Jobs at Cvs Health

Sr Mgr. Business Analyst

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 The Senior Manager, Business Analyst provides strategic and people leadership for a team of Business Analysts supporting complex, cross‑functional initiatives. This role is accountable for setting the business analysis vision, establishing standards and best practices, and ensuring high‑quality requirements delivery across programs and portfolios. The Senior Manager partners closely with Product, Technology, Operations, and executive stakeholders to translate business strategy into scalable, executable solutions.Key Responsibilities Business Analysis Leadership * Establish and enforce enterprise‑aligned business analysis standards, methodologies, and governance across initiatives * Ensure consistent, high‑quality requirements documentation (business, functional, non‑functional, data, and process) * Drive clarity from ambiguity by translating complex business needs into actionable requirements and outcomes * Provide oversight for end‑to‑end requirements lifecycle, including discovery, refinement, traceability, validation, and change management Stakeholder \& Strategy Partnership * Serve as a advisor to business and technology leaders on solution design, scope trade‑offs, and delivery approach * Partner with Product, Engineering, Architecture, QA, and Operations to align requirements with technical and operational capabilities * Facilitate executive‑level discussions to resolve scope, priority, risk, and dependency issues * Support strategic initiatives, roadmaps, and investment decisions through data‑driven analysis Delivery Oversight \& Governance * Ensure requirements quality supports on‑time, on‑budget delivery of initiatives * Identify and mitigate risks related to scope, dependencies, data, and regulatory requirements * Monitor key performance indicators related to analysis quality, delivery efficiency, and stakeholder satisfaction * Promote continuous improvement through retrospectives, metrics, and process optimization Required Qualifications * 10+ years of Business Analysis experience, including 4+ years in a people management or senior leadership role * Proven experience leading Business Analysts supporting large, complex programs or portfolios * Strong expertise in requirements management, process modeling, and business‑to‑technology translation * Experience working in Agile, Hybrid, and/or Waterfall delivery environments * Exceptional communication, facilitation, and executive‑level presentation skills Preferred Qualifications * Healthcare, insurance, or regulated industry experience * Experience supporting large‑scale technology modernization or digital transformation initiatives * Familiarity with data analytics, reporting, and KPI‑driven decision making * CBAP, PMI‑PBA, or Agile‑related certifications Education Bachelor’s degree or equivalent experience Pay Range The typical pay range for this role is: $75,400.00 - $165,954.00 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. 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: 04/02/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Medical Director (Medical Policy Ops-DRG)

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 Aetna, a CVS Health company, has an outstanding opportunity for a Medical Director. Ready to take your career to the next level with a Fortune 6 company? This is a remote Work at Home position and can be located anywhere in the United States. In this role as Medical Director MPO (Medical Policy \& Operations) you will be responsible for providing clinical expertise and business direction in support of medical management programs to promote the delivery of high quality, constituent focused medical care with a focus on clinical and payment policy. This Medical Director provides subject matter expertise to provide clinical support and business direction in these areas. Knowledge of Aetna clinical and coding policy and experience with appeals, claim review, reimbursement issues, and coding is preferable, but a willingness to learn is essential. The Primary Responsibilities of this Medical Director role include support of the appeal process, clinical claim review process, pre-certification, and predetermination of covered benefits in the Commercial and Medicare environment. In addition, be a subject matter expert in DRG reviews and ICD-10 code selection. The Primary Responsibilities of this Medical Director role include support of the appeal process, clinical claim review process, pre-certification, and predetermination of covered benefits in the Commercial and Medicare environment. In addition, be a subject matter expert in coding guidelines for CPT, HCPCS, and ICD-10 codes. Role This Medical Director provides subject matter expertise in clinical and payment policy to provide clinical support and business direction in these areas. In this role you will: ◾Participate on work groups as a clinical subject matter expert to identify and promote opportunities to improve the quality and efficiency of health care services. ◾Apply clinical coding and reimbursement expertise to ensure alignment and correct application of Aetna policies and practices to service and payment requests. ◾Proactively use data analysis to identify opportunities for quality improvement and positively influence the effective delivery of quality care services. ◾ Be a subject matter expert, internal consultant and payment policy contributor subject matter expertise and internal consultant. ◾Demonstrate the ability to work within and lead as necessary teams comprised of a diverse group of health delivery professionals in order to manage the business objectives of the company. ◾Work Collaboratively with the functional areas. Required Qualifications * Five (5) or more years of experience in Health Care Delivery System e.g., Clinical Practice and Health Care Industry. * Active and current state medical license without encumbrances. * M.D. or D.O., Board Certification in an ABMS recognized specialty including post-graduate direct patient care experience Preferred Qualifications * Health plan/payor experience. * Foundational baseline skills in Medicine, Health Policy, Coding: HCPCS / CPT, Clinical Policy, Reimbursement and Health Care Systems. * Experience with DRG reviews. * Strong communication skills both written and verbal. Education * M.D. or D.O., Board Certification in an ABMS recognized specialty including post-graduate direct patient care experience Pay Range The Typical Pay Range For This Role Is $174,070.00 - $374,920.00 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. 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: 04/24/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Sr. Analyst, Payer Data

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. Role Description The Payer Data Analyst will be responsible for aiding the Business Intelligence team in acquiring, ingesting and monitoring data quality for payer data sent to Oak Street Health. This is a new position to the organization, and functions alongside several business units to leverage health plan relationships and data for the benefit of Oak Street patients. While day-to-day activities will be variable and highly dependent on each health plan, common over-arching tasks include: negotiation with health plans for standard files, business analysis of incoming files, reconciliation of data for both internal and external audit purposes, and functioning as an internal SME for a specific payer data subject area. Responsibilities * Aid or lead conversations with health plans for data acquisition * Aid, lead and/or perform UAT for all new datasets coming to Oak Street Health * Research and suggest solutions for data quality and governance issues related to payer data as used in both data warehouse processes and business decision making * Function as a SME for the subject area specifically hired into * Establish relationships with internal and external partners to obtain and validate quality data * Assist in creating uniform business rules and policies that will be used for Oak Street Health * Other duties as assigned Minimum Requirements: * 3 years of relevant healthcare work experience. * Proficient in writing SQL queries and reading stored procedures on large data sets with complex data models. * Advanced Microsoft Excel skills (PowerPivot, functions, VBA). * Database fundamentals experience: knowledgeable in database rules, writing queries, and relational database theory and management (table creation, querying, relational structures). * Ability to manage deadlines, deliverables, and communication with relevant stakeholders. * Strong written and verbal communication. Preferred Requirements: * Experience with manipulating large files and working with missing values in Python (using pandas) are preferred. * Experience with Databricks, SQL Server, or Foundry. Education: * Bachelor’s degree preferred; preferably in Business Administration, Health Administration, Public Health or Computer Science. Anticipated Weekly Hours 40Time Type Full timePay Range The typical pay range for this role is: $46,988.00 - $122,400.00 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: 02/10/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Data Strategy Analyst - Python - Work From Home

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 CVS Health is seeking an Operations Analytical Senior Analyst (Individual Contributor) to join our team. This role reports to the Senior Manager of Analytical Insights and is open to fully remote candidates across the U.S. The position plays a key role in analyzing case volumes, call volumes, staff productivity, and resource planning—critical elements for driving operational efficiency and supporting our business partners and members. As an internal analytics expert, you will provide insights for Clinical Operations (ClinOps) and support MTM and SQM business functions. The role involves working with tools such as SSIS, SSRS, Teradata, Alteryx, Dataiku, Tableau, and other analytical platforms. You will serve as the technical subject matter expert for automating data reporting from multiple sources, including Novologix, CAS, MedHok, MTM, SQM, phone systems, and Verint. Key responsibilities include: * Automating manual data processes. * Migrating applications to modern technologies. * Preparing data for Tableau dashboards that deliver prior authorization insights and exception reporting. You will collaborate with operations teams to understand business needs and develop logic and metrics for Tableau KPIs, ensuring accurate and actionable reporting. Required Qualifications * 2+ years of experience in data analytics, reporting, and database development. * Strong knowledge of database technologies including PL/SQL, T-SQL, stored procedures, query optimization, and performance tuning. * Hands-on experience creating SQL queries, packages, functions, and views for ad-hoc and recurring reports. * Proficiency in Microsoft SQL Server development, troubleshooting, and optimization. * Advanced skills in ETL and reporting tools such as SSIS, SSRS, Alteryx; exposure to Dataiku is a plus. * Working knowledge of multiple RDBMS platforms (Oracle, Teradata) and complex SQL report development. * Experience with Python for data processing and automation. * Familiarity with cloud platforms, preferably Google Cloud Platform (GCP), including SQL Server on GCP. * Understanding of database design principles, logical and physical data models. * Ability to translate business requirements into technical specifications. * Experience in application development, maintenance, and support, ideally in retail or healthcare domains. * Knowledge of Software Development Life Cycle (SDLC) and documentation best practices. * Strong problem-solving and analytical skills with the ability to assess business impacts and prioritize tasks. * Excellent communication and collaboration skills; ability to work independently and in a team environment. * Agile mindset with a focus on delivering incremental value and incorporating feedback quickly. * Ability to learn new domains and data sources rapidly. Preferred Qualifications * Experience with GCP/BigQuery. * Exposure to front-end development (e.g., .NET/Python) is a plus. * Ability to enforce best practices. * Prior experience in PBM services, insurance, or healthcare. * Strong presentation skills and experience engaging with business stakeholders. * Bachelors Degree Education High School Diploma or GED Anticipated Weekly Hours 40Time Type Full timePay Range The typical pay range for this role is: $46,988.00 - $122,400.00 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: 01/31/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Nurse Practitioner

Data Strategy Analyst - Python - Work From Home

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 CVS Health is seeking an Operations Analytical Senior Analyst (Individual Contributor) to join our team. This role reports to the Senior Manager of Analytical Insights and is open to fully remote candidates across the U.S. The position plays a key role in analyzing case volumes, call volumes, staff productivity, and resource planning—critical elements for driving operational efficiency and supporting our business partners and members. As an internal analytics expert, you will provide insights for Clinical Operations (ClinOps) and support MTM and SQM business functions. The role involves working with tools such as SSIS, SSRS, Teradata, Alteryx, Dataiku, Tableau, and other analytical platforms. You will serve as the technical subject matter expert for automating data reporting from multiple sources, including Novologix, CAS, MedHok, MTM, SQM, phone systems, and Verint. Key responsibilities include: Automating manual data processes. Migrating applications to modern technologies. Preparing data for Tableau dashboards that deliver prior authorization insights and exception reporting. You will collaborate with operations teams to understand business needs and develop logic and metrics for Tableau KPIs, ensuring accurate and actionable reporting. Required Qualifications 2+ years of experience in data analytics, reporting, and database development. Strong knowledge of database technologies including PL/SQL, T-SQL, stored procedures, query optimization, and performance tuning. Hands-on experience creating SQL queries, packages, functions, and views for ad-hoc and recurring reports. Proficiency in Microsoft SQL Server development, troubleshooting, and optimization. Advanced skills in ETL and reporting tools such as SSIS, SSRS, Alteryx; exposure to Dataiku is a plus. Working knowledge of multiple RDBMS platforms (Oracle, Teradata) and complex SQL report development. Experience with Python for data processing and automation. Familiarity with cloud platforms, preferably Google Cloud Platform (GCP), including SQL Server on GCP. Understanding of database design principles, logical and physical data models. Ability to translate business requirements into technical specifications. Experience in application development, maintenance, and support, ideally in retail or healthcare domains. Knowledge of Software Development Life Cycle (SDLC) and documentation best practices. Strong problem-solving and analytical skills with the ability to assess business impacts and prioritize tasks. Excellent communication and collaboration skills; ability to work independently and in a team environment. Agile mindset with a focus on delivering incremental value and incorporating feedback quickly. Ability to learn new domains and data sources rapidly. Preferred Qualifications Experience with GCP/BigQuery. Exposure to front-end development (e.g., .NET/Python) is a plus. Ability to enforce best practices. Prior experience in PBM services, insurance, or healthcare. Strong presentation skills and experience engaging with business stakeholders. Bachelors Degree Education High School Diploma or GED Anticipated Weekly Hours 40Time Type Full timePay Range The typical pay range for this role is: $46,988.00 - $122,400.00 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: 01/31/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Analyst, Outreach Coordinator - Work From Home

Senior Analyst, Provider Data Services- Bulk loading

Senior Analyst, Provider Data Services- Bulk loading

Analyst, Outreach Coordinator - Work From Home

Data Strategy Analyst - Python - Work From Home

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 CVS Health is seeking an Operations Analytical Senior Analyst (Individual Contributor) to join our team. This role reports to the Senior Manager of Analytical Insights and is open to fully remote candidates across the U.S. The position plays a key role in analyzing case volumes, call volumes, staff productivity, and resource planning—critical elements for driving operational efficiency and supporting our business partners and members. As an internal analytics expert, you will provide insights for Clinical Operations (ClinOps) and support MTM and SQM business functions. The role involves working with tools such as SSIS, SSRS, Teradata, Alteryx, Dataiku, Tableau, and other analytical platforms. You will serve as the technical subject matter expert for automating data reporting from multiple sources, including Novologix, CAS, MedHok, MTM, SQM, phone systems, and Verint. Key responsibilities include: Automating manual data processes. Migrating applications to modern technologies. Preparing data for Tableau dashboards that deliver prior authorization insights and exception reporting. You will collaborate with operations teams to understand business needs and develop logic and metrics for Tableau KPIs, ensuring accurate and actionable reporting. Required Qualifications 2+ years of experience in data analytics, reporting, and database development. Strong knowledge of database technologies including PL/SQL, T-SQL, stored procedures, query optimization, and performance tuning. Hands-on experience creating SQL queries, packages, functions, and views for ad-hoc and recurring reports. Proficiency in Microsoft SQL Server development, troubleshooting, and optimization. Advanced skills in ETL and reporting tools such as SSIS, SSRS, Alteryx; exposure to Dataiku is a plus. Working knowledge of multiple RDBMS platforms (Oracle, Teradata) and complex SQL report development. Experience with Python for data processing and automation. Familiarity with cloud platforms, preferably Google Cloud Platform (GCP), including SQL Server on GCP. Understanding of database design principles, logical and physical data models. Ability to translate business requirements into technical specifications. Experience in application development, maintenance, and support, ideally in retail or healthcare domains. Knowledge of Software Development Life Cycle (SDLC) and documentation best practices. Strong problem-solving and analytical skills with the ability to assess business impacts and prioritize tasks. Excellent communication and collaboration skills; ability to work independently and in a team environment. Agile mindset with a focus on delivering incremental value and incorporating feedback quickly. Ability to learn new domains and data sources rapidly. Preferred Qualifications Experience with GCP/BigQuery. Exposure to front-end development (e.g., .NET/Python) is a plus. Ability to enforce best practices. Prior experience in PBM services, insurance, or healthcare. Strong presentation skills and experience engaging with business stakeholders. Bachelors Degree Education High School Diploma or GED Anticipated Weekly Hours 40Time Type Full timePay Range The typical pay range for this role is: $46,988.00 - $122,400.00 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: 01/31/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Associate Business Analytics

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 The MAC team is responsible for all aspects of MAC list maintenance. This includes creating new MAC lists and managing existing MAC lists, uploading MAC prices to the adjudication platform and all MAC related QC processes. The MAC team works closely with the Finance Guarantee team to help ensure client commitments are met by making MAC adjustments as appropriate. The MAC team is also responsible for reviewing and responding to all pharmacy MAC appeals and working with the Legal team to respond to any MAC related complaints from state agencies. In addition, the MAC team monitors pharmacy GER guarantees and making MAC adjustments as needed. The MAC team is also responsible for all MAC related reporting, including client and pharmacy reports. Responsibilities: MAC Pricing Compliance \& Inquiry Resolution Review and resolve pharmacy inquiries related to Maximum Allowable Cost (MAC) pricing, ensuring compliance with MAC law requirements. Data Validation \& Source Verification Validate pricing and product information using trusted sources such as Medispan, manufacturers, and wholesalers. Database Management \& Timely Communication Accurately update the Pharmacy Inquiry Database and ensure timely responses to pharmacies within established turnaround times (TAT). Market Monitoring \& Issue Escalation Identify changes in marketplace conditions and promptly escalate potential issues to pharmacists to minimize impact on pharmacies and plan members. Team Support \& Training Assist a team of coordinators by answering questions and providing training support as needed. IT Implementation Testing Monitor and perform testing activities related to IT system implementations to ensure functionality and accuracy. Regulatory Inquiry Support Research and respond to Department of Insurance (DOI) inquiries, providing accurate and timely information to state regulators. Ad Hoc Management Support Provide assistance to management with various ad hoc tasks and special projects as assigned. Required Qualifications 2–5 years of experience in: Pharmacy benefit management (PBM) Pharmaceutical pricing or reimbursement Healthcare compliance or regulatory affairs Data analysis or financial modeling Preferred Qualifications: Experience with RxClaim platform (AS 400) SAS experience Bachelor's Degree Education Bachelor's Degree preferred Anticipated Weekly Hours 40Time Type Full timePay 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: 01/26/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Data Scientist – Healthcare Journey Analytics

Senior Data Scientist – Healthcare Journey Analytics

Salesforce Engineering Manager

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 ==================== We are seeking an experienced and highly motivated Salesforce Engineering Manager to lead our team of Salesforce developers and administrators. This role is a critical part of our technology leadership, responsible for guiding a high-performing team, driving the technical vision for our Salesforce platform, and collaborating with business stakeholders to deliver impactful solutions. The ideal candidate will be a hands-on leader with a strong technical background in the Salesforce ecosystem and a passion for coaching and developing talent. Responsibilities ==================== Team Leadership and Development ----------------------------------- Lead, mentor, and manage a team of Salesforce developers and administrators Conduct regular one-on-one meetings, provide performance feedback, and support the professional growth of each team member. Foster a collaborative, inclusive, and high-trust environment that encourages innovation and technical excellence. Oversee project assignments, manage workloads, and ensure the team has the resources and tools needed to succeed. Champion best practices in development, code quality, and testing to maintain the long-term health of the Salesforce org. Management and Communication -------------------------------- Serve as the primary point of contact for business stakeholders, gathering requirements and translating business needs into technical solutions. Act as a strategic partner, advising stakeholders on the capabilities and limitations of the Salesforce platform to ensure a clear understanding of project scope and timelines. Manage a robust and transparent project intake and prioritization process, balancing stakeholder needs with team capacity, business value and existing engineering capabilities. Communicate project status, key decisions, and potential risks to senior leadership and business partners clearly and concisely. Technical Oversight and Strategy ------------------------------------ Leverage an engineering-first mindset to optimise synergies between Salesforce and existing event driven architectures, identifying and championing blended solutions without sacrificing business value. Drive the technical strategy and roadmap for the Salesforce platform, ensuring it aligns with overall business objectives. Architect and design scalable, robust, and maintainable solutions using a blend of declarative tools and programmatic methods (Apex, LWC, Visualforce). Be a champion for AI augmented development and the responsible leveraging of AI capabilities to expedite designs, increase delivery velocity and improve quality. Maintain a deep understanding of Salesforce best practices, new features, and a high-level awareness of emerging technologies. Ensure the team follows proper change management procedures, including source control, CI/CD pipelines, and deployment processes. Act as an escalation point for complex technical challenges, providing guidance and hands-on support when needed. Multi-Org Management ------------------------- Oversee technical governance and data integrity across multiple Salesforce instances, ensuring consistency and seamless integration where needed. Required Qualifications 5 years experience in Salesforce development 2 years experience of leading projects or managing directs Proven experience in stakeholder management, project prioritization, and technical roadmap development. Strong proficiency in Salesforce platform capabilities, including Apex, Lightning Web Components (LWC), and platform automation (Flow). Excellent communication, interpersonal, and problem-solving skills. Preferred Qualifications ============================ Applicants who have backgrounds in healthcare and/or Medicare systems will be given preference. Education ============= Bachelor's degree in Computer Science, Information Technology, or a related field. Salesforce certifications are a must, with a preference for a combination of Developer, Administrator, or Architect credentials. Pay Range The typical pay range for this role is: $106,605.00 - $284,280.00 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. 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: 02/05/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Actuary - AFA

Senior Actuary - Medicare Part D

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 Join a high-performing actuarial team supporting CVS Health and Aetna's exciting and growing government services pharmacy business. The primary focus is the Medicare Part D product strategy and pricing of MAPD, SNP and PDP Products. This role will focus on developing health care solutions for Medicare Part D members. The colleague provides actuarial support to ensure business strategy achieve optimal outcomes within the Medicare Advantage and PDP Markets. The colleague will work with business partners to lead analysis, reporting and process development related to pricing and bid development activities, regulatory compliance, competitive analysis, and risk-revenue analysis. The colleague will: Lead collaboration with business partners to analyze the impact of proposed legislative or regulatory reform and implement required changes in pricing activities. Collaborate with cross-functional business partners in Actuarial, Finance, Product, Growth Analytics, Government Affairs, and Underwriting to achieve desired results Take full ownership of assigned projects, manage and collaborate with others to meet deadlines and achieve goals Effectively communicate, collaborate, and share results across teams Act as a subject matter expert on assigned projects/concepts and integrate individual results with work performed by others, influencing matrix partners Anticipate and recognize matters that materially affect financial results and develop sound, unbiased recommendations on how to resolve these matters Leverage strong technical skills and critical thinking to design and achieve business solutions Influence Tool Development to improve efficiency and accuracy Required Qualifications Bachelor’s degree along with 5+ years related experience Must have ASA (Associate of the Society of Actuaries) Prior Part D, pharmacy or Medicare bid experience Experience with Microsoft Office suite, especially Excel Experience working with large and detailed data sets (SAS) Strong communication and collaboration skills Solid technical/analytical skills and attention to detail Preferred Qualifications FSA designation Experience with SAS, SQL, R, Python Pay Range The typical pay range for this role is: $118,450.00 - $260,590.00 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. 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.

Primary Care Physician

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. Title: Nurse Practitioner, Advanced Practice Provider Company: Oak Street Health Role Description: The purpose of a Nurse Practitioner at Oak Street Health is to provide effective and equitable value-based primary care to adults on medicare to keep them happy, healthy, and out of the hospital. Nurse Practitioners see patients independently and collaborate with physicians, depending on the patient’s specific situation. Nurse Practitioners provide longitudinal care and build meaningful patient relationships; this creates trust and helps our patients understand and feel connected to their care plan. Nurse Practitioners practice in our outpatient practices on a collaborative care team composed of a physician, nurse practitioner or physician assistant, medical assistants, a dedicated medical scribe, and support from registered nurses and care managers. We partner with a network of elite specialists and hospitals for specialty and acute care. As such, our healthcare providers can focus on care within the clinic: primary care, care coordination, and population health. Core Responsibilities: Provision of exceptional primary care. Conduct office visits for routine and acute issues. Administer Annual wellness visits and health risk assessments, which require a holistic view of health and a focus on thoughtful, accurate, and specific documentation. Care coordination with other providers, specialists, testing facilities, and agencies. Population health leadership, in coordination with the Care Team (e.g., making sure all eligible females get their evidence-based breast cancer screening every 2 years) Assisting the care team with phone triage and outreach. Educating patients on their health conditions, care plans, and treatments. Participating in Oak Street Health promotional activities. Conducting home visits as needed. Other duties, as assigned. This role reports to the Center Medical Director and works closely with operational leadership. Required Qualifications: Master of Science in Nursing, Doctor of Nursing Practice, or NP Certificate Program graduate National certification in at least one of the following specialties: + Family Nurse Practitioner + Adult-Gerontology Primary Care Nurse Practitioner + Adult Nurse Practitioner + Gerontological Nurse Practitioner Active, non-probationary state Nurse Practitioner license Active DEA license US Work Authorization Preferred Qualifications: Experience in primary care: internal medicine, geriatrics, or family medicine Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International Classification of Diseases-10) Coding, and Health Risk Assessments (HRAs). Passion for teamwork and the opportunity to collaborate cross-functionally Desires to be a part of an innovative model focused on empirically-guided population health Bilingual proficiency in applicable areas Anticipated Weekly Hours 40Time Type Full timePay Range The typical pay range for this role is: $87,035.00 - $187,460.00 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. 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: 12/31/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Medical Assistant

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. Title: Medical Assistant Company: Oak Street Health Role Description: The purpose of a Medical Assistant at Oak Street Health is to gather all necessary medical information regarding our patients to ensure providers have the most accurate information available when making healthcare decisions. Medical Assistants (MA) report to the Practice Manager or Center Operations Specialist. They are a vital element of our model and important members of our Care Teams. Being an MA at Oak Street Health requires high levels of flexibility, energy, attention to detail, and problem solving skills. You will be expected to build relationships with Oak Street Health members. Medical Assistants will collaborate closely with their teammates to ensure an unmatched patient experience while driving clinical results. As an MA you will accomplish this by assisting in the assessment of patients’ health conditions, through screenings and routine diagnostic testing performed during appointments. Responsibilities: Ensure an efficient patient flow; room patients in a timely manner, complete vital signs, complete required screenings and complete medication reviews Inventory supplies and stock exam rooms Respond to patient requests for telephonic support (Lab results, faxing records to specialists, etc.) In accordance with state regulations, MAs may administer vaccinations, perform point of care tests including but not limited to: A1C, spirometry, EKGs, blood draws for lab testing, etc. Import required documents into EMR via scanning or PDF upload. Participate in care team meetings to discuss patient care and clinic operations Process orders for durable medical equipment Request medical records from external providers as required by the provider As required, conduct routine quality control checks including infection control measures, equipment, and checks for expired medication and supplies and/or assist in maintaining center lab Other duties as assigned What we’re looking for Required Qualifications: State or national certification (as required by state), or graduation from an accredited medical assistant course 1 year experience as a medical assistant CPR or BLS Certification Electronic Medical Record experience Computer skills: Ability to quickly navigate and use multiple computer programs to include, but not limited to: Gmail, MS Word or Google Docs, Excel or Google Sheets, etc. Proficiency in non-English languages as required by the center's demographics. US work authorization Strongly Preferred Qualifications: Minimum of three years in a Medical Assistant role Successful mastery of the workflow in their previous MA position An appetite for expanded responsibilities, greater clinical experience, and a chance to truly make an impact in their patients’ lives Preferred Qualifications: 2 or more years of experience working with geriatric patients Phlebotomy Technician Certification Other Skills: Problem-solving skills, professional accountability, and a flexible, positive attitude Strong communication skills and customer service orientation Anticipated Weekly Hours 40Time Type Full timePay Range The typical pay range for this role is: $18.50 - $38.82 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: 03/05/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Nurse Practitioner, Advanced Practice Provider

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. Title: Nurse Practitioner, Advanced Practice Provider Company: Oak Street Health Location: Waterbury Center - 2000 N Main St STE A Waterbury, CT 06704 Role Description: The purpose of a Nurse Practitioner at Oak Street Health is to provide effective and equitable value-based primary care to adults on medicare to keep them happy, healthy, and out of the hospital. Nurse Practitioners see patients independently and collaborate with physicians, depending on the patient’s specific situation. Nurse Practitioners provide longitudinal care and build meaningful patient relationships; this creates trust and helps our patients understand and feel connected to their care plan. Nurse Practitioners practice in our outpatient practices on a collaborative care team composed of a physician, nurse practitioner or physician assistant, medical assistants, a dedicated medical scribe, and support from registered nurses and care managers. We partner with a network of elite specialists and hospitals for specialty and acute care. As such, our healthcare providers can focus on care within the clinic: primary care, care coordination, and population health. Core Responsibilities: Provision of exceptional primary care. Conduct office visits for routine and acute issues. Administer Annual wellness visits and health risk assessments, which require a holistic view of health and a focus on thoughtful, accurate, and specific documentation. Care coordination with other providers, specialists, testing facilities, and agencies. Population health leadership, in coordination with the Care Team (e.g., making sure all eligible females get their evidence-based breast cancer screening every 2 years) Assisting the care team with phone triage and outreach. Educating patients on their health conditions, care plans, and treatments. Participating in Oak Street Health promotional activities. Conducting home visits as needed. Other duties, as assigned. This role reports to the Center Medical Director and works closely with operational leadership. Required Qualifications: Master of Science in Nursing, Doctor of Nursing Practice, or NP Certificate Program graduate National certification in at least one of the following specialties: + Family Nurse Practitioner + Adult-Gerontology Primary Care Nurse Practitioner + Adult Nurse Practitioner + Gerontological Nurse Practitioner Active, non-probationary state Nurse Practitioner license Active DEA license US Work Authorization Preferred Qualifications: Experience in primary care: internal medicine, geriatrics, or family medicine Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International Classification of Diseases-10) Coding, and Health Risk Assessments (HRAs). Passion for teamwork and the opportunity to collaborate cross-functionally Desires to be a part of an innovative model focused on empirically-guided population health Bilingual proficiency in applicable areas Anticipated Weekly Hours 40Time Type Full timePay Range The typical pay range for this role is: $95,738.00 - $206,206.00 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. 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: 02/04/2027 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Nurse Practitioner

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. Title: Nurse Practitioner, Advanced Practice Provider Company: Oak Street Health Role Description: The purpose of a Nurse Practitioner at Oak Street Health is to provide effective and equitable value-based primary care to adults on medicare to keep them happy, healthy, and out of the hospital. Nurse Practitioners see patients independently and collaborate with physicians, depending on the patient’s specific situation. Nurse Practitioners provide longitudinal care and build meaningful patient relationships; this creates trust and helps our patients understand and feel connected to their care plan. Nurse Practitioners practice in our outpatient practices on a collaborative care team composed of a physician, nurse practitioner or physician assistant, medical assistants, a dedicated medical scribe, and support from registered nurses and care managers. We partner with a network of elite specialists and hospitals for specialty and acute care. As such, our healthcare providers can focus on care within the clinic: primary care, care coordination, and population health. Core Responsibilities: Provision of exceptional primary care. Conduct office visits for routine and acute issues. Administer Annual wellness visits and health risk assessments, which require a holistic view of health and a focus on thoughtful, accurate, and specific documentation. Care coordination with other providers, specialists, testing facilities, and agencies. Population health leadership, in coordination with the Care Team (e.g., making sure all eligible females get their evidence-based breast cancer screening every 2 years) Assisting the care team with phone triage and outreach. Educating patients on their health conditions, care plans, and treatments. Participating in Oak Street Health promotional activities. Conducting home visits as needed. Other duties, as assigned. This role reports to the Center Medical Director and works closely with operational leadership. Required Qualifications: Master of Science in Nursing, Doctor of Nursing Practice, or NP Certificate Program graduate National certification in at least one of the following specialties: + Family Nurse Practitioner + Adult-Gerontology Primary Care Nurse Practitioner + Adult Nurse Practitioner + Gerontological Nurse Practitioner Active, non-probationary state Nurse Practitioner license Active DEA license US Work Authorization Preferred Qualifications: Experience in primary care: internal medicine, geriatrics, or family medicine Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International Classification of Diseases-10) Coding, and Health Risk Assessments (HRAs). Passion for teamwork and the opportunity to collaborate cross-functionally Desires to be a part of an innovative model focused on empirically-guided population health Bilingual proficiency in applicable areas Anticipated Weekly Hours 40Time Type Full timePay Range The typical pay range for this role is: $87,035.00 - $187,460.00 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. 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: 12/31/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Salesforce Engineering Manager

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 ==================== We are seeking an experienced and highly motivated Salesforce Engineering Manager to lead our team of Salesforce developers and administrators. This role is a critical part of our technology leadership, responsible for guiding a high-performing team, driving the technical vision for our Salesforce platform, and collaborating with business stakeholders to deliver impactful solutions. The ideal candidate will be a hands-on leader with a strong technical background in the Salesforce ecosystem and a passion for coaching and developing talent. Responsibilities ==================== Team Leadership and Development ----------------------------------- Lead, mentor, and manage a team of Salesforce developers and administrators Conduct regular one-on-one meetings, provide performance feedback, and support the professional growth of each team member. Foster a collaborative, inclusive, and high-trust environment that encourages innovation and technical excellence. Oversee project assignments, manage workloads, and ensure the team has the resources and tools needed to succeed. Champion best practices in development, code quality, and testing to maintain the long-term health of the Salesforce org. Management and Communication -------------------------------- Serve as the primary point of contact for business stakeholders, gathering requirements and translating business needs into technical solutions. Act as a strategic partner, advising stakeholders on the capabilities and limitations of the Salesforce platform to ensure a clear understanding of project scope and timelines. Manage a robust and transparent project intake and prioritization process, balancing stakeholder needs with team capacity, business value and existing engineering capabilities. Communicate project status, key decisions, and potential risks to senior leadership and business partners clearly and concisely. Technical Oversight and Strategy ------------------------------------ Leverage an engineering-first mindset to optimise synergies between Salesforce and existing event driven architectures, identifying and championing blended solutions without sacrificing business value. Drive the technical strategy and roadmap for the Salesforce platform, ensuring it aligns with overall business objectives. Architect and design scalable, robust, and maintainable solutions using a blend of declarative tools and programmatic methods (Apex, LWC, Visualforce). Be a champion for AI augmented development and the responsible leveraging of AI capabilities to expedite designs, increase delivery velocity and improve quality. Maintain a deep understanding of Salesforce best practices, new features, and a high-level awareness of emerging technologies. Ensure the team follows proper change management procedures, including source control, CI/CD pipelines, and deployment processes. Act as an escalation point for complex technical challenges, providing guidance and hands-on support when needed. Multi-Org Management ------------------------- Oversee technical governance and data integrity across multiple Salesforce instances, ensuring consistency and seamless integration where needed. Required Qualifications 5 years experience in Salesforce development 2 years experience of leading projects or managing directs Proven experience in stakeholder management, project prioritization, and technical roadmap development. Strong proficiency in Salesforce platform capabilities, including Apex, Lightning Web Components (LWC), and platform automation (Flow). Excellent communication, interpersonal, and problem-solving skills. Preferred Qualifications ============================ Applicants who have backgrounds in healthcare and/or Medicare systems will be given preference. Education ============= Bachelor's degree in Computer Science, Information Technology, or a related field. Salesforce certifications are a must, with a preference for a combination of Developer, Administrator, or Architect credentials. Pay Range The typical pay range for this role is: $106,605.00 - $284,280.00 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. 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: 02/05/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Associate Business Analytics

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 The MAC team is responsible for all aspects of MAC list maintenance. This includes creating new MAC lists and managing existing MAC lists, uploading MAC prices to the adjudication platform and all MAC related QC processes. The MAC team works closely with the Finance Guarantee team to help ensure client commitments are met by making MAC adjustments as appropriate. The MAC team is also responsible for reviewing and responding to all pharmacy MAC appeals and working with the Legal team to respond to any MAC related complaints from state agencies. In addition, the MAC team monitors pharmacy GER guarantees and making MAC adjustments as needed. The MAC team is also responsible for all MAC related reporting, including client and pharmacy reports. Responsibilities: MAC Pricing Compliance \& Inquiry Resolution Review and resolve pharmacy inquiries related to Maximum Allowable Cost (MAC) pricing, ensuring compliance with MAC law requirements. Data Validation \& Source Verification Validate pricing and product information using trusted sources such as Medispan, manufacturers, and wholesalers. Database Management \& Timely Communication Accurately update the Pharmacy Inquiry Database and ensure timely responses to pharmacies within established turnaround times (TAT). Market Monitoring \& Issue Escalation Identify changes in marketplace conditions and promptly escalate potential issues to pharmacists to minimize impact on pharmacies and plan members. Team Support \& Training Assist a team of coordinators by answering questions and providing training support as needed. IT Implementation Testing Monitor and perform testing activities related to IT system implementations to ensure functionality and accuracy. Regulatory Inquiry Support Research and respond to Department of Insurance (DOI) inquiries, providing accurate and timely information to state regulators. Ad Hoc Management Support Provide assistance to management with various ad hoc tasks and special projects as assigned. Required Qualifications 2–5 years of experience in: Pharmacy benefit management (PBM) Pharmaceutical pricing or reimbursement Healthcare compliance or regulatory affairs Data analysis or financial modeling Preferred Qualifications: Experience with RxClaim platform (AS 400) SAS experience Bachelor's Degree Education Bachelor's Degree preferred Anticipated Weekly Hours 40Time Type Full timePay 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: 01/26/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Salesforce Engineering Manager

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 ==================== We are seeking an experienced and highly motivated Salesforce Engineering Manager to lead our team of Salesforce developers and administrators. This role is a critical part of our technology leadership, responsible for guiding a high-performing team, driving the technical vision for our Salesforce platform, and collaborating with business stakeholders to deliver impactful solutions. The ideal candidate will be a hands-on leader with a strong technical background in the Salesforce ecosystem and a passion for coaching and developing talent. Responsibilities ==================== Team Leadership and Development ----------------------------------- Lead, mentor, and manage a team of Salesforce developers and administrators Conduct regular one-on-one meetings, provide performance feedback, and support the professional growth of each team member. Foster a collaborative, inclusive, and high-trust environment that encourages innovation and technical excellence. Oversee project assignments, manage workloads, and ensure the team has the resources and tools needed to succeed. Champion best practices in development, code quality, and testing to maintain the long-term health of the Salesforce org. Management and Communication -------------------------------- Serve as the primary point of contact for business stakeholders, gathering requirements and translating business needs into technical solutions. Act as a strategic partner, advising stakeholders on the capabilities and limitations of the Salesforce platform to ensure a clear understanding of project scope and timelines. Manage a robust and transparent project intake and prioritization process, balancing stakeholder needs with team capacity, business value and existing engineering capabilities. Communicate project status, key decisions, and potential risks to senior leadership and business partners clearly and concisely. Technical Oversight and Strategy ------------------------------------ Leverage an engineering-first mindset to optimise synergies between Salesforce and existing event driven architectures, identifying and championing blended solutions without sacrificing business value. Drive the technical strategy and roadmap for the Salesforce platform, ensuring it aligns with overall business objectives. Architect and design scalable, robust, and maintainable solutions using a blend of declarative tools and programmatic methods (Apex, LWC, Visualforce). Be a champion for AI augmented development and the responsible leveraging of AI capabilities to expedite designs, increase delivery velocity and improve quality. Maintain a deep understanding of Salesforce best practices, new features, and a high-level awareness of emerging technologies. Ensure the team follows proper change management procedures, including source control, CI/CD pipelines, and deployment processes. Act as an escalation point for complex technical challenges, providing guidance and hands-on support when needed. Multi-Org Management ------------------------- Oversee technical governance and data integrity across multiple Salesforce instances, ensuring consistency and seamless integration where needed. Required Qualifications 5 years experience in Salesforce development 2 years experience of leading projects or managing directs Proven experience in stakeholder management, project prioritization, and technical roadmap development. Strong proficiency in Salesforce platform capabilities, including Apex, Lightning Web Components (LWC), and platform automation (Flow). Excellent communication, interpersonal, and problem-solving skills. Preferred Qualifications ============================ Applicants who have backgrounds in healthcare and/or Medicare systems will be given preference. Education ============= Bachelor's degree in Computer Science, Information Technology, or a related field. Salesforce certifications are a must, with a preference for a combination of Developer, Administrator, or Architect credentials. Pay Range The typical pay range for this role is: $106,605.00 - $284,280.00 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. 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: 02/05/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Senior Data Scientist – Healthcare Journey Analytics

Data Strategy Analyst - Python - Work From Home

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 CVS Health is seeking an Operations Analytical Senior Analyst (Individual Contributor) to join our team. This role reports to the Senior Manager of Analytical Insights and is open to fully remote candidates across the U.S. The position plays a key role in analyzing case volumes, call volumes, staff productivity, and resource planning—critical elements for driving operational efficiency and supporting our business partners and members. As an internal analytics expert, you will provide insights for Clinical Operations (ClinOps) and support MTM and SQM business functions. The role involves working with tools such as SSIS, SSRS, Teradata, Alteryx, Dataiku, Tableau, and other analytical platforms. You will serve as the technical subject matter expert for automating data reporting from multiple sources, including Novologix, CAS, MedHok, MTM, SQM, phone systems, and Verint. Key responsibilities include: Automating manual data processes. Migrating applications to modern technologies. Preparing data for Tableau dashboards that deliver prior authorization insights and exception reporting. You will collaborate with operations teams to understand business needs and develop logic and metrics for Tableau KPIs, ensuring accurate and actionable reporting. Required Qualifications 2+ years of experience in data analytics, reporting, and database development. Strong knowledge of database technologies including PL/SQL, T-SQL, stored procedures, query optimization, and performance tuning. Hands-on experience creating SQL queries, packages, functions, and views for ad-hoc and recurring reports. Proficiency in Microsoft SQL Server development, troubleshooting, and optimization. Advanced skills in ETL and reporting tools such as SSIS, SSRS, Alteryx; exposure to Dataiku is a plus. Working knowledge of multiple RDBMS platforms (Oracle, Teradata) and complex SQL report development. Experience with Python for data processing and automation. Familiarity with cloud platforms, preferably Google Cloud Platform (GCP), including SQL Server on GCP. Understanding of database design principles, logical and physical data models. Ability to translate business requirements into technical specifications. Experience in application development, maintenance, and support, ideally in retail or healthcare domains. Knowledge of Software Development Life Cycle (SDLC) and documentation best practices. Strong problem-solving and analytical skills with the ability to assess business impacts and prioritize tasks. Excellent communication and collaboration skills; ability to work independently and in a team environment. Agile mindset with a focus on delivering incremental value and incorporating feedback quickly. Ability to learn new domains and data sources rapidly. Preferred Qualifications Experience with GCP/BigQuery. Exposure to front-end development (e.g., .NET/Python) is a plus. Ability to enforce best practices. Prior experience in PBM services, insurance, or healthcare. Strong presentation skills and experience engaging with business stakeholders. Bachelors Degree Education High School Diploma or GED Anticipated Weekly Hours 40Time Type Full timePay Range The typical pay range for this role is: $46,988.00 - $122,400.00 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: 01/31/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Data Scientist – Healthcare Journey Analytics

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At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary: Designs, develops, and implements digital solutions and systems by applying advanced technical expertise to architect and code software applications, conduct system testing and debugging, collaborate with cross-functional teams, and contribute to the overall technical direction and innovation of digital engineering projects. A brief Overview Designs, develops, and implements digital solutions and systems by applying advanced technical experti

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