Jobs at CVS Health

Manages provider recruiting for an Oak Street Health division, including recruitment strategy, marketing initiatives, conference and residency partnerships, candidate sourcing, provider contracting, and recruitment metrics. Leads Associates and Specialists, forecasts provider supply and demand with business stakeholders, manages external recruiting firms, negotiates contracts, supports provider engagement, and oversees candidate experience. Requires healthcare recruiting experience, strong interpersonal skills, and familiarity with applicant tracking systems.

Manages organization-wide laboratory operations across Oak Street Health centers, including CLIA compliance, lab standards, vendor relationships, test compendiums, performance metrics, quality assurance, training, and new state or device integrations. Provides guidance to clinical centers, investigates incidents, supports root-cause analyses, conducts onsite visits, and leads cross-functional initiatives. Travel up to 10% is required.

Provide value-based primary care to Medicare adults independently and within a collaborative team. Conduct routine, acute, and annual wellness visits, perform care coordination and population health activities, support phone triage and outreach, educate patients, conduct home visits as needed, and participate in clinic promotion and quality documentation.

Prepares quarterly, annual, audited, and statutory financial statements and regulatory filings. Performs financial analysis of legal-entity results, investigates fluctuations with business partners, and supports automation and process improvements across financial reporting workflows.

Develop and maintain frontend software for the Aetna Health website using ReactJS, Redux, JavaScript, HTML, and CSS. Build and test new features, refactor existing code, monitor and troubleshoot production applications, improve stability and scalability, participate in architecture and technical design, and collaborate with product and design teams. Lead technical discussions, contribute to code reviews and knowledge sharing, and mentor junior developers.

Processes and adjudicates healthcare benefit claims, verifies eligibility and coverage, applies medical coding and medical necessity guidelines, investigates discrepancies, manages claim queues, and communicates with providers and members. Documents claim data accurately, ensures regulatory and policy compliance, processes rework claims, and analyzes trends to support operational improvements. The role includes 12–20 weeks of virtual training and requires strong communication, organization, customer service, and multitasking skills.

Evaluates the design and operating effectiveness of IT application controls for Sarbanes-Oxley compliance. Responsibilities include developing test plans, testing automated controls and reports, reviewing system interfaces and data integrity, documenting audit workpapers, coordinating with external auditors, and recommending process improvements. The role collaborates with business and technology teams, supports SOX planning and execution, and may participate in cross-functional transformation projects.

Designs and supports Oracle Hyperion financial planning, consolidation, reporting, and Smart View solutions. Develops Power BI dashboards, reports, semantic models, and financial analytics. Partners with Finance, Accounting, and business stakeholders to gather requirements, integrate and reconcile data, automate reporting, and support budgeting, forecasting, and close cycles. Troubleshoots platforms, ensures governance and audit compliance, and contributes to enterprise finance transformation and reporting modernization.

Design, build, and support a near-real-time transactional cache platform. Develop CDC pipelines from UniVerse to PostgreSQL, transform data for MongoDB Atlas, optimize data models and queries, and ensure platform reliability, freshness, and scalability. Partner with API and application teams, troubleshoot production issues, maintain monitoring and runbooks, support incident response, and mentor junior engineers. The role requires cloud-native data engineering across GCP, operational data stores, distributed systems, and production ETL/ELT pipelines.

Supports stop loss claims filing for self-funded employer groups by preparing and submitting filing packages, tracking reimbursements, reconciling discrepancies, reviewing documentation, and coordinating with carriers, clients, underwriting, finance, eligibility, and client support teams. The role monitors claims trends, resolves issues, maintains accurate records, escalates delays, and helps improve processes while ensuring timely and accurate reimbursements.

Leads the design, implementation, and support of a near-real-time transactional cache platform. Builds CDC pipelines from UniVerse to PostgreSQL, transforms data into optimized MongoDB models, and supports API-serving workloads on GCP. Owns performance, reliability, observability, incident response, monitoring, and operational support. Provides technical leadership, establishes engineering standards, drives modernization, collaborates with application teams, and mentors engineers across data platform initiatives.

Develops executive-level communications and storytelling for senior technology leaders. Responsibilities include writing and editing talking points, presentations, newsletters, and press materials; managing executive speaking engagements; advising communications peers; uncovering organizational stories; maintaining messaging consistency; and leading complex communication initiatives from planning through delivery.

Welcomes patients and guests, completes check-in, collects co-pays, updates electronic medical records, schedules appointments, manages phone calls and faxes, distributes mail, and maintains reception areas. The role supports a positive patient experience and efficient clinic operations, primarily serving older adults. Occasional regional floating may be required.

Leads business analytics strategy, people management, and data-informed decision-making. Oversees dashboards, reporting, self-service tools, analytics roadmaps, advanced analysis, data governance, KPIs, and executive presentations. Partners with Finance, Marketing, Operations, Product, data engineering, and IT teams to improve infrastructure and translate complex data into actionable business insights.

Leads day-to-day execution of enterprise data governance, risk, and privacy programs within a healthcare payer environment. Translates regulatory requirements such as HIPAA and CMS into operational controls, manages governance activities, monitors KPIs, supports audits, and drives risk mitigation. Partners with executives and cross-functional stakeholders to operationalize data lineage, metadata, stewardship, privacy, and compliance practices across claims, utilization management, risk adjustment, and quality programs.

Analyzes and documents business requirements, processes, data flows, business rules, reporting logic, and system dependencies for investment systems. Supports data warehouse modernization and migration to Google Cloud Platform and BigQuery, while improving data quality, governance, metadata, and reporting. Facilitates stakeholder workshops, testing, and data validation, and helps prepare data foundations for advanced analytics and AI solutions.

Leads Texas provider network management for Commercial and Medicare Advantage plans. Designs contracting models, plans initiatives, and negotiates agreements with health systems, networks, IPAs, FQHCs, and other providers. Ensures contracting strategies support network accessibility, quality, compliance, regulatory, financial, and medical-cost goals. Collaborates cross-functionally and manages initiatives involving provider economics, value-based contracting, and regulatory requirements.

Designs and operates secure, scalable cloud-native platforms, backend services, APIs, infrastructure-as-code, CI/CD pipelines, and developer tooling. Builds AI-assisted workflows, shared cloud services, self-service interfaces, and operational automation while partnering with SRE, security, and product teams. Provides technical leadership, mentors engineers, influences architecture and standards, and supports reliability, incident response, and long-term platform roadmaps.

Serves as an on-site HR thought partner for distribution center leadership and teams. Executes HR strategy across workforce planning, talent acquisition, training, change management, compensation, engagement, culture, and enterprise initiatives. Coaches leaders, supports organizational effectiveness, uses HR data and metrics, develops staffing strategies, manages changing priorities, and facilitates solutions to complex employee and workplace situations. Collaborates with HR business partners, centers of excellence, talent acquisition, and shared services.

Design, develop, and architect software applications; implement system testing and debugging; act as technical lead for complex production incidents; drive automation, reliability, observability, and root-cause resolution; ensure availability, compliance, audit, and supportability standards.