Care Management Specialist Jobs

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 App Messaging Product Manager owns the vision, strategy, roadmap, and performance of app messaging capabilities that support customer engagement across digital channels. This role serves as the primary liaison between business, marketing, technology, and analytics teams, translating customer and business needs into scalable product solutions. The Product Manager drives prioritization, experimentation, measurement frameworks, and continuous optimization to improve engagement, adoption, and customer experience. Success in this role requires strong product leadership, stakeholder management, analytical rigor, and the ability to influence cross-functional teams to deliver high-impact outcomes. Required Qualifications · 5&#43; years of digital product management or ownership, or customer engagement experience. · 5&#43; years of experience defining product strategy, roadmaps, and requirements for customer-facing digital products. · 5&#43; years of experience working in healthcare, retail, loyalty, or customer engagement environments. <sp

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 Omnicare is a leading provider of pharmacy services to long-term care facilities nationwide, supporting skilled nursing facilities, assisted living communities, and other institutional care settings. As we transition to an independent, standalone organization, we are building and strengthening internal capabilities to support our approximately 6,000 colleagues and multi-state operations. This role serves as the primary customer contact, maintaining regular communication by phone, email, or in-person, in order to provide support and resolve issues. This person advocates for both the customer and pharmacy as appropriate, helping drive high customer satisfaction and retention. General Responsibilities Build strong client relationships by consistently delivering client interactions that develop trust and show value. Attend client meetings as needed within LTC ( long-term care ) facilities. Develop cadence of regular, proactive client meetings to establish strong connectivity with key stakeholders; deliver quarterly Executive Reviews to facility leadership to review business deliverables and evaluate new opportunities. Identify at-risk accounts and consult with internal partners to assist with development of action plans to address customer risks and opportunities; update customer on progress. Manage routine client su

Who We Are At Justworks, you’ll enjoy a welcoming and casual environment, great benefits, wellness program offerings, company retreats, and the ability to interact with and learn from leaders in the startup community. We work hard and care about our most prized asset - our people. We’re helping businesses get off the ground by enabling them to focus on running their business. We solve HR issues. We’re data-driven and never stop iterating. If you’d like to work in a supportive, entrepreneurial environment, are interested in building something meaningful and having fun while doing it, we’d love to hear from you. We're united by shared goals and shared motivations at Justworks. These are best summed up in our company values, which are reflected in our product and in our team. Our Values If this sounds like you, you’ll fit right in. About the Role Justworks is looking for a Strategic Partnerships Program Manager to help turn our most important partnerships into scalable, successful growth opportunities. Sitting within Revenue Strategy, this individual contributor role will work closely with our Partnerships and Business Development teams to translate complex partnership opportunities into coordinated execution plans and measurable business outcomes. Bringing a partnership to life often requires many parts of the business to move together—from designing the customer journey and go-to-market motion to enabling product and technology capabilities, operational processes, financial models, marketing programs, and reporting. You will serve as the cross-functional quarterback for these initiatives, connecting the strategy and commercial intent of a partnership with the teams and capabilities required to successfully launch it. We’re looking for someone who combines strong strategic thinking and commercial instincts with exceptional project management and cross-functional leadership. You can take an ambiguous, complex opportunity, break it into a clear plan, anticipate what cou

Become a part of our caring community The Clinical Programs Pharmacist Lead will be a part of a collaborative Pharmacy Stars team which is accountable for Humana’s Stars patient safety measure performance. The Clinical Pharmacist Lead autonomously develops, implements, and manages clinical program strategies to improve Medicare members' medication adherence and appropriate medication use. The Clinical Pharmacist lead exercises independent judgment and decision making on complex issues regarding job duties and related tasks, works under minimal supervision, and analyzes variable factors to determine the best course of action. Use your skills to make an impact Required Qualifications Degree of Doctor of Pharmacy (PharmD or RPh) from an accredited School of Pharmacy Active, unrestricted pharmacy licensure 5&#43; years of clinical experience in managed care or pharmacy related field, or equivalent Proficient in Microsoft Office applications (especially Word, Excel, and PowerPoint) Excellent written and oral communication skills Thrives in a fast paced, multi-project work environment while still ensuring attention to detail Successful track record in facilitating and consulting across teams and managing projects Strategic thinking and planning capabilities, organized, and detail-oriented Ability to learn quickly, work under pressure and timeline, work with ambiguity, and make complex decisions as necessary to meet business need Ability to assimilate, analyze, draw conclusions, and make recommendations from complex data Preferred Qualifications Previous experience in Medicare Stars Managed care and/or community pharmacy experience or residency/fellowship Previous experience in clinical program development and leader

Job Title Customer Project Manager (Arizona, New Mexico, Texas, California) Job Description Drive high-impact healthcare delivery at Philips as a Customer Project Manager, leading multiple complex end-to-end patient monitoring, therapeutic care, IT, and capital equipment implementations while guiding cross-functional clinical and technical teams to achieve seamless, statement-of-work-driven outcomes and an exceptional customer experience. Your role: Coordinate, lead, and motivate cross‑functional internal and external sales, clinical, and technical teams in partnership with hospital‑assigned project managers and key stakeholders. Develop and manage comprehensive project plans using Philips project management methodology and tools. Create and maintain detailed work breakdown structures (WBS) to define scope, deliverables, and execution timelines. Lead change, risk, communication, stakeholder, and resource management planning to ensure project alignment and issue mitigation. Ensure projects are delivered in accordance with the statement of work, driving successful implementation and a positive customer experience. You're the right fit if: You’ve acquired 2&#43; years of experience in IT project management (healthcare environment is preferred). Project management and/or Lean certifications are a big plus. Your skills include 4&#43; years of experience with MS Project, MS Office Suite, Salesforce.com and other standardized Project Management tools and documentation. You have at least a bachelor’s degree in a clinical field, computer science, information technology, project management, a similar field or 6&#43; years of relevant experience. You must be able to successfully perform the following minimum Physical, Cognitive and Environmental

The pay range is $58,100.00 - $104,600.00 Pay is based on several factors which vary based on position. These include labor markets and in some instances may include education, work experience and certifications. In addition to your pay, Target cares about and invests in you as a team member, so that you can take care of yourself and your family. Target offers eligible team members and their dependents comprehensive health benefits and programs, which may include medical, vision, dental, life insurance and more, to help you and your family take care of your whole selves. Other benefits for eligible team members include 401(k), employee discount, short term disability, long term disability, paid sick leave, paid national holidays, and paid vacation. Find competitive benefits from financial and education to well-being and beyond at https://corporate.target.com/careers/benefits . About us: Working at Target means helping all families discover the joy of everyday life. We bring that vision to life through our values and culture. Learn more about Target here . Marketing Associate – Frequency Marketing As a Marketing Associate , you will play an important role in bringing Target’s marketing strategies to life

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 122,000 colleagues serve people in more than 160 countries. JOB DESCRIPTION: Working at Abbott At Abbott, you can do work that matters, grow, and learn, care for yourself and your family, be your true self, and live a full life. You’ll also have access to: Career development with an international company where you can grow the career you dream of. Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year. An excellent retirement savings plan with a high employer contribution. Tuition reimbursement, the Freedom 2 Save student debt program, and FreeU education benefit - an affordable and convenient path to getting a bachelor’s degree. A company recognized as a great place to work in dozens of countries worldwide and

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 122,000 colleagues serve people in more than 160 countries. JOB DESCRIPTION: Working at Abbott At Abbott, you can do work that matters, grow, and learn, care for yourself and your family, be your true self, and live a full life. You'll also have access to: Career development with an international company where you can grow the career you dream of. Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year. An excellent retirement savings plan with a high employer contribution. A company recognized as a great place to work in dozens of countries worldwide and named one of the most admired companies in the world by Fortune . A company recognized as one of the best big companies to work for, as well as one of the best places to work for diversity, working mothers, female executives, and scientists. The Opportunity This position works out of our Madison, WI location within the Cancer Diagnostics business. <

ROLE SUMMARY Pfizer Commercial Oncology is introducing the world to the next era of cancer care. With a growing portfolio of novel therapies, industry-leading R&D, and a goal of delivering eight breakthroughs by 2030 across major cancer types, we're translating cutting-edge science into market-shaping impact. Here, you'll partner with exceptional colleagues across scientific, medical, and manufacturing teams, backed by advanced digital and AI-enabled infrastructure and the authority to accelerate medicines from discovery to delivery. Guided by our values of courage, excellence, equity, and joy, you'll have the opportunity to stretch your skills and build a career that evolves with you—across teams, roles, and the Pfizer enterprise. Join us to make history — for patients, for their families, for the future. IBRANCE changed the treatment paradigm for metastatic breast cancer when it launched in 2015. As the brand approaches loss of exclusivity (LOE), this role owns its omnichannel and HCP marketing engine through the LOE timeframe and then carries that same omnichannel discipline forward to stand up NPP and digital execution for the Oncology Business Unit's next wave of breast cancer launches. This is a role for a marketing leader who thrives on solving complex problems in a competitive market and wants both halves of the brand lifecycle; defending an in-line asset through the tape, and building the omnichannel foundation a new set of launches will be built on. This individual must be able to excel in a fast-paced, matrixed environment, make immediate business impact, think outside the box, and actively contribute to a positive team culture. This role will focus on non-personal promotion (NPP), owning IBRANCE's nonpromotional strategy and digital/omnichannel execution (paid search, organic search, paid social, web analytics, search AI, media strategy,

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 122,000 colleagues serve people in more than 160 countries. JOB DESCRIPTION: Abbott is a global healthcare leader, creating breakthrough science to improve people’s health. We’re always looking towards the future, anticipating changes in medical science and technology. Working at Abbott At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You’ll also have access to: Career development with an international company where you can grow the career you dream of. Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year. An excellent retirement savings plan with high employer contribution Tuition reimbursement, the Freedom 2 Save student debt program and FreeU education benefit - an affordable and convenient path to getting a bachelor’s degree. A company recognized as a great place to work in dozens of countries around the world and named one of the most admired companies in the world by Fortune. The Opportunity Abbott is a global healthcare leader that helps people live more fully at all stages of life.

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 115,000 colleagues serve people in more than 160 countries. JOB DESCRIPTION: Clinical Research Associate II Working at Abbott At Abbott, you can do work that matters, grow, and learn, care for yourself and your family, be your true self, and live a full life. You’ll also have access to: Career development with an international company where you can grow the career you dream of. Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year. An excellent retirement savings plan with a high employer contribution. Tuition reimbursement, the Freedom 2 Save student debt program, and FreeU education benefit - an affordable and convenient path to getting a bachelor’s degree. A company recognized as a great place to work in dozens of countries worldwide and named one of the most admired companies in the world by Fortune. A company that is recognized as one of the best big companies to work for as well as the best place to work for diversity, working mothers, female executives, and scientists. The Opportunity The CRA II will assist in the clinical execution and management of all aspects of assigned clinical studies. This includes but not limited to planning and implementati

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 actuarial professional to support Medicaid managed care pricing evaluation, financial performance management, and strategic decision-making. This role requires a strong combination of actuarial expertise, business acumen, technical proficiency, and leadership capability. The successful candidate will serve as a key partner to market leadership, finance, and operational stakeholders while providing guidance and oversight to actuarial analysts supporting complex Medicaid markets. This position is ideal for an actuary with strong project management skills who can balance short-term deliverables and ad hoc requests with long-term strategic initiatives, thrive in a dynamic environment, and independently develop analyses to address emerging business questions. Medicaid Pricing and Actuarial Analysis • Lead actuarial evaluation of state capitation pricing and forecasting for Medicaid managed care programs. • Evaluate and interpret complex state rate-setting methodologies, risk adjustment programs, acuity adjustments, and regulatory requirements. • Assess revenue, medical cost, utilization, and margin drivers to identify emerging trends and business risks. • Summarize and communicate actuarial analysis for business leadership. Strategic Business Support • Partner with market, product, finance, and operations tea

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 Supervisor of Service Operations will maintain oversight of a team of claim processors and all claim related functions for Medicaid Claim Operations. We are seeking a highly motivated individual who will establish a clear vision aligned with company values and team goals. The claim Supervisor works with staff to align daily processing activities to successfully meet Health Plan metrics. Responsibilities will include: Managing a team of claim processors and overseeing daily operations for assigned health plan to achieve state required metrics. Manage employee performance and development. Identifies risks and barriers and collaborates with business partners to improve processes. Coaches and mentors team members, assisting with complex questions and customer interactions. Acts as liaison between staff and other areas, communicating workflow results, ideas, and solutions. Completes various business reports, including tracking, trending and results. Works with the Medicaid leadership team to allocate resources to meet volume and performance standards. Builds a cohesive team through collaboration, inclusion, and diverse thinking. Ability to work in a fast-paced production environment. Required Qualific

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, Market Intelligence will lead strategic workstreams end-to-end, directing team analysis and shaping executive-ready recommendations on the enterprise's most important growth and corporate development questions. Partnering closely with the Enterprise Strategy team, this role drives market research, competitive analysis, and project management to identify growth opportunities, assess markets, and support M&A and partnership evaluation. The Senior Manager will leverage AI-enabled research and market intelligence tools to accelerate insight generation and inform enterprise decision-making, while coaching junior colleagues and building alignment across senior stakeholders. Key Responsibilities Lead one or more Market Intelligence workstreams by defining scope, structuring plans, and adjusting course as priorities evolve. Analyze market trends, competitive dynamics, macroeconomic factors, and growth opportunities to shape strategic recommendations. Direct hypothesis-driven analysis, ensuring insights are accurate, timely, and decision-ready. Synthesize qualitative and quantitative insights into clear points of view by challenging assumptions, reconciling differing perspectives, and connecting findings to broader strategic implications. Craft executive-ready narratives, business cases, and recommendations

About Prodigal Prodigal is the connected AI platform leading financial institutions use to run their operations. We work with banks, lenders, credit unions, and other financial companies that lend money to people and manage those relationships over time. These institutions make millions of high-stakes decisions every day. Who should they reach? When should they reach them? What should they say or offer? When should a case move to a human? How should that change based on the borrower, the account, previous interactions, and the regulations involved? Getting those decisions right requires a deep understanding of the people, processes, rules, and edge cases behind them. Prodigal has spent the last eight years building that understanding. More than a billion interactions between financial institutions and their customers have shaped the intelligence, guardrails, and AI agents we now run in production across North America. Today, our AI agents analyze conversations, capture context, guide human agents, decide the next action, conduct customer conversations, orchestrate outreach, and help people complete payments and resolutions. They are connected, so what is learned in one interaction can inform what happens next. We are expanding this swarm of AI agents across more of the work financial institutions do: originations, document processing, back-office workflows, servicing, and other critical operations where money, identity, people, and regulation intersect. We are backed by Y Combinator, Accel, and Menlo Ventures, and work with 100+ financial institutions across North America. Listen directly from our CTO, Cofounder - Sangram Raje About the Role We're looking for a Customer Success Manager who thrives on chaos as much as clarity. Once an account is handed to you by our AI Deployment team after the hyper-care phase, you own it, whether that means smoothing over rough edges from a still-settling rollout or building on a genuinely stable one. Either way, your job is