Clinical Integrity 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 As a Senior Product Manager, you will lead product strategy and roadmap development for the organization's Epic electronic health record (EHR) platform and integrated clinical informatics tools. You will own the product strategy and requirements for our Revenue Cycle Management (RCM) domain, which is focused on CDI, coding, billing, collections, integrity and analytics. These are critical for ensuring the end to end workflow from accurate clinical documentation to appropriate coding and A/R completeness. You’ll apply deep Epic platform expertise, user-centric design, and agile methodologies to drive adoption, quality, and safety across enterprise informatics initiatives to improve healthcare delivery for our patients. What You'll Do Responsible for defining the product vision and strategic direction for your Epic Domain, ensuring continuous alignment with senior business and engineering leaders. You'll translate high-level business goals into a clear, actionable product strategy that are tied to OKRs. Partner with business stakeholders to define the product roadmap, overseeing day-to-day backlog management and prioritization to ensure alignment with your strategic vision. You will assess value and develop business cases to inform the nature and scope of new initiatives. This includes evaluating buy vs. build opportunities and identifying

Opportunity Overview: We are looking for a Lead Forward Deployed Automation Strategist to play a key role in delivering value for our Platform-as-a-Service (PaaS) customers. Reporting into our Senior Manager, PaaS Value Delivery, you will be part of a small, fast-paced team working directly with clients to strategically design, execute, and maintain a robust prior authorization decisioning automation program. Ultimately, the work you do will have a direct impact on the growth of the company and our ability to assist more patients at a time in their healthcare journey when they need help most. What you’ll do: Consult Platform-as-a-Service (PaaS) clients on designing an optimal decision automation program that maximizes platform value Translate complex client requirements into a detailed technical blueprints for development teams to leverage when implementing new clients Collaborate with Product, Development, Design, and Engineering teams in scoping new functionality, or enhancing existing functionality, to meet client automation needs Develop strategic roadmaps related to continuous improvement of decision automation performance in order to drive increased value for clients Analyze authorization data and leverage data visualization softwares to build and maintain analytical reports that inform internal and external stakeholders on platform performance Ensure client’s KPIs are met and ensure end-to-end automation success for each client through each stage of customer lifecycle Identify opportunities to scale and improve consultation workflows What you’ll need: 8+ years experience working in a client facing role; Demonstrated expertise in building client relationships and driving client engagement, value, and satisfaction Understanding of healthcare systems, medical terminologies, clinical workflows, and regulations Ability to navigate ethical dilemmas in healthcare data management and analysis while upholding professional standards and integrity Advanced Profici

Opportunity Overview: We are looking for a Sr. Forward Deployed Automation Strategist to play a key role in delivering value for our Platform-as-a-Service (PaaS) customers. Reporting into our Senior Manager, PaaS Value Delivery, you will be part of a small, fast-paced team working directly with clients to strategically design, execute, and maintain a robust prior authorization decisioning automation program. Ultimately, the work you do will have a direct impact on the growth of the company and our ability to assist more patients at a time in their healthcare journey when they need help most. What you’ll do: Consult Platform-as-a-Service (PaaS) clients on designing an optimal decision automation program that maximizes platform value Translate complex client requirements into a detailed technical blueprints for development teams to leverage when implementing new clients Collaborate with Product, Development, Design, and Engineering teams in scoping new functionality, or enhancing existing functionality, to meet client automation needs Develop strategic roadmaps related to continuous improvement of decision automation performance in order to drive increased value for clients Analyze authorization data and leverage data visualization softwares to build and maintain analytical reports that inform internal and external stakeholders on platform performance Ensure client’s KPIs are met and ensure end-to-end automation success for each client through each stage of customer lifecycle Identify opportunities to scale and improve consultation workflows What you’ll need: 5+ years experience working in a client facing role; Demonstrated expertise in building client relationships and driving client engagement, value, and satisfaction Understanding of healthcare systems, medical terminologies, clinical workflows, and regulations Ability to navigate ethical dilemmas in healthcare data management and analysis while upholding professional standards and integrity Advanced Proficie

Opportunity Overview: We are seeking a technology-savvy clinical leader with strong Utilization Management (UM) expertise to join Cohere Health as the Clinical Integrity Director. Reporting to the Vice President of Clinical Integrity, this role is a program-level operational leader responsible for managing the day-to-day integrity, governance, and readiness of Cohere's clinical programs and technology-enabled solutions. While the Vice President sets enterprise strategy and provides executive-level clinical oversight, the Director owns the operational programs that bring that strategy to life. This leader manages clinical integrity workstreams end-to-end — from governance documentation and product testing to implementation readiness and cross-functional coordination — ensuring nothing falls through the cracks as Cohere scales. The Director works across Clinical Operations, Product, Engineering, Client Success, and Compliance to ensure clinical integrity is operationalized consistently. This role requires someone who can manage multiple concurrent workstreams, drive accountability across teams, and step in hands-on when needed. This is a remote-first role that may require travel to Boston, MA for new hire onboarding and occasional in-person team meetings and company events. What you’ll do: Own and manage clinical integrity governance programs, including reviews, documentation, tracking, frameworks, checklists, and dashboards across all active programs Manage the clinical impact assessment process for policy changes, product updates, and regulatory shifts — escalating findings to the VP as needed Own the clinical requirements pipeline by managing intake, prioritization, and delivery of clinical requirements to Product and Engineering teams Manage the end-to-end process for translating regulatory and clinical changes into product specifications, ensuring timelines and dependencies are tracked Own the operational readiness program for product releases and client im

Become a part of our caring community As a Care Management Support Assistant, you will help members take the next step toward better health and well-being. You will do this by connecting with them over the phone, completing important non-clinical assessments, identifying barriers to care, and helping them access resources and benefits. We are looking for people who show compassion and document customer issues in detail, can work in a call center environment, and motivate themselves through work that directly supports members and care teams. This is a remote position, and the assigned shift will be 11:30 AM–8:00 PM Eastern Standard Time. Job Description What You Will Do Engage members by phone to encourage participation in care management programs. Complete required assessments and questionnaires to help identify health risks, care needs, and opportunities for clinical team follow-up. Assist members who need support scheduling doctor’s appointments or connecting with appropriate care resources. Identify and help address barriers to preventive screenings, benefits, and health-related services so members can close gaps in care. Support members in understanding, retaining, and accessing benefits that contribute to their overall health and well-being. Manage both inbound and outbound calls in an auto-dialer environment while documenting member information. What Success Looks Like You create a positive member experience by treating each interaction with respect, patience, and professionalism You demonstrate compassion, integrity, and sound judgment when supporting members with sensitive health-related needs You listen to

POSITION SUMMARY You will be responsible for managing the clinical sample logistics function for Pfizer’s vaccine clinical portfolio, ensuring samples are transported safely, compliantly, and reliably across domestic and international clinical trial networks to the Pearl River, NY biorepository and then distributed to our network of internal and external testing laboratories. You will lead an end-to-end logistics strategy from study start-up through operations and finally sample disposition. Your responsibilities include leading a large team, improving global logistics capabilities, advancing digital and automation initiatives, and partnering with Vaccines, Quality, Legal, Finance, Compliance, clinical study teams, couriers, and technology vendors. You will be accountable for maintaining sample integrity, enabling global clinical trial execution, and developing scalable logistics processes to support Pfizer’s vaccine pipeline. KEY RESPONSIBILITIES Lead the global sample logistics function--Provide strategic and operational leadership for a team of 40+ colleagues responsible for domestic and international shipment execution, study start-up support, ongoing operations, and clinical sample lifecycle management. Shape long-term sample logistics strategy. Develop scalable operating models, governance frameworks, and business continuity plans that support pipeline growth, clinical trial expansion, and evolving global regulatory expectations. Protect sample integrity and compliance. Ensure reliable, temperature-controlled movement of clinical biological samples while maintaining adherence to applicable FDA, EMA, IATA, DOT, CDC, trade compliance, GCLP, and Pfizer quality requirements. Advance inspection readiness and quality oversight. Maintain robust documentation and audit-ready processes for deviation management, CAPAs, change controls, an