Clinical Informatics Specialist 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. Schedule: Monday-Friday 8AM - 5PM Travel: Up to 55-75% travel in and around Yale New Haven, CT. Position Summary Program Overview Help us elevate our patient care to a whole new level! Join our Community Care team as an industry leader in serving our members by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Community Care members. Community Care is a member centric, team-delivered, community-based care management model that joins members where they are. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country. Family Summary/Mission Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities. Develops, implements, and supports Health Strategies, tactics, policies, and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work. Services and strateg

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. Title: Registered Nurse Company: Oak Street Health Role Description: The purpose of a Registered Nurse at Oak Street Health is to build strong relationships with Oak Street Health patients by coordinating their care and providing a seamless experience to patients and their support team. At Oak Street Health you will use an integrated approach toward achieving desired patient outcomes by utilizing standards, guidelines and pathways for care delivery. Through clinical assessment, intervention and education you will ensure our patients are provided competent nursing care in a timely manner. Our Registered Nurses drive quality care, it is of vital importance that our nurses incorporate data and information to improve care and enhance our patient outcomes. You will work to create an engaging and welcoming environment through team communication and delegation to empower other members of the care team to deliver the best care to our patients. Our Registered Nurses report to the Practice Manager or Nurse Supervisor (where applicable). Core Responsibilities: Provide competent nursing care by displaying proficiency in this role and executing job responsibilities in a safe and consistent manner Respond to incoming telephonic requests in a dependable manner, ensuring we are responsive to their needs and excee

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 It’s an exciting time for our Medical Economics team at CVS Health. As a growing team in a Fortune 5 company, we can provide amazing benefits to our employees along with continuous career development. This includes flexible work location, a great work-life balance, and a competitive salary. You will also be able to flex your analytics and consultative skills to positively impact our patients’ health. As a Medical Economics Analyst, you will provide consultative support and medical cost-based analysis of markets and network initiatives. You will be responsible for consulting with network and clinical management on opportunities to improve our company’s discount position and strategic cost and utilization initiatives and is essential to managing conflicting priorities and multiple projects. As part of the Medical Expense Review (MER) team, you will prepare analytic exhibits and manage both long and short-term projects, working collaboratively with local market leaders to accomplish tasks and goals that will improve the care we give our patients. Possible remote opportunity. You will also: • Analyze and research utilization and unit cost medical costs drivers. • Turn data into usable information by telling the story through data visualization. • Support the development of scoreable action items by identifying outlier cost issues. • Perform

Become a part of our caring community The Associate Vice President, Model & AI Governance, is the enterprise leader responsible for establishing and overseeing the organization’s framework for model governance, artificial intelligence (AI) risk management, responsible AI and AI governance. Reporting to the Chief Audit & Risk Officer, this executive provides independent second-line oversight and challenge of the organization’s use of models, advanced analytics, machine learning, generative AI, and emerging AI technologies. The role establishes the governance, risk-management, control, monitoring and escalation framework necessary to ensure AI models are deployed in a manner that is safe, ethical, transparent, explainable, compliant, secure and aligned with the organization’s mission and risk appetite. The Associate Vice President, Model & AI Governance, partners closely with executive leadership, technology, data and analytics, clinical/business leaders, compliance, legal, privacy, cybersecurity, information security, internal audit, enterprise risk management and other control functions to ensure AI-related risks are identified, assessed, governed, monitored, and appropriately reported. This leader will serve as an advisor to executive management on emerging model and AI risks, while maintaining appropriate independence from the teams developing and deploying models and AI solutions. Key Responsibilities Own and continuously enhance the enterprise model governance framework, including model identification, inventory, classification, risk tiering, development, validation, approval, implementation, monitoring, change management, retirement and documentation. Define model risk appetite, risk taxonomy, minimum control standards, governance requirements and escalation thresholds. Provide effective challenge over model

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 telework position requiring 50-75% travel in the Metro East Regional counties, Illinois (Madison, St. Clair, Monroe, Clinton, Jersey, Calhoun, Macoupin, and Bond counties.) Hours for this position are Monday-Friday 8:00a-5:00pm Central Time. Position Summary The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process. The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing assistance with appointment scheduling, identifying and assisting with accessing benefits and education for members through the use of care management tools and resources. • Evaluation of Members: Through the use of care management tools and information/data review, conducts comprehensive evaluation of member’s needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member’s benefit plan and available internal and external programs/services. • Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. • Coordinates and implements assigned care plan activities and monitors care plan progress. • Enhancement of Medical Appropriateness and Quality of Care: Using holistic approach con

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 Specialty is the fastest growing part of the pharmacy industry. Here is a career with purpose and where you can make a real difference in the life of a patient.. If you are a Pharmacist, and enjoy helping people on their path to better health, this may be the role for you! Should you join CVS Health, you will see right away how dedicated we are to providing our Pharmacists with the resources needed to deliver the highest quality patient care. As a Pharmacist for our Specialty Pharmacy, you will have the ability to provide exceptional customer service to patients and healthcare professionals while providing leadership and guidance to supporting staff. Our Pharmacists ensure the accurate delivery of pharmaceutical care services, which include drug therapy monitoring, patient education, drug information and chronic disease state management for our clinical programs. We offer a competitive benefit package including vacation, 6

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 This position is part of our hybrid onsite/work from home business model. Once fully trained (6 weeks) this will be approximately 15% onsite and 85% work from home (approx. 10-15 onsite days per year) Subject to change IF business needs change. On site requirement is located at: 6251 Chancellor Dr, Suite 101, Orlando, FL 32809 Exciting opportunity for a Pharmacist to join our Specialty Mail Service Pharmacy located in Orlando, FL! Specialty pharmacy is an exciting area for Pharmacists, especially at CVS Health! We are a Fortune 10 company and are the one of the largest providers for specialty pharmacy therapy in the United States. If you are a Pharmacist, and enjoy helping people on their path to better health, this may be the role for you! Should you join CVS Health, you will see right away how dedicated we are to providing our Pharmacists with the resources needed to deliver the highest quality patient care. As a Pharmacist for our Specialty Mail Service Pharmacy, you will have the ability to provide exceptional customer service to patients and healthcare professionals while providing leadership and guidance to supporting staff. Our Pharmacists ensure the accurate delivery of pharmaceutical care services, which include drug therapy monitoring, patient education, drug information and chronic disease state management for our clinical programs.

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 It’s an exciting time for our Medical Economics team at CVS Health. As a growing team in a Fortune 5 company, we can provide amazing benefits to our employees along with continuous career development. This includes flexible work location, a great work-life balance, and a competitive salary. You will also be able to flex your analytics and consultative skills to positively impact our patients’ health. As a Medical Economics Sr Analyst, you will provide consultative support and medical cost-based analysis of markets and network initiatives. You will be responsible for consulting with network and clinical management on opportunities to improve our company’s discount position and strategic cost and utilization initiatives and is essential to managing conflicting priorities and multiple projects. As part of the Medical Expense Review (MER) team, you will prepare for monthly presentations, and manage both long and short-term projects, working collaboratively with local market leaders to accomplish tasks and goals that will improve the care we give our patients. You will also: • Analyze and research utilization and unit cost medical costs drivers • Turn data into usable information by telling the story through data visualization • Support the development of scoreable action items by identifying outlier cost issues • Perform drill-down analysis to identify medica

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 – Case Manager Analyst - Field Location: Champaign, IL This Case Management Analyst Field position is with Aetna’s Long-Term Services & Supports (LTSS) team. The requirement is for candidates to travel 75% of the time to meet with members face to face. This position holds a full caseload to manage waiver members. This position requires in person quarterly visits with members. This position is critical to meeting contractual requirements. Facilitate appropriate healthcare outcomes for waiver/LTSS members by providing care coordination, support and education for members through the use of care management tools and resources. Evaluation of Members: Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member’s needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member’s benefit plan and available internal and external programs/services. Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. Coordinates and implements assigned care plan activities and monitors care plan progress. Enhancement of Medical Appropriateness and Quality of Care: Using holistic approach consults with case man

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 position is part of our hybrid onsite/work from home business model. Once fully trained (6 months) this will be approximately 25% onsite and 75% work from home. On site requirement is located at: 2700 West Frye Road Chandler, AZ 85224 Exciting opportunity for a Pharmacist to join our Specialty Mail Service Pharmacy located in Chandler, AZ. Specialty pharmacy is an exciting area for Pharmacists, especially at CVS Health! We are a Fortune 10 company and are the one of the largest providers for specialty pharmacy therapy in the United States. If you are a Pharmacist, and enjoy helping people on their path to better health, this may be the role for you! Should you join CVS Health, you will see right away how dedicated we are to providing our Pharmacists with the resources needed to deliver the highest quality patient care. As a Pharmacist for our Specialty Mail Service Pharmacy, you will have the ability to provide exceptional customer service to patients and healthcare professionals while providing leadership and guidance to supporting staff. Our Pharmacists ensure the accurate delivery of pharmaceutical care services, which include drug therapy monitoring, patient education, drug information and chronic disease state management for our clinical programs. We offer a

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 position is part of our hybrid onsite/work from home business model. Once fully trained (6 weeks) this will be approximately 15% onsite and 85% work from home (approx. 10-15 onsite days per year) Subject to change IF business needs change. On site requirement is located at: 6251 Chancellor Dr, Suite 101, Orlando, FL 32809 Exciting opportunity for a Pharmacist to join our Specialty Mail Service Pharmacy located in Orlando, FL! Specialty pharmacy is an exciting area for Pharmacists, especially at CVS Health! We are a Fortune 10 company and are the one of the largest providers for specialty pharmacy therapy in the United States. If you are a Pharmacist, and enjoy helping people on their path to better health, this may be the role for you! Should you join CVS Health, you will see right away how dedicated we are to providing our Pharmacists with the resources needed to deliver the highest quality patient care. As a Pharmacist for our Specialty Mail Service Pharmacy, you will have the ability to provide exceptional customer service to patients and healthcare professionals while providing leadership and guidance to supporting staff. Our Pharmacists ensure the accurate delivery of pharmaceutical care services, which include drug therapy monitoring, patient education, drug information and chronic disease state management for our clinical programs.

About Ema Ema is building the world’s leading Agentic AI platform to transform enterprise productivity. We enable organizations to delegate repetitive tasks to Ema, the Universal AI Employee, delivering 10x gains in workforce efficiency, across functions. Founded by former executives from Google, Coinbase, Flipkart, and Okta, our team includes engineers from premier tech companies and graduates of Stanford, MIT, UC Berkeley, CMU, and IITs. We are backed by industry leading investors including Accel, Naspers/Prosus, Section32, and angels like Sheryl Sandberg and Dustin Moskovitz. Headquartered in Silicon Valley and with offices in London, Bangalore and Vancouver, Ema is at the frontier of what Agentic AI can do in production — we ship real systems that run real business processes at scale. At Ema, we build AI Employees that operate inside the enterprise. Healthcare is where the bar is highest: the output has to be accurate, auditable, and clinically sound. We're opening a part-time role focused on agent measurement and improvement. You'll instrument how our healthcare AI Employees perform in production, identify where quality breaks down, and design the experiments that close the gap — partnering with clinical experts to ensure improvements translate into better patient outcomes, not just better metrics. We're looking for strong analytical judgment (Python, agent lead development), comfort operating with incomplete information, and genuine interest in the healthcare domain. Clinical experience is valued but not required. This engagement is structured as a paid internship or contract engagement, with weekly syncs in our Bay Area office. Compensation offered will be determined by factors such as location, level, job-related knowledge, skills, and experience. Certain roles may be eligible for variable compensation, equity, and benefits. Ema Unlimited is an equal opportunity employer and is committed to providing equal employment opportunities to all employees and applic

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 Responsible for supporting the Nursing department by ensuring timely and accurate tracking of Plan of Treatment documents in medical records software. Individual will maximize contact with providers to obtain signatures. Team member will effectively execute the process that is consistent with the management and organizational goals. ESSENTIAL DUTIES AND RESPONSIBILITIES Contacting prescriber offices to obtain fax numbers or prescriber email addresses via phone call Faxing nursing Plan of Treatments to appropriate prescriber fax number or email address Tracking Plan of Treatment details within the patient's electronic medical record. Q and A of Plan of Treatment documents. Obtaining provider signatures on Plan of Treatments. Required Qualifications Minimum one year of related experience in coordinating activities, administrative support functions, and customer service. Effective verbal and written communications skills. Excellent detail orientation and time management skills. Proficiency with Microsoft business software. Preferred Qualifications Experience as a nursing assistant, pharmacy technician, home patient representative, or customer service representative preferred. Experience obtaining physician signatures on Pl

Become a part of our caring community The Clinical Programs Pharmacist Lead will be a part of a collaborative Pharmacy Stars team which is accountable for Humana’s Stars patient safety measure performance. The Clinical Pharmacist Lead autonomously develops, implements, and manages clinical program strategies to improve Medicare members' medication adherence and appropriate medication use. The Clinical Pharmacist lead exercises independent judgment and decision making on complex issues regarding job duties and related tasks, works under minimal supervision, and analyzes variable factors to determine the best course of action. Use your skills to make an impact Required Qualifications Degree of Doctor of Pharmacy (PharmD or RPh) from an accredited School of Pharmacy Active, unrestricted pharmacy licensure 5+ years of clinical experience in managed care or pharmacy related field, or equivalent Proficient in Microsoft Office applications (especially Word, Excel, and PowerPoint) Excellent written and oral communication skills Thrives in a fast paced, multi-project work environment while still ensuring attention to detail Successful track record in facilitating and consulting across teams and managing projects Strategic thinking and planning capabilities, organized, and detail-oriented Ability to learn quickly, work under pressure and timeline, work with ambiguity, and make complex decisions as necessary to meet business need Ability to assimilate, analyze, draw conclusions, and make recommendations from complex data Preferred Qualifications Previous experience in Medicare Stars Managed care and/or community pharmacy experience or residency/fellowship Previous experience in clinical program development and leader