Development Engineer 5 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 Fraud, Waste, and Abuse (FWA) Analyst II identifies and develops potential healthcare fraud leads through data mining, claims analysis, and investigative research. As a key contributor to the SIU lead development process, this role evaluates provider, member, pharmacy, and ancillary healthcare billing patterns for signs of fraud, waste, abuse, and other anomalies. The Analyst II uses internal claims data, analytical tools, business rule results, and industry intelligence to assess potential FWA concerns and determine whether they warrant formal investigation. This role requires strong analytical skills, healthcare claims expertise, and the ability to translate complex data into actionable investigative leads and recommendations. Essential Responsibilities Lead Development & Fraud Detection Develop proactive and reactive leads to identify potential fraud, waste, and abuse. Generate FWA leads by mining claims databases, reporting tools, and investigative systems. Validate and refine leads generated by business rules to assess their credibility and investigative value. Examine spike analyses, utilization trends, payment anomalies, and outlier reports for unusual billing patterns. Evaluate provider, member, pharmacy, DME, transportation, and facility billing for indicators of fraud or abuse. Moni

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 Fraud, Waste, and Abuse (FWA) Analyst II identifies and develops potential healthcare fraud leads through data mining, claims analysis, and investigative research. As a key contributor to the SIU lead development process, this role evaluates provider, member, pharmacy, and ancillary healthcare billing patterns for signs of fraud, waste, abuse, and other anomalies. The Analyst II uses internal claims data, analytical tools, business rule results, and industry intelligence to assess potential FWA concerns and determine whether they warrant formal investigation. This role requires strong analytical skills, healthcare claims expertise, and the ability to translate complex data into actionable investigative leads and recommendations. Essential Responsibilities Lead Development & Fraud Detection Develop proactive and reactive leads to identify potential fraud, waste, and abuse. Generate FWA leads by mining claims databases, reporting tools, and investigative systems. Validate and refine leads generated by business rules to assess their credibility and investigative value. Examine spike analyses, utilization trends, payment anomalies, and outlier reports for unusual billing patterns. Evaluate provider, member, pharmacy, DME, transportation, and facility billing for indicators of fraud or abuse. Moni

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. Summary The Senior Manager, Pharmacy Operations provides strategic leadership and site-level alignment for back-end mail-order pharmacy operations. This role is responsible for driving operational excellence, financial performance, compliance, talent development, and cross-functional collaboration while supporting the successful execution of enterprise initiatives and business objectives. A Brief Overview Manages day-to-day operations of pharmacy support staff by providing strategic leadership and oversight for pharmacy support operations. Develops and implements operational strategies, establishes performance metrics, and drives process improvements to contribute to strategic decision-making regarding pharmacy support initiatives and goals. Collaborates with stakeholders, such as pharmacists and healthcare providers, to ensure effective communication, efficient workflow coordination, and adherence to quality and safety standards. Fosters a supportive and productive work environment and facilitates professional development opportunities for the team. What you will do Provide strategic leadership and oversight of all site operations to ensu

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. The Store Manager In Training (SMIT) job is a development focused role that is crafted to prepare you for a CVS Store Manager position. The SMIT program is designed to enhance your career as a future store leader. We support your development towards the store manager role by participating in a self-paced, collaborative training over the span of 16 weeks. We provide both virtual and hands on learning experiences to develop you as a leader. Our team of people, that support your growth toward your leadership career include: your District Leader, Human Resources Business Partner, Training Store Manager, and your Store Manager coach. Some of the skills needed for this role are: Communicate well verbally and in writing to support and lead your team. Perform customer care duties to provide high levels of service. Execute merchandising strategies to support store sales growth. Manage the store inventory and assets to maintain profitability. We are invested in your growth and anticipate that you will be as well. We expect our SMIT's to: Actively engage with your leader in Key Learning Experiences to support you on your path to promotion during the structured program. Support your store as management team member and lead in a manner that is consistent with CVS values and p

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 Store Manager In Training (SMIT) job is a development focused role that is crafted to prepare you for a CVS Store Manager position. The SMIT program is designed to enhance your career as a future store leader. We support your development towards the store manager role by participating in a self-paced, collaborative training over the span of 16 weeks. We provide both virtual and hands on learning experiences to develop you as a leader. Our team of people, that support your growth toward your leadership career include: your District Leader, Human Resources Business Partner, Training Store Manager, and your Store Manager coach. Some of the skills needed for this role are: Communicate well verbally and in writing to support and lead your team. Perform customer care duties to provide high levels of service. Execute merchandising strategies to support store sales growth. Manage the store inventory and assets to maintain profitability. We are invested in your growth and anticipate that you will be as well. We expect our SMIT's to: Actively engage with your leader in Key Learning Experiences to support you on your path to promotion during the structured program. Support your store as management team member and lead in a manner that is consistent with CVS values and p

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 Store Manager In Training (SMIT) job is a development focused role that is crafted to prepare you for a CVS Store Manager position. The SMIT program is designed to enhance your career as a future store leader. We support your development towards the store manager role by participating in a self-paced, collaborative training over the span of 16 weeks. We provide both virtual and hands on learning experiences to develop you as a leader. Our team of people, that support your growth toward your leadership career include: your District Leader, Human Resources Business Partner, Training Store Manager, and your Store Manager coach. Some of the skills needed for this role are: Communicate well verbally and in writing to support and lead your team. Perform customer care duties to provide high levels of service. Execute merchandising strategies to support store sales growth. Manage the store inventory and assets to maintain profitability. We are invested in your growth and anticipate that you will be as well. We expect our SMIT's to: Actively engage with your leader in Key Learning Experiences to support you on your path to promotion during the structured program. Support your store as management team member and lead in a manner that is consistent with CVS values and p

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 Store Manager In Training (SMIT) job is a development focused role that is crafted to prepare you for a CVS Store Manager position. The SMIT program is designed to enhance your career as a future store leader. We support your development towards the store manager role by participating in a self-paced, collaborative training over the span of 16 weeks. We provide both virtual and hands on learning experiences to develop you as a leader. Our team of people, that support your growth toward your leadership career include: your District Leader, Human Resources Business Partner, Training Store Manager, and your Store Manager coach. Some of the skills needed for this role are: Communicate well verbally and in writing to support and lead your team. Perform customer care duties to provide high levels of service. Execute merchandising strategies to support store sales growth. Manage the store inventory and assets to maintain profitability. We are invested in your growth and anticipate that you will be as well. We expect our SMIT's to: Actively engage with your leader in Key Learning Experiences to support you on your path to promotion during the structured program. Support your store as management team member and lead in a manner that is consistent with CVS values and p

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 Store Manager In Training (SMIT) job is a development focused role that is crafted to prepare you for a CVS Store Manager position. The SMIT program is designed to enhance your career as a future store leader. We support your development towards the store manager role by participating in a self-paced, collaborative training over the span of 16 weeks. We provide both virtual and hands on learning experiences to develop you as a leader. Our team of people, that support your growth toward your leadership career include: your District Leader, Human Resources Business Partner, Training Store Manager, and your Store Manager coach. Some of the skills needed for this role are: Communicate well verbally and in writing to support and lead your team. Perform customer care duties to provide high levels of service. Execute merchandising strategies to support store sales growth. Manage the store inventory and assets to maintain profitability. We are invested in your growth and anticipate that you will be as well. We expect our SMIT's to: Actively engage with your leader in Key Learning Experiences to support you on your path to promotion during the structured program. Support your store as management team member and lead in a manner that is consistent with CVS values and p

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 Performs complex medical economic projects (e.g. contract rate modeling) Accountabilities include identification and completion of key deliverables to ensure all business objectives are met. Responsible for the development and implementation of key medical economics business efforts e.g.medical cost initiatives, policies/programs, budget and analytical models. Partners and consults with Network Management to provide medical cost analysis to assess effectiveness of contracted rates, creating and implementing plans to effectively manage medical costs based on analysis or trends. Develops market specific provider reimbursement schedules Oversees the production of both standard and ad-hoc reports used for risk assessment analysis, budgeting, and hospital chargemaster analysis and forecasting. Coordinates rate approvals and develops pricing for most complex contractual arrangements. Develops and communicates tactical and strategic plans to satisfy information needs across products, segments and markets to a broad audience Required Qualifications 3+ years demonstrated leadership and/or project management experience 3+ years of healthcare and/or analysis experience. Preferred Qualifications • Knowledge of managed care and how provider reimbursement policies relate to the control of me

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 Store Manager In Training (SMIT) job is a development focused role that is crafted to prepare you for a CVS Store Manager position. The SMIT program is designed to enhance your career as a future store leader. We support your development towards the store manager role by participating in a self-paced, collaborative training over the span of 16 weeks. We provide both virtual and hands on learning experiences to develop you as a leader. Our team of people, that support your growth toward your leadership career include: your District Leader, Human Resources Business Partner, Training Store Manager, and your Store Manager coach. Some of the skills needed for this role are: Communicate well verbally and in writing to support and lead your team. Perform customer care duties to provide high levels of service. Execute merchandising strategies to support store sales growth. Manage the store inventory and assets to maintain profitability. We are invested in your growth and anticipate that you will be as well. We expect our SMIT's to: Actively engage with your leader in Key Learning Experiences to support you on your path to promotion during the structured program. Support your store as management team member and lead in a manner that is consistent with CVS values and p

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 Store Manager In Training (SMIT) job is a development focused role that is crafted to prepare you for a CVS Store Manager position. The SMIT program is designed to enhance your career as a future store leader. We support your development towards the store manager role by participating in a self-paced, collaborative training over the span of 16 weeks. We provide both virtual and hands on learning experiences to develop you as a leader. Our team of people, that support your growth toward your leadership career include: your District Leader, Human Resources Business Partner, Training Store Manager, and your Store Manager coach. Some of the skills needed for this role are: Communicate well verbally and in writing to support and lead your team. Perform customer care duties to provide high levels of service. Execute merchandising strategies to support store sales growth. Manage the store inventory and assets to maintain profitability. We are invested in your growth and anticipate that you will be as well. We expect our SMIT's to: Actively engage with your leader in Key Learning Experiences to support you on your path to promotion during the structured program. Support your store as management team member and lead in a manner that is consistent with CVS values and p

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 Store Manager In Training (SMIT) job is a development focused role that is crafted to prepare you for a CVS Store Manager position. The SMIT program is designed to enhance your career as a future store leader. We support your development towards the store manager role by participating in a self-paced, collaborative training over the span of 16 weeks. We provide both virtual and hands on learning experiences to develop you as a leader. Our team of people, that support your growth toward your leadership career include: your District Leader, Human Resources Business Partner, Training Store Manager, and your Store Manager coach. Some of the skills needed for this role are: Communicate well verbally and in writing to support and lead your team. Perform customer care duties to provide high levels of service. Execute merchandising strategies to support store sales growth. Manage the store inventory and assets to maintain profitability. We are invested in your growth and anticipate that you will be as well. We expect our SMIT's to: Actively engage with your leader in Key Learning Experiences to support you on your path to promotion during the structured program. Support your store as management team member and lead in a manner that is consistent with CVS values and p

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 Store Manager In Training (SMIT) job is a development focused role that is crafted to prepare you for a CVS Store Manager position. The SMIT program is designed to enhance your career as a future store leader. We support your development towards the store manager role by participating in a self-paced, collaborative training over the span of 16 weeks. We provide both virtual and hands on learning experiences to develop you as a leader. Our team of people, that support your growth toward your leadership career include: your District Leader, Human Resources Business Partner, Training Store Manager, and your Store Manager coach. Some of the skills needed for this role are: Communicate well verbally and in writing to support and lead your team. Perform customer care duties to provide high levels of service. Execute merchandising strategies to support store sales growth. Manage the store inventory and assets to maintain profitability. We are invested in your growth and anticipate that you will be as well. We expect our SMIT's to: Actively engage with your leader in Key Learning Experiences to support you on your path to promotion during the structured program. Support your store as management team member and lead in a manner that is consistent with CVS values and p

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 Store Manager In Training (SMIT) job is a development focused role that is crafted to prepare you for a CVS Store Manager position. The SMIT program is designed to enhance your career as a future store leader. We support your development towards the store manager role by participating in a self-paced, collaborative training over the span of 16 weeks. We provide both virtual and hands on learning experiences to develop you as a leader. Our team of people, that support your growth toward your leadership career include: your District Leader, Human Resources Business Partner, Training Store Manager, and your Store Manager coach. Some of the skills needed for this role are: Communicate well verbally and in writing to support and lead your team. Perform customer care duties to provide high levels of service. Execute merchandising strategies to support store sales growth. Manage the store inventory and assets to maintain profitability. We are invested in your growth and anticipate that you will be as well. We expect our SMIT's to: Actively engage with your leader in Key Learning Experiences to support you on your path to promotion during the structured program. Support your store as management team member and lead in a manner that is consistent with CVS values and p