• Responsible for supporting the intake and reimbursement teams in the area of commercial contracting and government programs. • Review payor contracts for intake and reimbursement contract terms (e.g., timely filing, clean claim payment terms) and for comprehensive fee provisions/fee schedules common billable services (e.g., per diems, nursing and drugs). • Work with Managed Markets team to address any missing or unfavorable intake and reimbursement contract terms. • Provide comprehensive analyses of missing or unfavorable intake and reimbursement contract terms to VP of Reimbursement and CFO or their respective designees. • Provide payor education to intake and reimbursement teams, including reimbursement trends and policies. • Create, maintain, and manage all Intake and Reimbursement contract resource documents. • Cultivate and maintain effective working relationship with contracted and non-contracted insurance Provider Relations personnel. • Work with Provider Relations personnel to address intake and reimbursement trending issues (e.g., claim denials, non-compliance with contract terms). • Identify opportunities for cost savings and cash collections through payer reimbursement analysis/trends. • Be a contributor to internal and external departmental conversations regarding payers, contracts and industry knowledge. • Completes all necessary managerial tasks for direct reports including hiring, training, addressing performance issues, developing team goals and objectives, performance reviews, conflict resolution, and strategic planning. • Other duties as assigned by manager.

• Возглавлять реализацию нашей стратегии кредитного риска для кредитных карт, обеспечивая устойчивый рост портфеля • Оптимизировать процессы управления рисками, кредитные потоки и пользовательский опыт (UX), чтобы сбалансировать удовлетворение клиентов с надежными практиками управления рисками • Постоянно совершенствовать критерии приема кредитов, управление пределами и меры по борьбе с мошенничеством • Мониторить и анализировать ключевые показатели рисков, обеспечивая эффективный контроль рисков и раннее обнаружение проблем • Сотрудничать кросс-функционально с командами из аналитики, операций и продукта, чтобы обеспечить точность данных и сильную поддержку принятия решений • Представлять идеи и рекомендации старшему руководству, влияя на направление бизнеса через свои аналитические навыки

• Serve as the Customer Business Manager for the West Grocery Territory, overseeing the strategic and end-to-end operational management of a significant retail portfolio. • Directly manage the Albertsons account, with all its divisions. • Accountable for driving sales revenue and maximizing long-term Hartz category volume by achieving sales targets, category volume, and profit goals for the overall territory. • Cultivate exceptionally strong relationships with key account stakeholders and brokers. • Leverage fact-based consumer, product, or market insights derived from analyzing POS and syndicated data to build data-driven annual business plans and execute promotional strategies. • Identify and secure new business opportunities and build a compelling selling story for all category and line reviews. • Effectively manage administrative responsibilities, including price change forms, deductions, and selling and planning schedules.

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. Position Summary This Case Manager RN position is 100% remote and the employee can live in any state. Normal Working Hours: Monday through Friday 9:00am through 5:30pm in time zone of residence with an occasional late shift rotation per the needs of the business 11:30am-8pm EST No travel is expected with this position. The Case Manager RN utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes. The Case Manager RN process includes assessing the member's health status and care coordination needs, inpatient review, and discharge planning, developing, and implementing the case management plan, monitoring, and evaluating the plan and involving the Medical Director as indicated and closing the case as appropriate when the member has met discharge criteria. The Case Manager RN role requires a nurse that can exercise independent and sound judgment and someone that has strong decision-making skills and well-developed interpersonal skills. The Case Manager RN is expected to manage multiple priorities, demonstrate both effective organizational and time management skills as well demonstrate strong teamwork skills. The responsibilities of this Case Manager RN position are to: - Apply data driven methods of identification of members to fashion individualized case management programs and/or referrals to alternative healthcare programs. - Conduct comprehensive clinical assessments. - Evaluate needs and develop flexible approaches based on member needs, benefit plans or external programs/services. - Advocate for patients to the full extent of existing health care coverage. - Promote quality, cost effective outcomes, and make suggestions to improve program/operational efficiency. - Identify and escalate quality of care issues through established channels. - Provide an expected very high level of customer service. - Utilize assessment techniques to determine member’s level of health literacy, technology capabilities, and/or readiness to change. - Utilize influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health. - Provide coaching, information, education, and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices Required Qualifications: - Must have an active current and unrestricted RN license in state of residence. - Willingness and ability to obtain additional state licenses upon hire (paid for by the company) - 3+ years of acute care experience as an RN required, Med Surg or Critical Care preferred - Must be willing to work, Monday through Friday 9:00am through 5:30pm in time zone of residence with an occasional late shift rotation per the needs of the business 11:30am-8pm EST Preferred Qualifications: - Compact RN License or Multi state licensure - Certified Case Manager (CCM) - Telephonic case management and/or telephonic experience Education: - Associate Degree in Nursing required - BSN preferred Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $54,095.00 - $129,615.00 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. 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: 04/01/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.