Care Management Support Assistant in United States

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 Dental Network Relations Senior Analyst, is the liaison between Aetna and an assigned group of DSOs. This role acts as a resource for all dental products (DHMO, PPO, Medicare) to DSO leadership and staff, providers, sales, and marketing to aid in the achievement of Aetna Key Performance Measures. This person serves as a subject matter expert, demonstrating a strong understanding of Aetna’s Dental Products and market position. The Senior Analyst negotiates provider contract language and compensation. This role is also responsible to work cross functionally to resolve provider concerns, document resolution, and effectively communicate to all parties. Responsible for account management of DSOs and large dental groups to support network strategic initiatives. Negotiates contracts at all organizational levels. Strong emphasis on analysis to develop cost-of-care strategy. Solid focus on data analytics to identify cost savings opportunities Collaborates cross-functionally to resolve provider issues with the utmost urgency. Recruits providers as needed to attain network expansion and meet access needs. Communicates early warning signs of potential issues/risks to management. Required Qualifications: 2+ years of experience in provider relations, network management, healthcare contracting, dental insurance, o

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 Dental Network Relations Senior Analyst, is the liaison between Aetna and an assigned group of DSOs. This role acts as a resource for all dental products (DHMO, PPO, Medicare) to DSO leadership and staff, providers, sales, and marketing to aid in the achievement of Aetna Key Performance Measures. This person serves as a subject matter expert, demonstrating a strong understanding of Aetna’s Dental Products and market position. The Senior Analyst negotiates provider contract language and compensation. This role is also responsible to work cross functionally to resolve provider concerns, document resolution, and effectively communicate to all parties. Responsible for account management of DSOs and large dental groups to support network strategic initiatives. Negotiates contracts at all organizational levels. Strong emphasis on analysis to develop cost-of-care strategy. Solid focus on data analytics to identify cost savings opportunities Collaborates cross-functionally to resolve provider issues with the utmost urgency. Recruits providers as needed to attain network expansion and meet access needs. Communicates early warning signs of potential issues/risks to management. Required Qualifications: 2+ years of experience in provider relations, network management, healthcare contracting, dental insura

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 Audit Manager leads audit projects, develops team members, and partners with business leaders to identify and manage risks. This role is responsible for overseeing audit execution, providing strategic insights, and strengthening internal controls across the organization. Key Responsibilities Leadership & Team Development Lead, coach, and support audit team members. Set priorities, assign work, and monitor project progress. Manage employee development, performance, and career growth. Assess team capabilities and staffing needs. Recruit, develop, and retain top talent while supporting succession planning. Audit Leadership & Risk Management Identify emerging risks, business changes, and opportunities to improve controls. Ensure audit projects are completed on time and aligned with the audit plan. Serve as a trusted advisor on risk assessments and control design. Communicate audit plan progress and findings to key stakeholders. Promote risk awareness and proactive risk management across the business. Support organizational transformation by evaluating impacts on processes and controls. Contribute to special projects and strategic initiatives while maintaining audit independence. Audit Execution Oversee and review audit

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

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 You’ll be responsible for analyzing business processes, identifying areas for improvement, designing and implementing solutions to unlock our sales team. Your knowledge of sales processes will be instrumental in implementing critical systems to unlock our business goals. In this role, you’ll partner closely with RevOps, Sales Ops, Deal Desk, Finance, and Legal to turn real deal friction into durable systems: clearer processes, smarter automation, and a quoting experience that helps the team move faster with confidence. This role is based in San Francisco. We work from our offices on Mondays, Tuesdays and Thursdays (our Anchor Days) because we do our best thinking and building together in person. We’re looking for someone who’s excited to work alongside the team during those days. What you’ll achieve Analyze business processes and sales systems to identify improvement opportunities Independently drive tasks and projects end to end (requirements, analysis, design, implementation, thorough testing, launch, and ongoing support). Manage Salesforce configuration through a governed change management process - building and mai

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 hiring for an experienced Senior STIBO Software Developer to support enterprise Master Data Management (MDM) initiatives in a fast-paced retail and healthcare environment. This Senior Developer focuses on building scalable data solutions to manage product, vendor, and customer master data across omnichannel systems while ensuring data quality, governance, and consistency. Expectations for the Role: Invest 15% of your time mentoring less experienced engineers Invest 15% of your efforts working alongside Product as well as stakeholders on other teams Invest 70% of your time using your technical SME and coding skills in strategic planning, scoping, delivery, and working alongside the Senior Engineering Manager Develop and support STIBO STEP solutions, workflows, and integrations Ensure data quality, governance, and platform performance Troubleshoot and resolve complex platform and data issues Drive delivery through accurate estimates, ownership, and communication Support production operations, Sa

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 PBM Batch Operations role is responsible for providing 24x7 operational support for Pharmacy Benefit Management (PBM) production processing environments. The position monitors, controls, and supports enterprise batch workloads, mainframe systems, iSeries environments, and associated operational processes to ensure critical pharmacy and business applications execute successfully and on schedule. Schedule: WorkDays: TBD Hours: 7 AM to 7PM AZ time Shift Structure: Three 12-hour shifts Additional Requirement: Must be available to work overtime as needed to provide coverage PBM Batch Operations Functional Responsibilities The PBM Operations environment includes responsibility for: Monitoring and supporting IWS (IBM Workload Scheduler) batch processing. Batch job interventions (restart, hold, kill, force complete). Mainframe IPL support. Mainframe console monitoring across multiple LPARs. RxClaim and iSeries batch monitoring. PBM Disaster Recovery support. Vendor escort activities and data center operational support. Data center security ticket processing. MIR3 paging and incident notifications. ServiceNow ticket management. Procedure verification and operationa

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 PBM Batch Operations role is responsible for providing 24x7 operational support for Pharmacy Benefit Management (PBM) production processing environments. The position monitors, controls, and supports enterprise batch workloads, mainframe systems, iSeries environments, and associated operational processes to ensure critical pharmacy and business applications execute successfully and on schedule. Schedule: WorkDays: Wednesday through Saturday Hours: 7:00 PM to 5:00 AM AZ time Shift Structure: 10-hour shifts Additional Requirement: Must be available to work overtime as needed to provide coverage PBM Batch Operations Functional Responsibilities The PBM Operations environment includes responsibility for: Monitoring and supporting IWS (IBM Workload Scheduler) batch processing. Batch job interventions (restart, hold, kill, force complete). Mainframe IPL support. Mainframe console monitoring across multiple LPARs. RxClaim and iSeries batch monitoring. PBM Disaster Recovery support. Vendor escort activities and data center operational support. Data center security ticket processing. MIR3 paging and incident notifications. ServiceNow ticket management. Procedure ver

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 the CVS Mail Dispensing Applications Technology team as a Software Development Engineer, where you will play a key role in delivering innovative healthcare technology solutions that support automated mail-order pharmacy operations. This role is responsible for designing, developing, implementing, and supporting software applications that enable critical dispensing processes across multiple integrated systems, including prescription intake, inventory management, filling, scanning, sorting, packing, postage, and reporting. You will work in a collaborative, diverse, and fast-paced environment focused on operational excellence, continuous improvement, and high-quality software delivery. The ideal candidate will bring strong technical expertise, a proven ability to lead complex application development initiatives, and experience partnering with both internal and external teams to drive business outcomes. Responsibilities include: Develop and implement technical solutions for Dispensing Applications Technologies, ensuring adherence to established methodologies, standards, and guidelines. Analyze, design, code, test, debug, and document software applications supporting automated mail-order pharmacy operations. Lead the development and implementation of large-scale and complex application and process redesign/improvement initiatives across

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 Release Engineer is responsible for implementing and supporting automated software delivery processes that enable reliable, secure, and repeatable deployments across development, test, non-production, and production environments. This role serves as a technical bridge between Software Engineering, Quality Engineering, Infrastructure, and Operations teams to improve deployment speed, stability, and operational efficiency. The Release Engineer is responsible for implementing and supporting automated software delivery processes that enable reliable, secure, and repeatable deployments across development, test, non-production, and production environments. This role serves as a technical bridge between Software Engineering, Quality Engineering, Infrastructure, and Operations teams to improve deployment speed, stability, and operational efficiency. Key Responsibilities Develop, support, and maintain automated CI/CD pipelines to streamline application delivery. Standardize build, release, and deployment processes across applications and platforms. Establish repeatable, auditable, and traceable release management practices to ensure deployment consistency and compliance. Manage and support Git-based source control, branching strategies, and release workflows. Integrate automated testing, quality gates, security controls, and compliance checks into deploym

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 an individual contributor role. The Senior Contract Manager for First Health Network Management 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. Collaborates cross-functionally to manage provider compensation and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities. Responsible for identifying and managing cost issues and collaborating cross functionally to execute significant cost saving initiatives. Represents company with high visibility constituents, including customers and community groups. Promotes collaboration with internal partners. Manages contract performance in support of network quality, availability, and financial goals and strategies. Recruits providers to ensure attainment of network expansion

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 Complex Nurse Case Manager is responsible for assessing members through regular and consistent in person or telephonic contact to assess, plan, implement and coordinate all case management activities with members to evaluate the medical and psychosocial needs of the member to facilitate and support the member’s improved health. The Case Manager develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness. Services strategies policies and programs are comprised of network management and clinical coverage policies. This is a field-based position that requires routine regional in-state travel 80-90% of the time; use of personal vehicle is required. Qualified candidates must have valid KY driver's license, proof of vehicle insurance, and reliable transportation. Travel to the Louisville office is also anticipated for meetings and training. This position is assigned to the Two Rivers Region. Qualified candidates must reside in one of the counties within Two Rivers (Union, Webster, Henderson, Daviess, Hancock, McLean, Ohio, Butler, Edmonson, Hart, Warren, Logan, Simpson, Allen, Monroe, Metcalfe, Barren). Evaluation of Members: Through the use of clinical assessment tools and evaluating information/data review, conducts a comprehensi

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. A Brief Overview Remove impediments, foster cross-functional collaboration, support Product Owners, and meet with business leaders to support one or more major project initiatives for Medicare. This role differs from a traditional Scrum Master by having a broader focus on overall delivery flow and, often, a more direct hand in stakeholder management and project governance. Key Responsibilities Agile Coaching & Facilitation: Fostering a culture of continuous improvement, mentoring teams on Agile values, and facilitating ceremonies (stand-ups, planning, retrospectives). Delivery Management: Managing project scope, timelines, and dependencies while tracking progress through metrics like velocity and quality. Impediment Removal: Proactively identifying and clearing roadblocks that prevent the team from achieving goals. Stakeholder Alignment: Serving as a liaison between stakeholders and the team, managing expectations, and ensuring transparent communication. Process Improvement: Refining Agile practices to increase efficiency, quality, and effectiveness. Required Qualifications 7-10+ years of experience in Agile delivery, Scrum Master, Agile Coach, Program Delivery, or related roles. Familiarity with software development, DevOps, or technical

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 the Senior Lead Coordinator you will be responsible for implementing and maintaining comprehensive billing review processes. You will identify and quantify trends/issues and effectively communicate/report them to the appropriate members of the management team and payer business partners along with the potential impact. You will assist leadership in building and maintaining a high performing highly engaged team. In this role you will also provide excellent mentorship and support to your colleagues as well as design and implement training classes. The key responsibilities of the Medical Revenue Cycle Senior Lead Coordinator are: Review and analyze patient profiles, benefits, and prior authorizations to identify potential issues affecting clean claims. Collaborate with clinical and administrative teams to ensure accurate documentation is maintained and available for claims processing. Monitor claims submissions and follow up on pending claims to expedite resolution and payment. Identify trends in claims denials and develop strategies for improvement. Conduct training sessions for staff on best practices for claims submissions and compliance. Maintain up-to-date knowledge of insurance policies, regulations, and healthcare trends that impact claims