CVS Health

Full-stack Engineer

• Design, develop, and continuously enhance enterprise-scale Provider Applications
• Drive technical solutions for complex business problems
• Ensure application stability
• Lead cross-functional initiatives as a Project Owner
• Balance hands-on engineering expertise, technical leadership, and delivery ownership
• Oversee vendor/contractor teams
• Ensure alignment with enterprise architecture
• Deliver high-impact solutions that improve provider data systems and operational efficiency

Senior Software Development Engineer

Pharmacist

• Support the pharmacy team in delivering operational and service excellence within the store
• Serve as an initial point of contact for patients and customers
• Follow company SOPs and pharmacy workflow procedures across production, pick-up, drive-thru, and drop-off workstations
• Fulfill prescriptions safely, promptly, and accurately
• Provide empathetic and personalized patient service in-store, at drive-thru, 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-stocks, and waiting-bin inventories
• Expand clinical and technical knowledge and respond to feedback
• Maintain flexible scheduling and voluntarily travel to market stores for shifts as needed
• Comply with applicable laws, regulations, professional standards, ethical principles, and CVS policies
• Support additional health care services such as immunizations, point-of-care testing, and offsite clinics when legally permitted and properly trained
• Complete additional licensure and training to obtain Technician Immunizer status where applicable
• Educate patients about vaccines and refer vaccination questions to the pharmacist
• Monitor and respond to adverse vaccine reactions and report events
• Review and collect patient information and document applicable patient records
• Monitor and manage vaccine supplies
• Perform additional tasks directed by a supervisor or manager

Pharmacy Technician

Consultant

• Coordinate, document, and communicate all aspects of the utilization/benefit management program
• Apply critical thinking, clinical knowledge, evidence-based care, and medical necessity criteria to determine appropriate utilization of services for child and adolescent members
• Consult with internal and external constituents regarding coordination and administration of utilization/benefit management
• Gather clinical information and apply medical necessity criteria, guidelines, policies, procedures, and clinical judgment to render coverage determinations, recommendations, and discharge planning
• Evaluate and facilitate appropriate healthcare services and benefits, including urgent or emergent interventions such as triage/crisis support
• Coordinate and communicate with providers and other parties to facilitate optimal care and treatment
• Identify members who may benefit from care management programs and facilitate referrals
• Identify opportunities to promote quality and effectiveness of healthcare services and benefit utilization
• Perform sedentary work involving periods of sitting, talking, and listening

Utilization Management Clinical Consultant

Analyst

• Accountable for Commercial, Medicare, Exchange and Medicaid NCQA Accreditation quality projects and initiatives through design, development, and implementation
• Focus primarily on Delegated Credentialing and Oversight of delegated Credentialing organizations, per contract
• Build strong business relationships with internal and external business partners
• Present accreditation requirements to business partners to achieve results and ensure accreditation readiness
• Serve as a subject matter expert on NCQA accreditation standards, analysis, delegated credentialing file reviews and supporting quality functions
• Utilize statistical analysis, data visualization tools, and database queries to identify trends, patterns, and opportunities for quality improvement
• Develop and maintain performance metrics and dashboards covering patient safety, clinical effectiveness, patient experience, and compliance with quality standards
• Contribute data-driven insights and recommendations to quality improvement projects and initiatives
• Collaborate with cross-functional teams to design and implement evidence-based practices, care protocols, and process improvements
• Assist with audits and chart reviews to monitor compliance with regulatory requirements and quality standards
• Prepare reports and presentations on quality metrics, performance trends, and improvement initiatives
• Communicate findings transparently to leadership, providers, stakeholders, and relevant teams
• Integrate new quality improvement efforts and facilitate resolution of care coordination issues
• Assist in developing and delivering training programs on quality management principles, best practices, and data visualization tools
• Conduct annual oversight of delegated entities, including auditing, corresponding with delegates, and working with the HICE collaborative to pull down audits
• Interact with Aetna Network Departments and delegated entities
• Complete ongoing monitoring of corrective actions
• Attend HICE Collaborative policy and scheduling meetings

Senior Analyst, Health Care Quality Management

Risk

• Lead the development and delivery of enterprise risk adjustment analytics and business intelligence solutions
• Transform clinical, operational, and risk adjustment data into actionable insights for provider performance, program efficiency, and executive decision-making
• Create action through data storytelling, advanced visualizations, AI, and automation
• Provide thought leadership and vision partnership to Market leads, Finance, Clinical, and Operational partners
• Provide technical guidance on BI tool input modeling and calculations
• Deliver risk adjustment KPIs, trends, and performance drivers through dashboards and reporting tools
• Quantify risk movement drivers and surface insights to business leaders
• Assess performance against objectives through benchmarking and goal setting
• Deliver executive insights and recommendations supporting market strategy, operational planning, and performance improvement
• Develop and oversee provider performance analytics for gap closure, engagement, and risk adjustment outcomes
• Monitor provider performance metrics, variation, trends, opportunities, and best practices
• Partner with provider, clinical, and operational leaders on performance improvement and targeted interventions
• Evaluate provider-facing risk adjustment programs, value-based care, point-of-care enablement solutions, and other initiatives
• Lead adoption of AI, advanced analytics, automation, and modern business intelligence capabilities
• Drive modernization of analytics platforms, data solutions, and self-service reporting tools
• Use predictive analytics and data visualization to improve insight generation and forecasting
• Partner with Informatics, Data Engineering, and IT teams on scalable analytics solutions
• Establish KPI definitions, governance standards, and an enterprise analytics framework
• Oversee analytics delivery priorities, intake management, work prioritization, resource allocation, and coordination
• Lead, mentor, and develop an analytics and business intelligence team of approximately 4–5 direct reports and 7–8 employees overall
• Partner with executive leaders across Risk Adjustment, Finance, Actuarial, Clinical, Provider, and IT organizations
• Foster accountability, innovation, collaboration, and continuous learning

Lead Director, Risk Adjustment Performance Reporting and Insights

Data Engineer

• Design, build, deploy, and support scalable Databricks-based data pipelines and lakehouse solutions
• Ingest, transform, and curate observability, infrastructure, and security data from multiple enterprise sources
• Develop and optimize PySpark workloads, Structured Streaming jobs, and bronze/silver/gold data architectures
• Ensure high performance, reliability, scalability, data quality, and operational excellence
• Partner with Security, Infrastructure, Observability, and Platform Engineering teams to onboard data sources
• Establish governance standards, improve metadata management, and deliver trusted enterprise data products
• Contribute to engineering standards, code reviews, CI/CD practices, monitoring strategies, and platform optimization
• Identify and address technical debt, process gaps, and operational risks
• Promote best practices for Databricks, Delta Lake, Unity Catalog, data governance, security controls, access management, and cost-efficient operations

Senior Data Engineer, Observability Engineering

Scrum Master

• Foster a culture of continuous improvement and mentor teams on Agile values
• Facilitate stand-ups, planning sessions, and retrospectives
• Manage project scope, timelines, and dependencies
• Track progress using metrics such as velocity and quality
• Identify and remove impediments and delivery roadblocks
• Serve as liaison between stakeholders and the team
• Manage expectations and ensure transparent communication
• Refine Agile practices to improve efficiency, quality, and effectiveness
• Support Product Owners and meet with business leaders
• Support one or more major Medicare project initiatives
• Contribute to overall delivery flow, stakeholder management, and project governance

Senior Manager, Scrum Master

Director

• Own the change agenda for enterprise transformation
• Deliver enterprise transformation workplans and milestones day to day
• Lead executive governance and decision forums that keep transformation work moving
• Execute the Service Model north star
• Carry transformation commitments from planning through adoption
• Coordinate with the Service Operations Transformation PMO and the run-the-business seat
• Provide integrated planning and executive decision support
• Influence business, operations, technology, digital, product, clinical, finance, compliance, and external partners
• Lead large-scale, cross-functional initiatives across a highly matrixed organization

Lead Director, Enterprise Transformation Execution

Engineering Manager

• Lead high-impact process improvement and Business Process Management initiatives across Information Security and Technology Solutions
• Design, standardize, improve, and govern ISTS processes using agentic workflows, Lean Six Sigma, and Business Process Management disciplines
• Apply DMAIC and Lean Six Sigma methodologies to solve complex, cross-functional problems
• Identify, prioritize, and execute high-impact improvement opportunities aligned to enterprise goals and ISTS OKRs
• Deliver measurable capacity and efficiency gains, expense reduction, and risk avoidance
• Ensure process improvements are sustainable, controlled, and embedded into day-to-day operations
• Maintain an improvement backlog and prioritize initiatives by value potential
• Enforce consistent engagement lifecycle, quality standards, and documentation approaches
• Update process maps, SOPs, KPIs, and governance artifacts
• Create current-state process visualizations using tools such as Visio and Lucidchart
• Design optimized future-state processes
• Implement improvements through technology enablement, automation, workflow changes, and agentic workflows
• Partner with IT, platform, infrastructure, cybersecurity, and operations teams to implement and scale improvements
• Drive change adoption, stakeholder buy-in, and smooth implementation
• Prepare and maintain flow diagrams, SOPs, and change control artifacts
• Continuously evaluate and refine processes for effectiveness, agility, and adaptability

Process Engineering Manager

• Follow company SOPs at each workstation to support pharmacists and improve patient health
• Follow pharmacy workflow procedures for production, pick-up, drive-thru, and drop-off
• Fill prescriptions promptly, safely, and accurately
• Provide empathetic and personalized patient service in person, at drive-thru, and over the 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-stocks, and waiting-bin inventories
• Contribute to a high-performing, safe, inclusive, and engaging team
• Travel voluntarily to other stores in the market to work shifts as needed
• Comply with applicable laws, regulations, professional standards, ethical principles, and CVS policies
• Deliver additional services such as immunizations, point-of-care testing, and offsite clinics where allowable and trained
• Obtain Technician Immunizer status when applicable
• Educate patients about vaccines and refer vaccination questions to the pharmacist
• Monitor and respond to vaccine 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

• Architect, design, and develop high-performance microservices using Java, JEE, Spring Boot, and Spring Cloud
• Lead development of event-driven services using Apache Kafka
• Own API strategy for RESTful services, including JSON modeling, backward-compatible versioning, and API governance
• Mentor team members and contribute to engineering standards, design reviews, and coding best practices
• Design and implement ETL pipelines for structured and unstructured data
• Lead data migration efforts for legacy-to-cloud or system-to-system transitions
• Establish data quality, profiling, and governance practices
• Work with clinical data formats, mapping, transformations, and normalization
• Build and maintain CI/CD automation, automated testing, security scanning, artifact provenance, and policy gates
• Deploy and operate services on Google Cloud Platform
• Drive SecDevOps practices including threat modeling, secure coding, dependency scanning, secrets management, and container hardening
• Implement observability frameworks with tracing, dashboards, alerts, and SLOs
• Integrate microservices with EHR systems using HL7 v2, FHIR, SMART on FHIR, and standard healthcare APIs
• Support patient data exchange, interoperability, and HIPAA-aligned data flows
• Collaborate with compliance and security teams to implement regulatory safeguards
• Serve as a senior technical leader on a cross-functional product team developing scalable healthcare technology solutions

Staff Software Development Engineer

Manager

• Support work across Model of Care and Medicare Strategic Programs through planning, coordination, and execution
• Support complex workstreams from planning through execution
• Build and manage workplans, timelines, milestones, templates, and tracking tools
• Create structure and visibility across multiple initiatives, clarifying owners, deliverables, and dependencies
• Support prioritization, sequencing, and execution planning
• Partner with cross-functional stakeholders to ensure alignment, readiness, and follow-through
• Strengthen team structure, operating processes, and standard ways of working
• Develop tools, templates, and routines that improve coordination, communication, and execution quality
• Identify process gaps and recommend practical improvements
• Support team goal setting, planning, and progress tracking
• Monitor deliverables and surface risks, delays, or coordination needs
• Develop executive-ready updates, summaries, and materials
• Build partnerships across clinical, operational, and business teams
• Facilitate cross-functional coordination and alignment around timelines, deliverables, and decisions
• Promote accountability, transparency, and operational consistency

Senior Manager, Duals Clinical Strategy

• Provide consultative support and medical cost-based analysis of markets and network initiatives
• Consult with network and clinical management on opportunities to improve discount position and strategic cost and utilization initiatives
• Prepare for monthly presentations as part of the Medical Expense Review team
• Manage long- and short-term projects collaboratively with local market leaders
• Analyze and research utilization and unit-cost medical cost drivers
• Turn data into usable information through data visualization
• Support development of scoreable action items by identifying outlier cost issues
• Perform drill-down analysis to identify medical cost trend drivers
• Advise the network on contracting opportunities to mitigate future trends
• Own, track, and document related work from project beginning to end

Senior Analyst, Medical Economics

• Support the pharmacy team in delivering operational and service excellence
• Assist patients and customers as a first point of contact
• Ensure prescriptions are filled promptly, safely, and accurately
• Follow company SOPs and pharmacy workflow procedures across production, pick-up, drive-thru, and drop-off workstations
• Provide empathetic and personalized patient service in person and over the phone
• Offer immunizations and other services at the register and over the phone, where permitted
• Solve or escalate patient problems
• Complete inventory activities including putting away medication deliveries, cycle counts, returns-to-stocks, and waiting-bin inventories
• Contribute to team performance and expand clinical and technical knowledge
• Remain flexible for scheduling and business needs, including voluntarily traveling to other stores for shifts
• Comply with applicable laws, regulations, professional standards, ethical principles, and CVS policies
• Support additional services such as immunizations, point-of-care testing, and offsite clinics where allowable and trained
• Where permitted, obtain Technician Immunizer status and prepare/administer vaccines
• 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

• Review clinical information and apply evidence-based criteria to make coverage recommendations
• Collaborate with healthcare providers and internal teams to support quality patient outcomes
• Identify opportunities for care coordination and member support programs
• Promote effective healthcare utilization and contribute to high-quality service delivery
• Manage multiple systems and priorities in a fast-paced, team-oriented environment
• Support members in navigating their healthcare journey
• Work scheduled shifts that may include evenings, weekends, and holidays as part of a 24/7 operation

Senior Software Development Engineer

Pharmacy Technician

Utilization Management Clinical Consultant

Senior Analyst, Health Care Quality Management

Lead Director, Risk Adjustment Performance Reporting and Insights

Senior Data Engineer, Observability Engineering

Senior Manager, Scrum Master

Lead Director, Enterprise Transformation Execution

Process Engineering Manager

Pharmacy Technician

Staff Software Development Engineer

Senior Manager, Duals Clinical Strategy

Senior Analyst, Medical Economics

Pharmacy Technician

Utilization Management Nurse Consultant