Senior Quality Engineer 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 Seeking a Senior Analyst to join the Group Medicare Advantage Actuarial team to assist with Part C analysis & pricing. More specifically, this role will be responsible for the following: Updating assumptions used in pricing Part C Maintaining existing portfolio view reporting Supporting plan sponsor experience refund reconciliations and UW data/reporting needs Collaborating with Underwriting on plan sponsor pricing opportunities for both new business and renewal business Required Qualifications Bachelor’s degree along with 3+ years related experience Prior healthcare experience Experience working with large and detailed data sets Preferred Qualifications Strong communication and collaboration skills Solid technical, analytical, and creative problem-solving skills Be organized, data driven, statistically minded and demonstrate an attention to detail Be self-motivated, intellectually curious with a desire to continuously improve processes Be adaptable as business needs and priorities evolve Familiarity with Medicare Part C and/or Group pricing Education Bachelor’s degree or higher in act

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. Help Transform the Future of Accounting Are you passionate about improving accounting processes, driving automation, and leading high-performing teams? Join our Accounting Center of Excellence and play a key role in modernizing accounting operations, strengthening financial controls, and supporting business growth. In this role, you'll lead accounting teams, improve processes, implement technology solutions, and partner across Finance to ensure accurate, efficient, and scalable financial operations. What You'll Do Lead accounting operations across areas such as payroll, service operations, clinical accounting, and the financial close process. Manage and develop accounting professionals, including offshore team members. Improve efficiency through process standardization, automation, and continuous improvement initiatives. Oversee month-end, quarter-end, and year-end close activities, ensuring accuracy and compliance. Partner with Finance and business leaders to solve accounting issues and enhance processes. Lead transformation projects, including workflow automation and SAP S/4HANA initiatives. Use data and analytics to improve reporting, controls, and decision-making. Coach and mentor team members to build a strong, high-performing organization. Identify opportunities to simplify processes and implement scalable s

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary: As a Senior Manager of Medicaid Compliance, you are responsible for the management, execution, and oversight of the compliance program activities and deliverables of a Medicaid managed care organization operating in a moderately complex regulatory environment. This role will allow you to serve as the designated Compliance Officer for Aetna’s Michigan (MI) Medicaid health plan. You will oversee the activities of other compliance team members assigned to the MI market. You will be responsible for developing and maintaining systems and processes that demonstrate the principles of an effective Compliance program and promote compliant and ethical behavior in the assigned Medicaid health plan. Responsibilities include, but are not limited to: Acts as the primary liaison to the state Medicaid agency, facilitating compliance and contract-related communications and activities Maintain the systems and tools to track, monitor, review, and submit required regulatory and compliance related deliverables and responses to state Medicaid agencies on or before required due dates; independently prepares and oversees the submission of complex regulatory reports and deliverables as needed on behalf of the Medicaid compliance team Facilitates the preparation for and management of external audits conducted by state Medicaid and related agencies or partners in conjunction wit

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. ***The ideal candidate will reside in larger New York area*** Position Summary The Senior Manager, Financial Planning and Analysis role will function as the Financial Planning and Analysis lead the New York Medicaid Health Plan and will support the CFO directly to achieve financial and strategic goals by managing and driving business actions and financial goals across the Plan. This position will oversee the development, analysis, and reporting of financial forecasts, budgets, and key performance metrics to support strategic decision-making. This role ensures alignment of financial strategies with state Medicaid requirements and corporate goals, providing actionable insights to executive leadership and cross-functional teams. With significant budget oversight and authority, the position drives financial performance, manages operational complexities, and assesses opportunities to enhance profitability and efficiency in a dynamic healthcare environment. Key interactions include executive leaders, operational managers, and state Medicaid stakeholders. The Senior Manager will: Oversee the development of comprehensive financial reports that align with strategic goals. Leads the identification of key financial variances and trends, providing insights for strategic decisions. Lea

Work Flexibility: Onsite Schedule: Mon – Fri 6:00am - 2:30pm, OT as needed What you will do: As a Senior Materials Inventory Coordinator, you will be responsible for material coordination and inventory control across production, quality, and logistics to ensure accurate records, timely material availability, and efficient material flow. This role focuses on executing established processes, identifying improvement opportunities, upholding quality and safety standards, and collaborating with cross-functional teams to support daily operations. Coordinate and optimize the flow of raw materials, components, and finished goods to ensure uninterrupted production and efficient inventory movement. Own inventory accuracy within ERP/WMS systems, performing complex transactions, cycle counts, and detailed discrepancy investigations. Collaborate cross-functionally with production, quality, planning, and logistics to ensure timely material availability and accurate staging for work orders. Serve as a subject matter expert and escalation point for complex material and inventory issues, driving root cause analysis and resolution. Execute and validate advanced inventory processes, including receipts, transfers, adjustments, and work order transactions, ensuring compliance with established controls. Drive continuous improvement efforts to enhance inventory accuracy, streamline material flow, and improve operational efficiency. Ensure compliance with material identification, labeling, and traceability requirements, supporting audit readiness and regulatory standards. Lead by example in maintaining a safe, organized work environment while supporting audits, physical inventories, and best practice adoption. What you need:

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 is an individual contributor role. The Senior Manager negotiates, executes, conducts high level review and analysis, dispute resolution and/or settlement negotiations of contracts. Works with larger and more complex, market/regional/national based groups/systems in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals and cost initiatives. The Senior Manager will be responsible for contracting and implementing fee for service and value-based agreements with key physician groups, facilities, and ancillary providers to support commercial and individual exchange networks. This person will also work collaboratively with Aetna and CVS departments to identify initiatives to improve physician performance and quality of care provided to our members. Recruits providers as needed to ensure attainment of network expansion and adequacy targets. Accountable for cost arrangements within defined groups. 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. What You’ll Do Lead end-to-end contract negotiations, execution, and analysis with a focus on hospital, ph

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 As a Senior IT Project Manager, you will manage the resources, schedule and budget across teams, ensuring effective delivery. Your role focuses on creating an environment that enables team success, fostering collaboration, and driving continuous improvement. While this is a senior-level position, it is an Individual Contributor (IC) role, meaning you will influence and guide teams without direct people management responsibilities. What You Will Do Manage resources, schedule and budget. Design and develop tools and processes for effective team delivery. Analyze team productivity and quality data to generate actionable insights for improvement. Develop and execute stakeholder communication strategies to gather feedback and incorporate it into process enhancements. Implement knowledge-sharing systems (e.g., wikis, documentation platforms) to promote transparency and collaboration. Act as a liaison between teams and stakeholders, removing obstacles and ensuring smooth delivery. Minimum Requirements 7–10&#43; years of relevant experience in agile project management delivery or Scrum Master roles. Strong problem-solving and decision-making skills. Proven ability to collaborate effectively across teams and stakeholders.<

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&#43; 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 The Senior Manager, Project Management is responsible for leading and overseeing Coordination of Benefits projects and operational initiatives that improve payment accuracy, reduce overpayments, enhance compliance, and drive process efficiency across the organization. This role manages a portfolio of complex, cross-functional projects and collaborates with stakeholders across Claims, Enrollment, Provider Services, Operations, Technology, Analytics, and Vendor Management to ensure successful delivery of strategic business objectives. The Senior Manager is accountable for defining project scope, objectives, timelines, resource requirements, and success measures while ensuring initiatives are delivered on time, within budget, and aligned with organizational goals. This role leverages data analytics and business intelligence to identify trends, assess risks, develop solutions, and implement process improvements that enhance operational performance and the provider and member experience. In addition to project leadership, the Senior Manager directly manages staff, providing day-to-day leadership, coaching, performance management, and professional development. Responsibilities include establishing team priorities, allocating resources, managing workload distribution, fostering collaboration, and creating a culture of accountability, innovation, and continuous improvement. The role

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, Corporate Development — M&A Integration plays a critical role in advancing the organization’s mergers, acquisitions, divestitures, and strategic growth initiatives. This individual will support multiple transactions simultaneously and partner closely with business leaders and cross-functional teams to plan and execute due diligence, integrations, and separations. As a key member of the M&A Integration team, the Senior Manager will develop and manage value chain analyses, entanglement assessments, stranded-cost analyses, one-time cost evaluations, service grids, and transition services agreements for acquisitions and divestitures. The ideal candidate brings strong M&A execution experience, strategic thinking, financial acumen, stakeholder-management expertise, and the ability to deliver results in a complex, matrixed environment. Key Responsibilities Transaction Execution and Integration Support multiple acquisitions, divestitures, and strategic transactions concurrently. Partner with Corporate Development leadership to evaluate, plan, and execute complex transactions. Lead critical integration and separation planning activities to support smooth transitions and achieve transaction objectives. Develop and maintain transaction workplans, timelines, milestones, risk logs,

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 an On-Site Wellness Coach, you will serve as a trusted health and well-being partner for employees at an assigned client location in Georgia. In this role, you will leverage your expertise in wellness coaching, behavior change, motivational interviewing, health education, and employee engagement to help individuals achieve sustainable lifestyle improvements and support organizational wellness goals. You will work directly with employees through one-on-one coaching, group programs, health screenings, and wellness initiatives designed to improve overall health outcomes, reduce health risks, and increase participation in employer-sponsored wellness programs. This role offers the opportunity to make a meaningful impact by helping employees build healthier habits related to nutrition, physical activity, stress management, sleep, weight management, and tobacco cessation. You will collaborate with employer leadership, wellness teams, and healthcare partners to deliver engaging wellness solutions that drive measurable results. You will accomplish this by: Providing individualized health and wellness coaching using evidence-based behavior change techniques and motivational interviewing. Conducting health risk assessments and reviewing biometric screening results to identify opportunities for health improvement. Creating customized wellness action pl

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 an On-Site Wellness Coach, you will serve as a trusted health and well-being partner for employees at an assigned client location in Texas. In this role, you will leverage your expertise in wellness coaching, behavior change, motivational interviewing, health education, and employee engagement to help individuals achieve sustainable lifestyle improvements and support organizational wellness goals. You will work directly with employees through one-on-one coaching, group programs, health screenings, and wellness initiatives designed to improve overall health outcomes, reduce health risks, and increase participation in employer-sponsored wellness programs. This role offers the opportunity to make a meaningful impact by helping employees build healthier habits related to nutrition, physical activity, stress management, sleep, weight management, and tobacco cessation. You will collaborate with employer leadership, wellness teams, and healthcare partners to deliver engaging wellness solutions that drive measurable results. You will accomplish this by: Providing individualized health and wellness coaching using evidence-based behavior change techniques and motivational interviewing. Conducting health risk assessments and reviewing biometric screening results to identify opportunities for health improvement. Creating customized wellness action plan

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 an On-Site Wellness Coach, you will serve as a trusted health and well-being partner for employees at an assigned client location in Nebraska. In this role, you will leverage your expertise in wellness coaching, behavior change, motivational interviewing, health education, and employee engagement to help individuals achieve sustainable lifestyle improvements and support organizational wellness goals. You will work directly with employees through one-on-one coaching, group programs, health screenings, and wellness initiatives designed to improve overall health outcomes, reduce health risks, and increase participation in employer-sponsored wellness programs. This role offers the opportunity to make a meaningful impact by helping employees build healthier habits related to nutrition, physical activity, stress management, sleep, weight management, and tobacco cessation. You will collaborate with employer leadership, wellness teams, and healthcare partners to deliver engaging wellness solutions that drive measurable results. You will accomplish this by: Providing individualized health and wellness coaching using evidence-based behavior change techniques and motivational interviewing. Conducting health risk assessments and reviewing biometric screening results to identify opportunities for health improvement. Creating customized wellness action p