• Analyzing case volumes, call volumes, staff productivity, and resource planning. • Automating manual data processes. • Migrating applications to modern technologies. • Preparing data for Tableau dashboards that deliver prior authorization insights and exception reporting. • Conducting exploratory data analysis and apply statistical and predictive modeling techniques to identify trends, forecast volumes, and support workforce planning. • Build and validate data pipelines and machine learning workflows using Python, Dataiku, and cloud-based tools. • Collaborating with operations teams to understand business needs and develop logic and metrics for Tableau KPIs, ensuring accurate and actionable reporting.

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 Act as a primary resource for all dental products (DHMO, PPO, Medicare) for providers, sales and marketing, and Dental Service Centers to aid in the achievement of Aetna Key Performance Measures. Act as the liaison with the Primary Care Dentists and Specialists in a specific geographic territory responsible for overall maintenance and territory management of the provider network, as a functional subject matter expert, demonstrating a strong understanding of Aetna's Dental Products and market position. Negotiation of contract language and provider compensation. Review quality and service reports with provider and appropriate staff, contacting Dental providers regarding quality reviews conducted where unacceptable results were obtained. Timely response to correspondence from Provider offices, included, but not limited to termination requests, tax id changes, hold requests, claim reimbursement, system, directory accuracy and various contractual issues. Documented resolution and follow through communicated to all parties. Presentation of DHMO and PPO plan design, compensation process, claim / encounter submission, and referral policies during new office orientations and reorientations via the telephone Knowledge of the competitive market and Aetna's relevant competitive position, to include member appointment access Presentation of Aetna's electronic capabilities for dental providers to achieve Company goals and targets, promote all EDI initiatives. Required Qualifications - 5 years of Experience such as Sales, Service, Dental Office and/or payor setting. - Strong verbal and written communication skills. Preferred Qualifications - Experience in the dental field and knowledge of PPO, DMO, and Medicare networks. Education Bachelor's degree or relevant experience Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $112,200.00 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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. 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, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will close on: 04/28/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research. Organization: HealthIT Ambulatory Specialty Job Summary: This Senior Application Analyst position is integral to HealthIT’s ability to meet organizational goals and deliver high quality products to the Transplant Center. This role on the Phoenix Team is responsible for the Transplant lab projects as well as the quality reporting required by UNOS (United Network of Organ Sharing). This position is also responsible for other Ambulatory Clinics such as the Pulmonary (Adult/Peds), Nephrology and the Sleep/PFT clinics. Filing this position is critical to maintain continuity of care and meet our overall strategic priorities for the Transplant Center. The role will support the Phoenix team overall with maintenance and enhancements, support upgrades, participate in on call. Note: This role is available for remote work from most US locations . KEY RESPONSIBILITIES • Designs, builds, installs, configures, and/or develops software to support clinical and operational workflows. • Analyzes clinical or operational workflows supported by the assigned products and their relationship to the technical environment in which they operate. • May perform analysis and design of supporting technical infrastructures. • Supports clinical or operational implementations for assigned products which may also include testing and QA, reporting, product life cycle, communication/collaboration with customers and vendors, and training users. • Assists with onboarding and training as needed. • The responsibilities listed are a general overview of the position and additional duties may be assigned. REQUIREMENTS • Epic Ambulatory certification - Required • Epic Phoenix certification - Preferred • Clinical / Nursing experience - Strongly Preferred • Bachelor's degree - Required TECHNICAL CAPABILITIES • Business Knowledge (Intermediate): Demonstrates the ability to apply multiple areas of business knowledge to successfully meet broad work objectives. Knowledgeable of the major business units of the company which relate to work responsibilities. Understands and monitors appropriate key business indicators as well as the competition. Able to communicate with users and customers regarding various business functions in an easily understood manner. Able to interpret and draw conclusions from business data. Demonstrates an understanding of overall business perspectives. • Problem Management (Intermediate): Demonstrates mastery of Incident Tracking and Problem Reporting in practical applications of a difficult nature. Assures that the proper people receive problem reports as soon as detected. Possesses sufficient knowledge, training, and experience to be capable of successfully delivering Incident Tracking and Problem Reporting products and services without requiring support and instruction from others. Able to train and educate by setting the example, giving technical instruction, providing leadership, and generally raising the level of performance of others while on the job. • Product Knowledge (Intermediate): Possesses sufficient knowledge, training, and experience to be capable of successfully developing or supporting applications for the product without requiring support and instruction from others. Able to educate and train others regarding the process. • Testing (Intermediate): Possesses a high level of skill to develop new and execute pre-designed program test data, load testing, and ensures validity of data passed among programs. Able to use automated testing aids to help debug programs. Creates and maintains appropriate test documentation for regulatory requirements. • Technical Analysis (Intermediate): Possesses high level of knowledge of the functionality of assigned products and the systems with which they interface. Proactively identifies, analyzes, and develops solutions to complex clinical, administrative, financial, operational, and technical issues. Possesses sufficient knowledge, training, and experience to be capable to successfully design build, configure, install, run reports, and perform maintenance support with minimal instruction or guidance from others. Participates in optimization efforts. May lead projects and delegate tasks. • Configuration Management and Planning (Intermediate): Demonstrates a conceptual and business understanding of configuration management, planning and related topics. Able to quickly and accurately discuss the impact of new technology, platforms, and design criteria. Understands and monitors key business indicators as they may apply to enhancements of the system. Able to communicate with users and customers regarding configuration for business functions in an easily understandable manner. Participates or develops multi-faceted configuration plans. About the Department: Health IT HealthIT provides the best health information technology tools that support Vanderbilt University Medical Center’s mission of: - Delivering distinctively personalized care - Improving the health care of individuals and communities regionally, nationally and internationally - Providing transformative learning programs - Supporting compelling discoveries Our tools, which form the digital arteries of VUMC, are either developed in-house by our innovative product teams or selected from the most cutting-edge solutions available in today’s ever-changing marketplace. Our 500 colleagues provide ongoing support over each product’s entire lifespan, ensuring that the tools are meeting the evolving needs of the Medical Center’s 24,000 colleagues. Our solutions are driven by the incredible work and research of our colleagues throughout Vanderbilt and supported through a close partnership with VUMC Information Technology (VUMC IT). The strong collaboration among our teams means that VUMC can respond to clinical and operational issues with agility and innovation. Together, we ensure VUMC remains a leader in its pioneering use of healthcare information technology. Underscoring our entire department are our core values of accountability, transparency and execution, delivered with a strong Partner Promise. Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more. At our growing health system, we support each other and encourage excellence among all who are part of our workforce. High-achieving employees stay at Vanderbilt Health for professional growth, appreciation of benefits, and a sense of community and purpose. Core Accountabilities: Organizational Impact: Independently delivers on objectives with understanding of how they impact the results of own area/team and other related teams. Problem Solving/ Complexity of work: Utilizes multiple sources of data to analyze and resolve complex problems; may take a new perspective on existing solution. Breadth of Knowledge: Has advanced knowledge within a professional area and basic knowledge across related areas. Team Interaction: Acts as a "go-to" resource for colleagues with less experience; may lead small project teams. Core Capabilities : Supporting Colleagues: - Develops Self and Others: Invests time, energy, and enthusiasm in developing self/others to help improve performance e and gain knowledge in new areas. - Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships. - Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences. Delivering Excellent Services: - Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them. - Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions. - Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness. Ensuring High Quality: - Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly. - Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them. - Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring. Managing Resources Effectively: - Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues to closure. - Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area. - Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities. Fostering Innovation: - Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches. - Applies Technology: Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short-term challenges. - Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements. Position Qualifications: Responsibilities: Certifications: Work Experience: Relevant Work Experience Experience Level: 5 years Education: Bachelor's (Required) Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Summary As a Service Desk Analyst, you will be a technical leader within the Service Desk team, providing escalated support from ServiceNow tickets and contributing to process improvements. You will utilize your deep technical knowledge and problem-solving skills to diagnose and resolve complex issues related to hardware, software, network connectivity, and other IT systems. You will also play a key role in developing and maintaining knowledge base articles and training materials. Your role in our mission - Provide advanced technical support via phone, email, and chat, handling support requests from other Service Desk agents. - Lead troubleshooting efforts for complex technical problems. - Participate in an afterhours and weekend On Call rotation. - Log and track all support requests in our ticketing system, ensuring accurate and detailed documentation. - Develop and maintain knowledge base articles, FAQs, and other documentation. - Identify and escalate recurring issues to appropriate teams. - Contribute to the development and implementation of service desk best practices and procedures. - Proactively monitor system performance and identify potential problems. - Participate in project work related to IT service improvements. - Communicate effectively with users at all levels, providing clear and concise explanations of technical issues and solutions. - Maintain a positive and professional demeanor at all times. - Participate in team meetings and training sessions. What we're looking for - Associate's or Bachelor's degree in IT or a related field preferred. - 3+ years of experience in a technical support role, preferably in a service desk environment. - Experience with ticketing systems (e.g., ServiceNow). - Understanding of computer hardware, software, networking concepts, and operating systems (Windows, Linux, Active Directory). - Extensive experience troubleshooting complex technical problems. - Strong leadership and mentoring skills. - Excellent communication skills, both written and verbal. - Ability to work independently and as part of a team. - Strong organizational skills and attention to detail. What you should expect in this role - Remote position (US only) - Opportunities to travel through your work (0-10%) - Video cameras must be used during all interviews, as well as during the initial week of orientation - The deadline to submit applications for this posting is 4/30/2026 The pay range for this position is $41,100.00 - $58,700.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.