Healthcare Technical Consultant 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 We’re looking for a Data Scientist to join our drug pricing optimization team supporting a major reseller health plan client. This is a strong opportunity for a data scientist who brings technical depth, practical problem-solving, and curiosity, and who wants to grow in a squad-based environment with real business impact. In this role, you would help the team solve complex pricing and optimization problems, contribute to data science workflows used in production-oriented settings, and partner with technical and business stakeholders to turn analytical work into clear decisions. Over time, this role offers room to grow into broader squad leadership responsibilities through strong ownership, follow-through, and communication. What you’ll do: Contribute to the design, development, and improvement of data science and optimization solutions for drug pricing Analyze complex datasets to identify patterns, issues, and opportunities that improve pricing performance and decision quality Build, test, debug, and maintain code in Python and SQL to support analytics, modeling, and operational workflows Breaking down messy business and technical problems into actionable analyses and practical next steps Work within cloud-based and production-oriented environments, including GCP and team development tools such as VS Code Suppo

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 CVS Health is seeking a Senior Full Stack Engineer, Agentic AI Platform to join and lead engineering efforts for Lumina, CVS Health's enterprise knowledge and agentic AI platform. The Senior Full Stack Engineer, Agentic AI Platform will provide both technical and people leadership while driving the evolution of a platform that delivers trusted, secure, and governed AI experiences across the enterprise. As a Senior Full Stack Engineer, Agentic AI Platform, you will own the technical direction, architecture, scalability, and operational excellence of Lumina while leading a team of engineers and data scientists responsible for building and supporting the platform. This is a hands-on leadership role requiring active contribution to production code, architectural decision-making, code reviews, and engineering best practices, while simultaneously coaching and developing team members. The Senior Full Stack Engineer, Agentic AI Platform will play a critical role in advancing agentic AI capabilities, retrieval-augmented generation (RAG) systems, Model Context Protocol (MCP) integrations, enterprise search, knowledge ingestion, and AI governance. You will drive platform enhancements that improve retrieval quality, strengthen security and access controls, expand automation capabilities, and ensure the platform remains reliable, observable, and scalable as adoption accelerates across CVS

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 Designs, develops, and implements AI solutions and systems by applying advanced technical expertise to architect and code software applications, conduct system testing and debugging, collaborate with cross-functional teams, and contribute to the overall technical direction and innovation of AI engineering projects. Required Qualifications 5-7 years of professional experience in software engineering and application development. 2&#43; years of hands-on experience on LLMs & Generative AI (LLM) techniques. Expert proficiency in programming skills especially Python, Google Cloud platform and system architecture. Experience in leading engineering teams and driving technical roadmaps. Preferred Qualifications Define and implement AI safety frameworks Strong problem-solving skills and the ability to think strategically. Excellent communication skills for effective collaboration. Cross-functional collaboration Education Bachelor's degree or equivalent work experience in Mathematics, Statistics, Computer Science, Analytics, Engineering, or related discipline. Master's degree preferred <p style="text-align:in

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 CVS Health's Adjudication & Client Experience Engineering organization is seeking a motivated and highly skilled Senior Analyst - Software Development Engineering to join our Application Production Support team. This role will support critical business applications by providing production support, troubleshooting technical issues, and contributing to ongoing application enhancements and stability improvements. As a Sr. Analyst, you will work closely with Lead Engineers, Software Development Engineers, Product Owners, QA teams, and business stakeholders to investigate and resolve production incidents, perform root cause analysis, and implement code fixes. You will be responsible for supporting enterprise applications built on Java, Angular, APIs, and Cloud platforms while ensuring the reliability and performance of systems that serve our PBM (Pharmacy Benefit Management) business. This role is ideal for a hands-on engineer who enjoys solving production challenges, developing software solutions, and collaborating within a fast-paced environment. The successful candidate will contribute to application support activities, system enhancements, and continuous improvement initiatives while growing their technical and business domain expertise. Required Qualifications 5-8 years of experience in software development, application 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. Position Summary The Provider Digital Analytics and Intake Team is hiring a Business Analytics Specialist to support the reporting and data analytic needs for value capture and metric driven management of Aetna’s provider digital tools. This successful candidate will partner and support activities of the Provider Digital business team and advise on insights to drive value in digital tool offerings. Performs data analysis and issue research as well as participates in business and technical projects to assess the impact of that work on the reporting and data. Consults with internal clients to identify opportunities to implement data solutions to business problems at an intermediate level. Collaborates with business partners to understand their problems and goals to help solve by developing predictive modeling, statistical analysis, data rereports, and performance metrics. Participates in the implementation of information strategy and development of information products to ensure operational objectives and other strategic business initiatives are met. Ability to structure data analysis, driving analytics insights and analytical solutions to help determine the best analytical solution. Consults on the creation of analytics solutions that effectively weigh business and technical tradeoffs using an intermediate understanding of business strategy as well as relevant

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 Software Development Engineer at Aetna, you will play a critical leadership role in the design, development, and continuous enhancement of enterprise-scale Provider Applications. You will drive technical solutions for complex business problems, ensure application stability, and lead cross-functional initiatives as a Project Owner. This role requires a balance of hands-on engineering expertise, technical leadership, and delivery ownership, including overseeing vendor/contractor teams, ensuring alignment with enterprise architecture, and delivering high-impact solutions that improve provider data systems and operational efficiency. Required Qualifications: 5&#43; years of hands-on application development experience with Python and Google Cloud Platform (GCP) 2&#43; years of experience leading or contributing to large-scale application development initiatives Preferred Qualifications: Experience working in Agile/SCRUM environments Proven experience in project/program management, including planning, execution tracking, and delivery management Strong organizational, leadership, and planning skills with the ability to manage multiple priorities Experience working with distributed teams and cross-functional stakeholders Prior exposure to

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 Field Service Technician provides on-site technical support to CVS Pharmacy locations, traveling between stores to maintain and repair computer systems, hardware, and store technology. This role supports point-of-sale (POS), pharmacy systems, networking equipment, and other in-store technologies. The technician diagnoses and resolves technical issues, performs preventative maintenance, and ensures minimal disruption to store operations. This position works closely with remote support teams such as network services, software engineering, and help desk personnel to restore service and identify root causes of issues. The Field Service Technician maintains accurate service records and ensures timely resolution of all assigned work while delivering excellent in-store customer support. What You Will Do Travel between assigned CVS Pharmacy locations to provide on-site technical support and maintenance. Deliver hands-on support for store systems, including POS systems, pharmacy systems, photo kiosks, and inventory management systems. Perform preventative maintenance, software updates, hardware upgrades, and equipment replacements to ensure optimal system performance with minimal supervision. Install and integrate new technology in stores, including setup and configuration of POS terminals, peripherals, and network connectivity. <

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 Description Summary The Application Developer is responsible for designing, building, and maintaining automation solutions that support claims processing workflows within the Rocket Automation platform. This role partners closely with business, governance, and operations teams to translate defined requirements into scalable, reliable automation capabilities. The Developer serves as a technical expert, ensuring solutions are built to enterprise standards and operate efficiently in production, while supporting continuous improvement of automation performance and stability. Key Responsibilities Design, develop, and enhance automation solutions based on clearly defined business requirements and processing rules Translate functional requirements into technical logic, ensuring accuracy and scalability of automation workflows Perform unit testing, system testing, and validation of automation solutions prior to deployment Support production deployments, including release readiness, implementation, and post-production monitoring Troubleshoot and resolve defects, errors, and performance issues in production automation processes Maintain and enhance existing automation solutions to improve efficiency, accuracy, and throughput Monitor automation performance and system health, identifying opportunities for optimization and i

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. Staff Software Engineer is responsible for the techno-functional impact analysis, design & code construction activities associated with development of software releases for the CVS Retail Pharmacy systems. Strong technical, functional, and interpersonal skills are key to perform this role successfully. The current suite of systems includes multiple applications including, but not limited, to the Tier 1 systems for Retail Pharmacy. The Staff Software Development Engineer will be involved throughout the entire development life cycle of a product and must be able to deliver an efficient solution, as well as identify and properly mitigate any risks to the product before deployment to production. ** This role is located in RI , Woonsocket** Required qualifications: 7&#43; years of software development experience in enterprise/web applications 5&#43; years of experience as full stack developer in Java-based technologies including microservices and spring boot framework /REST 5&#43; years of experience Cloud Technologies like Azure, GCP or other public cloud services and Knowledge of open-source packages especially those provided by Apache, Google, and Spring 2 &#43; years of experienc

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. Senior Manager, Platform Engineering / DevOps Who Are You You are an experienced Senior Manager / emerging Staff-level leader in DevOps and Platform Engineering with strong technical depth and demonstrated leadership in delivering enterprise-scale cloud platforms. You bring a balanced mix of hands-on engineering expertise, team leadership, and execution rigor. You excel in driving outcomes in complex, multi-stakeholder environments, guiding teams to deliver secure, scalable, and high-quality platform solutions. You are comfortable leading engineers, managing stakeholders, and owning delivery across multiple workstreams. You demonstrate: A strong ownership mindset with accountability for delivery and outcomes Ability to translate business needs into actionable engineering roadmaps Solid expertise in cloud-native platforms, DevOps practices, and SRE principles Capability to lead teams and influence without requiring extensive tenure Role Responsibilities Development & Enforcement Own and execute the H100 platform engineering roadmap, aligned to enterprise priorities and program milestones Drive delivery of GCP-based platform capabilities (GKE, networking, IAM, CI/CD, observability) Establish and enforce engineering standards, best practices, and ADR compliance</li

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 Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines. Functions as a subject matter expert by providing coaching, and offering guidance on escalated or technically challenging issues. Supports customer service operations by addressing inquiries and resolving issues to ensure a positive member experience. Additional Responsibilities - Reviews pre‑specified claims and those that exceed specialist adjudication authority or processing expertise. - Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication. - Ensures compliance with all regulatory requirements and confirms that payments align with company policies and procedures. - Identifies and reports potential overpayments, underpayments, and other claim irregularities. - Performs claim rework calculations as needed. - Trains and mentors as needed to enhance team performance and technical proficiency. - Conducts outbound calls to obtain required information for claims or reconsideration requests. Required Qualifications - Minimum of 18 months of medical claim processing experience with a health insurance payor or third‑party administrator. - Proven

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 CVS Health is seeking a highly skilled Staff Data Engineer, Observability Engineering to join the Enterprise Observability Platform organization and help advance the next generation of observability, infrastructure, and security data capabilities. The Staff Data Engineer, Observability Engineering will play a critical role in designing, building, and operating scalable data pipelines and data products that power enterprise observability, operational intelligence, and security analytics across the organization. The Staff Data Engineer, Observability Engineering is a senior individual contributor responsible for developing and optimizing Databricks-based data engineering solutions that ingest, transform, govern, and deliver high-volume telemetry, infrastructure, application, and security data. This role combines deep hands-on technical execution with ownership of engineering excellence, operational reliability, performance optimization, and data platform best practices. Working closely with Observability Engineering, Security Engineering, Infrastructure Engineering, and Data Platform teams, the Staff Data Engineer, Observability Engineering will contribute to the evolution of the enterprise observability lakehouse by building resilient ingestion frameworks, establishing data quality standards, enhancing governance controls, and driving efficient, scalable data processing patterns. The id

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 Health100 is an AI‑native health technology platform that unifies pharmacies, providers, insurers, PBMs, and digital health solutions into a single, consumer‑focused ecosystem. Powered by Google Cloud AI, we’re reimagining personalized and connected health experiences. As a Senior Software Engineer for Health100, you will play a crucial role within a collaborative team — designing, developing, and maintaining backend services and APIs while ensuring releases are well-coordinated, fully prepared, and successfully deployed to production. The ideal candidate brings strong technical expertise in modern backend development, excellent problem-solving skills, and a proactive approach to production monitoring, issue triage, and cross-team coordination. This position is critical in maintaining high engineering standards, ensuring smooth release cycles, and driving operational excellence across the development lifecycle. *This role can be based anywhere in the US; hybrid or remote with preference for candidates to work out of our corporate headquarters in Woonsocket, RI. Responsibilities: Partner with technical leaders and the open-source community to contribute to technical designs, frameworks, roadmap definition, and requirements-gathering. Provide domain knowledge and engineering insight to guide early designs, ac

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 Executive Director - Business Information Security Officer (BISO) will serve as a senior leader and trusted security advisor supporting all CVS Health lines of business, with accountability for leading the BISO team and driving mission, vision, and governance model. This individual will provide senior‑level leadership, strategic and tactical guidance for a world‑class enterprise cybersecurity program. As a business enabler, the BISO is an effective communicator with the technical aptitude to embed security strategy and risk‑based decision‑making into all aspects of the business. The BISO understands security risks, threats, vulnerabilities, control frameworks, and security technologies and translates their impact in business terms. The BISO must be capable of working closely with senior IT business leaders, executive leadership, and business subject matter experts (SMEs). This role requires demonstrated leadership, exceptional organizational skills, strong business and financial acumen, and the ability to influence and drive change at scale across the organization. <

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 a skilled and analytical Senior Product Analytics Associate to lead the development and execution of a data-driven product roadmap. The ideal candidate will have a deep understanding of product analytics, strong problem-solving skills, and experience working with cross-functional teams to support strategic initiatives. As a Senior Product Analytics Associate, you will work closely with cross-functional teams including engineering, product, and clinical operations. Roles and Responsibilities: Define, track, and report on product metrics including performance and profitability Build and maintain robust data transformation models using dbt (or similar frameworks like Dataform or SQL-based ETL tools) to ensure analytics-ready datasets Design and interpret A/B tests; when A/B testing is not feasible, apply causal inference methods (e.g., Diff-in-Diff, Propensity Score Matching) to determine product efficacy. Develop ROI projections for analytics projects to prioritize deliverables by business impact Tell compelling stories through data, articulating technical information to a non-technical audience Build and maintain Power BI dashboards to