Care Management Support Assistant 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 Senior Manager, Medicare Product Operations (NCOD) is responsible for providing leadership, operational oversight, and people management for the Non-Clinical Organization Determination (NCOD) team. This leader is accountable for ensuring accurate, timely, compliant, and member-centered coverage determinations while maintaining adherence to CMS regulations, and internal policies. The role oversees a team of managers and analysts responsible for evaluating member requests, issuing organization determinations, maintaining documentation, and supporting appeals- and grievance-related activities. This position serves as a key operational leader, driving quality, compliance, performance, process optimization, workforce development, and cross-functional collaboration. The Senior Manager partners with Compliance, Product, Appeals, Grievances, Eligibility, Technology, and vendor partners to ensure operational excellence and a best-in-class member experience. Responsibilities Include: Strategic Leadership Provides oversight for the NCOD operation, ensuring alignment with organizational goals, regulatory requirements, and member experience objectives. Establishes operational strategies, and performance standards that support long-term scalability and sustainability. Leads implementation of new NCOD workflo

Job Title: Hospital & Prescribing Pharmacist Banding: Band 7 Location: Birmingham Start Date: 5 th October Duration: 6 weeks initially with extension Hourly Rate: £28 - £30 Working Hours: Monday to Friday, Full-Time Job Overview Pulse is currently seeking an experienced and motivated Band 7 Hospital & Prescribing Pharmacist to join the pharmacy team in Birmingham. This is an exciting opportunity for a clinical pharmacist to work within one of the UK's leading teaching hospitals, providing specialist pharmaceutical care and supporting safe prescribing practices across a range of clinical services. The successful candidate will work closely with multidisciplinary teams to optimise medicines management, improve patient outcomes, and contribute to the delivery of high-quality, patient-centred care within a fast-paced hospital environment. Key Responsibilities Provide clinical pharmacy services across designated wards and departments. Support safe and effective prescribing practices throughout the hospital. Undertake medicines reconciliation and clinical medication reviews. Provide specialist pharmaceutical advice to medical, nursing, and allied healthcare professionals. Promote medicines optimisation and support the safe use of medicines. Contribute to discharge planning and continuity of care initiatives. Participate in clinical audits, governance activities, and service improvement projects. Maintain accurate and compliant clinical documentation. Qualifications and Experience Be registered with the General Pharmaceutical Council (GPhC). Have previous NHS hospital pharmacy experience. Demonstrate experience working at Band 7 level or equivalent. Possess strong clinical knowledge and prescribing support experience. Have experience undertaking clinical medication reviews and medicines reconciliation. Be confident working independently and within multidisciplinary teams. Demonstrate excellent communication, organisational, and problem-solving skills. Independent P

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. Executive Director, Technology Product Management – Medical Cost Initiatives Location: Remote Department: Healthcare Technology & Product Management Reports To: VP, Chief Health Informatics Officer (CHIO) - CVS Healthcare Delivery Role Overview As the Executive Director, Digital Product – Medical Cost Initiatives , you will lead the technology product strategy and execution for key medical cost portfolios for CVS Healthcare Delivery businesses. Core areas of focus are Care Transitions, Patient Segmentation, Chronic Condition Pathways, and Specialty Care Services. In this high-impact executive role, you will partner directly with clinical and business operational leaders to shape end-to-end technology pathways that support CVS Healthcare Delivery care models. You will lead a multidisciplinary team of product managers, Epic analysts, software engineers, data scientists, and UI/UX designers to translate clinical vision into scalable technology roadmaps that optimize patient outcomes and lower the total cost of care. The ideal candidate must have expertise with value-

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 This person is responsible for making outbound calls to prospective members, specifically offering our Medicare plan. The Account Associate will be making outbound calls for retention efforts, as well as providing support to sales representatives as needed. Additionally, this person will respond to incoming customer service inquiries as needed. The Account Associate should be available to work alternate hours (such as overtime or weekends) as needed, depending on business needs. Required Qualifications Must reside in Maricopa County, AZ. 1&#43; year of experience in a call center environment, with demonstrated telephone and problem resolution skills. 1&#43; year of experience with Medicaid and/or Medicare. Demonstrated proficiency in basic computer software, primarily Microsoft Office. Preferred Qualifications Bilingual (English/Spanish). Previous experience working with Quick Base. Strong organizational and time management skills. Excellent attention to detail. Self-starter, with an ability to succeed in an independent environment. Education High school diploma or GED. Anticipated Weekly Hours 40<p s

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. A Brief Overview Designs enterprise-wide and/or cross-functional solutions to address business problems. This work results in initiatives that significantly impact organizational strategy, enabling the organization to be competitive in the marketplace and effectively serve its customers. Partners with business owners to optimize the achievement of strategic business objectives, to include profitable growth and improved organizational effectiveness. What you will do Directs the day-to-day complex business consulting operations to support the organization's goals and objectives. Administers processes and assignments for research, collecting, analyzing, and compiling data and information for the business consulting department reports. Handles files, reports, and financial records, and manages department record retention. Leads individuals to develop a high degree of customer service by fielding internal and external inquiries, finding resolutions, or redirecting as appropriate. Collaborates internally and externally with clients and senior management regarding the organization's goals and objectives. Advises the internal and external department point of contact ensuring concise communication with employees, stakeholders, and members of the senior management. Develops reports for the org

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. As a Delivery Driver for Omnicare Pharmacy, you will deliver prescription orders and/or products to customers on a predetermined route and schedule in a company provided vehicle. Delivery Drivers take important steps to ensure all medication needs and regulatory compliance standards are met for our patients and they demonstrate ethical conduct and always maintain patient confidentiality. Successful Delivery Drivers will utilize a customer service mindset to manage all assigned pharmacy workstations and tasks to support the team’s ability to fill patient prescriptions promptly, safely and accurately. Provide timely and accurate delivery of medication, equipment, products and/or supplies into long term care facilities or patient’s homes Load products/materials Responsible for vehicle maintenance and alerting management for maintenance issues. Maintain and full compliance with all Federal, State and Local laws and regulations Maintain highest professional and ethical standards Following all applicable government regulations including HIPAA to ensure patient confidentiality While no professional driving experience is required, we encourage those with previous driving experience as a limo driver, taxi/bus driver, courier, or gig-economy worker to apply. While employees learn and develop their careers, they also receiv

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. As a Delivery Driver for Omnicare Pharmacy, you will deliver prescription orders and/or products to customers on a predetermined route and schedule in a company provided vehicle. Delivery Drivers take important steps to ensure all medication needs and regulatory compliance standards are met for our patients and they demonstrate ethical conduct and always maintain patient confidentiality. Successful Delivery Drivers will utilize a customer service mindset to manage all assigned pharmacy workstations and tasks to support the team’s ability to fill patient prescriptions promptly, safely and accurately. Provide timely and accurate delivery of medication, equipment, products and/or supplies into long term care facilities or patient’s homes Load products/materials Responsible for vehicle maintenance and alerting management for maintenance issues. Maintain and full compliance with all Federal, State and Local laws and regulations Maintain highest professional and ethical standards Following all applicable government regulations including HIPAA to ensure patient confidentiality While no professional driving experience is required, we encourage those with previous driving experience as a limo driver, taxi/bus driver, courier, or gig-economy worker to apply. While employees learn and develop their careers, they also receiv

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. As a Delivery Driver for Omnicare Pharmacy, you will deliver prescription orders and/or products to customers on a predetermined route and schedule in a company provided vehicle. Delivery Drivers take important steps to ensure all medication needs and regulatory compliance standards are met for our patients and they demonstrate ethical conduct and always maintain patient confidentiality. Successful Delivery Drivers will utilize a customer service mindset to manage all assigned pharmacy workstations and tasks to support the team’s ability to fill patient prescriptions promptly, safely and accurately. Provide timely and accurate delivery of medication, equipment, products and/or supplies into long term care facilities or patient’s homes Load products/materials Responsible for vehicle maintenance and alerting management for maintenance issues. Maintain and full compliance with all Federal, State and Local laws and regulations Maintain highest professional and ethical standards Following all applicable government regulations including HIPAA to ensure patient confidentiality While no professional driving experience is required, we encourage those with previous driving experience as a limo driver, taxi/bus driver, courier, or gig-economy worker to apply. While employees learn and develop their careers, they also receive a competitive salary and benefits package

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: Associate Practice Manager Company: Oak Street Health Role Description: The purpose of an Associate Practice Manager at Oak Street Health is to lead and manage operations at a single primary care clinic location in accordance with company values and standards. Associate Practice Managers supervise clinical and non-clinical team members, support operational initiatives, drive their team towards achieving patient satisfaction and clinical outcomes measured via a variety of metrics, and generally ensure the clinic is running smoothly and in a timely manner on a daily basis. Core Responsibilities: Staff Management and Development Hire, train, supervise, coach, mentor and manage a multi-disciplinary team of 15&#43; Ensure the center is a Great Place to Work and our teams are engaged and thriving; build a culture of engagement and demonstrate the Values and Service Behaviors at all times Clinic Operations Ensure clinic operations are running smoothly and safely on a daily basis, including ensuring there is adequate staffing each day, arranging coverage for any call-offs or scheduled PTO and ensuring that all Standard Operating Procedures are followed Ensure that we are providing an Unmatched Patient Experience and provide service recovery as needed Drive result

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. Job Purpose and Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day. Our District Support Pharmacists (DSPs) play a critical role in cultivating a culture of excellence within each pharmacy worked by acting as a role model for all, demonstrating genuine care, and setting the bar for the pharmacy team. As a DSP, you have a critical role at the forefront of delivering our purpose, modeling our values, and demonstrating genuine, authentic care for our patients. You will work within the district to cover pharmacist scheduling gaps, under the direction of the Pharmacy Manager (PM) and Rx District Leader (DL) to support our pharmacy teams. While working in stores throughout the district, you are accountable for supporting the management, oversight, and operation of the pharmacy and pharmacy team. The DSP’s responsibilities include, but are not limited to: Living our purpose by helping to manage and improve patient health through safe and appropriate dispensing, counseling, and immunizing practices Traveling the district

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: Associate Practice Manager Company: Oak Street Health Role Description: The purpose of an Associate Practice Manager at Oak Street Health is to lead and manage operations at a single primary care clinic location in accordance with company values and standards. Associate Practice Managers supervise clinical and non-clinical team members, support operational initiatives, drive their team towards achieving patient satisfaction and clinical outcomes measured via a variety of metrics, and generally ensure the clinic is running smoothly and in a timely manner on a daily basis. Core Responsibilities: Staff Management and Development Hire, train, supervise, coach, mentor and manage a multi-disciplinary team of 15&#43; Ensure the center is a Great Place to Work and our teams are engaged and thriving; build a culture of engagement and demonstrate the Values and Service Behaviors at all times Clinic Operations Ensure clinic operations are running smoothly and safely on a daily basis, including ensuring there is adequate staffing each day, arranging coverage for any call-offs or scheduled PTO and ensuring that all Standard Operating Procedures are followed Ensure that we are providing an Unmatched Patient Experience and provide service recovery as needed Drive result

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. Job Purpose and Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day. Our District Support Pharmacists (DSPs) play a critical role in cultivating a culture of excellence within each pharmacy worked by acting as a role model for all, demonstrating genuine care, and setting the bar for the pharmacy team. As a DSP, you have a critical role at the forefront of delivering our purpose, modeling our values, and demonstrating genuine, authentic care for our patients. You will work within the district to cover pharmacist scheduling gaps, under the direction of the Pharmacy Manager (PM) and Rx District Leader (DL) to support our pharmacy teams. While working in stores throughout the district, you are accountable for supporting the management, oversight, and operation of the pharmacy and pharmacy team. The DSP’s responsibilities include, but are not limited to: Living our purpose by helping to manage and improve patient health through safe and appropriate dispensing, counseling, and immunizing practices Traveling the district

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. Job Purpose and Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day. Our District Support Pharmacists (DSPs) play a critical role in cultivating a culture of excellence within each pharmacy worked by acting as a role model for all, demonstrating genuine care, and setting the bar for the pharmacy team. As a DSP, you have a critical role at the forefront of delivering our purpose, modeling our values, and demonstrating genuine, authentic care for our patients. You will work within the district to cover pharmacist scheduling gaps, under the direction of the Pharmacy Manager (PM) and Rx District Leader (DL) to support our pharmacy teams. While working in stores throughout the district, you are accountable for supporting the management, oversight, and operation of the pharmacy and pharmacy team. The DSP’s responsibilities include, but are not limited to: Living our purpose by helping to manage and improve patient health through safe and appropriate dispensing, counseling, and immunizing practices Traveling the district

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. Job Purpose and Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day. Our District Support Pharmacists (DSPs) play a critical role in cultivating a culture of excellence within each pharmacy worked by acting as a role model for all, demonstrating genuine care, and setting the bar for the pharmacy team. As a DSP, you have a critical role at the forefront of delivering our purpose, modeling our values, and demonstrating genuine, authentic care for our patients. You will work within the district to cover pharmacist scheduling gaps, under the direction of the Pharmacy Manager (PM) and Rx District Leader (DL) to support our pharmacy teams. While working in stores throughout the district, you are accountable for supporting the management, oversight, and operation of the pharmacy and pharmacy team. The DSP’s responsibilities include, but are not limited to: Living our purpose by helping to manage and improve patient health through safe and appropriate dispensing, counseling, and immunizing practices Traveling the district

Become a part of our caring community The Provider Contracting Professional supports the West Region in the negotiation, analysis, and maintenance of physician and other provider agreements for an organization delivering healthcare to the senior population. You will assist with contract management activities, provides analytical support, and ensure accurate documentation within established processes and guidelines. You will report to a Director, Provider Contracting. Job Responsibilities: Support the contracting team in drafting, reviewing, and processing provider contracts and amendments Collaborate with market engagement, leadership, and legal teams to facilitate contract execution and resolve basic contract term revisions Assist in communicating contract terms, payment structures, and reimbursement rates to IPA and ACO provider groups under the guidance of senior staff Conduct initial financial analyses of contracts and terms; prepare summaries for senior review Maintain contract files and documentation within the organization's tracking system, ensuring accuracy and compliance Assist in identifying and reaching out to potential providers for network development based on current needs and network composition Prepare reports and updates for contracting initiatives as requested Manage assigned priorities and deadlines, escalating complex issues to senior team members Use your skills to make an impact Required Qualifications 2&#43; years' experience in provider contracting, network management, or a related healthcare field Knowledge of managed care or value-based contracting Understand contract terms and basic financial impact Preferred Qualifications Experience supporting ACO or IPA provider