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16 days ago

Become a part of our caring community The Director, Product Management Conceives of, develops, delivers, and manages products for customer use. The Director, Product Management requires an in-depth understanding of how organization capabilities interrelate across the function or segment. The Director, Product Management Leads all phases of the product life cycle, from inception to introduction into the marketplace, by developing products to meet specific customer needs and achieve specific cost and success outcomes. Once products are launched, monitors efficacy of products and uses customer and business partner feedback to ensure products are meeting customer needs across each customer segmentation, adjusting products over time to continue to achieve the desired outcomes. Decisions are typically related to the implementation of new/updated programs or large-scale projects for the function and supporting technical/operational procedures and processes, andimplements strategic plans, drives goals and objectives, and improves performance. Provides input into functions strategy. This is a remote position that reports to the Associate VP, Mail Order Pharmacy Distribution. Use your skills to make an impact Required You will be a Certified SAFe® 5 Product Owner/ Product Manager You will have 5+ years of Product Owner/Product Manager experience You will have 3+ years of leadership experience You will have a Bachelor's degree Preferred You will have an ability to drive significant transformation You will have competence working on very large and most complex assignments You will have asStrong ability to drive cross functional teams to alignment in the midst of ambiguity You will have an abili

recruitment
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Cvshealth
📍 Work From Home, United States• Remote
17 days ago

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

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Cvshealth
📍 Work From Home, United States• Remote
17 days ago

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 highly skilled Automation Developer & Revenue Cycle Systems Analyst to support operational efficiency initiatives within our Revenue Cycle organization. This role will be responsible for developing, maintaining, and enhancing automated solutions that improve workflows, reduce manual effort, and support front-line operations. The ideal candidate will have strong technical expertise in automation technologies, programming, and healthcare revenue cycle processes. Key Responsibilities Design, develop, test, and maintain automation solutions using Visual Basic (VB) scripting and related technologies. Create, modify, and support complex Microsoft Excel macros and VBA-based automation tools. Develop and maintain automations within Boston Workstation to improve operational performance and productivity. Review claim data and quality assure claim examples in Athena Health Utilize Python and coding to implement automation via web-based platforms & applications. Selenium experience preferred to automate web-based processes and interactions with websites and application interfaces. Experience with application programming interface (API). Troubleshoot automation issues, identify root causes, and implement sustainable solutions. Partner with re

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17 days ago

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 Digital is looking for hands-on, passionate people who want to join a high energy and growing team to make a difference in customers’ lives and who want to be on the forefront of digital innovation that aims to reinvent what a pharmacy and a health care company can be in the digital world. Currently, we are seeking a highly skilled Full stack Senior Software Engineer to join our team focused on building software component using cutting-edge, cloud-native platform hosted on Google Cloud Platform (GCP). As part of the team, you will play a crucial role in designing and developing micro services that drive the modernization of critical prescriber and patient domains. The ideal candidate will have extensive experience in backend & frontend development, system design, and a strong understanding of cloud-native software engineering principles. In this role and within the team of dedicated software engineers that you will join, you will work on applications and products that are on the forefront of technology. Responsibilities: Design, develop, and enhance scalable full-stack applications and microservices using modern software engineering

javascriptjavanode.js
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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

javaazuregcp
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Cvshealth
📍 Work From Home, United States• Remote
17 days ago

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 is an individual contributor role. The Contract Manager serves as the subject matter expert in support of contracting initiatives and data audits to enhance provider networks while meeting and exceeding accessibility, compliance, quality, and financial goals. Responsible for reviewing, building and auditing complex contract and network data, support recruitment efforts, and collaborating on negotiations as needed. Role/Responsibilities Negotiates, executes, reviews, and analyzes contracts and/or handles dispute resolution and settlement negotiations with solo, small group, or local providers, including SCAs, LOAs, and PPAs. Manages contract performance in support of network quality, availability, and financial goals and strategies. Recruits providers to ensure attainment of network expansion and adequacy targets. Collaborates cross-functionally to contribute to provider compensation and pricing development activities and recommendations, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities. Responsible for identifying and making recommendations to manage cost issues and supporting cost saving initiatives and/or settlement activities. Provides network development, maintenance, and refinement activities and strategies in sup

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Cvshealth
📍 Work From Home, United States• Remote
17 days ago

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 is a full-time, remote position supporting clients 13&#43; in Washington state and/or California. Qualified candidate must be a Licensed Clinical Social Worker (LCSW), Licensed Independent Clinical Social Worker (LICSW), Licensed Professional Clinical Counselor (LPCC), Licensed Mental Health Counselor (LMHC), or Licensed Marriage and Family Therapist (LMFT)​. If hired for the position, must be willing and able to obtain additional state licensure. Join the Minute Clinic team, an industry-leading company for a refreshing change in a stable, consistent, and professional environment. We empower our therapists to practice at the top of their license with the support of our clinical care team, while reaching patients within their communities. What our Mental Health Therapists find at Minute Clinic: - Autonomy to build and grow the Minute Clinic practice without the burden payor contracting, credentialing, and billing. - Opportunities to provide psychosocial support and education needed to address the mental wellbeing of individuals, couples/families ages 13&#43;. - Evidence-based care and access to assessment and treatment planning tools to elevate and support the continuity of care for patients. - Career growth and professional development within the organization. - In-depth training, development, and support. <

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Cvshealth
📍 Work At Home Massachusetts
17 days ago

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 Senior Content Designer, you like being at the intersection of content and design. You understand that content that's well designed is easy to follow and understandable. As a champion for our users, you organize and present content in a meaningful way. You will draw upon your knowledge of content, design and UX best practices, brand guidelines, accessibility standards and competitive research to simplify the user experience. You will collaborate with designers, researchers, product managers, engineering and other stakeholders with occasional direct support from your manager. You may also be called upon to mentor junior colleagues. When you have to show your work, you’ll love the chance to participate and run workshops and design crits. Experience: 5&#43; years experience in UX writing , UX Design or Content Design 2&#43; years experience with Agile and lean UX/software development practices, including using product management software (Rally, Jira) 2&#43; years experience in web and app experiences 2&#43; years experience collaborating with internal team members, such as experience designers, accessibility experts and product managers 2&#43; years experience in UX wire framing, UX flows, and shaping content for multi-disciplinary projects with prototyping software such as Figma and Miro Experience in health care, pharmacy o

aifinance
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Cvshealth
📍 Work From Home, United States• Remote
17 days ago

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 Our team owns the foundational AI/GenAI platform services that power CVS Health's internal agentic and LLM-driven tooling — including LLM routing and cost governance infrastructure, internal developer tooling for AI-assisted software development, retrieval-augmented generation (RAG) capabilities, and orchestration tools for building and deploying agentic workflows. We sit at the intersection of platform engineering and applied GenAI: we're responsible for making it fast, safe, and cost-effective for engineering teams across the enterprise to build with LLMs, while navigating the compliance realities of operating in a healthcare environment (PHI/PII handling, HIPAA, BAA requirements with model providers). This role will design and build core platform services — spanning areas like auth, quota/cost management, observability, and routing policy — and will help define what our next generation of foundational AI services looks like as the GenAI landscape evolves. The team is deeply senior and highly collaborative; we're looking for someone who brings genuine, self-driven enthusiasm for this space — someone who explores new ideas and tools because they're excited to, not because they were asked to — while working closely with the rest of the team to bring those ideas to life. Required Qualifications 5&#43; years of professional software engineering experience, i

REMOTEtypescriptpythonnode.js
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C
Cvshealth
📍 Work From Home, United States• Remote
17 days ago

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 Join us at the start of a new era in health care where technology is transforming how and where care is delivered, creating a more connected, effective care experience for all. Our mission at Signify Health is to build trusted relationships to make people healthier. We do this by transforming the home into a health hub through a combination of data, technology & people. We are building a unified technology platform for value-based care that is improving care and reducing spending by treating patients in lower-cost settings and linking providers’ payments to patient outcomes. Signify Health is driving this industry transformation and solving some of the most challenging problems in healthcare – this is where you come in! About the Role As a Staff Software Engineer, you’ll be a key member of a collaborative team responsible for design, delivery and operation of business-critical, distributed systems. We’re looking for technically strong, passionate people with an entrepreneurial spirit to build and sustain innovative solutions. Required Qualifications 7 years of software development experience. Strong foundation in software engineering: problem solving, data structures, algorithms, patterns, concurrency. Experience as a polyglot soft

REMOTEjavascripttypescriptpython
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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 Summary: Aetna Mental Well-being is reimagining how mental health is delivered with a unified, tech-enabled approach for our best-in-class Employee Assistance Program (EAP), Resources for Living. The [insert name of role] plays a vital role in Aetna Mental Wellbeing’s commitment to delivering timely, high-quality mental health care. This position transforms access to mental health support by providing members with an immediate, 24/7 connection via video, live chat, or phone. We are seeking candidates who share our passion for delivering industry-leading mental health services to people nationwide. Fully Remote EAP Counselor Sat-Wed, 4:00 PM-12:30 AM EST - This call center is a 24/7 operation and includes varied schedules that fall outside typical business hours. Schedules are established to support business and coverage needs. Shift assignments may change over time, and a shift bid process occurs at least annually, which may impact individual work schedules. Key Responsibilities: Deliver on-demand single session consultations, clinical assessments, triage, and informational services. Leverage advanced technology platforms to enhance customer experience, ensuring optimal outcomes by connecting members to the

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 ideal candidate will reside in larger New York area*** Position Summary The Senior Manager, Financial Planning and Analysis role will function as the Financial Planning and Analysis lead the New York Medicaid Health Plan and will support the CFO directly to achieve financial and strategic goals by managing and driving business actions and financial goals across the Plan. This position will oversee the development, analysis, and reporting of financial forecasts, budgets, and key performance metrics to support strategic decision-making. This role ensures alignment of financial strategies with state Medicaid requirements and corporate goals, providing actionable insights to executive leadership and cross-functional teams. With significant budget oversight and authority, the position drives financial performance, manages operational complexities, and assesses opportunities to enhance profitability and efficiency in a dynamic healthcare environment. Key interactions include executive leaders, operational managers, and state Medicaid stakeholders. The Senior Manager will: Oversee the development of comprehensive financial reports that align with strategic goals. Leads the identification of key financial variances and trends, providing insights for strategic decisions. Lea

accountingfinance
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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 Ready to take your clinical skills to the next level? Check out this outstanding opportunity for a Medicaid Prior Authorization Pharmacist with Aetna! This is a Clinical Pharmacist position supporting Medicaid Prior Authorization. An active TX or AZ pharmacist license that is in good standing is required. New hire is required to obtain the secondary license (AZ or TX) within 90 days of hire . We are hiring for the 10:30 am - 7:00 pm CST shift (post training). The training schedule is: 10:00 am - 6:30 pm CST. You will be required to work one Saturday every 4-6 weeks and occasional holidays. This is a fully remote position open to qualified candidates within the United States who currently hold active, unrestricted TX or AZ pharmacist licensure. Required Qualifications - Active and unrestricted TX and/or AZ pharmacist license - New hire is required to obtain the secondary license (AZ or TX) within 90 days of hire . - Demonstrated experience with clinical decision-making while applying evidence-based clinical guidelines/criteria; utilizing formularies/preferred drug lists. - Experience working in a high production, remote team environment - 3&#43; years experience working as a pharmacist or completion of PGY1 managed care residency, includin

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. Registered Nurse must hold a CDCES- Certified Diabetes Care and Education Specialist This is a full-time telework role for a RN who resides in a compact state and holds a compact license. Working schedule: Monday-Friday, standard business hours, including 1 evening shift per week from 12:30- pm EST -The Health Coach Consultant utilizes a collaborative process of assessment, planning, implementation and evaluation, to engage, educate, and promote and influence member's decisions related to achieving and maintaining optimal health status for chronic conditions. - Assessment of members through the use of clinical tools and information/data review, conducts comprehensive evaluation of member's needs and benefit plan eligibility for available integrated internal and external programs/services. -Utilizes assessment techniques to determine member's level of health literacy, technology capabilities, and/or readiness to change. -Enhancement of Medical Appropriateness & Quality of Care: -Application and/or interpretation of applicable criteria and guidelines, health/wellness management plans, policies, procedures, regulatory standards while assessing benefits and/or member's needs to enable appropriate utilization of services and/or administration and integration with available internal/external programs. -Usi

H
17 days ago

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

recruitment
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