Jobs at CVS Health

Manage payer relationships and contracting activities, project-manage contract lifecycle and issue resolution, maintain trackers and payer data, lead meetings, triage operational intersections with health plans, and support delegated implementation and vendor oversight.

Provide comprehensive psychosocial assessments, care coordination, advocacy, and referrals for high‑risk patients. Conduct telephonic and in‑person visits, navigate benefits, educate on supportive and end‑of‑life care, collaborate with interdisciplinary teams, respond to crises, document interventions, and guide Community Health Workers.

The Manager, Payer Partnerships and Contracting leads Medicare Advantage health plan relationships, negotiates contracts, and oversees operations and performance to enhance value-based care.

The Senior Analyst is responsible for managing provider inquiries, data validation, claims data review, and ensuring compliance with state regulations regarding provider access and availability.

The Senior Analyst in Treasury manages financial assets and cash flows, forecasts needs, optimizes investments, and ensures liquidity compliance.

Welcome Coordinators at Oak Street Health create an inclusive environment, perform administrative tasks, and deliver excellent assistance to patients and guests.

The EAP Sales Executive drives new business growth, manages relationships with consultants and brokers, leads RFPs, navigates pricing and approvals, and represents the RFL value story for Aetna's Mental Wellbeing business.

The Lead Director, Network Management is responsible for developing strategic partnerships, negotiating contracts, managing provider networks, and ensuring compliance with Medicaid regulations, while collaborating across functions to achieve organizational goals.

The Principal Software Development Engineer leads the architecture and delivery of AI-driven healthcare applications, overseeing full stack development and collaborating with stakeholders to align technical solutions with business needs.

The role involves leading application architecture and development of digital solutions, requiring extensive experience in cloud technologies, full stack development, and AI integration while mentoring teams and influencing product strategy.

Manage client relationships and financials for health plan clients, ensuring service quality, identifying improvement opportunities, and driving client satisfaction.

The role involves technical leadership in software development, focusing on building and optimizing web-based applications and tools, collaborating with cross-functional teams, and mentoring junior engineers.

The Decision Scientist role involves data extraction, validation, analysis, and documentation, supporting healthcare decision-making initiatives through collaboration with cross-functional teams and delivering insightful analytics.

The Senior Manager of Software Engineering will lead a team to develop cloud-native microservices, focusing on healthcare solutions and fostering team growth.

The Senior Data Scientist will lead advanced analytics and AI-driven solutions, work closely with stakeholders, and present findings to senior leadership. Requires expertise in data science and programming.

Drive patient acquisition by building and maintaining community partnerships, prospecting and cold-calling local organizations, planning and coordinating outreach events, managing account relationships and KPIs, and collaborating with regional teams to generate leads and support center growth.

Lead Director develops and executes provider contracting strategies to secure competitive pricing and high-value networks. Leads negotiation teams for health systems, hospitals and medical groups, manages contract performance, collaborates cross-functionally on pricing and cost-saving initiatives, resolves escalated contract/payment issues, and ensures network adequacy, quality, compliance, and financial targets.

Maintain and manage MAC lists and pricing, validate data from trusted sources, update pharmacy inquiry database, resolve MAC pricing inquiries and appeals, perform IT testing, support regulatory responses and reporting, and assist team and management with ad hoc projects.

Lead business analysis efforts between IT and business units to define requirements, evaluate and implement systems, oversee solution quality, manage technology projects, coordinate stakeholders and vendors, and drive continuous improvement of processes and technology roadmaps.

Coordinate and maintain provider and ancillary staff schedules across multiple regions/states using various scheduling tools. Ensure clinic coverage, minimize overtime, fill open shifts, generate staffing and financial reports, forecast staffing needs, maintain staff profiles, and provide daily scheduling updates and on-call support.