Jobs at CVS Health

The role involves leading multiple product teams, defining product vision and strategy, and ensuring product health through collaboration and agile methodologies.

Lead design, delivery, and operation of business-critical distributed systems. Build and maintain enterprise-grade, full-stack solutions, drive technical initiatives, mentor teammates, adopt new technologies, and deliver iterative customer-focused releases with emphasis on maintainability, performance, and scalability.

Lead high-value rebate contract negotiations with pharmaceutical manufacturers for Commercial, Exchange, and Managed Medicaid segments. Manage manufacturer relationships, coordinate cross-functional formulary and contracting strategy, support Trade leadership to meet financial goals, and oversee rebate contracting and relationship management for assigned manufacturers.

Lead strategic planning and execution for Aetna COO and senior leaders by managing multiple complex programs, developing cross-functional strategies, performing analysis, auditing processes, mitigating risks, and mentoring junior colleagues to ensure successful delivery of transformative initiatives.

Designs, develops, and implements digital solutions and systems, collaborates with teams, writes code, conducts testing, and ensures software quality and scalability.

Support and enhance compliance programs by auditing and monitoring processes, managing regulatory license filings end-to-end, conducting legal research, engaging regulators, handling confidential information, and providing actionable insights to stakeholders to ensure regulatory adherence.

As a Legal Counsel at CVS Health, you will provide legal advice on PBM contracts, ensure compliance with healthcare regulations, and support business objectives while managing legal risks.

Audit and abstract medical records to assign and validate ICD diagnosis codes for CMS risk adjustment. Ensure codes are accurate, supported by documentation, compliant with regulations (HIPAA, CMS), and meet project timelines. Conduct self-audits, communicate with providers for record retrieval, and use coding guidelines and tools to distinguish active versus historical conditions.

Responsible for the evolution and maintenance of high-availability cloud infrastructure, utilizing Azure, Kubernetes, Terraform, and Ansible.

Manage core accounting activities, lead month-end close, improve processes, and drive automation within finance and accounting operations.

Design, develop, and deploy cloud-native microservices on Azure Kubernetes. Build REST APIs, integrate managed databases, automate CI/CD with GitHub Actions, and optimize applications for security, performance, and cost-efficiency while collaborating with cross-functional teams.

Lead and maintain client support training programs, onboard new hires, update curricula and materials, deliver training via virtual and in-person methods, analyze training data, support issue resolution, drive continuous improvement, produce process documentation and communications, and participate in cross-functional projects to ensure accurate, timely support for internal staff and external clients.

Serve as a quality champion for claims processing and customer service by conducting audits, monitoring compliance with policies, reporting results, and recommending training and process improvements to drive customer satisfaction and operational efficiency.

Lead a small analytics team to design and execute complex analyses on claims, encounter, provider, and membership data to drive risk adjustment performance. Build scalable reporting and dashboards, ensure data governance and compliance with CMS/Medicaid, translate findings into actionable strategies, and partner with finance, actuary, and analytics teams.

Develop and execute sales strategies for National Accounts, collaborating with various stakeholders to meet business development goals and maintain a strategic pipeline.

Serve as the central business liaison for HEDIS Medicaid, translating regulatory and operational requirements into technical specs, overseeing migration and build decisions, validating compliance with NCQA/CMS/state rules, leading UAT and defect prioritization, and ensuring accurate measure outputs and reporting continuity across the project lifecycle.

Lead design, build, and maintain a production-grade full-stack self-service data platform using React (TypeScript) and .NET 8.0. Integrate with Kafka and Snowflake, implement APIs (REST/gRPC), CI/CD, observability, testing, and infrastructure automation (Terraform). Mentor engineers and drive reliability, monitoring, and data preview capabilities to enable decentralized data ownership.

Lead complex investigations into suspected healthcare fraud, waste, and abuse for self-funded plans. Conduct research, prepare cases for clinical/legal review, document findings, recover funds, cooperate with law enforcement, provide trial testimony, and present case updates to stakeholders.

The Senior Manager, Software Engineering will lead teams in developing AI solutions and messaging platforms, ensuring compliance and overseeing system architecture.

Design, build, and maintain ETL pipelines and data infrastructure to support analytics and reporting. Write and schedule workflows (Airflow DAGs), manage third-party data ingestion, implement data validation, optimize performance, and collaborate on data models, governance, and ML model deployments.