Quality Systems 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. Utilization Management Nurse Consultant (RN) – Concurrent Review Remote | Acute Inpatient Utilization Management | RN Opportunity Are you an experienced RN with a background in acute care and utilization management? Join our team and play a vital role in ensuring members receive appropriate, high-quality, and cost-effective inpatient care through concurrent review and care coordination. What You'll Do Perform concurrent reviews for acute inpatient admissions and continued hospital stays Evaluate medical necessity, severity of illness, intensity of service, and level of care using evidence-based clinical criteria Collaborate with hospitals, physicians, care managers, and discharge planners to support appropriate treatment and timely transitions of care Review clinical documentation and apply health plan benefits and regulatory requirements to authorization decisions Partner with Medical Directors on complex cases and escalations Facilitate discharge planning and identify opportunities to optimize care and resource utilization Manage a high-volume caseload while meeting quality, productivity, and turnaround-time standards WHAT YOU BRING - REQUIRED Active, unrestricted RN license in your state of residence Ability to obtain and maintain additional state licensure as required 5&#43

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: Medical Assistant Company: Oak Street Health Role Description: The purpose of a Medical Assistant at Oak Street Health is to gather all necessary medical information regarding our patients to ensure providers have the most accurate information available when making healthcare decisions. Medical Assistants (MA) report to the Practice Manager or Center Operations Specialist. They are a vital element of our model and important members of our Care Teams. Being an MA at Oak Street Health requires high levels of flexibility, energy, attention to detail, and problem solving skills. You will be expected to build relationships with Oak Street Health members. Medical Assistants will collaborate closely with their teammates to ensure an unmatched patient experience while driving clinical results. As an MA you will accomplish this by assisting in the assessment of patients’ health conditions, through screenings and routine diagnostic testing performed during appointments. Responsibilities: Ensure an efficient patient flow; room patients in a timely manner, complete vital signs, complete required screenings and complete medication reviews Inventory supplies and stock exam rooms Respond to patient requests for telephonic support (Lab results, faxing records to specialists, etc.) In accorda

You’ve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. Position Summary: Health is everything. At CVS Health, colleagues are committed to increasing access, lowering costs, and improving quality of care. Millions of times a day, we help people on their path to better health –from advising on prescriptions to helping manage chronic and specialty conditions. As a 3rd year pharmacy intern, you have a significant role in our company working as a part of the pharmacy team– delivering our purpose, modeling our values, and demonstrating genuine, authentic care for our patients. While working as a 3rd year pharmacy intern, under the direct supervision of a licensed pharmacist, you play a critical role in ensuring a safe and effective Retail Pharmacy work environment that delivers exceptional care to each patient. This includes but is not limited to: Patient Safety Pharmacy Professional Practice Regulatory Requirements Quality Assurance Customer Service Inventory Management Workflow Management excluding final prescription verification Primary Roles and Responsibility: A key component of the pharmacy intern role is keeping your customers and patients healthy through adoption and management of patient care programs. Additionally, you will: Lead with Heart – display empathy and compassion for your patients, customers, caregivers, and colleagues on your team Seek new ways to grow, collaborate with others, and deliver better outcomes Align others around our purpose to bring your heart to

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 Health is everything. At CVS Health, colleagues are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we help people on their path to better health—from advising on prescriptions to helping manage chronic and specialty conditions. As a Staff Pharmacist, you have a critical role at the forefront of delivering our purpose, modeling our values, and demonstrating genuine, authentic care for our patients. In addition to supporting the Pharmacy Manager in leading and directing your Pharmacy Technician Support Staff, you are accountable for supporting the management, oversight and operation of all aspects within your pharmacy. This includes: Patient Safety Pharmacy Professional Practice Regulatory Requirements Quality Assurance Customer Service Personnel Management Inventory Management Financial Profitability Loss Prevention Workflow Management A key component of the Staff Pharmacist role is keeping your customers and patients healthy through adoption and management of patient care programs. Additionally, you will: Lead with Heart – display empathy and compassion for your patients, customers, caregivers and colleagues on your team Motivate, inspire and develop your Pharmacy Support Staff by balancing assignment

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 Health is everything. At CVS Health, colleagues are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we help people on their path to better health—from advising on prescriptions to helping manage chronic and specialty conditions. As a Staff Pharmacist, you have a critical role at the forefront of delivering our purpose, modeling our values, and demonstrating genuine, authentic care for our patients. In addition to supporting the Pharmacy Manager in leading and directing your Pharmacy Technician Support Staff, you are accountable for supporting the management, oversight and operation of all aspects within your pharmacy. This includes: Patient Safety Pharmacy Professional Practice Regulatory Requirements Quality Assurance Customer Service Personnel Management Inventory Management Financial Profitability Loss Prevention Workflow Management A key component of the Staff Pharmacist role is keeping your customers and patients healthy through adoption and management of patient care programs. Additionally, you will: Lead with Heart – display empathy and compassion for your patients, customers, caregivers and colleagues on your team Motivate, inspire and develop your Pharmacy Support Staff by balancing assignments that maximize colleagues’ streng

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: Medical Assistant Company: Oak Street Health Role Description: The purpose of a Medical Assistant at Oak Street Health is to gather all necessary medical information regarding our patients to ensure providers have the most accurate information available when making healthcare decisions. Medical Assistants (MA) report to the Practice Manager or Center Operations Specialist. They are a vital element of our model and important members of our Care Teams. Being an MA at Oak Street Health requires high levels of flexibility, energy, attention to detail, and problem solving skills. You will be expected to build relationships with Oak Street Health members. Medical Assistants will collaborate closely with their teammates to ensure an unmatched patient experience while driving clinical results. As an MA you will accomplish this by assisting in the assessment of patients’ health conditions, through screenings and routine diagnostic testing performed during appointments. Responsibilities: Ensure an efficient patient flow; room patients in a timely manner, complete vital signs, complete required screenings and complete medication reviews Inventory supplies and stock exam rooms Respond to patient requests for telephonic support (Lab results, faxing records to specialists, etc.) In accorda

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. We are seeking a reliable Order Selector to join our distribution team. This role is responsible for accurately selecting merchandise based on store orders and preparing items for shipment. If you enjoy working in a fast-paced environment and value accuracy and efficiency, this is a great opportunity for you! Responsibilities Pick merchandise according to store orders, ensuring accuracy in item location, description, and quantity. Place items on pallets or conveyors using safe lifting techniques. Secure pallets with tape and shrink wrap for transport. Maintain a clean and organized work area by following all safety guidelines. Assist with general housekeeping to keep aisles clear of debris. Participate in training for additional warehouse duties. Qualifications Ability to lift up to 50 lbs and stand for extended periods. Strong attention to detail and organizational skills. Ability to work independently and as part of a team. 0–2 years of warehouse or picking experience preferred. Education High school diploma or equivalent required. Benefits Competitive pay. Health, dental, and vision insurance options. Holiday differential. Employee discount program. Opportunities for

You’ve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. Position Summary: Health is everything. At CVS Health, colleagues are committed to increasing access, lowering costs, and improving quality of care. Millions of times a day, we help people on their path to better health –from advising on prescriptions to helping manage chronic and specialty conditions. As a 3rd year pharmacy intern, you have a significant role in our company working as a part of the pharmacy team– delivering our purpose, modeling our values, and demonstrating genuine, authentic care for our patients. While working as a 3rd year pharmacy intern, under the direct supervision of a licensed pharmacist, you play a critical role in ensuring a safe and effective Retail Pharmacy work environment that delivers exceptional care to each patient. This includes but is not limited to: Patient Safety Pharmacy Professional Practice Regulatory Requirements Quality Assurance Customer Service Inventory Management Workflow Management excluding final prescription verification Primary Roles and Responsibility: A key component of the pharmacy intern role is keeping your customers and patients healthy through adoption and management of patient care programs. Additionally, you will: Lead with Heart – display empathy and compassion for your patients, customers, caregivers, and colleagues on your team Seek new ways to grow, collaborate with others, and deliver better outcomes Align others around our purpose to bring your heart to

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. Program Overview: Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. 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. This position is focused on assisting members in: Kankakee, Iroquois, Livingston, Ford, Champaign and surrounding counties. Position Summary/Mission: 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. Fundamental Components • Evaluation of Members: Through the use of care management tools and information/data

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: Health is everything. At CVS Health, colleagues are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we help people on their path to better health-from advising on prescriptions to helping manage chronic and specialty conditions. As a Staff Pharmacist, you have a critical role at the forefront of delivering our purpose, modeling our values, and demonstrating genuine, authentic care for our patients. In addition to supporting the Pharmacy Manager in leading and directing your Pharmacy Technician Support Staff, you are accountable for supporting the management, oversight and operation of all aspects within your pharmacy. This includes: Patient Safety Pharmacy Professional Practice Regulatory Requirements Quality Assurance Customer Service Personnel Management Inventory Management Financial Profitability Loss Prevention Workflow Management A key component of the Staff Pharmacist role is keeping your customers and patients healthy through adoption and management of patient care programs. Additionally, you will: Lead with Heart ΓÇô display empathy and compassion for your patients, customers, caregivers and colleagues on your team Motivate, inspire and develop your Pharmacy Support Staff by balanci

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 Discount Strategy Team oversees the strategy, planning, execution, and optimization of all discount strategies to drive profitable growth and consumer engagement. This team works closely with internal partners such as Merchandising, Pricing, Digital, and Marketing leadership to develop best-in-class promotional strategies across all vehicles. The Sr. Manager is responsible for analyzing discount strategies to create clear, compelling, profitable promotions across the business, which includes organizing and prioritizing key areas of focus to facilities efficient decision making. The team uses deep category and consumer knowledge to analyze market trends and dynamics, develop promotional events that drive consumer engagement, analyze and optimize promotional effectiveness, understand vendor/brand economics and productivities, drive customer loyalty and related optimization opportunities across various levers. The Senior Manager, Discount Strategy is charged with developing and driving a portfolio of profitable growth initiatives in partnership with Category Managers and Price Value Strategy leadership. The Senior Managers oversee the budget and project execution plan for multiple initiatives. The Senior Manager will report to the Promo Strategy Director. Required Qualifications</b

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 Health is everything. At CVS Health, we are committed to increasing patient access to care, lowering costs and improving the quality of care. Millions of times a day, we’re helping people on their path to better health— from advising patients on their prescriptions to helping them manage their chronic and specialty conditions. Because we’re present in so many moments, big and small, we have an active, supportive role in shaping the future of health care. Pharmacy Technicians are at the forefront of our purpose as they deliver compassionate care to our millions of patients every day. Come join our team of dedicated and caring Pharmacy Technicians who demonstrate our core values of Accountability, Caring, Collaboration,Innovation and Integrity in everything they do in our pharmacies every day. Whether you are new to working in pharmacies or are an experienced Pharmacy Technician, we have a place for you on our team to use your skills and talents to serve and care for our patients and customers. The Pharmacy Technician position provides individuals with an opportunity to work in a leading retail pharmacy company and in a role that positively impacts the lives and health of others. You will work in an environment where the highest professional and ethical standards are maintained as well as full compliance with all Federal, State and Local laws and regulations. Pharmacy Technicia

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 A Shift Supervisor is a key leader supporting the CVS Store Management team in driving store execution and performance while building consumer loyalty to CVS/pharmacy through a focus on excellent customer service. When there is no manager or Operations Supervisor onsite, the Shift Supervisor leads the store staff, ensures that store operations run smoothly, and is responsible for ensuring the completion of all opening and closing procedures. Essential Functions: 1. Management Work effectively with store management and store crews Supervise the store’s crew through assigning, directing and following up of all activities Effectively communicate information both to and from store management and crews 2. Customer Service Assist customers with their questions, problems and complaints Promote CVS customer service culture. (Greet, offer help, and thank) Handle all customer relations issues in accordance with company policy and promote a positive shopping experience for all CVS customers Maintain customer/patient confidentiality 3. Merchandise/Presentation Price merchandise Stock shelves Execute the displays, sign and inventory of weekly, promotional, and seasonal merchandise</

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 A Shift Supervisor is a key leader supporting the CVS Store Management team in driving store execution and performance while building consumer loyalty to CVS/pharmacy through a focus on excellent customer service. When there is no manager or Operations Supervisor onsite, the Shift Supervisor leads the store staff, ensures that store operations run smoothly, and is responsible for ensuring the completion of all opening and closing procedures. Essential Functions: 1. Management Work effectively with store management and store crews Supervise the store’s crew through assigning, directing and following up of all activities Effectively communicate information both to and from store management and crews 2. Customer Service Assist customers with their questions, problems and complaints Promote CVS customer service culture. (Greet, offer help, and thank) Handle all customer relations issues in accordance with company policy and promote a positive shopping experience for all CVS customers Maintain customer/patient confidentiality 3. Merchandise/Presentation Price merchandise Stock shelves Execute the displays, sign and inventory of weekly, promotional, and seasonal merchandise</

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 A Shift Supervisor is a key leader supporting the CVS Store Management team in driving store execution and performance while building consumer loyalty to CVS/pharmacy through a focus on excellent customer service. When there is no manager or Operations Supervisor onsite, the Shift Supervisor leads the store staff, ensures that store operations run smoothly, and is responsible for ensuring the completion of all opening and closing procedures. Essential Functions: 1. Management Work effectively with store management and store crews Supervise the store’s crew through assigning, directing and following up of all activities Effectively communicate information both to and from store management and crews 2. Customer Service Assist customers with their questions, problems and complaints Promote CVS customer service culture. (Greet, offer help, and thank) Handle all customer relations issues in accordance with company policy and promote a positive shopping experience for all CVS customers Maintain customer/patient confidentiality 3. Merchandise/Presentation Price merchandise Stock shelves Execute the displays, sign and inventory of weekly, promotional, and seasonal merchandise</