Establish secure design patterns for AI agent frameworks, covering prompt management, tool invocation, memory handling, autonomy boundaries, and escalation controls.
• Promote organization-wide awareness of AI-specific risks such as model misuse, prompt injection, data leakage, and unsafe agent behavior.
• Serve as the principal SME for securing AI-enabled applications and agentic system architectures.
• Architect and review secure designs for systems leveraging LLMs/foundation models, autonomous and semi-autonomous agents, RAG pipelines, and tool-using or decision-making workflows.
• Define identity, authorization, data access, and observability controls specific to agentic environments while partnering closely with AI platform, product, and data teams to ensure responsible AI delivery.
• Influence engineering and product teams to integrate secure engineering practices and align security with compliance, privacy, and responsible AI initiatives.
• Advise senior leadership on AI security implications, architectural decisions, and long-term strategy while shaping roadmaps that anticipate emerging AI threats and regulatory requirements.
• Lead advanced security testing and risk assessments for AI-enabled systems, including threat modeling of agent workflows, abuse/misuse analysis, and secure design reviews of AI pipelines.
• Evaluate and guide adoption of new AI security tools, ensuring protections maintain confidentiality, integrity, availability, and responsible data use.
• Provide senior technical leadership during incidents involving application or AI systems, guiding response strategies for misuse, data exposure, and autonomous failures.
• Translate operational learnings into improved security architecture, controls, and system resilience.
• Mentor senior and principal engineers to elevate security maturity across the organization.
• Contribute to research and evaluation of emerging AI security practices and play a key role in shaping the long-term application and AI security roadmap, advocating for security as a strategic accelerator for AI adoption.

Principal Application Security Engineer – AI & Agentic Systems

Project Manager

• Responsible for various Distribution Center activities including project management of replacement to critical operations equipment
• Ensuring facility systems integrity
• Material handling systems design and implementation
• Ensuring regulatory compliance
• Prioritizing investments across the network
• Capital financial management
• Providing operational engineering support across the network
• Preparing subject specific budgets
• Controlling expenditures
• Overseeing adherence to company policies and procedures in a fair and consistent manner
• Promoting and reinforcing safety, security awareness, and compliance among all associates

Senior Project Manager – Distribution Center Maintenance

Analyst

• Managing detailed customer IT assessments.
• Working in partnership with the proposal teams, Aetna field account management teams and internal experts.
• Managing complex, time-sensitive requests from current customers across the Aetna commercial business and specialty segments.
• Identifying, assessing, and resolving business challenges.
• Collaborating within commercial business segments and with other business areas to ensure all workflow processes and interdependencies are identified and addressed.
• Driving changes needed to improve process, timeliness, and the quality of responses.
• Maintaining standard responses to support accuracy, consistency and response time.
• Developing strong, positive relationships with the field account teams and internal partners.

Senior Analyst, Strategic RFP Proposal Solutions

Human Resources

• Responsible for investigating Employee Relations concerns
• Conduct thorough and impartial investigations into employee complaints and allegations
• Ensure investigations comply with federal, state, and local employment laws
• Maintain accurate and confidential records of all investigations
• Provide guidance and advice to managers and employees on policy-related issues
• Prepare clear and concise investigative reports summarizing findings
• Present findings to senior management and other stakeholders

Employee Relations Investigator

Executive Assistant

• Work closely with the Supervisor and Team Leads to manage member grievances escalated by the Health Plan
• Ensure superior service for clients by providing information, feedback and resolutions to requests and inquiries
• Complete member tickets (reimbursement and replacement card), escalation emails, HP follow up comments, and other offline work (address validation and returned mail) within 24-48 hrs
• Create and support a culture of inclusion and diversity, ensuring all actions are in alignment with CVS practices, policies, and values as well as state, federal and regulatory requirements
• Attend in person meetings and trainings throughout the year based out of Plantation, FL and surrounding locations

Senior Assistant, Client and Colleague Support – Tier 2

Medical Director

• Provide strategic leadership and clinical oversight for complex populations.
• Lead a team of Senior Medical Directors/Medical Directors within the Center of Excellence (COE) Duals.
• Drive medical management programs and policies that improve quality, cost, and outcomes across the continuum of care.
• Serve as a clinical and business liaison to internal teams, network providers, and state agencies.
• Ensure compliance, operational excellence, and superior member experience.
• Actively participate in scheduled team and leadership meetings supporting the EMD.
• Help achieve or exceed HEDIS, Stars, and state performance targets.

Lead Senior Medical Director

• Deliver analytics to support projects and product development
• Work with product and business teams to formulate success metrics
• Collaborate to understand the project's goals and provide insights
• Establish and automate post deployment reporting and analysis
• Define and implement tracking of digital properties
• Design, build and update regular reports
• Perform in-depth analysis from end-to-end

Senior Analyst – Digital Analytics

Product Manager

• Define, communicate, and execute a strategic roadmap for sponsored display ads.
• Lead the full product lifecycle for sponsored display ads, from ideation to launch and ongoing iteration.
• Present strategies, roadmaps, and product outcomes to executive leadership.
• Address and resolve large-scale conflicts across functions.
• Conduct market research and competitive analysis to understand industry trends.
• Partner with sales, marketing, and account management for alignment on objectives.
• Monitor and analyze product performance metrics to drive engagement and conversion.
• Develop monetization strategies to maximize revenue.

Senior Product Manager - CVS Media Exchange, CMX

• Supports the successful execution of quality improvement initiatives and contributes to efforts that promote excellence in healthcare delivery
• Assists the Project Manager with healthcare quality projects, performance improvement activities, and related initiatives
• Works under close supervision to monitor key performance indicators (KPIs) and metrics, helping assess process or product performance and identify opportunities for improvement
• Performs routine audits and assessments to evaluate adherence to established quality standards and helps identify core areas where enhancements are needed
• Drafts regular quality reports while presenting findings and communicating trends, performance, and improvement opportunities to management and stakeholders

HEDIS Strategy Analyst

Manager

• Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychosocial wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes.
• Assessment of Members: Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member’s needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member’s benefit plan and available internal and external programs/services.
• Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and address complex clinical indicators which impact care planning and resolution of member issues.
• Using advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate clinical providers for thorough assessment and treatment, as clinically indicated.
• Provides crisis follow up to members to help ensure they are receiving the appropriate treatment/services.
• Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member’s needs to ensure appropriate administration of benefits.
• Using holistic approach consults with supervisors, Medical Directors and/or other programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary view in order to achieve optimal outcomes.
• Identifies and escalates quality of care issues through established channels.
• Ability to speak to medical and behavioral health professionals to influence appropriate member care.
• Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promotes lifestyle/behavior changes to achieve optimum level of health.
• Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
• Helps member actively and knowledgably participate with their provider in healthcare decision-making.
• Analyzes all utilization, self-report and clinical data available to consolidate information and begin to identify comprehensive member needs.
• In collaboration with the member and their care team, develops and monitors established plans of care to meet the member’s goals.

Behavioral Health Clinical Case Manager

Sales

• Establishes strategic and technical support throughout the sales support process to promote revenue, customer, membership, and earnings growth
• Manages day-to-day activities for sales team including proposal preparation and delivery
• Collaborate with Supp Sales leaders to develop sales support strategies, allocate resources and prioritize initiatives
• Advises team on policies and procedures to ensure compliance and achievement of the organization's goals and objectives for Sales Support
• Manages day-to-day activities for staff and develops training programs and materials for development
• Collaborate with data platform administration teams to identify areas of improvement for our sales record keeping needs (i.e: Majesco, Salesforce, Quickbase)
• Join forces with Supplemental Health Sales leaders on strategies and implementation to make our sales process efficient and make headwinds towards our overall growth initiatives
• Evaluates, monitors, and advises senior management on new training materials and techniques that align with organizational objectives
• Conducts performance appraisals to provide employees with timely and constructive feedback
• Manages operational aspects of the team (e.g., budget, performance, and compliance), and implements workforce and succession plans to meet business needs

Supplemental Health Sales Support Associate Manager

• Lead large scale MAWM deployments
• Implement MAWM technical configuration controls, extend MAWM functionality, support MAWM production as well as integrate Manhattan with other systems (Host, MHE, 3rd Party systems etc.)
• Technical oversight, ensuring we are building best-in-class solutions that can scale to meet our future non-functional requirements
• Monitor and optimize system performance, identifying opportunities for enhancement and addressing any issues or bottlenecks
• Lead an initiative from strategy through delivery in complex and highly visible engineering projects
• Guiding initiative’s work prioritization in alignment with our strategic objectives
• Collaborate closely with other technical teams (architecture, engineering, cloud, platform, infrastructure, network, security, governance etc.)
• Proactively identify, communicate, and mitigate both internal and external risks
• Staying updated on industry trends, emerging technologies, and best practices in software development, analytics, data science, and AI/ML technologies to drive innovation and efficiency.

Staff Solutions Engineer – Manhattan Active Warehouse Management

• Telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member
• 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 short and long-term outcomes
• Determine appropriate services and supports due to member's health needs, including prior authorizations, coordination with PCP and skilled providers, condition management information, and medication review.

Bilingual Analyst, Case Management

Operations

• Provide technology support for contracted clients within the Pharmacy Services Segment
• Act as an intermediary between PBM clients, IT organization, and other internal functional areas
• Manage critical technology issues and understand custom client IT work
• Build and maintain positive relationships with client resources
• Communicate technology opportunities, needs, and concerns to internal teams
• Coordinate client support and triaging efforts for both production and lower-level environments
• Drive ticket escalations to address concerns in a timely manner
• Manage initiatives and team members that span across all technology teams