CVS Health

Role Description The Clinical Advisor position is an exciting pharmacist opportunity to use your clinical background in a client-facing role. This role will support the Employer segment and is an integral part of the account team. As a Clinical Advisor, you will utilize clinical and analytical skills in a managed care environment to positively impact our clients and the health of their members, while helping to reduce health care costs. - Serving as the clinical subject matter expert on the account team, both for current customers as well as prospect new business meeting opportunities. - Providing clinical consulting services through analyzing drug utilization patterns and trends for our Pharmacy Benefit Management (PBM) clients. - Leveraging your presentation skills by delivering quarterly and annual clinical insight reporting to our customers, in partnership with the account owner. - Educating clients on CVS Health’s clinical programs, and making strategic solution recommendations that meet our client’s unique benefit plan needs. - Updating client-specific clinical benefit elections. As a Clinical Advisor, your success will be driven by maintaining above average client satisfaction scores and contributing to the account team’s ability to increase client revenue relative to clinical programs and solutions. You will partner and serve as a liaison with internal teams and other clinicians supporting clinical programs on behalf of the client to achieve these results. Superior writing and organizational skills as well as the ability to meet tight deadlines will also be paramount to your success. The contributions you will make as a Clinical Advisor will position CVS Health for long term growth in the competitive PBM marketplace. This is a remote position open to qualified candidates within the United States, with the ideal candidate residing in the Eastern or Central US near a major metropolitan airport. You must have the ability and willingness to travel up to 30% of the time as needed, which may include flights and overnight stays. Qualifications - 3 years of managed care experience and/or 1 year of CVS Health or other Managed Care Residency program. - Demonstrated understanding of drug utilization patterns and trends as it relates to the PBM industry. - Active, unrestricted pharmacist license in good standing. - Demonstrated experience supporting PBM or health plan clients. - Highly organized, detail oriented, proficient analytical ability with effective listening & presentation skills are required. - You must have the ability and willingness to travel up to 30% of the time as needed. Requirements - Skilled in various PC applications, including MS Office Products (Word, Excel, Outlook, PowerPoint). - Superior written and organizational skills and well-developed interpersonal skills. - Ability to set goals, prioritize and meet deadlines. - Knowledge of the pharmaceutical industry and dynamic healthcare landscape. Education - Bachelor of Science, Pharmacy or Pharm D. Pay Range The typical pay range for this role is: $110,925.00 - $249,600.00. This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Benefits - Comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. - Medical, dental, and vision coverage. - Paid time off. - Retirement savings options. - Wellness programs and other resources, based on eligibility.

Role Description The Senior Manager, Clinical Vendor Engagement is the operational backbone of the Clinical Vendor Performance Management team. This role drives the day-to-day execution of vendor performance management, owning the joint business review cadence, market alignment, issue and corrective action tracking, and the cross-functional coordination that connects vendor performance work to Contracting, Clinical, Care Model, and business unit partners. The role partners closely with the team's governance function, allowing operational performance work to move with speed and discipline. Primary Duties - Vendor Performance Review: Own the end-to-end operational cadence of joint business reviews for the assigned vendor portfolio: scheduling, agendas, pre-reads, materials, action item capture, and post-meeting follow-through. - Issue & Corrective Action Management: Maintain comprehensive tracking of performance issues, corrective action plans (CAPs), and remediation milestones across the assigned portfolio. Drive accountability for closure on commitments with vendors and internal owners. - Audit & Compliance Support: Support audit activities related to vendor performance. Ensure performance management documentation, artifacts, and evidence meet contractual, regulatory, and organizational compliance standards. - Operational Process & Continuous Improvement: Own the operational playbooks, SOPs, and workflow artifacts for vendor performance review, CAP execution, and audit response. Identify process gaps and drive improvements that reduce friction without sacrificing rigor. - Cross-Functional Coordination: Serve as the team's day-to-day operational connection point with business unit partners. Coordinate operational handoffs and surface opportunities where internal capabilities could replace or augment external vendor services. Partner with the governance function to ensure operational work and governance work stay aligned without duplication. Qualifications - 5+ years in healthcare operations, vendor management, program management, audit/compliance support, or a closely related discipline. - Exceptional process discipline and bias for completion. - Track record of owning multi-stakeholder workstreams to closure without close supervision. - Demonstrated ability to drive accountability across matrixed organizations without formal authority. - Strong influence skills; comfortable holding peers and senior partners accountable to commitments. - Change management exposure, particularly in operational stand-ups, process integration, or audit-to-partnership transitions. - Strong project and program management capability; able to run multiple parallel workstreams. - Audit or compliance support experience preferred (regulatory, internal, or vendor-related). - Excellent written communication; able to produce executive-ready meeting notes, summaries, and operational documentation. - Strong Excel; Power BI or Tableau proficiency preferred but not required. - Collaborative, low-ego, and diplomatic in matrixed environments. Education - Bachelor's Degree or equivalent experience required. Pay Range The typical pay range for this role is: $67,900.00 - $182,549.00. This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program. Benefits - Comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. - Medical, dental, and vision coverage. - Paid time off. - Retirement savings options. - Wellness programs and other resources, based on eligibility.

Role Description CVS Health's Analytics & Behavior Change (A&BC) team is an organization working to solve some of the most challenging problems at the intersection of technology and healthcare. A&BC leverages advanced analytics, clinical informatics, and hypothesis-driven approaches to transform data into actionable, customer-centric insights that drive growth, improve health outcomes, and expand access to healthcare across all CVS Health businesses. Our teams build next-generation data and AI products that help power CVS Health to make healthier happen for 100+ million customers. The A&BC organization is looking to grow its Clinical Data Science & AI team. Join us as we embark on an exciting journey to drive a transformational shift in how CVS Health leverages clinical data and analytics to become the leader in consumer healthcare in the U.S. As a Data Scientist - Clinical Informatics (Analytics Enablement), you are tasked with activating CVS Health's clinical data repository to improve outcomes across multiple lines of business and use cases. You will serve as a bridge between clinical data assets and the analysts, data scientists, and business partners who consume them—ensuring data is accessible, well-documented, fit for purpose, and aligned with clinical and regulatory standards. - Become a subject matter expert in clinical data, including CCD data, claims, pharmacy, lab results, and clinical documentation, with a deep understanding of how to structure and apply this data to solve healthcare problems. - Help build the clinical data feature store, establishing standards, documentation, and best practices that accelerate adoption of clinical data for downstream analytics, reporting, and AI/ML use cases. - Develop analytics by building well-documented, validated, and reusable data assets (tables, views, features) that empower analysts and data scientists to work independently with clinical data. - Create and maintain comprehensive data documentation, including data dictionaries, lineage, business logic, known limitations, and appropriate use guidelines for clinical datasets. - Build queries, dashboards, and data visualizations to effectively communicate data quality metrics, data availability, and clinical insights to technical and non-technical stakeholders. - Translate clinical concepts into analytical frameworks, ensuring that business partners understand the capabilities and limitations of available clinical data. - Collaborate with data engineering teams to inform data pipeline development, ensuring clinical data is ingested, transformed, and stored in ways that support downstream analytics needs. - Learn data governance practices, including compliance with HIPAA, data privacy regulations, and internal data stewardship policies. - Stay current with clinical data standards (HL7, FHIR, ICD-10, SNOMED-CT, LOINC, CPT, NDC, RxNorm) and industry best practices in clinical informatics. Qualifications - 2+ years of relevant experience in clinical informatics, healthcare analytics, or clinical data management. - Familiar with clinical data types and structures, including CCD data, lab results, clinical notes, and administrative healthcare data. - Knowledge of clinical coding systems and terminologies, such as ICD-10, CPT, HCPCS, SNOMED-CT, LOINC, NDC, and RxNorm. - Ability to support downstream data consumers (analysts, data scientists, business users) through documentation, training, and consultative support. - Proficiency with SQL and experience working with large-scale healthcare datasets. - Familiar using cloud-based data platforms, preferably Google Cloud Platform (GCP) tools including BigQuery, for querying, transforming, and managing data. - Understanding of data quality principles, including validation, profiling, and monitoring of healthcare data. - Excellent written and verbal communication skills, including the ability to explain complex clinical data concepts to both technical and non-technical audiences. Requirements - Proven experience integrating clinical (CCD/OMOP/FHIR) and administrative (claims) data into unified, patient-centric data models, with deep understanding of the strengths, limitations, and complementary nature of each data type. - Experience with patient data normalization & standardization for patient attributes and cross source harmonization. - Hands-on experience reconciling clinical and claims data, including diagnosis alignment, medication reconciliation (prescribed vs. dispensed), and encounter/visit matching. - Experience integrating third-party and enrichment data sources, including SDOH indices (ADI, SVI), consumer/demographic data, mortality data, and provider reference data into patient-level datasets. - Expert knowledge of clinical and administrative coding systems, including ICD-10-CM/PCS, CPT/HCPCS, SNOMED-CT, RxNorm, NDC, LOINC, and NPI. - Experience with classification and grouping systems such as HCC, CCS, DRG, and therapeutic class hierarchies. - Experience designing patient-centric data models, feature stores, and dashboards that aggregate longitudinal data across sources, including demographics, encounters, conditions, medications, labs, utilization, cost, and enrichment attributes. - Proven ability to enable downstream data consumers through analytics and well-documented, validated, and reusable data assets, with experience creating data dictionaries, lineage documentation, and self-service analytics layers. - Understanding of healthcare business contexts such as care management, value-based care, quality measurement (HEDIS, Stars), and population health. Education - Bachelor’s degree in health informatics, Public Health, Nursing, Health Information Management, Computer Science, Statistics, or a related quantitative or clinical field—or an equivalent combination of formal education and experience. - Master's degree or higher in Health Informatics, Biomedical Informatics, Clinical Informatics, Public Health, Epidemiology, or a related field is strongly preferred. - Clinical background (RN, PharmD, MD, or similar) with transition into informatics/analytics is highly valued. Benefits - Comprehensive and competitive mix of pay and benefits. - Medical, dental, and vision coverage. - Paid time off. - Retirement savings options. - Wellness programs and other resources, based on eligibility.

Role Description CVS Health's Analytics & Behavior Change (A&BC) team is an organization working to solve some of the most challenging problems at the intersection of technology and healthcare. A&BC leverages advanced analytics, clinical informatics, and hypothesis-driven approaches to transform data into actionable, customer-centric insights that drive growth, improve health outcomes, and expand access to healthcare across all CVS Health businesses. The A&BC organization is looking to grow its Clinical Data Science & AI team. Join us as we embark on an exciting journey to drive a transformational shift in how CVS Health leverages clinical data and analytics to become the leader in consumer healthcare in the U.S. As a Data Scientist - Clinical AI, you are tasked with activating CVS Health's clinical data repository to improve outcomes across multiple lines of business and use cases. You will serve as a bridge between clinical data assets and the analysts, data scientists, and business partners who consume them—ensuring data is accessible, well-documented, fit for purpose, and aligned with clinical and regulatory standards. - Extract signal from unstructured clinical text. - Apply NLP and language model techniques to clinical notes, CCD documents, and other free-text clinical data to generate structured, actionable features for downstream analytics and predictive models. - Build and fine-tune Small Language Models (SLMs). - Design, train, and evaluate domain-specific SLMs tailored to clinical use cases — balancing performance, cost, latency, and compliance requirements. - Utilize LLMs where applicable. - Leverage large language models where they add clear value (e.g., training data creation, entity extraction, zero-shot classification) while knowing when traditional ML, rules-based approaches, or simpler statistical methods are the right tool for the job. - Develop predictive analytics solutions. - Build and validate predictive models using both classical ML (gradient boosting, logistic regression, survival analysis) and modern deep learning approaches to support clinical decision-making and population health initiatives. - Conduct rigorous Exploratory Data Analysis (EDA). - Deeply explore clinical datasets — structured and unstructured — to uncover patterns, assess data quality, identify feature candidates, and inform modeling strategy before jumping to solutions. - Communicate findings clearly. - Present methodology, results, and recommendations to technical and non-technical stakeholders through well-crafted visualizations, notebooks, and presentations. - Translate complex AI/ML concepts into language that clinical and business partners can act on. - Collaborate across teams. - Work with machine learning engineers, data engineers, clinical informaticists, and business partners to ensure clinical data pipelines support AI/ML workflows and that model outputs are integrated into products and decision-making processes. - Stay current and stay curious. - Continuously evaluate emerging techniques in NLP, foundation models, and clinical AI. Bring new ideas to the team, prototype rapidly, and advocate for approaches grounded in evidence rather than hype. - Uphold data governance standards. - Ensure all work complies with HIPAA, data privacy regulations, and internal data stewardship policies, particularly when handling PHI and unstructured clinical text. Qualifications - 2+ years of experience in data science, machine learning, or applied NLP — preferably in healthcare or a similarly regulated domain. - Hands-on experience with NLP — text preprocessing, tokenization, named entity recognition (NER), text classification, topic modeling, or similar techniques applied to real-world unstructured data. - Practical experience with LLMs and/or SLMs — prompt engineering, fine-tuning, RAG architectures, evaluation frameworks, or deploying language models in production or research settings. - Strong foundation in traditional machine learning — supervised and unsupervised methods, feature engineering, model selection, cross-validation, and performance evaluation. - Best coding practices – you use version control (Git/Github), commit your work regularly, write clean and reproducible code, and understand that well-organized repositories are as important as well-built models. - Deep EDA skills — ability to systematically explore datasets, identify data quality issues, surface insights, and make informed decisions about modeling approach before writing a single line of model code. - Proficiency in Python (pandas, scikit-learn, PyTorch or TensorFlow, Hugging Face Transformers) and SQL for working with large-scale healthcare datasets. - Experience with cloud-based data and ML platforms, preferably Google Cloud Platform (GCP) — BigQuery, Vertex AI, or equivalent. - Excellent presentation and communication skills — you can stand in front of a room and clearly explain what you built, why you built it that way, and what it means for the business. - Judgment and common sense — you understand that not every problem needs an LLM, you meet your deadlines, you ask for help when you're stuck, and you don't over-engineer solutions. - A genuine curiosity and desire to learn — you read papers, you try new tools, you ask "why," and you're energized by problems you haven't solved before. - You know when a rabbit hole is worth diving into and when to pull back, stay focused, and deliver. Requirements - Experience working with clinical text data — clinical notes, discharge summaries, pathology reports, or similar unstructured healthcare documents. - Knowledge of clinical coding systems and terminologies (ICD-10, SNOMED-CT, LOINC, RxNorm, CPT, NDC, UMLS) and their relevance to NLP pipelines. - Familiarity with clinical data standards (HL7, FHIR, CCD/C-CDA) and common data models (e.g., OMOP). - Experience building or contributing to clinical NLP pipelines — entity extraction, relation extraction, negation detection, or section segmentation from clinical narratives. - Experience with model evaluation in clinical contexts — understanding of sensitivity/specificity tradeoffs, clinical validation, and responsible AI practices in healthcare. - Familiarity with MLOps practices — model versioning, experiment tracking, CI/CD for ML, model monitoring. - Experience working directly with clinical stakeholders (physicians, nurses, clinical operation teams, etc.) and tailoring presentations, findings, and recommendations to the appropriate audience level – from executive summaries for leadership to detailed methodology reviews for technical notes. - Privacy, security, and compliance experience: HIPAA/HITRUST, de-identification/tokenization, PHI handling. Education - Bachelor’s degree in health informatics, biostatistics, computer science, data science, mathematics, biomedical informatics, or related — or an equivalent combination of formal education and experience. - Master's degree or higher in Health Informatics, Biomedical Informatics, Clinical Informatics, Public Health, Epidemiology, Data Science or a related field is a plus – but not a substitute for demonstrated ability to ship real-world solutions. - Clinical background (RN, PharmD, MD, or similar) with transition into data science or AI is a genuine differentiator for this role. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $79,310.00 - $158,620.00. This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Benefits - Comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. - Medical, dental, and vision coverage. - Paid time off. - Retirement savings options. - Wellness programs and other resources, based on eligibility.

Role Description As a Registered Nurse (RN) Specialist with CVS Health, you will coordinate care for patients receiving Specialty Medications (most are infused) for chronic disorders in the home. The nurse is responsible for: - Identifying quality home health nursing agencies. - Training on disease and therapy. - Assuring competence of the Home Health nurse prior to providing care to our patients. Hours and Location: - Monday through Friday - 8:00-5:00 either Central, or Eastern Time - This is a work from home position and one can live in any state that is part of the National Licensure Compact (NLC) and within either the Central, or Eastern Time Zone. As a Registered Nurse (RN) you will: - Provide clinical expertise to assess patients, determine homecare clinical needs and coordinate care with qualified Home Health Agencies. - Assess Home Health Agency (HHA) ability to provide appropriate care by determining clinical infusion and home care expertise. - Educate and approve agencies to provide care upon determining competency. - Provide disease, medication, and home infusion therapy education to qualified home care professionals. - Complete clinical input into multiple data systems to include clinical status, HHA information and demographics. - Work with pharmacy team members to assure a seamless process regarding timely medication shipments, supply inventories, site of care, and safe medication practices. - Manage a caseload of therapy-specific patients and identify any issues that may affect the prescribed treatment plan. - Obtain Nursing Benefit Verification and communicate payer coverage for nursing visits to patients. - Work with Licensure team to manage/maintain licensing requirements across multi-states. - Perform other duties as assigned. Registered Nurses (RNs) Specialist with CVS/specialty infusion services have a uniquely rewarding setting to use their exceptional nursing skills. As a national leader in the home infusion field and a Fortune 5 company, we seek those special RNs who not only possess strong clinical expertise with innovative ideas but the kind of deep compassion and sensitivity it takes to treat people in their homes. Qualifications - Registered Nurse living in a state that is part of the National Licensure Compact (NLC) and possessing that state's compact license. - Must also have the ability to become licensed in all 50 states. - 5+ years of recent clinical nursing experience. - 2+ years of experience in either home infusion, or infusion clinic working with specialty medications. - Knowledge of and experience with infusion therapy supplies and pumps. - Excellent customer service approach in verbal and written communication. - Demonstrated problem resolution experience. - Strong organizational and computer skills, especially with MS Office applications. - Ability to multi-task, work with multiple monitors and pharmacy systems. Requirements - RN Diploma, Associates or B.S. degree in nursing. Benefits - Comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. - Medical, dental, and vision coverage. - Paid time off. - Retirement savings options. - Wellness programs and other resources, based on eligibility.

Role Description Develop, implement, support, and promote Health Services strategies, tactics, policies, and programs that drive the delivery of quality healthcare to establish competitive business advantage for Aetna. Health Services strategies, policies, and programs are comprised of: - Utilization management - Quality management - Network management - Clinical coverage and policies Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through: - Assessment and care planning - Direct provider coordination/collaboration - Coordination of psychosocial wraparound services Qualifications - 3-5 years of direct clinical practice experience post master's degree (e.g., hospital setting or alternative care setting such as ambulatory care or outpatient clinic/facility) - Case management and discharge planning experience preferred - Managed care/utilization review experience preferred - Crisis intervention skills preferred - Ability to travel within a designated geographic area for in-person case management activities as directed by Leadership and/or as business needs arise Requirements - Unencumbered Behavioral Health clinical license in the state where they work - Minimum of a Master's degree in Behavioral/Mental Health or related field Benefits - Medical, dental, and vision coverage - Paid time off - Retirement savings options - Wellness programs - Other resources, based on eligibility

Role Description At Oak Street, Population Health drives both our clinical and economic model and is focused on delivering high-quality and cost-effective care. The Manager of Population Health reports to the Lead Director, Screening and Diagnosis Excellence. The ideal candidate is a self-starter, enjoys solving challenging problems, uses data to drive insights, and excels in a fast-paced environment. This will be a high-visibility role requiring significant cross-team collaboration within Population Health and other corporate teams (e.g., Product, Data, Clinical Quality, Revenue Cycle, Managed Care Operations, etc.). - Play critical role in leveraging data analytics and strategic thinking to identify key insights and trends to drive high-impact initiatives across clinical documentation - Lead other high-priority Clinical Documentation initiatives as needed - Manage team member(s) who are supporting with these efforts - Develop materials and lead discussions with relevant organizational leaders - Other duties, as assigned Qualifications - 5+ years of consulting or other applicable experience in healthcare / population health - Deep understanding of OSH clinical workflows, care model, and clinical documentation best practices - Expertise in CMS HCC model and risk adjustment - Strong accountability and discipline against timelines and deliverables - Analytical and data savvy; highly proficient with Microsoft Excel - Champions a collaborative working style, able to partner cross-functionally - Experience in project management, able to organize and prioritize Clinical Documentation initiatives to maximize impact and efficiency - Effective communicator, able to communicate effectively across different audiences and stakeholders - Ability to develop business cases, ROI analysis, and financial analysis - Passion for excellence, willing to go the extra mile to achieve objectives and ensure consistently high-quality work product - Possess strong problem-solving and critical thinking abilities - Bachelor’s degree required - US work authorization - Someone who embodies being “Oaky” Requirements - Radiating positive energy - Assuming good intentions - Creating an unmatched patient experience - Driving clinical excellence - Taking ownership and delivering results - Being relentlessly determined Benefits - Mission-focused career impacting change and measurably improving health outcomes for Medicare patients - Paid vacation, sick time, and investment/retirement - 401K match options - Health insurance, vision, and dental benefits - Opportunities for leadership development and continuing education stipends - New centers and flexible work environments - Opportunities for high levels of responsibility and rapid advancement

Role Description Software Developer role focused on building and supporting modern full‑stack applications. Ideal for recent graduates or early‑career professionals with experience in AWS cloud development (including Python and PySpark) and SQL Server. Experience Agile practices and exposure to AI‑assisted development is also needed. Qualifications - 3+ years of professional software development experience (internships, co‑ops, or academic projects acceptable). - Hands‑on experience with: - Cloud development, particularly AWS - SQL Server and relational database development - Working knowledge of: - Object‑oriented programming and REST APIs - Version control (e.g., Git) - Agile development practices - Cloud platforms (AWS preferred) - Experience using AI assistants in software development workflows. - Strong analytical, problem‑solving, and communication skills. Requirements - Healthcare domain knowledge and HIPAA. - Exposure to data engineering or analytics platforms (e.g., Databricks, AWS data services). Education - Bachelor’s degree in Computer Science, Information Technology, Software Engineering, or a related field. Benefits - Comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. - Medical, dental, and vision coverage. - Paid time off. - Retirement savings options. - Wellness programs and other resources, based on eligibility.

Role Description The Senior Manager, Member Operations Strategy and Capital Management is a key leader within the Caremark organization focused on assessing and defining new strategic business innovation opportunities that will reduce Operational Costs, Improve Member, Colleague and Client Experience. In this role you will drive discovery and data analytics efforts to develop business cases that will enhance current operational processes, improve member self-service capabilities and support pilots and implementation of new technology within the Caremark Tech Stack of Digital, Voice, Chat, AI, and Live Agent capabilities. This work will contribute to a multi-year expense reduction roadmap being developed by the strategy team. This leader will also manage capital investments, ongoing spend, financial returns on those investments, along with Key Results tied to those investments. Through this role you will: - Lead business case development/ROI evaluation for future technology investments including Gen-AI - Monitor and measure performance metrics, call trends and other analysis - Support business case development and finance tracking across multiple workstreams - Lead continuous due diligence and product evaluations with a focus on driving Operational Cost Reduction and Member Experience Enhancements - Build relationships and collaborate cross functionally with key stakeholders across Caremark Operations, Finance, Digital, IT, Analytics and Enterprise Partners - Deliver on new and timely Ad-hoc strategic requests from leadership Primary Responsibilities: - Conduct root cause investigation by leveraging data analysis and stakeholder interviews to identify operational pain points, market trends, system interdependencies, and key insights - Develop robust business cases and value assessments that support ongoing and future strategic initiatives including supporting the prioritization of digital, voice, AI and Agent technology roadmaps - Propose recommendations to enhance current products and introduce new products and services to Senior Leadership - Assess quality and impact of recently launched Digital, Voice, AI and Agent initiatives to determine whether projects are meeting stated goals and targets - Answer complex business questions by preparing and executing analysis which can be presented to key business stakeholders in a way that is concise and easy to understand - Manage multiple projects in a fast-paced, frequently evolving environment - Craft high quality, influential, senior leader-facing content to shape organizational direction and priorities This is a work from home opportunity from any location within the United States Qualifications - 7 or more years of professional business experience - 5 or more years of financial modeling and/or capital management experience - 5 or more years of building and implementing multi-year strategic roadmaps - 7 or more years of experience influencing and aligning leadership to a strategic vision Requirements - 2+ years of consulting or related high level analytical experience in a business operational environment - Expert level proficiency working with MS Excel, PowerPoint, and Word - Proven ability using problem solving skills to construct analytic solutions to business problems - Ability to communicate effectively in a manner that is clear, logical and concise at all levels of the organizations including executives Benefits - Comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families - Medical, dental, and vision coverage - Paid time off - Retirement savings options - Wellness programs and other resources, based on eligibility Pay Range The typical pay range for this role is: $75,400.00 - $182,549.00. This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program.

Role Description The Representative – Level 2 is responsible for analyzing client requests and performing benefits plan configuration and quality assurance activities. This role collaborates with plan builders, testers, QA teams, and cross-functional partners—including Account Management, Clinical Advisors, and Implementation teams—to deliver high-quality client support. The position requires strong attention to detail, as plan configurations directly impact CVS Health clients. Responsibilities include: - Evaluating and implementing changes in MYPBM/Rx CLAIM - Managing casework through Salesforce Success in this role requires accuracy, responsiveness, and reliability. Qualifications - +1 year working with Microsoft Office (One Note and Excel) - +1 year experience working with Customer Service Requirements - Knowledge of Pharmacy Benefit Management (PBM) - Experience with AS400/Rx CLAIM or similar healthcare systems - Familiarity with Salesforce or CRM platforms - Pharmacy Technician background (strongly preferred) - Strong organizational skills with the ability to prioritize work independently - Adaptability in a changing environment - Commitment to quality and accuracy Benefits This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include: - Medical, dental, and vision coverage - Paid time off - Retirement savings options - Wellness programs - Other resources, based on eligibility Additional details about available benefits are provided during the application process.