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Senior Silicon And System Product Lead Jobs

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Explore current senior silicon and system product lead jobs. Use filters to narrow by work mode, employment type, experience and date posted.

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Cvshealth
๐Ÿ“ United Statesโ€ข Remote
9 days ago

Weโ€™re building a world of health around every individual โ€” shaping a more connected, convenient and compassionate health experience. At CVS Healthยฎ, youโ€™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 โ€“ helping to simplify health care one person, one family and one community at a time. Position Summary Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. Process provider refunds and returned checks. May handle customer service inquiries and problems. Perform adjustments across all dollar amount level on customer service platforms by using technical and claims processing expertise. Applies medical necessity guidelines, determine coverage, complete eligibility verification, identify discrepancies, and apply all cost containment measures to assist in the claim adjudication process. Performs claim re-work calculations. Follow through completion of claim overpayments, underpayments, and any other irregularities. Process complex non-routine Provider Refunds and Returned Checks. Review and interpret medical contract language using provider contracts to confirm whether a claim is overpaid to allocate refund checks. Handle telephone and written inquiries related to requests for pre-approvals/pre-authorizations, reconsiderations, or appeals. Ensures all compliance requirements are satisfied and that all payments are made following company practices and procedures. Review and handle relevant correspondences assigned to the team that may result in adj

REMOTEcustomer service
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C
Cvshealth
๐Ÿ“ United Statesโ€ข Remote
9 days ago

Weโ€™re building a world of health around every individual โ€” shaping a more connected, convenient and compassionate health experience. At CVS Healthยฎ, youโ€™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 โ€“ helping to simplify health care one person, one family and one community at a time. Position Summary As a Senior Data Insights Specialist, you will be responsible for using SQL, MS Excel, Dataiku, Python, and related applications to determine disruption to existing and potential clients when network changes take place to retain and win business. This position involves making high-level decisions, managing multiple requests/priorities, developing new solutions to simplify the reporting process, and producing both standard and custom reports for multiple lines of business and specific clients regarding retail pharmacy network accessibility. Required Qualifications Experience in SQL, Microsoft Excel, and other relevant applications. Experience with data cleaning, transformation, and/or ETL. Strong analytical and problem-solving skills with the ability to interpret complex data sets. Preferred Qualifications 2&#43; years' of professional analytical experience. Proficiency in Dataiku, Alteryx, or other related ETL applications. Experience with Python. Experience with Salesforce. Working experience in the Pharmacy Benefits Management (PBM) or related healthcare industry. Excellent verbal and written communication skills to effectively interact with internal teams and external clients. Ability to manage multiple requests and priorities in a fast-paced environment.</li

REMOTEpythonsqlsalesforce
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C
Cvshealth
๐Ÿ“ United Statesโ€ข Remote
9 days ago

Weโ€™re building a world of health around every individual โ€” shaping a more connected, convenient and compassionate health experience. At CVS Healthยฎ, youโ€™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 โ€“ helping to simplify health care one person, one family and one community at a time. Position Summary We are hiring a Senior Full Stack Software Development Engineer with strong React and Python (with .NET as a nice-to-have) experience to join our Data Engineering team. You will serve as a key senior contributor, driving the end-to-end development of a new, critical internal self-service application. Your work on this software solution will be instrumental in our initiative to modernize how data is accessed and managed, enabling teams across the company to more easily work with their own data through the user-friendly tools you build. This project involves a shift from traditional data handling processes, with your primary focus being on creating a robust application that empowers this new approach to data accessibility and decentralized ownership. About this Role: This is a high-impact, high-autonomy role suited for a detail-oriented and collaborative individual who thrives on ownership, knows how to apply best practices, and can independently design, build, and maintain production-grade software. While you'll be leveraging your core software engineering expertise, you'll also be at the forefront of our data modernization, gaining deep insights into modern data architectures and practices by building the tools that enable them. You will have access to AI tooling to assist in all aspects of the SDLC. Y

REMOTEtypescriptpythonreact
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C
Cvshealth
๐Ÿ“ United Statesโ€ข Remote
9 days ago

Weโ€™re building a world of health around every individual โ€” shaping a more connected, convenient and compassionate health experience. At CVS Healthยฎ, youโ€™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 โ€“ helping to simplify health care one person, one family and one community at a time. Position Summary We are hiring a Senior Product Manager to help lead our Caremark advocacy portfolio, a new, high-priority initiative that sits within an established, well-resourced team. This role will drive the continued development and expansion of Pharmacy Navigator, which is currently in its pilot phase. Pharmacy Navigator offers proactive outreach to Caremark PBM members at potential friction points in their healthcare journey. The role will work on a variety of high-visibility priorities, including feature development, developing client and internal reporting, and expansion of the product into new markets. What you will do: Analyze customer and member needs, pain points, and preferences to guide product development and ensure customer-and-member-centric solutions. Partner with Caremark operations, clinical, and technology teams to define the product vision, set strategic goals, evaluate opportunities, assess member and business impact, and develop business cases and recommendations for scaling the product. Identify opportunities to expand Pharmacy Navigator, including new member pain points, therapeutic areas, formulary and prior authorization transitions, and new lines of business. Identify existing technologies across the organization and determine how they can be leveraged in new product builds. Lead discovery and solutioning effor

REMOTEPower BI
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