Jobs at CVS Health

The Territory Sales Executive sells CVS specialty pharmacy services to healthcare providers, formulates marketing plans, and measures success through sales metrics and client satisfaction.

The Account Manager collaborates with Account Directors, builds and maintains client and broker relationships, provides administrative support, and monitors market trends to enhance client retention and growth.

Serve as client-facing facilitator between account teams and rebate/financial operations to manage contractual rebate reporting, payments, reconciliations, and escalations. Perform trend analysis, quality inspection of reports, lead projects and issue resolution, create project tracking tools, and communicate updates to stakeholders and Finance leadership to improve processes and client satisfaction.

Lead a data engineering team building financial analytic datasets: design and deliver ETL/ELT pipelines, optimize performance, enforce data quality and governance, document workflows, mentor engineers, and architect cloud data infrastructure (GCP/AWS/Azure, BigQuery).

This role involves reviewing prior authorizations for health services, utilizing clinical skills, and communicating care management programs to members and providers.

Lead database quality engineering for the Wellpartner platform: develop test strategies and plans for backend, ETL/EDI and data warehouse solutions; perform advanced SQL testing and performance analysis; maintain back-end test environments; supervise and mentor database testers; lead disaster recovery and business continuity testing; report defects and test metrics; ensure platform availability, scalability, security and compliance.

Lead enterprise Knowledge Management strategy across IT, consolidate knowledge bases into ServiceNow, embed knowledge capture into engineering workflows, chair governance, integrate KM with CMDB/CSDM, use metrics and generative AI to increase self-service and reduce MTTR.

Reviews and adjudicates medical claims, providing guidance on escalated issues, ensuring compliance, and mentoring team members for improved performance.

Lead program management for Provider Experience initiatives to improve provider NPS and feedback measures. Coordinate cross-functional stakeholders, prioritize operational improvements, develop leadership presentations, translate insights into strategic actions, and monitor progress, risks, and dependencies across a complex portfolio.

Lead training and support initiatives for client support staff, maintaining curricula, delivering onboarding and upskill sessions, updating documentation, analyzing training data, supporting escalations, and collaborating cross-functionally to improve processes and ensure consistent, high-quality service.

The Senior Manager - Digital Product Manager at CVS Health will oversee software development phases, enhance customer experiences, and collaborate with cross-functional teams on complex health products.

Lead compliance operations for Meritain Health by managing a team to monitor regulatory developments, assess complex compliance risks, coordinate cross-functional implementation of requirements, develop corrective actions and policies, track trends, and support executive priorities to ensure operational governance and regulatory adherence.

Designs, develops, and implements digital solutions and systems, collaborates with teams, writes code, conducts testing, and ensures software quality and scalability.

Lead analytics for Medicare Advantage value-based contracts, providing medical cost and outcomes research, financial modeling, performance monitoring, and strategic recommendations. Manage complex provider relationships, ensure contract compliance, drive provider performance, advise on negotiations and deal terms, and integrate reporting to meet financial, clinical, and efficiency targets.

Lead design, build, and operation of an on-prem AI compute platform (GPU, storage, network, Kubernetes/OpenShift). Establish SRE practices, 24/7 operations, observability, security/compliance, vendor and budget ownership, and hire and develop teams to ensure >99.99% availability and long-term operational sustainability.

Lead digital product strategy and roadmap for Pharmacy Services. Manage a cross-functional "five-in-a-box" product leadership team, deliver customer-facing product outcomes, define OKRs, drive discovery and data-driven decisions, coach product managers, partner with GM, Design, Engineering, and Data to align stakeholders and measure product health.

The Epic EHR Development Lead oversees design, development, and optimization of Epic EHR solutions, leading teams to enhance patient care and organizational performance while ensuring compliance and best practices.

The Principal Software Engineer will lead the technical vision for cloud-native applications, mentor engineers, and ensure high standards in architecture and development.

Responsible for designing financial models and analytics for PBM, guiding and consulting with internal teams to achieve business results.

Senior technical leader responsible for architecting and building cloud-native, microservices-based platforms with AI capabilities. Lead design and delivery of scalable search and AI solutions (LLMs, RAG), data pipelines, search optimization (Elastic/OpenSearch/Solr), CI/CD and DevOps adoption, observability, and mentor engineering teams while driving responsible AI practices and stakeholder collaboration.