CVS Health

Actuary

• Provide financial tools and analytics to support network strategy aligned with market and business growth priorities
• Develop in-depth knowledge of market dynamics and build cross-functional relationships with network, MEU, and commercial actuarial teams
• Develop a quarterly, market-level discount review process
• Inform Regional Leads and Chief Network Officers about benchmarking changes, gaps, and pressured areas for future negotiations
• Provide field information on the impact and timing of new negotiations
• Drive enhanced contract negotiation strategies using data-driven recommendations for MedRx and Behavioral Health
• Support Aetna Whole Health / APCN Plus, joint ventures, and narrow network pricing across Commercial market segments
• Validate and refine pricing using trend, PCRs, and area factors during Large Group Rate Review
• Build tools and analyses supporting Priority Markets and Strategic/Enhanced Providers
• Address state-specific standard contracts by selecting a competitive fee schedule consistent across state lines

Senior Actuary – Network

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

Account Manager

• Manage and support Meritain's Alternative Health & Advocacy Solutions partner portfolio
• Serve as a primary operational contact for assigned partners and internal stakeholders
• Drive service excellence, issue resolution, partner accountability, and relationship management
• Partner with Account Executives, sales leadership, client management teams, implementation teams, and operational stakeholders
• Support partner performance and facilitate cross-functional collaboration
• Execute strategic initiatives that improve client, member, and partner experience
• Monitor operational performance and coordinate issue remediation
• Support implementations and escalations
• Maintain governance processes
• Identify opportunities for improvement
• Contribute to sales enablement and growth initiatives

Product Manager

• Lead the Caremark advocacy portfolio and continued development and expansion of Pharmacy Navigator
• Analyze customer and member needs, pain points, and preferences to guide product development
• Partner with Caremark operations, clinical, and technology teams to define product vision and strategic goals
• Evaluate opportunities, assess member and business impact, and develop business cases and recommendations for scaling
• Identify opportunities to expand Pharmacy Navigator across member pain points, therapeutic areas, formulary and prior authorization transitions, and new lines of business
• Identify existing organizational technologies for use in new product builds
• Lead discovery and solutioning for new capabilities from concept through implementation
• Define scope, success measures, and paths forward
• Translate business requirements into epics, features, user stories, and journey maps
• Own the Pharmacy Navigator measurement framework and success metrics
• Oversee reporting solutions demonstrating member, client, and business impact
• Lead onboarding activities for new Pharmacy Navigator clients and support successful implementation and launch

Senior Product Manager, Caremark Member Advocacy

Pharmacist

• Support the pharmacy team in delivering operational and service excellence
• Assist patients and customers as a first point of contact
• Follow SOPs and pharmacy workflow procedures across production, pickup, drive-thru, and drop-off workstations
• Fulfill prescriptions promptly, safely, and accurately
• Provide empathetic and personalized patient service in person and by phone
• Offer immunizations and other services at the register and over the phone where permitted
• Solve or escalate patient problems
• Complete inventory activities, including medication deliveries, cycle counts, returns-to-stock, and waiting-bin inventories
• Expand clinical and technical knowledge and respond to feedback
• Travel voluntarily to market stores to work shifts as needed
• Comply with applicable laws, regulations, professional standards, ethical principles, and CVS policies
• Deliver additional health care services such as immunizations and point-of-care testing where permitted and properly trained
• Where permitted, complete immunizer licensure and training, prepare and administer vaccines, educate patients, monitor adverse reactions, document patient information, and manage vaccine supplies
• Perform additional tasks directed by a Supervisor or Manager

Pharmacy Technician

• Develop, maintain, and support applications and services deployed in AWS cloud environments
• Build and optimize SQL Server database components, including queries and stored procedures
• Translate business and technical requirements into scalable, maintainable solutions
• Write clean, secure code adhering to development standards and best practices
• Leverage AI assistants for code generation, refactoring, testing, and documentation with appropriate validation
• Participate in Agile practices and events, including planning, stand-ups, reviews, and retrospectives
• Troubleshoot and resolve application and data issues
• Contribute to code reviews and continuous quality improvement
• Collaborate across engineering, QA, and business teams
• Support application deployment and operations in AWS

Software Development Engineer

Call Center Representative

• 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
• Address and resolve scheduling conflicts or issues
• Collaborate with medical staff and other departments to ensure smooth scheduling operations
• Conduct follow-up calls to confirm appointments and provide reminders
• Maintain accurate records of patient interactions and transactions
• Perform other assigned duties or special projects
• Work assigned 40-hour schedules based on business needs; some schedules may include one weekend shift

Call Center Service Advocate I

Platform Engineer

• Own and execute the H100 platform engineering roadmap aligned to enterprise priorities and program milestones
• Drive delivery of GCP-based platform capabilities, including GKE, networking, IAM, CI/CD, and observability
• Establish and enforce engineering standards, best practices, and ADR compliance
• Ensure adherence to security, compliance, and governance requirements, including SOC2 and HIPAA
• Partner with client stakeholders and cross-functional teams across security, networking, and applications
• Provide status reporting, risk identification, and mitigation strategies
• Coordinate dependencies across teams and delivery streams
• Act as technical and delivery point of contact for platform-related discussions
• Oversee implementation of GCP landing zone components, including resource hierarchy, IAM, and networking
• Guide adoption of GitOps models and CI/CD frameworks such as Config Sync, ArgoCD, and GitHub Actions
• Monitor platform SLOs and operational metrics, including uptime, MTTR, and deployment frequency
• Identify risks, capacity constraints, and improvement opportunities
• Lead incident response and escalation management, including post-mortems
• Ensure availability of runbooks, documentation, and operational procedures
• Support SRE practices and production readiness models
• Maintain platform reliability and operational stability
• Lead a team of engineers, including FTEs and contractors
• Provide guidance, mentorship, and performance direction
• Support knowledge sharing and contractor-team onboarding
• Promote continuous improvement and accountability
• Identify opportunities for automation and platform optimization
• Support integration of AI-driven operations and intelligent tooling
• Evaluate tools for cloud security posture and DevOps efficiency
• Encourage modern platform engineering practices
• Drive sprint planning, backlog prioritization, and Agile execution
• Manage resource allocation and contractor utilization
• Track SOW deliverables, milestones, and dependencies
• Provide regular reporting on progress, risks, and capacity

Senior Manager – Platform Engineering, DevOps

Medical Director

• Lead, coach, and develop a national team of clinicians across National Accounts, Large Group, and Public & Labor segments
• Cultivate relationships with brokers, consultants, and plan sponsors
• Lead clinical sales activities for high-profile prospects
• Improve team operations, coverage, prioritization, preparation, and materials
• Define the team coverage model and allocate clinical capacity based on pipeline value, retention risk, and strategic importance
• Set standards for clinical narratives, presentation materials, and meeting preparation
• Own hiring, onboarding, performance management, development planning, and succession
• Serve as senior clinical leader for finalist meetings, RFP responses, and clinical strategy sessions
• Develop strategic clinical messaging and articulate Aetna’s clinical differentiation
• Keep Field teams current on Aetna’s clinical programs through briefings and training
• Translate Aetna’s clinical program portfolio into prospect-specific value narratives
• Support retention and growth through strategic client reviews, clinical roadmaps, and outcomes and affordability discussions
• Interpret client-specific utilization, cost, and quality data and recommend clinical program actions
• Own producer engagement with benefits consulting firms, brokers, and general agents
• Lead clinical responses to consultant surveys, market scans, and program and vendor assessments
• Represent Aetna at consultant forums, market events, industry conferences, and employer coalitions
• Capture and channel customer, producer, and Field feedback into product and clinical roadmaps
• Surface competitive gaps and emerging plan sponsor requirements
• Maintain command of Commercial market dynamics, competitor strategy, health policy, and clinical program landscapes
• Represent Commercial Medical Affairs in governance forums and cross-functional working groups
• Ensure externally presented clinical claims are evidence-based, accurate, and defensible

Executive Medical Director, Clinical Business Solutions

• 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

Data Specialist

• Use SQL, Microsoft Excel, Dataiku, Python, and related applications to determine disruption to existing and potential clients when network changes take place
• Retain and win business through analysis of network changes
• Make high-level decisions
• Manage multiple requests and priorities
• Develop new solutions to simplify the reporting process
• Produce standard and custom reports for multiple lines of business and specific clients
• Analyze retail pharmacy network accessibility

Senior Data Insights Specialist

Director

• Lead and manage the Divestiture Management Office and supporting team members
• Oversee execution of Transition Services Agreement commitments and contractual obligations
• Build and maintain relationships with buyers, vendors, impacted employees, and CVS stakeholders
• Review and interpret legal agreements, contracts, and transaction documents
• Identify risks, issues, and improvement opportunities, and drive resolution through collaboration and negotiation
• Provide updates, recommendations, and reporting to senior leadership
• Manage project budgets and ensure financial goals are met
• Track program performance through metrics, reporting, and governance processes
• Lead project planning, execution, and continuous improvement efforts
• Gather and analyze stakeholder feedback to proactively address concerns and disputes
• Facilitate cross-functional meetings, workshops, and problem-solving sessions
• Coach, develop, and support team members, matrix partners, and external vendors

Lead Director – Divestiture Management

• 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

Analyst

• 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
• Ensure digital experiences stay healthy through effective measurement
• Collaborate with teammates across UX, Customer Experience Management, IT, Site Optimization, Marketing, and Merchandising

Senior Analyst, Digital Analytics

• Support the pharmacy team in delivering operational and service excellence
• Serve as an initial 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 empathetic and personalized patient service and resolve or escalate patient problems
• Offer immunizations and other patient services at the register and over the phone
• Complete inventory activities including medication deliveries, cycle counts, returns-to-stocks, and waiting-bin inventories
• Follow company SOPs, laws, regulations, professional standards, and ethical principles
• Support immunizations, point-of-care testing, and offsite clinics where permitted and trained
• Where permitted, obtain Technician Immunizer status, prepare and administer vaccines, educate patients, monitor adverse reactions, document patient information, and manage vaccine supplies
• Travel voluntarily to other stores in the market to work shifts as needed
• Contribute to a safe, inclusive, high-performing team and expand clinical and technical knowledge