CVS Health

Backend Engineer

• Analyzing case volumes, call volumes, staff productivity, and resource planning
• Automating manual data processes
• Migrating applications to modern technologies
• Preparing data for Tableau dashboards that deliver prior authorization insights and exception reporting
• Collaborating with operations teams to understand business needs and develop logic and metrics for Tableau KPIs, ensuring accurate and actionable reporting

Data Strategy Analyst, Python

Analyst

• Automating manual data processes
• Migrating applications to modern technologies
• Preparing data for Tableau dashboards that deliver prior authorization insights and exception reporting
• Conducting exploratory data analysis and apply statistical and predictive modeling techniques to identify trends, forecast volumes, and support workforce planning
• Build and validate data pipelines and machine learning workflows using Python, Dataiku, and cloud-based tools
• Collaborate with operations teams to understand business needs and develop logic and metrics for Tableau KPIs, ensuring accurate and actionable reporting

Senior Analyst – GCP Business Analytics

Manager

• Conducting telephonic assessments
• Developing care plans
• Coordinating case management activities to evaluate and address members’ medical needs
• Supporting overall wellness and improved health outcomes.

Case Manager, Registered Nurse – Commercial Plan

Pricing Analyst

• Develop and execute network and mail pricing strategies for CVS Health
• Provide subject matter expertise and operational support for pricing implementations across Employer, Health Plan, and Government segments
• Lead the configuration and validation of pricing setups
• Ensure accuracy across pharmacy claims adjudication platforms
• Apply appropriate business rules, network structures, and pricing documentation
• Support ongoing and future pricing and product initiatives, including technology integration and testing
• Additional responsibilities include claims data analysis, process documentation, and audit preparation

Senior Pricing Analyst – Client Setup

Counselor

• Deliver on-demand, single session consultations, clinical assessments, triage, and informational services.
• Leverage advanced technology platforms to enhance customer experience, ensuring optimal outcomes by connecting members to the right solutions at the right time, in order to meet their needs.
• Support members in their preferred communication modality, whether via phone, video, or chat, for personalized and effective care.

Employee Assistance Program Clinical Counselor – Overnight

• Work cross functionally as an interface between Customer Care Operations, other key business owners and clients.
• Partner with internal PBM business units to ensure successful operational client delivery for new and existing business.
• Oversee contractual performance measurements within operations and manage tracking and reporting.
• Ensure new clients are set up to properly support the member experience and contract requirements.
• Lead client support and member experience initiatives such as Corrective Action Plan (CAP) project support, plan audits, monthly and/or quarterly presentations, training, communications, reporting, facility tours, and meetings.
• Hold meetings with Account Teams, Care Leadership, Training or other key stakeholders to explain information and data.
• Anticipate and proactively identify and mitigate client, member, and compliance risk while working to streamline and simplify processes.
• Create and deliver presentation materials which communicate key performance metrics, service improvement and sustainment plans to clients and stakeholders.

Client Liaison Manager

Financial Planning and Analysis

• Reporting to the VP of Pharmacy Services FP&A, the Lead Director, FP&A will be responsible for all aspects of financial reporting for the Channel Margin and Client Profitability consolidations
• Prepare month-end close, forecast, and budget presentations for Finance and business leadership
• Coordinate all P&L planning activities, and serve as point of contact for the financial planning systems
• Channel (Mail, Specialty, 340B, and Network) financial reporting and consolidation
• Preparing materials for the Pharmacy Services finance team and various executive committees
• Income statement consolidation including synthesizing variance explanations from multiple Finance teams and building a concise story on the business performance
• Participate in month-end close, quarterly forecasts, strategic plans, and budgets
• Assist the FP&A team with financial reporting, R&Os, and presentations
• Serve as the finance team’s point of contact for any issues or updates to our financial planning systems
• Lead various projects and analyses as the financial reporting lead

Lead Director, Pharmacy Services FP&A

• Work closely with product teams to evolve and improve digital experiences for customers and patients
• Use analytical and problem-solving skills to define success metrics and measurement approaches
• Collaborate with motivated teammates across UX, Customer Experience Management, IT, Site Optimization, Marketing, and Merchandising
• Provide proactive insights to leadership pertaining to product performance and recommend areas for improvement
• Define KPIs and measurement approach for upcoming feature releases in consultation with product owners
• Quantify impact of customer pain points identified by customer feedback in partnership with customer experience management
• Drive improvement of experience
• Create and maintain dashboards to enable monitoring of in-market customer or patient experiences
• Manage approx. 1-2 analysts within the team

Manager, Digital Analytics

Customer Support

• Respond to incoming calls from individuals seeking emotional support or mental health resources; may expand to message and video chats in the future
• Create a safe and supportive environment for members by ensuring privacy and maintaining a calm, empathetic presence
• Assess/Identify clinical risk and transfer member for clinical support
• Help members navigate through employee assistance program and behavioral health benefits, internal and external resources, and connect to appropriate providers
• Document all interactions in real-time using secure systems, in compliance with HIPAA and internal policies
• Takes direction to execute techniques, processes, and responsibilities
• Determines purpose of call by actively listening and interacting with callers, triages call in a professional and timely manner
• Assesses client’s needs; researches and articulately communicates information regarding pertinent EAP/Worklife services and resources
• Uses screening tools to identify where urgent clinical intervention is needed, and transfers calls appropriately, including members in crisis and at risk
• Performs appropriate research in internal databases and online to identify potential providers and resources
• Enters member information into the appropriate EAP system to initiate the case and documents comments and information thoroughly and professionally
• Communicates effectively with all internal stakeholders
• Utilizes relevant Aetna databases to research and identify validated, appropriate member resources
• Provides miscellaneous support functions including administrative support, follow-up calls, and other duties as assigned

Customer Support Associate – Employee Assistance Program

• Analyze healthcare cost and utilization data to identify trends, evaluate program performance, and support decision-making across clinical and financial domains.
• Develop automated reporting tools and dashboards using Python, SQL, and cloud-based technologies to streamline workflows and enhance visibility into key metrics.
• Support predictive modeling and statistical analysis to assess provider efficiency, member outcomes, and the impact of medical management programs.
• Collaborate with cross-functional teams, including actuaries, clinicians, and business leaders, to translate complex business questions into clear, data-driven insights.
• Ensure data integrity and consistency across multiple sources and contribute to the development of scalable data pipelines and reusable code libraries.
• Present findings and recommendations through compelling visualizations and presentations tailored to both technical and non-technical audiences.
• Stay current with emerging tools and methodologies, including generative AI and automation frameworks, to continuously improve the team’s analytical capabilities.

Manager, Application Development

Data Analyst

• Develops and manages program operations focused on improving clinical and financial outcomes, member engagement, and satisfaction
• Develops strategies to mitigate high cost/high need utilization of services and assist members with assuming self-management of their conditions
• Formulates and implements strategy for achieving applicable department/unit metrics and provides operational direction
• Serves as technical, professional, and business resource (may cross multiple business functions)
• Directs/provides enhancements to business processes, policies, and infrastructure to improve operational efficiency (may cross multiple business functions)
• Develops, implements, and evaluates business analysis, which meet business needs (may cross multiple business functions)
• Creates reports needed to support business operations
• Collaborates and partners with other business areas across/within regions or segments and within other centralized corporate areas to ensure all workflow processes and interdependencies are identified and addressed on an on-going basis
• Promotes a clear vision aligned with company values and direction; sets specific challenging and achievable objectives and action plans; motivates others to balance customer needs and business success

Senior Data Analyst, Project Management

Consultant

• Manage the budget and meet expectations for payroll and travel expenses
• Utilize financial and clinical acumen while achieving clinical targets while maintaining compliance and regulatory requirements
• Manage workload and schedule for a team of consultant pharmacists across multiple states
• Ensure that contractual requirements are met for customers within the assigned area
• Consult with internal and external partners to ensure customer facility needs are maintained
• Participate in retention efforts to maintain customer satisfaction
• Develop c-suite level relationships with assigned customer accounts’ clinical leadership
• Accountable for mentoring, developing, recruiting, hiring, training, and performance assessment and management of consultant pharmacist team
• Collaborate with facility leaders and staff to coordinate pharmaceutical services within long term care facilities
• Ensure facilities remain compliant and aligned with federal regulations
• Complete clinical reviews as required by federal and state regulation
• Own issue resolution and communicate early warning signs of potential issues
• Drive adoption of Omnicare programs and service offerings
• Conduct Executive Reviews and other customer meetings as required
• Collaborate with Account Management, Sales, Operations, and appropriate corporate functions to meet overall site goals and objectives

Manager, Consultant Pharmacist – Long Term Care

Data Scientist

• Work cross-functionally with other Data Scientists, Data Engineers, Digital, IT, Clinical, Product, Design, Marketing, and more
• Analyze, develop, and optimize condition specific healthcare journeys for health plan members
• Build and utilize algorithms to identify clinical conditions (or risk of clinical conditions)
• Evaluate intervention opportunities and approach to develop member facing campaigns

Senior Data Scientist – Healthcare Journey Analytics

Account Manager

• Execute the national partnership strategy, ensuring alignment with departmental goals and organizational priorities.
• Oversee end-to-end partnership operations, including budget management, timeline adherence, resource allocation, and quality assurance.
• Lead change management efforts to adapt programs to evolving business needs, participant expectations, and market dynamics.
• Build and nurture relationships with key stakeholders at national and regional levels, including senior leadership, external partners, and cross-functional teams.
• Track program performance metrics, identify areas for improvement, and implement corrective actions to ensure national goals are met.
• Collaborate with Workforce Initiatives Field Operations to ensure consistent, high-quality program delivery across diverse geographic locations.
• Serve as a central point of coordination between internal teams and external national partners to drive alignment and shared success.
• Partner with Legal and Compliance teams to support the execution of partner agreements and ensure workforce initiatives align with company standards.
• Monitor and communicate evolving regulatory requirements across states, ensuring the department remains informed and compliant.
• Maintain oversight of compliance protocols and regulatory standards related to program implementation and participant engagement.
• Deliver regular program updates to senior leadership, highlighting key performance indicators, strategic insights, and progress against goals.
• Provide support for WI programs, including placement workflow and post-placement processes, as needed.

Manager, National Partnerships – Compliance

• Support annual capital planning efforts for teams across Aetna Technology
• Perform detailed analysis of capital investments to ensure they align with strategic and financial goals
• Develop and evaluate business cases for projects using data & metrics
• Lead the development and maintenance of capital planning processes and policies
• Collaborate closely with leaders in other departments (i.e., operations, project management, business) to align capital allocation with business objectives
• Communicate complex financial information and recommendations to stakeholders at various levels, including senior leadership