CVS Health

Scrum Master

• Operate an agile-based SDLC for project or application teams comprising development and business resources
• Facilitate Scrum events, remove impediments, promote collaboration, and support the Product Owner
• Drive continuous improvement and ensure effective implementation of the Scrum framework
• Apply and adapt project management techniques to support planning, coordination, and tactical execution of IT projects
• Coach and mentor development and business managers/leads on agile methodology throughout the project development life cycle
• Counsel Scrum teams on agile principles and values to support self-organization and continuous learning
• Interpret agile metrics and reporting frameworks to track key information and monitor team progress
• Utilize Agile tools for day-to-day Scrum activities
• Develop actionable insights from analytics and report on team productivity, velocity, and quality
• Develop stakeholder communication strategies and incorporate feedback into process improvements
• Facilitate the Scrum process and support the Scrum team
• Implement sharing and documentation systems using wikis, documentation platforms, or knowledge management tools
• Coach team members, stakeholders, and Product Owners on agile values, principles, and practices
• Interface with teams, stakeholders, and external stakeholders to buffer potential obstacles

Manager, Scrum Master

• Carry out and facilitate Scrum events
• Remove impediments and promote collaboration
• Support the Product Owner and drive continuous improvement
• Ensure effective implementation of the Scrum framework
• Support planning, coordination, and tactical execution of IT projects
• Operate an agile-based SDLC for project or application teams
• Coach and mentor development and business managers/leads on agile methodology
• Maintain process documentation
• Ensure teams practice core agile principles
• Utilize Agile tools for daily Scrum activities
• Coach team members on agile values, principles, and practices
• Interface with teams, stakeholders, and external stakeholders
• Update agile tracking systems for Product and Sprint Backlogs
• Develop analytics-based insights and report on productivity, velocity, and quality
• Recommend process improvements and support best-practice changes
• Assist with communications and information transparency
• Facilitate story selection, task definition, impediment removal, conflict resolution, and sprint-goal delivery
• Empower teams to self-organize and improve productivity
• Ensure increments are potentially shippable
• Plan development schedules with critical paths, dependencies, and milestones
• Manage project plans and schedules within scope, budget, time, and quality parameters
• Adapt plans, schedules, and resource forecasts to emerging requirements, dependencies, and risks

Manager

• Drive growth of individual products through new sales and buy-up expansion across existing clients for assigned regional teams
• Bridge product strategy and field execution across markets, segments, and distribution channels
• Own new-logo sales and buy-up/upsell performance for assigned products
• Partner with regional sales and account teams to identify target accounts and segments
• Develop product-specific sales strategies and growth plans
• Support pipeline development and deal advancement, including client and broker discussions
• Equip sales teams, brokers, and consultants with value propositions, competitive positioning, and client-ready messaging and materials
• Deliver and support sales training, product education sessions, and market-facing presentations
• Translate complex product features into simple, client-relevant benefits
• Monitor market dynamics, competitive landscape, and regional buyer needs
• Gather voice-of-customer insights through broker, consultant, and client engagement
• Provide insights to product management to refine positioning, pricing, and packaging
• Track sales, conversion, revenue growth, adoption, and penetration KPIs
• Identify performance gaps and implement targeted growth actions
• Provide regular reporting and insights to leadership
• Contribute to business cases, product enhancements, and market expansion strategies
• Provide field-driven input into product roadmap and prioritization

Senior Manager, Commercial Product Execution – NE, SE, Central, West

Operations

• Coordinate and align activities across operational teams to ensure smooth daily operations
• Manage staffing levels, scheduling, and workload distribution for adequate coverage and efficient resource utilization
• Analyze workload patterns and forecast resource needs
• Monitor operational performance metrics and KPIs
• Identify process improvement opportunities through workflow analyses
• Address customer or client concerns and investigate operational incidents
• Identify root causes and implement corrective actions with stakeholders
• Establish and enforce compliance guidelines and quality control processes
• Implement quality assurance programs and initiatives to improve operational compliance and quality
• Collaborate with cross-functional teams on process improvement initiatives and measure impact
• Facilitate communication within operations support teams and with stakeholders
• Foster continuous improvement, innovation, employee feedback, operational effectiveness, and customer satisfaction
• Oversee ongoing training to ensure team members are versed in and compliant with their roles

Manager, Operations Support

• Develop and maintain strategic roadmaps for the Epic and clinical informatics portfolio
• Review Epic vendor roadmaps and upcoming features to assess applicability, opportunity, and fit
• Identify project and program risks, develop mitigation plans, and engage cross-functional partners to resolve issues
• Translate business requests and requirements into clear, actionable project deliverables
• Lead creation and fulfillment of use cases, business and functional requirements, and technical specifications
• Partner with Project Managers on tasks, sequencing, and estimates for strategic and financial workstreams
• Support vendor upgrades, system changes, and environment maintenance procedures from a strategic and financial planning perspective
• Analyze current-state processes and define future-state processes with clinical, business, and reporting users
• Identify and document process and data gaps
• Own project deliverables including use cases, business requirements, scope documents, gap analyses, and impact assessments
• Participate in annual budgeting, capital processes, and quality improvement activities
• Track Epic software costs, contracting, and procurement
• Coordinate activities across CVS Health and vendor staff resources
• Provide guidance and direction to project teams on planning, execution, and standards
• Bridge communication between technical and non-technical stakeholders
• Build and maintain relationships with business partners, vendors, and senior stakeholders

Senior Manager, Informatics – Strategy and Development

Data Engineer

• Analyze data to answer business questions using SQL
• Build and maintain data visualization dashboards, including Power BI
• Build and maintain data pipelines and data models primarily in GCP, Snowflake, and BigQuery
• Partner with stakeholders throughout the organization and with analysts and engineers on the team
• Use AI-assisted tools to accelerate analysis and development
• Evaluate where AI/LLM-based approaches, such as natural language querying, automated insight generation, and anomaly detection, can add business value
• Help leaders make data-driven decisions through actionable insights and reporting tools

Manager, Data Engineer

Counselor

• Provide telephone-based assessment, triage, consultation, counseling, and informational services in a call center environment
• Deliver immediate mental health support via video, live chat, or phone
• Use advanced clinical assessments, motivational interviewing, and solution-focused/short-term problem resolution
• Conduct risk, substance abuse, and mental health assessments
• Develop immediate action and safety plans based on urgency
• Recommend appropriate levels of mental health and substance-use care
• Provide information about mental health, substance abuse, community treatment, and related programs
• Coordinate resources and support linkage to services
• Collaborate with professionals to support positive clinical outcomes and continuity of care
• Multitask by typing and documenting while handling calls and using supporting tools
• Protect member confidentiality and follow enterprise and EAP confidentiality policies
• Maintain complete and accurate documentation meeting risk-management and regulatory requirements
• Maintain current licensure, pursue professional development, and meet state licensure requirements

Employee Assistance Program – Clinical Counselor

Consultant

• Review clinical information and apply guidelines, policies, and clinical judgment to support coverage determinations
• Assess, coordinate, monitor, and evaluate healthcare services across the continuum of care
• Collaborate with providers and care teams to facilitate appropriate treatment and care planning
• Identify opportunities to improve quality, effectiveness, and utilization of healthcare services
• Connect members to additional programs and resources that support positive health outcomes
• Serve as a clinical resource for internal and external stakeholders
• Work in a computer-based role with productivity and quality expectations
• Collaborate frequently with providers and interdisciplinary teams
• Participate in 24/7 Utilization Management operations, including possible evening, weekend, and holiday schedules

Utilization Management Nurse Consultant

• Review clinical information and apply evidence-based guidelines, policies, and clinical judgment to support coverage determinations
• Assess, coordinate, monitor, and evaluate healthcare services across the continuum of care
• Collaborate with providers and care teams to facilitate appropriate treatment and care planning
• Identify opportunities to improve quality of care, member outcomes, and healthcare utilization
• Connect members with additional programs, services, and resources when appropriate
• Serve as a clinical resource for internal and external stakeholders
• Work remotely in a computer-based role with productivity and quality expectations
• Collaborate frequently with providers, members, and interdisciplinary healthcare teams
• Work schedules that may include evenings, weekends, and holidays because Utilization Management operates 24/7

Representative

• Take inbound calls from members and determine the quickest, most effective ways to answer member questions
• Maintain member records within the overall member management system
• Provide introductory information and connect members with additional and appropriate benefits/external resources
• Send outbound e-mails to members as needed
• Support members with troubleshooting and deescalating where needed
• Escalate queries and concerns when necessary
• Handle complaints and inquiries to ensure member satisfaction with products/services
• Work with the customer service team to share solutions and processes
• Embody CVS Core values in each interaction
• Support holiday coverage at a reduced staffing level, working some holidays and observing the holiday on others
• Work a shift/schedule assigned during onboarding in a 24-hour contact center operation

Representative I, Member Advocate – Evening Shift

Full-stack Engineer

• Design and define technical architecture and infrastructure required for digital solutions
• Write code, develop software components, and implement complex functionalities according to project requirements
• Collaborate with development team members and stakeholders on high-level architectural decisions
• Propose design patterns and ensure scalability, performance, and maintainability of digital solutions
• Use advanced programming skills to design and implement complex features
• Optimize performance and ensure code efficiency
• Integrate software components and systems for seamless communication and interoperability
• Contribute to the technical direction and innovation of digital engineering projects
• Conduct system testing and debugging

Senior Software Development Engineer

Medical Director

• Provide clinical expertise to promote high-quality, constituent-focused medical care, with a focus on clinical and payment policy
• Perform transactional reviews supporting the appeal process, clinical claim review process, and predetermination of covered benefits in Commercial and Medicare environments
• Provide subject matter expertise in clinical and payment policy to support clinical and business direction
• Participate in work groups as a clinical subject matter expert to identify and promote opportunities to improve quality and efficiency of health care services
• Apply clinical coding and reimbursement expertise to ensure alignment and correct application of Aetna policies and practices to service and payment requests
• Use data analysis to identify quality improvement opportunities and positively influence effective delivery of quality care services
• Serve as a subject matter expert, internal consultant, and payment policy contributor
• Work within and lead diverse teams of health delivery professionals to manage business objectives
• Collaborate with functional areas

Medical Director – Medical Policy & Operations

• Review and assess clinical information to make coverage and care recommendations
• Apply clinical guidelines, policies, and nursing judgment across the continuum of care
• Collaborate with providers and care teams to support treatment plans
• Identify opportunities for care management programs and service integration
• Promote quality outcomes and effective healthcare utilization
• Serve as a clinical resource for internal and external stakeholders
• Work in a 24/7 operation with schedules that may include evenings, weekends, and holidays
• Support Utilization Management by reviewing clinical information, coordinating care, and ensuring members receive appropriate, high-quality healthcare services

• Review clinical information and apply established guidelines, policies, and clinical judgment to support coverage determinations
• Assess, coordinate, monitor, and evaluate healthcare services and benefits across the continuum of care
• Collaborate with providers and care teams to facilitate appropriate treatment and care planning
• Identify opportunities to improve quality of care, health outcomes, and benefit utilization
• Connect members with additional programs and resources supporting their healthcare needs
• Serve as a clinical resource for internal and external stakeholders
• Work in a remote, computer-based Utilization Management operation
• Collaborate frequently with providers, members, and interdisciplinary healthcare teams
• Work schedules that may include evenings, weekends, and holidays in a 24/7 operation

• Serve as the single point of contact for new Epic project and enhancement requests
• Manage the intake queue/ticketing system and ensure requests contain business justification, scope, impacted workflows, and requested timeline
• Triage and prioritize incoming requests with Epic application managers and governance committees
• Route requests to the correct Epic team based on module and complexity
• Maintain and report on intake metrics, including volume, turnaround time, backlog aging, and approval/denial rates
• Coordinate intake governance meetings, prepare agendas, and track decisions and action items
• Partner with project management to hand off approved requests into active project status
• Track request status and provide regular updates to requestors and leadership
• Identify request trends to inform roadmap planning and capacity forecasting
• Maintain intake documentation, templates, and standard operating procedures
• Support continuous improvement of the intake process, including tooling

Manager, Scrum Master

Manager, Scrum Master

Senior Manager, Commercial Product Execution – NE, SE, Central, West

Manager, Operations Support

Senior Manager, Informatics – Strategy and Development

Manager, Data Engineer

Employee Assistance Program – Clinical Counselor

Utilization Management Nurse Consultant

Utilization Management Nurse Consultant

Representative I, Member Advocate – Evening Shift

Senior Software Development Engineer

Medical Director – Medical Policy & Operations

Utilization Management Nurse Consultant

Utilization Management Nurse Consultant

Senior Project Intake Manager