• Establish strong relationships with HR Partners, business leaders, and employees to ensure benefits delivery meets employee needs across health, welfare, and retirement programs. • Function as a subject matter expert on all core benefit programs—including FSAs, HSAs, and retirement plans (e.g., 401(k), employer match, ETC.) . • Resolve benefits issues and escalations within set SLAs (48–72 hours for non-complex issues; five business days for complex cases). • Resolve complex issues by identifying root causes, completing impact analysis (financial and member impact), and evaluating resolution options. • Provide subject matter oversight on retirement plan operations , including eligibility, enrollments, contribution corrections, plan compliance, and payroll file accuracy. • Build and manage effective relationships with benefit vendors, including health/welfare and retirement recordkeepers. • Conduct ongoing vendor meetings (monthly, quarterly) to discuss service performance, participant satisfaction, website/admin experiences, and performance guarantees. • Monitor monthly invoices to ensure alignment with administrative fees, participant counts, and plan rules. • Actively participate in Annual Enrollment preparation and testing for medical, dental, vision, FSA/HSA, and retirement enrollment updates. • Partner with vendors to verify eligibility rules, contribution limits (including IRS retirement plan limits), imputed income, COBRA rates, ASO fees, and premium accuracy. • Review interface files between the benefits administration platform and all vendor systems—including retirement providers—to ensure precise data mapping, required fields, and testing. • Serve as the internal SME for retirement benefits, including 401(k), after-tax contributions, company match programs, and nonqualified deferred compensation (if applicable). • Work with payroll and technical teams to ensure accurate processing of contributions, loan repayments, catch-up contributions, and IRS limit monitoring. • Support annual retirement plan activities. • Assist with the evaluation of plan design changes, plan amendments, and implementation of new retirement features or enhancements. • Manage escalated retirement participant issues such as loan processing, hardship withdrawals, distribution timing, and rollover complexities. • Identify opportunities for process improvements and automation across all benefit programs—including retirement plan processes. • Manage implementation, documentation, and ongoing measurement of improvements. • Conduct or participate in benefits training for HR, payroll, partner teams, and external vendors, including training on retirement plan processes and updates. • Execute audit schedules for each major vendor, including retirement plan audits. • Review ERISA, IRS, DOL, ACA, CMS, and state-related regulatory requirements and support all required filings. • Monitor regulatory changes affecting health, welfare, and retirement programs; partner with ERISA counsel and vendors as needed to implement changes.

• Establish strong relationships with HR Partners, business leaders, and employees • Function as a subject matter expert on core benefit programs • Resolve benefits issues and escalations within set SLAs • Provide subject matter oversight on retirement plan operations • Build and manage effective relationships with benefit vendors • Conduct ongoing vendor meetings • Monitor monthly invoices • Actively participate in Annual Enrollment preparation and testing • Partner with vendors to verify eligibility rules • Review interface files between benefits administration platform and vendor systems • Serve as the internal SME for retirement benefits • Work with payroll and technical teams for accurate processing • Support annual retirement plan activities • Manage escalated retirement participant issues • Identify opportunities for process improvements and automation • Conduct or participate in benefits training

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Program Summary: Join our Aetna care management team as we lead the way in providing exceptional care to dual eligible populations! You will have a life-changing impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in both Medicare and Medicaid. As a member of the care team, you will collaborate with members, the internal care team, healthcare providers, and community organizations to meet the complex healthcare and social needs of our members Be part of this exciting opportunity as we expand our DSNP services to transform lives in new markets across the country. Position Summary/Mission: As a vital member of our Special Needs Plan (SNP) care team, the Care Coordinator (CC) is responsible for coordinating care for our members through close collaboration with the Care Manager, Social Worker, and other interdisciplinary team members. This role involves evaluating member needs through the annual Health Risk Survey, addressing social determinants of health (SDoH), coordinating care across the continuum, and closing gaps in preventive and health maintenance care. Key Responsibilities: - Member Evaluation: Conduct the annual Health Risk Survey to support needs identification for the member’s Individual Plan of Care. - Risk Escalation: Inform the assigned care manager of newly identified health/safety risks or service needs - Care Coordination: Complete care coordination activities delegated by the care manager within an established timeframe. - Quality Issue Escalation: inform the assigned care manager and/or associate manager of any identified quality of care issues. - Advocacy: Passionately support the member’s care coordination needs and drive solutions to address those needs. - Member Engagement: Use problem-solving skills to find alternative contact information for members who are unreachable by care management. Employ motivational interviewing techniques to maximize member engagement and promote lifestyle changes for optimal health. - Monitoring and Documentation: Adhere to case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies. Essential Competencies and Functions: - Meet performance and productivity metrics, including call volume, successful member engagement, and compliance with state/federal regulatory requirements. - Conduct oneself with integrity, professionalism, and self-direction. - Demonstrate a willingness to learn about care management within Medicare and Medicaid managed care. - Familiarity with community resources and services. - Navigate various healthcare technology tools to enhance member care, streamline workflows, and maintain accurate records. - Maintain strong collaborative and professional relationships with members and colleagues. - Communicate effectively, both verbally and in writing. - Exhibit excellent customer service and engagement skills. Required Qualifications - 2+ years in behavioral health, social services, or a related field relevant to the program focus - Proficient in Microsoft Office Suite (Word, Excel, Outlook, OneNote, Teams) and capable of utilizing these tools effectively in the CM Coordinator role. - Access to a private, dedicated workspace to fulfill job requirements effectively. Preferred Qualifications - Case Management and Discharge Planning Experience - Managed Care Experience Education - High School Diploma with equivalent experience (REQUIRED) - Associate’s or Bachelor’s Degree or non-licensed master’s level clinician in behavioral health or human services (psychology, social work, marriage and family therapy, counseling) or equivalent experience (PREFERRED) Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $21.10 - $44.99 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. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: - Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. - No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. - Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 03/27/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

• Perform the daily tasks of delegation oversight • Conduct practitioner/provider group credentialing audits • Negotiate and manage delegation contractual agreements • Be a key contributor for internal and external organization audits • Analyze and manage delegated provider data • Maintain working knowledge of regulatory credentialing requirements • Collaborate effectively with delegated groups and other matrix partners • Provide support and act as a subject matter expert for various projects • Perform other related duties as assigned.