Jobs at CVS Health

Supports end-to-end consolidation of the Network P&L by aggregating and reconciling revenue, COGS, fees, and credits. Coordinates Finance calendars for monthly close, budgeting, and forecasting cycles; prepares consolidated reporting packages and executive presentations; resolves variances and reconciling items; and supports ad hoc analysis and special projects.

Leads strategy development, enterprise execution, governance, operating cadence, performance management, and executive decision support for Pharmacy Services. Partners with the COO and senior leaders to coordinate complex cross-functional initiatives, identify risks, improve organizational effectiveness, and ensure accountability for strategic and operational outcomes. Develops executive communications, recommendations, business reviews, and planning materials while supporting budgeting, resource allocation, and enterprise alignment.

Build and maintain a production-grade full-stack data self-service platform using React, TypeScript, Python, APIs, Kafka, and Snowflake. Develop frontend and backend services, data models, caching, observability, testing, CI/CD, monitoring, and infrastructure automation. Support data quality monitoring, alerts, semantic-layer generation, and AI-powered analytics capabilities. Own architecture through deployment, apply scalable engineering practices, integrate cloud and data technologies, and mentor developers.

Writes and manages Medicaid proposal responses, collaborating with capture managers, proposal leaders, and subject matter experts. Responsibilities include researching content, interviewing SMEs, developing compliant and compelling narratives, analyzing data, supporting graphics and reviews, maintaining content libraries, and improving proposal processes. The role requires expertise in Medicaid proposals, strong writing and communication skills, project management, analytical abilities, and familiarity with AP and internal style guides. This is a remote U.S. position with up to 15% travel.

Reviews and adjudicates complex medical, pharmacy, self-funded, fully insured, and reinsurance claims. Performs adjustments, eligibility verification, coverage determinations, medical necessity reviews, cost containment, rework calculations, and overpayment or underpayment resolution. Processes provider refunds and returned checks, interprets medical contracts, handles preauthorization and appeal inquiries, ensures compliance, and may mentor less experienced staff.

Leads specialty trade relations with pharmaceutical and medical supply manufacturers. Develops procurement, distribution, contracting, rebate, formulary, and cost-management strategies; negotiates agreements; manages manufacturer accounts; identifies margin opportunities; and guides cross-functional initiatives. The role requires extensive specialty pharmacy or pharmaceutical industry experience, business development and contracting expertise, executive-level presentation skills, and leadership in manufacturer relationship management.

Uses SQL, Excel, Dataiku, Python, and related tools to analyze pharmacy network changes, assess client disruption, retain and win business, and produce standard and custom reports. Responsibilities include data cleaning, transformation, ETL, reporting process improvements, complex data interpretation, and managing multiple analytical priorities across business lines and clients.

Leads CVS Health’s Divestiture Management Office and transition services agreement commitments following business-unit sales. Manages teams, complex programs, budgets, stakeholders, vendors, contractual obligations, risks, governance, reporting, and continuous improvement. Serves as the primary liaison with buyers, employees, and internal partners while driving issue resolution, negotiations, senior-leadership updates, and successful transition outcomes.

Manages Meritain’s alternative health and advocacy partner portfolio, serving as the operational contact for vendors and internal stakeholders. Responsibilities include relationship management, performance monitoring, issue resolution, governance, implementation support, escalations, process improvement, and cross-functional coordination. The role also supports sales enablement and growth initiatives while improving client, member, and partner experiences.

Lead the design, configuration, development, integration, testing, and maintenance of the Varicent Sales Performance Management platform. Translate compensation business requirements into scalable technical solutions, manage product roadmaps and enhancements, develop reports and dashboards, support vendor releases and regression testing, and ensure documentation and delivery quality. Partner with HR, compensation, technical teams, and vendors while providing strategic guidance and mentoring.

Owns the Varicent SPM platform’s architecture, integrations, configuration, reporting, governance, and operational support. Designs integrations with Workday, Salesforce, and Google Cloud Platform; translates business requirements into scalable technical solutions; performs fit-gap analysis, testing, release support, troubleshooting, and root-cause resolution. The role also maintains technical documentation, supports compensation and HR stakeholders, manages platform security and compliance, collaborates with vendors, and mentors team members.

Coordinates end-to-end execution of external commercial events that showcase Aetna’s expertise, strengthen partnerships, and support sales growth and retention. Manages multiple concurrent projects, aligns stakeholders and business objectives, tracks timelines and milestones, identifies risks, and drives solutions. Collaborates with sales leaders, strategic partners, subject matter experts, and marketing teams to deliver high-impact experiences and promote available tools and resources.

Develops and implements healthcare quality improvement programs, analyzes organizational performance, and tracks clinical and outcome measures against HEDIS, CAHPS, regulatory, and accreditation standards. Coordinates POSC workgroups, facilitates stakeholder collaboration, develops policies and procedures, recommends evidence-based interventions, and provides education on quality performance. Supports patient safety, health equity, provider performance, and improved care outcomes through data analysis, research utilization, and continuous performance improvement.

Welcomes patients and guests, performs check-in, collects co-pays, updates electronic medical records, schedules appointments, manages phone calls and faxes, distributes mail, maintains common areas, and supports a positive clinic experience. The role requires strong computer skills, professional phone etiquette, Spanish fluency, U.S. work authorization, flexibility, integrity, and a nurturing attitude toward older adults.

Manage assigned global healthcare client accounts as the primary stakeholder contact. Build relationships, lead meetings and training, resolve complex benefits and service issues, monitor KPIs and SLAs, coordinate cross-functional teams and vendors, improve healthcare access and member experience, maintain account documentation, and recommend solutions for emerging risks and service gaps.

Leads engineering teams developing agentic AI and enterprise SMS/RCS messaging platforms on GCP. Owns architecture, delivery, engineering roadmaps, team growth, messaging orchestration, carrier integrations, conversational AI, TCPA compliance controls, and GCP infrastructure. Partners with Product, Legal, and Compliance to implement scalable regulatory controls for healthcare communications.

Develop data science and optimization solutions for drug pricing, analyzing complex datasets and building production-oriented workflows in Python and SQL. Deploy machine learning models, develop CI/CD pipelines, use GCP and Vertex AI, and collaborate on Gurobi-based optimization algorithms. Translate technical findings into business decisions while partnering with cross-functional stakeholders and contributing to squad-based delivery and future leadership responsibilities.

Leads software engineering teams developing the Health100 consumer health platform. Responsibilities include architectural leadership for distributed systems, APIs, and AI-enabled capabilities; recruiting and mentoring engineers; managing initiatives through delivery and production operations; establishing performance, risk, and governance practices; and partnering across product, design, security, analytics, and business teams. The role emphasizes Java, cloud-native development, microservices, Generative AI, intelligent automation, and scalable platform solutions.

Leads Agile delivery for ServiceNow product teams by facilitating Scrum ceremonies, managing sprints and releases, refining backlogs, removing impediments, and coordinating stakeholders. Coaches teams on Scrum, Kanban, Lean, and scaled Agile practices while using delivery metrics to improve predictability, quality, and efficiency. Responsibilities include risk and dependency management, RAID tracking, status reporting, change management, and continuous improvement across complex enterprise technology environments.

Leads market intelligence and corporate strategy workstreams, directing market research, competitive analysis, and project planning to identify growth opportunities and evaluate M&A and partnerships. Synthesizes qualitative and quantitative insights into executive-ready recommendations, business cases, presentations, and competitive intelligence. Builds senior stakeholder alignment, manages complex analytical workstreams, uses AI-enabled research tools, and coaches junior colleagues.