CVS Health Careers

Account Executive

• Lead, coach, and develop teams of Account Executives and Strategic Account Executives
• Set strategic direction, priorities, and operating expectations for account teams
• Foster high-performance culture through feedback, talent development, and succession planning
• Provide executive oversight for large, complex PBM clients
• Serve as escalation point for complex client situations and senior-level engagements
• Own aggregate revenue growth, retention, and profitability for the assigned portfolio
• Guide renewal and expansion strategies and identify solution expansion opportunities
• Provide portfolio-level visibility into drug trend, pricing, guarantees, and account economics
• Use advanced analytics and AI-enabled modeling to evaluate risks and financial tradeoffs
• Partner with finance, underwriting, and senior leaders on renewal scenarios and executive client discussions
• Lead cross-functional partners across account management, clinical, product, operations, underwriting, analytics, and implementation
• Align enterprise resources, remove barriers, and advance complex client and business objectives
• Oversee complex RFPs and renewals
• Monitor pharmacy benefit management, managed care, healthcare market, legislative, and regulatory trends

Explore Strategic Account Director at CVS Health Careers. Review requirements and application details.

Strategic Account Director

Account Manager

• Lead technology product strategy and execution for specialty referrals and external partnerships
• Drive ambulatory referrals, eConsults, referral-network curation with cost, quality, and coverage data, and external partnerships
• Shape end-to-end technology pathways supporting CVS Healthcare Delivery care models
• Partner with clinical and business operational leaders to define care models and technology solutions
• Establish shared outcome metrics tied to clinical quality, patient experience, and financial performance
• Lead multidisciplinary product, Epic analyst, engineering, data science, and UI/UX teams
• Translate clinical ideas into problem statements, product specifications, and technology architecture
• Integrate external data sources with internal Epic workflows
• Lead reporting and actionable insights for clinical care delivery and continuous improvement
• Own the technology lifecycle from discovery through solutioning, build, deployment, and outcome realization
• Maintain solutions across Value-Based Care and Fee-for-Service delivery environments
• Mentor and build a high-performing product team and cross-functional technology teams
• Foster a culture of curiosity, resilience, problem-solving, and engagement

Explore Lead Director, Digital Product – Specialty Care and Partnerships at CVS Health Careers. Review requirements and application details.

Lead Director, Digital Product – Specialty Care and Partnerships

Call Center Representative

• Extend care during and outside regular Oak Street Health clinic hours by addressing patients’ medical, social, and psychological needs telephonically
• Provide confident and professional service to Oak Street Health patients
• Follow the current Prescription Refill policy
• Remain engaged with patients without background distraction
• Document clearly and precisely during calls
• Complete documentation for all patient requests before ending calls
• Check the CareReq queue and ensure CareReqs are complete
• Complete tasks and requests within the scope and ability of the role
• Schedule appointments, including off-cadence appointments
• Arrange transportation for clinic visits
• Strive to meet departmental metrics and organizational goals
• Perform other duties as assigned

Explore Call Center Triage Registered Nurse at CVS Health Careers. Review requirements and application details.

Call Center Triage Registered Nurse

Manager

• Ensure regulatory, audit, and compliance readiness for HEDIS and State reporting
• Advance governed AI–enabled change control aligned to NCQA, CMS, and state requirements
• Assess informatics department requirements and identify integration opportunities for new technologies and system processes
• Assist with management of data, reporting, and analytics functions
• Coach the informatics team on statistical and computational methods for analyzing research data
• Conduct literature reviews covering data management, information systems, machine learning, and artificial intelligence
• Confer with industry partners to apply research findings to real-world settings
• Design documentation systems covering specifications, architectural diagrams, and user guides
• Define data models, data integration processes, and data governance policies
• Develop complex data migration systems and coordinate with data management teams
• Establish testing systems to ensure requirements and functions are met

Explore Informatics Manager – Quality, HEDIS at CVS Health Careers. Review requirements and application details.

Informatics Manager – Quality, HEDIS

Implementation Specialist

• Support the implementation of Medicare supplemental benefit initiatives and product enhancements.
• Coordinate implementation activities and monitor project milestones to ensure successful delivery.
• Partner with business, operations, technology, compliance, and vendor teams to gather requirements and support implementation planning.
• Identify risks, dependencies, and operational impacts associated with product, process, and program changes, escalating concerns as appropriate.
• Support operational readiness activities, testing coordination, and implementation validation efforts.
• Research, document, and resolve operational issues related to benefit administration and program execution.
• Develop, maintain, and enhance operational procedures, workflows, and process controls.
• Identify process gaps and recommend solutions to improve efficiency, accuracy, and member experience.
• Support quality reviews, benefit audits, bid activities, and other operational initiatives.
• Analyze operational data and reporting to identify trends, issues, and improvement opportunities.
• Assist in the implementation of process improvements and operational best practices.
• Maintain accurate documentation to support compliance reviews, audits, and business requirements.
• Ensure benefit administration activities comply with established policies, procedures, and regulatory requirements.
• Build and maintain strong partnerships across business, operational, and vendor teams.
• Participate in cross-functional meetings and contribute to implementation and operational initiatives.
• Provide operational support, share knowledge, and foster a collaborative team environment.
• Demonstrate accountability, ownership, and a commitment to delivering high-quality results.

Explore Manager, Product Implementation, Process Management at CVS Health Careers. Review requirements and application details.

Manager, Product Implementation, Process Management

Patient Care Coordinator

• Process orders from referral sources and patients
• Respond to phone and fax inquiries
• Resolve patient complaints
• Assess patient needs and document referral requests for coordination of care
• Provide information about equipment, supplies, and services to applicable departments
• Coordinate with the Insurance Verification Team to process patient details and collect benefit coverage information
• Relay insurance coverage to referral sources and patients
• Discuss forms required for billing with patients
• Maintain communication and workflow between the branch, Sales staff, Insurance Verification team, and referral sources
• Support the Enteral Nutrition Center with initial patient admission onto company service

Explore Patient Care Coordinator at CVS Health Careers. Review requirements and application details.

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