Care Model Advisor Jobs

Become a part of our caring community Humana Healthy Horizons is looking for a Value-Based Programs Lead who will support successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. You will lead the beginning-to-end operational support of specialty Medicaid value-based payment (VBP) models in alignment with segment strategy and goals. The Value-Based Programs Lead will be a subject matter expert in VBP and have advanced technical knowledge and experience. Develop new innovative VBP models for range of provider types, such as behavioral health, maternity, specialists, and social determinants of health, creating glide paths to move providers from volume to value. Align scope of work with roadmap for new VBP model development to ensure compliance with Medicaid contractual requirements and RFP commitments. Analyze financial, utilization, and performance data to identify opportunities to drive improvements in quality and/or reductions in total cost of care. Creation of VBP payment strategies and model design, such as developing payment model logic, performance metrics and benchmarks, and financial terms, which align with segment goals. Design and contribute to development of provider reporting packages to help providers understand their overall and detailed performance. Partner with finance team to conduct impact analysis and modeling for new VBP models. Collaborate with team members and matrixed teams to operationalize and rollout of new VBP models. Contribute to developing solutions to operational gaps. Monitor VBP model performance KPIs to identify opportunities to enhance model design based on internal and external feedback and performance data. Ability to translate strategy into models that can be piloted and scaled across markets. <

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. Locations: CVS Health follows a hybrid work model providing office-based colleagues the ability to flex between working in the office and working from home based on the work you need to accomplish. Various locations available and will be confirmed during conversations with the recruiter. Position Summary Designs and defines the technical architecture and infrastructure required for digital solutions. Utilizing Natural Language Processing, Deep Machine Learning, and Algorithms & Data Structures Writes code, develops software components, and implements complex functionalities according to project requirements. Collaborates with other members of the development team and stakeholders to make high-level architectural decisions, proposes design patterns, and ensures scalability, performance, and maintainability of digital solutions. Leverages advanced programming skills to design and implement complex features, optimize performance, and ensure code efficiency. Integrates various software components or systems, ensuring seamless communication and interoperability between different parts of the digital solution. Writes and executes comprehensive test cases, conducts code reviews, performs debugging, and troubleshoots issues to ensure the reliability, stability, and high quality of digital solutions. Participates in agile or other development

Here at Appian, our values of Intensity and Excellence define who we are. We set high standards and live up to them, ensuring that everything we do is done with care and quality. We approach every challenge with ambition and commitment, holding ourselves and each other accountable to achieve the best results. When you join Appian, you’ll be part of a passionate team dedicated to accomplishing hard things, together. Renewal Account Manager Drive multi-million dollar retention strategies and fuel the growth of the world's leading enterprise brands by mastering the art of the renewal lifecycle. Location: McLean, VA | Work Model: On-site (5 days/week) About the Team The Appian Renewal Sales team is a high-performing, fast-paced, and collaborative organization dedicated to protecting and expanding our global revenue footprint. We partner closely with cross-functional stakeholders to ensure our clients continuously realize maximum value from their investments, supporting Appian’s rapid growth in the AI-Powered Process Automation market. The Opportunity Why join Appian? As a Senior Renewal Account Manager, you aren’t just processing transactions—you are a strategic orchestrator. You will own complex commercial negotiations and safeguard revenue at a company recognized for driving massive enterprise digital transformation. Backed by our world-class collaborative sales organization and programs like ValueSelling Framework training and the Appian MBA leadership initiative, this role offers an elite trajectory for sales professionals who want to execute with intensity and work to impact under our Enterprise-Grade Orchestration model. What You’ll Do Lead Comprehensive Renewal Strategies: Drive the development and execution of renewal strategies within your assigned territory, taking proactive action several quarters ahead of contract end dates to mitigate risk. Partner Cross-Functionally: Collaborate seamlessly with Account Executives, Sales Operations , Deal Desk , Lega

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: Medical Assistant Company: Oak Street Health Location: 222-19 Linden Blvd Jamaica, NY 11411 Role Description: The purpose of a Medical Assistant at Oak Street Health is to gather all necessary medical information regarding our patients to ensure providers have the most accurate information available when making healthcare decisions. Medical Assistants (MA) report to the Practice Manager or Center Operations Specialist. They are a vital element of our model and important members of our Care Teams. Being an MA at Oak Street Health requires high levels of flexibility, energy, attention to detail, and problem solving skills. You will be expected to build relationships with Oak Street Health members. Medical Assistants will collaborate closely with their teammates to ensure an unmatched patient experience while driving clinical results. As an MA you will accomplish this by assisting in the assessment of patients’ health conditions, through screenings and routine diagnostic testing performed during appointments. Responsibilities: Ensure an efficient patient flow; room patients in a timely manner, complete vital signs, complete required screenings and complete medication reviews Inventory supplies and stock exam rooms Respond to patient requests for telephonic support (Lab results, faxing

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. The Quality Control Auditor randomly conducts audits of all warehouse personnel to ensure a high level of customer service. You will randomly select cases and totes for inspection, using labels and item listings, verify accuracy of store order picked by matching merchandise to invoice and verify to the proper packing of picked orders. Additional responsibilities: Use WMS to print orders. Randomly select store numbers to be audited using the assumed receipts model. Communicate and verify store numbers for transportation and operational purposes. Communicate to individuals on an as needed basis. Retrieve and break down store order to be audited. Scan store order picked using technology. Complete store audit information. Complete documents and palletize order for delivery. Perform other related duties as assigned by Supervisor. Assist in yearly inventory. Assist in all housekeeping of the department. All other duties as required. This position has a lifting requirement of 30lbs, other physical activities include bending/reaching/stooping walking/standing/climbing Overtime may be required, particularly during high volume periods, to ensure that all stores are serviced according to daily schedule.</li

Here at Appian, our values of Intensity and Excellence define who we are. We set high standards and live up to them, ensuring that everything we do is done with care and quality. We approach every challenge with ambition and commitment, holding ourselves and each other accountable to achieve the best results. When you join Appian, you’ll be part of a passionate team dedicated to accomplishing hard things, together. McLean, VA | Work Model: On-site at Appian Headquarters Support Appian’s visual presence and global brand across campaigns, events, digital experiences, and executive storytelling—translating complex technology and business objectives into compelling, brand-aligned creative experiences. ABOUT THE TEAM The Creative Design team at Appian is the visual custodian of our brand identity, partnering with stakeholders globally to deliver impactful creative solutions across campaigns, events, digital experiences, customer storytelling, executive storytelling, and global marketing initiatives. By translating complex technical achievements into striking, human-centric design, this team plays a pivotal role in enabling Appian’s expansion in the AI-Powered Process Automation marketplace. We build high-impact visual touchpoints that introduce global enterprises to our Enterprise-Grade Orchestration platform. THE OPPORTUNITY You will support marketing and business initiatives while contributing to Appian’s global brand and creative programs. You will execute design across brand activations, events, campaigns, presentations, and digital experiences, partnering with Creative leadership and cross-functional teams to bring ideas to life. You’ll contribute to how Appian shows up in the market, bringing strong creative thinking and execution to high-visibility global initiatives while ensuring our work remains consistent, compelling, and distinctly Appian. WHAT YOU'LL DO Design and execute polished, production-ready creative across multi-channel campaigns, including digital,

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 Lead Director, Stop Loss Relationship Management will serve as the single accountable owner for enterprise stop loss relationship strategy, governance, escalation management, and operational performance. This role is responsible for creating a more disciplined, scalable, and consistent operating model across stop loss carriers, internal business partners, and cross-functional stakeholders. This leader will address current gaps in ownership, decision rights, escalation pathways, and carrier performance that are contributing to delays, disputes, reimbursement challenges, and financial exposure. The role will centralize accountability for stop loss-related funding decisions, risk acceptance, issue resolution, and carrier engagement, ensuring clearer governance, faster resolution of high-cost claim issues, and improved predictability across the stop loss ecosystem. The ideal candidate is a strong enterprise relationship leader with deep experience managing complex, cross-functional programs, executive-level stakeholders, financial risk, operational escalations, and external partner performance. This individual must be highly effective at driving alignment, establishing governance, improving processes, and influencing outcomes across matrixed teams. What You Will Do Serve

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 position is part of our hybrid onsite/work from home business model. Once fully trained (6 weeks) this will be approximately 15% onsite and 85% work from home (approx. 10-15 onsite days per year) Subject to change IF business needs change. On site requirement is located at: 6251 Chancellor Dr, Suite 101, Orlando, FL 32809 Exciting opportunity for a Pharmacist to join our Specialty Mail Service Pharmacy located in Orlando, FL! Specialty pharmacy is an exciting area for Pharmacists, especially at CVS Health! We are a Fortune 10 company and are the one of the largest providers for specialty pharmacy therapy in the United States. If you are a Pharmacist, and enjoy helping people on their path to better health, this may be the role for you! Should you join CVS Health, you will see right away how dedicated we are to providing our Pharmacists with the resources needed to deliver the highest quality patient care. As a Pharmacist for our Specialty Mail Service Pharmacy, you will have the ability to provide exceptional customer service to patients and healthcare professionals while providing leadership and guidance to supporting staff. Our Pharmacists ensure the accurate delivery of pharmaceutical care services, which include drug therapy monitoring, patient education, drug information and chronic disease state management for our clinical programs.

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: Medical Assistant - Float Company: Oak Street Health Location: Various Role Description: The purpose of a Medical Assistant at Oak Street Health is to gather all necessary medical information regarding our patients to ensure providers have the most accurate information available when making healthcare decisions. Medical Assistants (MA) report to the Practice Manager or Center Operations Specialist. They are a vital element of our model and important members of our Care Teams. Being an MA at Oak Street Health requires high levels of flexibility, energy, attention to detail, and problem solving skills. You will be expected to build relationships with Oak Street Health members. Medical Assistants will collaborate closely with their teammates to ensure an unmatched patient experience while driving clinical results. As an MA you will accomplish this by assisting in the assessment of patients’ health conditions, through screenings and routine diagnostic testing performed during appointments. Responsibilities: Ensure an efficient patient flow; room patients in a timely manner, complete vital signs, complete required screenings and complete medication reviews Inventory supplies and stock exam rooms Respond to patient requests for telephonic support (Lab results, faxing re

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. This position is part of our hybrid work from home business model. After fully trained 100% onsite (6 months) at our facility in Collierville, TN, you will participate in 1 week onsite, 1 week work from home rotation (subject to change if business needs change). Position Summary CVS Specialty Pharmacy is hiring Pharmacists for our mail service pharmacy in Bartlett, Tennessee. This hybrid position offers a combination of onsite and work-from-home responsibilities. As a pharmacist, you will have the ability to provide exceptional customer service to patients and healthcare professionals and provide leadership and guidance to supporting staff. This position is responsible for interacting with the health care professionals in the provision and coordination of customer care. Additionally, you will direct supportive personnel, such as PSR’s and Pharmacy Technicians, in the daily activities they perform as it pertains to clinical and distributive activities. Ensure activities are performed to CVS Health standards and in accordance with written SOP’s and regulatory constraints. The Pharmacist has primary responsibility related to distributive services to ensure the correct medication and related items are appropriately picked, packed, and distributed to patients. Activities associated with these services include verifying orders that are prepared for delivery by supportive personn

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. Company : Oak Street Health Title : Medical Assistant Compensation : Based on regional bands Role Description The purpose of a Medical Assistant at Oak Street Health is to gather all necessary medical information regarding our patients to ensure providers have the most accurate information available when making healthcare decisions. Medical Assistants (MA) report to the Practice Manager or Center Operations Specialist. They are a vital element of our model and important members of our Care Teams. Being an MA at Oak Street Health requires high levels of flexibility, energy, attention to detail, and problem solving skills. You will be expected to build relationships with Oak Street Health members. Medical Assistants will collaborate closely with their teammates to ensure an unmatched patient experience while driving clinical results. As an MA you will accomplish this by assisting in the assessment of patients’ health conditions, through screenings and routine diagnostic testing performed during appointments. Check out this <a target="_blank" href="https://drive.google.com/file/d

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: Medical Assistant Company: Oak Street Health Role Description: The purpose of a Medical Assistant at Oak Street Health is to gather all necessary medical information regarding our patients to ensure providers have the most accurate information available when making healthcare decisions. Medical Assistants (MA) report to the Practice Manager or Center Operations Specialist. They are a vital element of our model and important members of our Care Teams. Being an MA at Oak Street Health requires high levels of flexibility, energy, attention to detail, and problem solving skills. You will be expected to build relationships with Oak Street Health members. Medical Assistants will collaborate closely with their teammates to ensure an unmatched patient experience while driving clinical results. As an MA you will accomplish this by assisting in the assessment of patients’ health conditions, through screenings and routine diagnostic testing performed during appointments. Responsibilities: Ensure an efficient patient flow; room patients in a timely manner, complete vital signs, complete required screenings and complete medication reviews Inventory supplies and stock exam rooms Respond to patient requests for telephonic support (Lab results, faxing records to specialists, etc.) In accorda

Here at Appian, our values of Intensity and Excellence define who we are. We set high standards and live up to them, ensuring that everything we do is done with care and quality. We approach every challenge with ambition and commitment, holding ourselves and each other accountable to achieve the best results. When you join Appian, you’ll be part of a passionate team dedicated to accomplishing hard things, together. Partner Operations Manager – Global Alliances & Channels This is an individual contributing role to help lead and drive operational excellence and accelerate global partner growth by optimizing our ecosystem's lifecycle for our premier AI-Powered Process Automation platform. Location: Chennai, India | Work Model: On-site About the Team The Global Alliances and Channels team at Appian is a fast-paced, dynamic organization that plays an integral role in driving Appian's growth globally. We are passionate about driving digital transformation by bringing Appian solutions that provide the speed, agility, and efficiency needed for enterprises to compete and grow. Our team is dedicated to supporting an extraordinary global network, ensuring our partners are fully equipped to deliver Enterprise-Grade Orchestration at scale. The Opportunity At Appian, our values of Intensity and Excellence define who we are. We set high standards, approach challenges with ambition, and hold ourselves accountable to achieve the best results. As a Partner Operations Lead, you will oversee local team members in Chennai while also delivering high-value operational support, executive administrative assistance, and improvements to support our global alliances experience. What You’ll Do Own the deal registration lifecycle for global partners, including deal eligibility validation, status monitoring, and escalation to ensure timely approvals, accurate CRM attribution, and program compliance. Act as the primary conduit between partner deal submitters, the alliance team, and field sales

Here at Appian, our values of Intensity and Excellence define who we are. We set high standards and live up to them, ensuring that everything we do is done with care and quality. We approach every challenge with ambition and commitment, holding ourselves and each other accountable to achieve the best results. When you join Appian, you’ll be part of a passionate team dedicated to accomplishing hard things, together. Compensation Analyst III (Senior) – Equity Administration & Global Rewards Architect Appian's global equity and total rewards strategy while modernizing plan design for high-scale enterprise growth. Location: Chennai, India | Work Model: Hybrid About the Team The People Team at Appian fuels global growth by attracting, rewarding, and retaining world-class talent. In an industry powered by AI-Powered Process Automation , our team builds data-driven compensation strategies that sustain competitive market advantage. We partner directly with executive leadership to champion pay equity, optimize total rewards platforms, and drive scalable governance across global offices. The Opportunity As Appian accelerates its international expansion, modernizing our equity architecture and total rewards framework is critical. As Compensation Analyst III, you will act as a core global partner based out of our Chennai tech hub. You won't just analyze data; you will shape global pay equity initiatives, architect scalable equity management structures, and directly manage equity plan administration using E*TRADE/Morgan Stanley . This role offers a unique opportunity to build scalable compensation frameworks in a fast-paced environment backed by enterprise-grade stability. What You’ll Do Modernize Equity Plan Architecture: Lead global equity plan governance and modernize grant structures, option/RSU execution lifecycles, and cap-table administration using E*TRADE/Morgan Stanley . Drive Executive Insights & Strategic Analytics: Oversee global HR and compensation intellige

Here at Appian, our values of Intensity and Excellence define who we are. We set high standards and live up to them, ensuring that everything we do is done with care and quality. We approach every challenge with ambition and commitment, holding ourselves and each other accountable to achieve the best results. When you join Appian, you’ll be part of a passionate team dedicated to accomplishing hard things, together. Software Engineer (Senior) – Platform Engineering & AI-Powered Process Automation Location: Chennai, India | Work Model: On-site Architect the foundational systems powering the next generation of global software execution. In this role, you will build high-performance, reusable platform services and modern developer tooling that directly elevate developer velocity and scale enterprise software globally. About the Team The Platform Engineering, Foundations & Enablement team builds the bedrock of Appian’s technical ecosystem. By delivering resilient shared services, automated developer tooling, and core frameworks, this team enables engineering organizations to build scalable enterprise solutions and accelerates Appian’s growth in the AI-Powered Process Automation market. The Opportunity Top-tier engineers join Appian to tackle deep distributed systems challenges at massive enterprise scale. This role gives you direct ownership over the core platform architecture and internal developer tools that power critical workflows worldwide. If you want to eliminate engineering friction, set architecture standards, and shape high-concurrency systems using cutting-edge enterprise tech, this opportunity offers high visibility and immediate technical influence. What You’ll Do Architect and construct high-performance, resilient platform features, robust APIs , and shared frameworks to power mission-critical operations. Execute technical spikes to clear architectural runways, ensuring system stability, modularity, and seamless long-term scalability. Elevate engine