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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: This is an individual contributor role. As part of the bold vision to deliver the “Next Generation” of managed care in Ohio Medicaid, Ohio RISE will help struggling children and their families by focusing on the individual with strong coordination and partnership among MCOs, vendors, and ODM to support specialization in addressing critical needs. The OhioRISE Program is designed to provide comprehensive and highly coordinated behavioral health services for children with serious/complex behavioral health needs involved in, or at risk for involvement in, multiple child-serving systems. This position assesses overall network composition and potential provider partners in order to identify and service partnerships that will advance and differentiate the OhioRISE Network. This executes, services and may negotiate contracts with local market providers in accordance with company and program standards to enhance provider networks and exceed accessibility, quality, and financial goals and cost initiatives. Key Responsibilities: Optimizes interactions with assigned providers and internal business partners to establish and maintain productive, professional relationships and partners in the development of business strategy and programs to support the operational plans. Collaborates cross-functionally to ensure resolution of escalated issues or

auditing
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C
15 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, builds, and maintains large-scale data infrastructure and data processing systems. Implements robust and scalable solutions to support data-driven applications, analytics, and business intelligence. What you will do Ensures seamless integration of data from different sources, such as databases, application programming interfaces (APIs), or streaming platforms. Optimizes data processing and query performance by fine-tuning data pipelines, database configurations, and data partitioning strategies. Establishes data quality checks and validations to identify and resolve data issues, ensuring high-quality and reliable data for downstream applications and analytics. Implements security measures to protect sensitive data throughout the data lifecycle by working closely with security teams to ensure data encryption, access controls, and compliance with data protection regulations. Collaborates with cross-functional teams, including data scientists, analysts, software engineers, and business stakeholders. Designs and develops data infrastructure, including data warehouses, data lakes, and data pipelines. Establishes auditing and monitoring mechanisms to track data access and maintain data governance standards. Establishes monitoring and alerting mechanisms

pythonsqlgcp
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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. ***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. Do you have a passion for engaging with people and helping them on their journey to better health? Discover a meaningful role where you’ll engage with health plan members primarily online, helping to close gaps in care. Signify Health, part of CVS Health®, is hiring full-time, board-certified nurse practitioners or physician assistants to conduct Video Visits for Medicare Advantage, Medicaid, and certain commercial plan members. During our Video Visits, you’ll conduct an approximately 30-minute visit, including a medication and medical history review, allowing time to educate members about their health and answer their questions. In this role, you will: Conduct online “Video Visits” with health plan members, working in a private space with adequate internet connection Be part of our efforts to visit millions of people nationwide with the goal of providing connections to the right care for people’s unique needs Provide 40 hours of availability weekly, consistently providing 320+ capacity units per month Execute a strong visit completion rate, consistently pacing 220+ completed visits per month Maintain training, affiliation, and compliance with Video Visit requirements (regular training required) Other role expectations and requirements: Be trained and credenti

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 Pharmacy Technician will perform functions of filling, shipping and/or packing of prescription orders in accordance with standard operating procedures. May work in any of the assigned functions Cold packing, Single bagging, Control room and Bulk packing. Performs duties related to the process of all receiving and replenishment of product through the facility to include direct and wholesaler products as well as supplies of inventory. Performs functions related to the receipt of material including the loading and unloading of trucks, matching the manifest to received material. Utilizes RF devices as well as operating equipment such as forklifts or pallet jacks to receive material. Works with Inventory Coordinator on receiving variances (shortages & overages) and exceptions (damages & expirations). Processes incoming transfers and works with Inventory Coordinator on vendor returns. Ensures the warehouse area is clean and well organized. Work Shift: Monday-Friday, 7:00am to 3:30pm CT Required Qualifications Licensed Pharmacy Technician in the state of Texas Shipping/Packing experience, or similar work experience, in an environment which features objectives for both quantity (production) and quality. Ability to lift up to 50 lbs. Ability to reach, twist, turn, bend, stoop, walk and to stand, for the

warehouse
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C
15 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. Company: Oak Street Health Title: Patient Growth Specialist (Outreach Executive I) Location: 1113 Carlisle Rd, York, PA 17404 Role Description: The Patient Growth Specialist (internally known as an Outreach Executive) is a community-facing role dedicated to connecting Medicare-eligible seniors with Oak Street Health. As the primary lead generators for their territories, Outreach Executives act as brand ambassadors, sharing the impact of our unique care model to drive local patient growth. Working in close collaboration with Outreach Managers, Directors, and Community Relationship Managers, you will execute targeted strategies to build trust and expand our patient base within your assigned market. Check out this pamphlet for a sneak peek into the life of an Oak Street Outreach Executive! Core Responsibilities: Sales & Lead Generation <li style="color:#494949 !im

customer serviceCRM
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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 CVS Health has an exciting opportunity for a Pharmacy Technician in the pharmacy to excel in a complex, high-impact dispensing role and positively impact others' lives. As a Pharmacy Technician working in the backend of the pharmacy, you will be responsible for all aspects of the filling of mail-order prescriptions. As a backend Pharmacy Technician, you will work directly with the medication and the filling of automated machines. CVS Health offers a competitive benefits package that includes, but is not limited to: paid time off, ten paid holidays, health/dental/vision insurance, employee discounted stock purchase plan, 401K, tuition reimbursement, and employee discounts at all CVS pharmacy stores. Please note that the schedule indicated below may be adjusted or modified base on business needs. Required Qualifications Candidates must be able to: Must hold a current, unrestricted license with the Pennsylvania State Board of Pharmacy as a pharmacy technician or trainee on Day 1 of employment Provide verification of high school diploma or GED Regular and predictable attendance based on our policy The ability to work business required overtime (BROT) when needed Physical Demands: Ability to remain uprigh

Excelwarehouse
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C
15 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 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. As we transition to an independent, standalone organization, we are building and strengthening internal capabilities to support our approximately 6,000 colleagues and multi-state operations. This role serves as the primary customer contact, maintaining regular communication by phone, email, or in-person, in order to provide support and resolve issues. This person advocates for both the customer and pharmacy as appropriate, helping drive high customer satisfaction and retention. General Responsibilities Build strong client relationships by consistently delivering client interactions that develop trust and show value. Attend client meetings as needed within LTC ( long-term care ) facilities. Develop cadence of regular, proactive client meetings to establish strong connectivity with key stakeholders; deliver quarterly Executive Reviews to facility leadership to review business deliverables and evaluate new opportunities. Identify at-risk accounts and consult with internal partners to assist with development of action plans to address customer risks and opportunities; update customer on progress. Manage routine client su

Excelproject managementcustomer service
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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. 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

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 Case Manager – Field (Monmouth & Surrounding Counties, NJ) New Hire Bonus Available Make a Meaningful Impact in Your Community We’re looking for a compassionate and experienced Registered Nurse who enjoys working both independently and out in the community. In this role, you’ll help coordinate care for members with complex needs, supporting them in living safely and comfortably at home. This is primarily a field-based role with flexibility to work from home when not in the field, offering a great balance of independence and purpose-driven work. Travel & Work Schedule: Field-based role - Must possess reliable transportation and be willing and able to travel up to 75% of the time in your county of residence as well as the surrounding area’s. Mileage is reimbursed by our company expense reimbursement policy Most travel is daytime, local driving (generally within 60 minutes of your home base) No overnight travel required Travel is planned and scheduled in advance, with flexibility to help manage your day Standard schedule: Monday–Friday, 8:00 AM – 5:00 PM (no weekends or holidays required) If you enjoy getting out into the community and building relationships face-to-face, this role offers a dynamic and rewarding workday. What You’ll Do:</

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 District Pharmacy Coordinator (DPC) plays a critical role supporting the effective coordination of scheduling in pharmacies across their market. With strong organization skills, high accountability, and consistent follow-through, the DPC ensures that all pharmacist schedules are created and published on time, with coverage and contingency plans in-place, to support day-to-day pharmacy operations and protect against business disruption. The DPC additionally supports the scheduling and staffing of outside immunization clinics, supporting client relationships and ensuring clinic teams are prepared for success. The DPC serves as a timekeeping administrator for market pharmacists and is responsible for accurate and timely execution of pharmacist payroll submission. As a key support to the Pharmacy District Leader (Rx DL), the DPC serves as a delegate to execute base changes, track and monitor vacation requests, manage pay code balances and may support additional administrative activities related to the compliant and effective functioning of market pharmacies, including but not limited to: • Partnering with Rx DL to identify and close any gaps with PIC/POA registrations for each pharmacy location with the state Board of Pharmacy • Escalating and/or following up on issues impacting effective pharmacy operations, e.g. TempAlert excursions, Service Channel tickets, store supply ordering, exce

Excelpayroll
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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. 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

customer service
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C
Cvshealth
📍 L.L.C., United States
15 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 Please replace this section with the Job Summary Required Qualifications Please replace this section with the Required Job Qualifications Preferred Qualifications Please replace this section with the Preferred Job Qualifications Education Please replace this section with the Education Requirements Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $18.50 - $30.64 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. Our people fuel our future. Our teams reflect the customers, patients, mem

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. Do you have a passion for engaging with people and helping them on their journey to better health? Signify Health, part of CVS Health®, is seeking a Part Time Clinician (Nurse Practitioner or Physician Assistant) to provide In-Home Health Evaluations, engaging with people in the comfort of their own homes and helping bridge gaps in care. You’ll play a critical role in building trusted relationships to make people healthier, helping bring flexible, comprehensive and personalized health evaluations right to people’s front doors. Job highlights The visit, which lasts about 45 minutes, allows for time to connect one-on-one and answer health questions. It includes a medication and medical history review, a physical evaluation, and, if ordered by the person’s health plan, additional diagnostic tests (i.e., diabetic eye exams, spirometry, etc.). You’ll use an iPad and an intuitive clinical workflow for each evaluation and are not required to prescribe medicine, order lab tests or alter people’s current treatment regimen. In this role, you will: Bring your heart into every visit, joining a national network of purpose-driven clinicians dedicated to improving health outcomes Be part of our efforts to visit millions of people nationwide with the goal of providing connections to the right care for people’s unique needs Work

H
Humana
📍 United States• Remote
15 days ago

Become a part of our caring community The Medical Director, National Outpatient Medicare leverages clinical expertise and medical judgment to review preauthorization requests for services. This role is responsible for evaluating moderately complex to complex cases, where analysis of clinical information and situational factors requires in-depth assessment and sound decision-making. As a Medical Director at Humana , you will use your clinical expertise and judgment to make meaningful coverage and care determinations that support quality, consistency, and compliance across the healthcare continuum. In this role, you will review requests for services, level of care, and site of service, using nationally recognized clinical guidelines, CMS policies, medical references, and internal clinical resources to guide decision-making. This position offers the opportunity to work on complex outpatient cases , review clinical documentation, and collaborate with both internal partners and external physicians to gather additional information and discuss determinations. You may also contribute to care management activities and, depending on the role, provide input on areas such as clinical documentation, coding, grievances and appeals, and outpatient services or equipment reviews. Beyond case review, this role provides the opportunity to build strong relationships with physicians, provider groups, facilities, and community partners in support of regional priorities. It is a strong fit for physicians who are interested in contributing to value-based care, population health, and care management strategies while working in a structured environment that values sound clinical judgment, collaboration, and operational excellence. Humana is seeking a Medical Director to

REMOTEvuerecruitment
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