Care Model Advisor Jobs

Position Summary Retail Store Associates play a meaningful role within the CVS Health family. At CVS Health, we’re shaping the future of health care for people, businesses, and communities. With your talents and expertise, you can help us play a more active and supportive role…

Position Summary Health is everything. At CVS Health, we are committed to increasing patient access to care, lowering costs and improving the quality of care. Millions of times a day, we’re helping people on their path to better health— from advising patients on their…

Position Summary Career level compliance position that supports the compliance program activities and deliverables of a Medicaid managed care organization. In partnership with and under the direction of the health plan Compliance Officer and other team members, this position…

Position Summary The Contract Coordinator Analyst plays a critical role in supporting the Medicaid Network management team throughout the provider contracting lifecycle for Aetna Better Health of Illinois. This position works hand in hand with the Network Contracting Manager to…

Role Summary The Principal Architect, Solution Engineering and Automation will be responsible for the business solution designs that include working at the business unit level developing the most advanced end-to-end solution architecture for highly complex and significant…

Utilization Management Nurse Consultant (RN) – Concurrent Review Remote | Acute Inpatient Utilization Management | RN Opportunity Are you an experienced RN with a background in acute care and utilization management? Join our team and play a vital role in ensuring members receive…

Position Summary CVS Health Specialty Pharmacy, a mail service pharmacy in the Monroeville area has an opportunity for a full-time Supervisor, Revenue Cycle. The Credit Balance and Refund Supervisor is responsible for timely credit balance resolution refunds to patients,…

Position Summary As a Senior Workday Integrations Developer you will be responsible for designing, developing, implementing, and maintaining integrations between Workday and other internal or external systems. This role requires deep technical expertise in Workday’s integration…

Position Summary: In this highly visible role, you'll provide onsite behavioral health services to airline employees, including assessments, brief counseling, crisis intervention, care coordination, and management consultation. Working collaboratively with organizational leaders…

Position Summary Seeking a Senior Analyst to join the Group Medicare Advantage Actuarial team to assist with Part C analysis & pricing. More specifically, this role will be responsible for the following: Updating assumptions used in pricing Part C Maintaining existing portfolio…

This is a full-time remote position with morning, evening, and weekend scheduling. Qualified candidates must be a Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Mental Health Counselor (LMHC), or Licensed Marriage Family Therapist (LMFT)…

Position Summary This Case Manager RN position is 100% remote and the employee can live in any state. Normal Working Hours: Monday through Friday 8:00am through 4:30pm in time zone of residence with an occasional late shift rotation per the needs of the business 11:00 AM-8:00 PM…

This position is 10am to 630pm Monday through Friday with a rotating weekend shift. 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…

Specialty Pharmacy Technician, 2nd Shift at Cvshealth in Fairfield, Fairfield, United States.

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. Following the sale of Omnicare by CVS Health, this role will support Omnicare…