CVS Health

Customer Support

• Handle inbound and outbound calls to schedule, reschedule, and cancel patient appointments
• Provide courteous and professional service to patients and address inquiries and concerns
• Accurately enter patient information and appointment details into the scheduling system
• Communicate appointment details and necessary instructions clearly to patients
• Address and resolve scheduling conflicts or issues promptly
• Collaborate with medical staff and other departments to ensure smooth scheduling operations
• Conduct follow-up calls to confirm appointments and provide patient reminders
• Maintain accurate records of patient interactions and transactions
• Perform other duties or special projects as assigned
• Work assigned schedules of 40 hours per week based on business needs
• Participate in a 24/7 contact center operation, including possible weekend shifts

Customer Service Advocate I

Frontend Engineer

• Lead and supervise approximately 20 team members
• Conduct monthly one-on-one meetings, coaching sessions, and performance discussions
• Manage daily workloads and staffing for printing, returned mail, scanning, check processing, and indexing functions
• Monitor operational performance, productivity, quality, and service-level expectations
• Serve as primary point of contact for the mailroom vendor
• Coordinate receipt, processing, and distribution of incoming mail
• Prioritize workloads and allocate resources to meet business demands
• Identify, recommend, and implement process improvements
• Support audits, reporting, compliance requirements, and departmental projects
• Collaborate with cross-functional teams to resolve operational issues and support organizational objectives
• Support process documentation, workflow enhancements, and operational improvement initiatives
• Perform other duties as assigned

Front End Operations Supervisor

Product Designer

• Collaborate with Design, Product, Development and cross-functional teams to align projects and meet quality, efficiency and velocity needs
• Develop deep understanding of customer journeys, personas and segmentation across projects
• Translate complex cognitive challenges into elegant user experiences across multiple channels
• Gain stakeholder support by communicating design vision and rationale
• Conceptualize, design and define breakthrough user experiences using research and user goals
• Partner with a multidisciplinary design team to shape and enhance digital experiences for consumers
• Communicate user needs and demonstrate how proposed designs solve them
• Present to senior stakeholders and build support for UX initiatives
• Mentor junior designers and collaborate with designers, strategists, managers and technologists

Senior Digital UX Designer

• Support the Nursing department by ensuring timely and accurate tracking of Plan of Treatment documents in medical records software
• Maximize contact with providers to obtain signatures
• Contact prescriber offices by phone to obtain fax numbers or prescriber email addresses
• Fax nursing Plan of Treatments to appropriate prescriber fax numbers or email addresses
• Track Plan of Treatment details within the patient's electronic medical record
• Perform Q and A of Plan of Treatment documents
• Obtain provider signatures on Plan of Treatments
• Execute processes consistently with management and organizational goals

Clinical Support Representative, Specialty Nursing

General

• Manage nationwide callouts
• Process Workbrain payroll corrections for the fleet
• Perform various administrative tasks
• Timely handle callouts
• Review and analyze Workbrain payroll corrections related to staffing and scheduling
• Collaborate with the direct supervisor, regional coordinators, and field leaders
• Provide weekend coverage and work varying shifts between 6:00 AM and 9:00 PM Eastern Time across 4–5 days per week

Coordinator, Resource Planning Support

Implementation Specialist

• Lead end-to-end customer implementation of digital technology solutions, including SSO and API integrations
• Own requirements gathering, documentation, and communication of digital solutions
• Collaborate with internal and external stakeholders to understand needs and define project scope
• Translate customer needs into solutions aligned with Aetna’s strategic vision
• Communicate project risks, blockers, progress, and delivery impacts, including in customer-facing discussions
• Provide business and technical guidance throughout implementation
• Proactively troubleshoot issues and help ensure digital needs are implemented effectively and securely
• Identify and support process improvements that increase delivery efficiency, consistency, and scalability
• Surface recurring delivery friction and recommend improvements to processes, tools, and ways of working
• Leverage data and analytics to inform strategic discussions

Digital Product Implementation Manager

Operations

• Manage a team of claim processors and oversee daily operations for the assigned health plan to achieve state-required metrics
• Manage employee performance and development
• Identify risks and barriers and collaborate with business partners to improve processes
• Coach and mentor team members, assisting with complex questions and customer interactions
• Act as liaison between staff and other areas, communicating workflow results, ideas, and solutions
• Complete business reports, including tracking, trending, and results
• Work with the Medicaid leadership team to allocate resources to meet volume and performance standards
• Build a cohesive team through collaboration, inclusion, and diverse thinking

Supervisor, Service Operations

• Lead and oversee deployment and integration of advanced digital technologies for Aetna Health Customizations
• Support plan sponsors and Book of Business products
• Independently lead end-to-end implementation of digital technology solutions, including SSO and API integrations
• Manage project requirements, documentation, facilitation, collaboration, testing, release, and support
• Collaborate with business stakeholders to define project scope and align with organizational goals
• Communicate project progress, risks, and blockers
• Provide technical guidance and troubleshoot implementation issues
• Ensure systems are integrated effectively and securely
• Deliver digital enhancements that improve member experience, create operational efficiency, and ensure regulatory compliance

SDET

• Design, develop, and evolve scalable test frameworks, automation libraries, and developer-facing quality tools
• Define quality engineering approaches aligned with platform strategy
• Partner with Product, Architecture, and Engineering teams on test strategy, coverage goals, and acceptance criteria
• Build reusable utilities, harnesses, mocks, stubs, and data solutions
• Develop test strategies and harnesses for conversational AI systems across Voice and Chat channels
• Support quality across APIs, backend services, and full-stack workflows in distributed and multi-service environments
• Validate multi-turn conversations, intent recognition, orchestration logic, and agent interactions
• Integrate automated quality checks into CI/CD pipelines
• Establish best practices for framework selection, test data strategy, automation design, and engineering-led quality
• Create testing patterns, examples, and documentation
• Identify quality gaps and drive scalable improvements
• Influence architecture and engineering design decisions regarding quality risks and test strategy
• Investigate defects, analyze failure trends, and support root-cause resolution
• Provide technical guidance and mentorship to engineers
• Pair with developers on quality and testability challenges and contribute to implementation

Software Development Engineer – Test

Product Operations

• Provide leadership, operational oversight, and people management for the Non-Clinical Organization Determination team
• Ensure accurate, timely, compliant, and member-centered coverage determinations
• Oversee end-to-end NCOD operations, including intake, review, determination, documentation, and communication
• Lead implementation of workflows, benefit offerings, regulatory requirements, operational enhancements, and system improvements
• Monitor turnaround times, workload distribution, staffing needs, productivity trends, and inventory management
• Lead operational readiness planning for benefit, process, policy, and technology changes
• Directly supervise NCOD managers and analysts
• Coach, mentor, develop, and evaluate staff; oversee hiring, training, performance management, career development, and succession planning
• Ensure adherence to CMS regulations, internal policies, audit standards, and organization determination guidelines
• Oversee quality assurance programs, audit activities, calibration initiatives, and documentation standards
• Establish and monitor KPIs, operational dashboards, quality metrics, and service-level measures
• Analyze operational data and present performance updates, recommendations, and strategic insights to senior leadership
• Lead continuous improvement initiatives and enhance workflows, procedures, training materials, and operational controls
• Partner with Product, Compliance, Appeals, Grievances, Eligibility, Technology, Vendor Management, Customer Service, and other stakeholders
• Support enterprise projects, implementations, audits, and regulatory readiness activities

Senior Manager, Medicare Product Operations

Communications

• Write assignments of varying length and detail supporting strategic, functional, and operational proposal topics
• Collaborate with Capture and Proposal Managers, Proposal Directors, and Subject Matter Experts to prepare final proposal responses
• Analyze proposal sections and content to identify connections, ensure alignment, and support a cohesive narrative
• Interview subject matter experts to collect information for compliant responses, update resumes, write past performances, and develop proposal responses
• Conduct qualitative and quantitative research and analyze data for client-solution content
• Collaborate with Graphic Designers on proposal graphics and visual storytelling
• Participate in proposal meetings, color team reviews, and status meetings throughout the proposal process
• Develop compliant and compelling proposal responses aligned with internal quality standards and bid guidance
• Develop creative strategies articulating customer needs and win themes
• Maintain expert understanding of Aetna Medicaid products and services
• Support the Medicaid Content Library content management lifecycle
• Participate in team meetings and contribute ideas to drive innovation and creativity
• Build relationships with health plan leaders, proposal peers, and SMEs to support winning and retaining business
• Support development of internal processes and procedures, including scorecards, quality business reports, style guides, and performance measures

Senior Manager, Business Communications

Actuary

• Lead actuarial evaluation of state capitation pricing and forecasting for Medicaid managed care programs
• Evaluate and interpret state rate-setting methodologies, risk adjustment programs, acuity adjustments, and regulatory requirements
• Assess revenue, medical cost, utilization, and margin drivers to identify trends and business risks
• Summarize and communicate actuarial analysis for business leadership
• Partner with market, product, finance, and operations teams on strategic decision-making
• Provide insight into Medicaid market dynamics, state policy changes, competitive positioning, and business performance
• Evaluate financial impacts of operational and strategic initiatives
• Support long-term business strategies through data-driven analysis
• Analyze medical cost trends, utilization patterns, enrollment changes, and financial performance
• Investigate emerging issues and perform root-cause analyses
• Deliver insights to senior leadership
• Review and provide technical oversight for analytical methodologies, models, and coding solutions
• Guide team members working with large healthcare datasets and analytical tools
• Ensure analytical work is validated, documented, and reproducible
• Provide indirect leadership and mentorship to actuarial team members
• Coordinate work across stakeholders and analytical resources
• Manage follow-ups, resolve obstacles, and drive project completion
• Design, build, document, and communicate analyses for evolving business questions
• Improve methodologies, reporting, and analytical processes
• Develop scalable solutions for increasingly complex business needs

Manager, Actuarial

Medical Director

• Support Aetna Better Health of Louisiana and other health plans as needed
• Partner with Medical Management staff to ensure timely, consistent, and clinically sound decisions for members and providers
• Perform Utilization Management and medical necessity reviews
• Make prior authorization and precertification determinations
• Conduct concurrent reviews for inpatient and outpatient services
• Perform acute and post-acute care reviews
• Conduct peer-to-peer consultations with treating providers
• Perform pharmacy reviews and first-level appeal determinations
• Collaborate with multidisciplinary clinical and operational teams
• Participate in a rotating on-call schedule including weekend and holiday coverage

Medical Director – Medicaid

Full-stack Engineer

• Drive enterprise architecture and technical strategy focused on microservices-based design and AI platform engineering
• Design and develop scalable microservices architectures, APIs, domain-driven services, and event-driven systems
• Lead development and integration of AI/ML solutions, including LLMs, Retrieval-Augmented Generation, and agentic frameworks
• Develop scalable data platforms and pipelines for real-time and batch processing across enterprise systems
• Enable AI-powered intelligent search, recommendations, and decision-support systems
• Lead development and optimization of search algorithms and systems using Elastic, OpenSearch, or Solr
• Drive adoption of CI/CD, DevOps, and automated testing using GitHub, Jenkins, CircleCI, and Harness
• Ensure system reliability, observability, and performance through monitoring and operational excellence
• Collaborate with product managers, architects, and business stakeholders on scalable, modular, intelligent solutions
• Lead design reviews and define best practices for microservices design, API contracts, and service governance
• Mentor engineers
• Drive responsible AI practices, including model evaluation, governance, and production readiness

Staff Software Engineer – Search, AI

Pharmacist

• Support the pharmacy team in delivering operational and service excellence
• Serve as a first point of contact for patients and customers
• Follow pharmacy workflow procedures for production, pick-up, drive-thru, and drop-off
• Fulfill prescriptions promptly, safely, and accurately
• Provide caring, empathetic, and personalized patient service
• Offer immunizations and other services at the register and over the phone
• Solve or escalate patient problems
• Complete inventory activities, including medication deliveries, cycle counts, returns-to-stocks, and waiting-bin inventories
• Follow company SOPs and comply with federal, state, and local laws and CVS policies
• Contribute to a safe, inclusive, and engaging team environment
• Travel voluntarily to market stores to work shifts as needed
• Deliver additional health care services, including immunizations, point-of-care testing, and offsite clinics where permitted
• Complete additional licensure and training to obtain Technician Immunizer status where applicable
• Educate patients about vaccines and refer vaccination questions to the Pharmacist-on-duty
• Monitor and respond to adverse reactions and report events
• Review, collect, track, and document patient information
• Monitor and manage vaccine supplies
• Perform additional tasks as directed by a Supervisor or Manager

Customer Service Advocate I

Front End Operations Supervisor

Senior Digital UX Designer

Clinical Support Representative, Specialty Nursing

Coordinator, Resource Planning Support

Digital Product Implementation Manager

Supervisor, Service Operations

Digital Product Implementation Manager

Software Development Engineer – Test

Senior Manager, Medicare Product Operations

Senior Manager, Business Communications

Manager, Actuarial

Medical Director – Medicaid

Staff Software Engineer – Search, AI

Pharmacy Technician