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 an experienced actuarial professional to support Medicaid managed care pricing evaluation, financial performance management, and strategic decision-making. This role requires a strong combination of actuarial expertise, business acumen, technical proficiency, and leadership capability. The successful candidate will serve as a key partner to market leadership, finance, and operational stakeholders while providing guidance and oversight to actuarial analysts supporting complex Medicaid markets. This position is ideal for an actuary with strong project management skills who can balance short-term deliverables and ad hoc requests with long-term strategic initiatives, thrive in a dynamic environment, and independently develop analyses to address emerging business questions. Medicaid Pricing and Actuarial Analysis • Lead actuarial evaluation of state capitation pricing and forecasting for Medicaid managed care programs. • Evaluate and interpret complex state rate-setting methodologies, risk adjustment programs, acuity adjustments, and regulatory requirements. • Assess revenue, medical cost, utilization, and margin drivers to identify emerging trends and business risks. • Summarize and communicate actuarial analysis for business leadership. Strategic Business Support • Partner with market, product, finance, and operations tea
Jobs in United States
Care Management Specialist in United States
6,003 active opportunities · Updated October 2026
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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 The Supervisor of Service Operations will maintain oversight of a team of claim processors and all claim related functions for Medicaid Claim Operations. We are seeking a highly motivated individual who will establish a clear vision aligned with company values and team goals. The claim Supervisor works with staff to align daily processing activities to successfully meet Health Plan metrics. Responsibilities will include: Managing a team of claim processors and overseeing daily operations for assigned health plan to achieve state required metrics. Manage employee performance and development. Identifies risks and barriers and collaborates with business partners to improve processes. Coaches and mentors team members, assisting with complex questions and customer interactions. Acts as liaison between staff and other areas, communicating workflow results, ideas, and solutions. Completes various business reports, including tracking, trending and results. Works with the Medicaid leadership team to allocate resources to meet volume and performance standards. Builds a cohesive team through collaboration, inclusion, and diverse thinking. Ability to work in a fast-paced production environment. Required Qualific
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 Senior Manager, Market Intelligence will lead strategic workstreams end-to-end, directing team analysis and shaping executive-ready recommendations on the enterprise's most important growth and corporate development questions. Partnering closely with the Enterprise Strategy team, this role drives market research, competitive analysis, and project management to identify growth opportunities, assess markets, and support M&A and partnership evaluation. The Senior Manager will leverage AI-enabled research and market intelligence tools to accelerate insight generation and inform enterprise decision-making, while coaching junior colleagues and building alignment across senior stakeholders. Key Responsibilities Lead one or more Market Intelligence workstreams by defining scope, structuring plans, and adjusting course as priorities evolve. Analyze market trends, competitive dynamics, macroeconomic factors, and growth opportunities to shape strategic recommendations. Direct hypothesis-driven analysis, ensuring insights are accurate, timely, and decision-ready. Synthesize qualitative and quantitative insights into clear points of view by challenging assumptions, reconciling differing perspectives, and connecting findings to broader strategic implications. Craft executive-ready narratives, business cases, and recommendations
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 Construction Project Manager you are responsible for successfully managing your assigned Programs/Initiatives to a defined scope, schedule and budget. Senior Construction Project Managers collaborate directly with the Program Sponsor to define scope, develop project plans and create budgets. You will lead the coordination of day-to-day sponsor/stakeholder communications. In this role your key growth opportunities will include: refining your skills in project management and stakeholder relationship management; following best practices in preparing project plans, budgets, and schedules; issue resolution and negotiation skills; exposure to project requirements across multiple business units, including Category Management, Store Layout, Finance and Scheduling partners, Architecture & Engineering, Procurement, Legal, Merchandising & Construction filed teams; managing and growing relationships with multiple internal business units and third-party vendors. Oversee construction projects for healthcare facilities, including new construction, renovations, expansions, and infrastructure upgrades. Manage the administration of healthcare properties owned or leased by the organization by coordinating lease agreements, property maintenance, repairs, and strict compliance with applicable r
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 Program Manager you are responsible for successfully managing your assigned Programs/Initiatives to a defined scope, schedule and budget. Senior Program Managers collaborate directly with the Program Sponsor to define scope, develop project plans and create budgets. You will lead the coordination of day-to-day sponsor/stakeholder communications. Senior Program Managers typically manage programs with a capital budget of $1M - $50M. Sr. Program Managers report to the Director of Construction Program Management and manages a team of Program Managers and Program Coordinators consisting of about 3-8 employees and/or contractors. In this role your key growth opportunities will include: refining your skills in program management and stakeholder relationship management; following best practices in preparing project plans, budgets, and schedules; issue resolution and negotiation skills; exposure to project requirements across multiple business units, including Category Management, Store Layout, Financial and Scheduling partners, Architecture & Engineering, Procurement, Legal, Merchandising & Construction filed teams; managing and growing relationships with multiple internal business units and third-party vendors. Senior Program Managers may have direct reports (CVS or contract employees) who need to be managed. Managing these workers may include; Coaching & Cou
We’re here for one reason and one reason only – to cure cancer. Every moment is dedicated to developing treatments and every action moves us one step closer to our goal. We’ve made incredible scientific breakthroughs and our pioneering personalized CAR T-cell therapies have changed the paradigm. But we're not finished yet. Join Kite, as we make even bigger advances in cancer therapies, and help shape where our business and medical science goes next. We believe every employee deserves a great leader. People Leaders are the cornerstone to the employee experience at Gilead and Kite. As a people leader now or in the future, you are the key driver in evolving our culture and creating an environment where every employee feels included, developed and empowered to fulfil their aspirations. Join Kite and help create more tomorrows. Job Description An exciting opportunity has arisen to join the U.S. Medical Affairs Team with a focus on Lymphoma & Leukemia. In this role, you will contribute to one of the recent, most impactful medical advancements in patient care and will work towards better outcomes for patients with hematological malignancies. We are seeking a highly motivated individual to join our U.S. Medical Affairs team as an Associate Director, to support our lymphoma franchise. This role will work cross-functionally with multiple stakeholders including: Field Medical, Commercial, Market Access, HEOR/RWE and Global Medical Affairs, along with other cross-functional subject matter experts and key business partners to implement on tactics consistent with overall in-line and pipeline strategy. This position will report to the U.S. Lymphoma Medical Strategy Lead. Position will be filled and report into Foster City, CA, El Segundo, CA, T
This is where your work makes a difference. At Baxter, we believe every person—regardless of who they are or where they are from—deserves a chance to live a healthy life. It was our founding belief in 1931 and continues to be our guiding principle. We are redefining healthcare delivery to make a greater impact today, tomorrow, and beyond. Our Baxter colleagues are united by our Mission to Save and Sustain Lives. Together, our community is driven by a culture of courage, trust, and collaboration. Every individual is empowered to take ownership and make a meaningful impact. We strive for efficient and effective operations, and we hold each other accountable for delivering exceptional results. Here, you will find more than just a job—you will find purpose and pride. Your role at Baxter As the Senior Manager, Customer Success, you will lead the strategy, transformation, and ongoing development of Baxter's Customer Success organization within Customer Experience & Delivery. You will be responsible for driving product adoption, customer outcomes, retention, and value realization across Baxter's growing connected care portfolio. This is an opportunity to shape the future of a critical function that sits at the intersection of customer experience, technology, healthcare operations, and commercial strategy. We are looking for a leader who enjoys building and scaling organizations. While Baxter has a talented and passionate team in place, the Customer Success function is still evolving. Today, the team supports customer adoption, engagement, renewals, and escalations, but the goal is to create a more proactive, standardized, and metrics-driven customer success organization. The ideal candidate has experience building or transforming Customer Success teams and can introduce best practices, playbooks, custo
Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 122,000 colleagues serve people in more than 160 countries. JOB DESCRIPTION: Working at Abbott At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You’ll also have access to: Career development with an international company where you can grow the career you dream of . Free medical coverage for employees* via the Health Investment Plan (HIP) PPO An excellent retirement savings plan with high employer contribution Tuition reimbursement, the Freedom 2 Save student debt program and FreeU education benefit - an affordable and convenient path to getting a bachelor’s degree. A company recognized as a great place to work in dozens of countries around the world and named one of the most admired companies in the world by Fortune. A company that is recognized as one of the best big companies to work for as well as a best place to work for diversity, working mothers, female executives, and scientists. The Opportunity We are recruiting for a Financial Analyst II to join our team in our Minnetonka, MN location with the Electrophysiology Medical Devices team. In Abbott’s Electrophysiology (EP) business, we’r
Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 115,000 colleagues serve people in more than 160 countries. JOB DESCRIPTION: Working at Abbott At Abbott, you can do work that matters, grow, and learn, care for yourself and your family, be your true self, and live a full life. You’ll also have access to: Career development with an international company where you can grow the career you dream of. Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year. An excellent retirement savings plan with a high employer contribution. Tuition reimbursement, the Freedom 2 Save student debt program, and FreeU education benefit - an affordable and convenient path to getting a bachelor’s degree. A company recognized as a great place to work in dozens of countries worldwide and named one of the most admired companies in the world by Fortune. A company that is recognized as one of the best big companies to work for as well as the best place to work for diversity, working mothers, female executives, and scientists. The Opportunity This position works out of our San Diego location supporting R&D in our Cancer Diagnostics division. We’re em
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+ years of software development experience in enterprise/web applications 5+ years of experience as full stack developer in Java-based technologies including microservices and spring boot framework /REST 5+ 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 + years of experienc
Work Flexibility: Onsite Stryker is seeking a Staff Advanced Manufacturing, Automation/Software Engineer to join our Advanced Operations team, supporting the Medical Division - Acute Care Business Unit. In this role, you will lead the design, development, and deployment of advanced automation and production test systems for new product introductions. This role is critical to ensuring reliable, scalable, and compliant manufacturing for patient support and patient environment products. You will serve as both a technical owner and a supplier-facing leader, architecting systems internally while guiding external partners to deliver high‑quality automation solutions. You will have the opportunity to work on the design transfer of new products from research through development and into production. This is a hybrid role based out of Portage, MI. The team works onsite 4-5 days per week to support collaboration and project needs. What you will do: Automation System Architecture & Development Lead the full lifecycle of industrial automation and test systems from requirements, architecture, and design through implementation, validation, and release. Define system-level requirements encompassing mechanical, electrical, software, controls, and safety considerations. Develop and integrate control software, embedded interfaces, test sequences, and operator interfaces (HMI/SCADA). Ensure robust performance, maintainability, reliability, and alignment with design intent and manufacturing needs. Troubleshoot complex processes, software, and equipment issues; optimize system performance and uptime. Supplier & Equipment Vendor Leadership Manage automation and equipment suppliers, including capability assessments, technical reviews, process monitoring, and on‑site visits. Create clear, comprehensive
Become a part of our caring community The Senior HR Business Partner will lead the people management agenda aligned to Medicaid RFP/RFI/RFA responses. Their work will align to standing up markets and supporting current markets in collaboration with the aligned HR Business Partner Lead (HRBPL) and act as a facilitator for the company's management team. They will need to apply broad experience in various Humana Resources (HR) areas of expertise. Work assignments will involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior HR Business Partner acts as a single point of contact for a broad range of business and HR partners across the Retail segment. Work will focus cyclically on the support of Medicaid RFA/RFI/RFP responses and the subsequent stand up or change of markets and work across partners in Medicaid, HR and other shared services to ensure the successful bid and stand up/operation of new and existing plans. In addition this work is closely aligned with the work of HRPBLs on this team and others to lead a strategy that ensures the successful growth and operation of our Medicaid line of business and facilitate superior member care delivery in all states. Responsibilities will include the identification, documentation, and implementation of best practices and support of the delivery of HR processes across Medicaid. This role will be accountable for identifying gaps, proposing and implementing changes necessary to cover risks and will act as a performance improvement driver and provoke positive changes in people management, lead change management projects and facilitate HR related internal and external communication. The successful candidate will influence our department’s strategy, make decisions on moderately complex to complex issues regarding technical approach for project com
Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 122,000 colleagues serve people in more than 160 countries. JOB DESCRIPTION: Working at Abbott At Abbott, you can do work that matters, grow, and learn, care for yourself and your family, be your true self, and live a full life. You’ll also have access to: Career development with an international company where you can grow the career you dream of. Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year. An excellent retirement savings plan with a high employer contribution. Tuition reimbursement, the Freedom 2 Save student debt program, and FreeU education benefit - an affordable and convenient path to getting a bachelor’s degree. A company recognized as a great place to work in dozens of countries worldwide and named one of the most admired companies in the world by Fortune. A company that is recognized as one of the best big companies to work for as well as the best place to work for diversity, working mothers, female executives, and scientists. The Opportunity This position works out of our Alameda, CA location in the Diabetes Care division where we are focused on helping people with diabetes manage their health with life-changing prod
$230K – $280K/yr
Who We Are Notion is the collaborative AI workspace where teams and agents think together . We're building one place where your knowledge, projects, meetings, and AI tools live side by side, so work is faster, clearer, and less fragmented. Millions of individuals, small teams, and large companies run their work on Notion. Notinos (our employees) are customer zero in bringing this future of work to life. We care about craft, building things that last, and the belief that great work is still fundamentally human. Our goal isn’t to ship the next feature. Each and every team of Notinos is working to set the standard for how humans work together in the AI era. From building a business’s system of record to making and managing AI agents to automating away the busy work, we care deeply about giving our customers more time for their life’s work. About the Role: As Chief of Staff you'll be the strategic copilot to Notion's Global Head of Sales. You'll work directly with our Global Head of Sales on the complex problems and decisions that drive our sales engine. You'll thrive in this role if you enjoy being at the center of global sales strategy. Whether that's preparing for board meetings, facilitating cross-functional alignment, or representing the sales organization with key stakeholders. We're looking for someone who gets energized by revolutionary sales challenges like balancing self-serve and enterprise motions, transforming our business motions internally and externally with AI, and identifying new market opportunities. If you can seamlessly shift between analyzing business metrics, facilitating executive decision-making, and strong project management execution - this role is for you! We’re looking for someone who is low ego, high motor, excited to roll up their sleeves, and ready to make an impact! This role can be based in either San Francisco or New York City. We work from our offices on Mondays, Tuesdays and Thursdays (our Anchor Days) because we do our best thinking
From $10K/yr
About Ramp Ramp is building the smart infrastructure for finance teams, embedded in the transaction flow of every dollar a business spends. We automate how over $200B in annualized spend flows in and out of 70,000+ companies: authorizing payments, flagging risk, categorizing spend, and closing books. The problems are high-stakes, data-dense, and unforgiving. We hire people with high agency and high urgency. We look for slope over intercept. We care less about where you trained and more about what you’ve built. At Ramp, everyone is a builder who owns problems end to end and makes consequential decisions that shape the outcome. The median Ramp customer saves 5% and grows revenue 16% in their first year – far in excess of businesses operating without Ramp. We believe every ambitious company deserves the same. If you want to build systems that directly shape how companies move and manage billions, Ramp is the place to do it. About the Role Ramp is in a critical phase of growth. We grew immensely last year and are building out a talented business systems team to ensure we maintain this trajectory for years to come. You’ll work directly with our Sales, Account Management, Partnerships, and Product teams to execute mission-critical business systems projects across the organization. This is a key role where you will be uniquely positioned to impact the full picture of Ramp’s growth efforts through systems development. What You’ll Do Work alongside Sales Operations to administer key go-to-market business systems, including Salesforce, Outreach, Qualified, Zendesk, Hubspot, Looker, Gong.io Build and deploy automation (flows), validations, and applications in Salesforce Implement new systems and integrations as needed Analyze key business requirements and systems capabilities to write specifications for systems build and run end to end implementation Create key reports and dashboards to track systems performance and data accuracy Write and maintain clear documentation on syste
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