Us Market Access Key Account Director 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 $19.00 / hour 1st shift only: Monday-Friday, 7AM-3PM As an RX stocker, you will stock cases of pharmacy merchandise onto shelves for RX order selectors. You will be responsible for maintaining high levels of accuracy and performance to meet the needs of store orders while utilizing safe work practices. You may work in other areas or functions of the warehouse, as needed. Responsibilities: - Read merchandise orders from a RF unit which will include: item locations, descriptions, and quantity needed. - Select and prepare (cut box tops and/or plastic from inner packaging) needed cases of product and place in a designated location. - Constant standing, walking, bending, reaching and climbing stairs. - Move boxes of merchandise (up to 30-50 pounds regularly) utilizing safe lifting techniques. - Maintain a high level of accuracy for merchandise stocked. - Work efficiently and effectively on lines with 5 or more other employees. - Maintain 100% or greater to performance standards. - Maintain cleanliness of work zones at the end of each shift. - Maintain regular and reliable attendance. - Cross train in other warehouse duties, as necessary. - Comply with all policies and procedures of the CVS Health warehouse and DEA regulations.- Must be at least 18 years of age - Ability to read, write, and count accurately - Good written and verbal communication skills - Ability 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. Omnicare is a leading provider of pharmacy services to long-term care facilities nationwide, supporting skilled nursing facilities, assisted living communities, and other institutional care settings. Following the sale of Omnicare by CVS Health, this role will support Omnicare and its continued operations as an independent, standalone organization. Candidates should be aware that this role will not remain within CVS Health following the transaction. The individual hired into this role will be employed by Omnicare and will contribute to shaping the future of our organization during this exciting period of growth and transformation. Position starting at $16/hr. Part Time Night Shift Hours/Schedule : Start Time 1:30 AM - until completion of route (the time out will vary depending on the route) with weekend shifts - every other weekend). As a Delivery Driver for Omnicare Pharmacy, you will deliver prescription orders and/or products to customers on a predetermined route and schedule in a company provided vehicle. Delivery Drivers take important steps to ensure all medication needs and regulatory compliance standards are met for our patients and they demonstrate ethical conduct and always maintain patient confidentiality. Successful Delivery Drivers will utilize a customer service mindset to manage all assigned pharmacy workstations and tasks to support the te

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. Job Summary The Representative I is the initial point of contact for Prior Authorization requests from members, providers, and a diverse customer base. The Rep I will make the determination if a complex request should be transferred to a pharmacist for assistance. Additionally, the Rep I is responsible for maintaining complete, timely, and accurate documentation of all approvals and denials. In order to be successful in this role you will need proficiency pronouncing drug names and diagnosis and recognizing medical terminology. As well as navigating multiple software systems to document conversations and outcomes, which require keyboarding skills. This position requires schedule flexibility including rotations through nights, weekend and holiday coverage. Required Qualifications - 1 year experience in customer service or call center environment - Must be able to work from home - Have high speed internet Preferred Qualifications - Previous experience in pharmacy or healthcare industry. - Associate's or Bachelor's Degree. Pharmacy Technician License Education High School Diploma or equivalent GED Anticipated Weekly Hours 40 <p sty

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 Carries out and facilitates Scrum events, removes impediments, promotes collaboration, supports Product Owners, and drives continuous improvement across Agile teams. Ensures the effective implementation of the Scrum framework by creating an environment that enables team success, fosters continuous learning, and delivers business value. Coaches and mentors Scrum Masters and Agile teams while championing Agile principles, servant leadership, and organizational agility. What You Will Do Agile Leadership & Team Coaching Coaches Scrum Masters, Product Owners, and Agile teams on Agile principles, Scrum values, and best practices for project and product delivery. Guides teams in self-organization, cross-functionality, accountability, and continuous improvement. Promotes a growth mindset and fosters a culture of adaptability, transparency, collaboration, and experimentation. Helps establish and implement a common language and framework for Agile team collaboration. Scrum Facilitation & Delivery Excellence Facilitates and oversees Scrum ceremonies, including daily stand-ups, sprint planning, sprint reviews, retrospectives, and backlog refinement sessions. Removes impediments and proactively addresses risks and obstacles that impact team productiv

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 Software Development Engineer at Aetna, you will play a critical leadership role in the design, development, and continuous enhancement of enterprise-scale Provider Applications. You will drive technical solutions for complex business problems, ensure application stability, and lead cross-functional initiatives as a Project Owner. This role requires a balance of hands-on engineering expertise, technical leadership, and delivery ownership, including overseeing vendor/contractor teams, ensuring alignment with enterprise architecture, and delivering high-impact solutions that improve provider data systems and operational efficiency. Required Qualifications: 5&#43; years of hands-on application development experience with Python and Google Cloud Platform (GCP) 2&#43; years of experience leading or contributing to large-scale application development initiatives Preferred Qualifications: Experience working in Agile/SCRUM environments Proven experience in project/program management, including planning, execution tracking, and delivery management Strong organizational, leadership, and planning skills with the ability to manage multiple priorities Experience working with distributed teams and cross-functional stakeholders Prior exposure 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. 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. POSITION SUMMARY CVS Health Digital is looking for hands-on, passionate people who want to join a high energy and growing team to make a difference in customers lives and who want to be on the forefront of digital innovation that aims to reinvent what a pharmacy and a health care company can be in the digital world. Currently, we are seeking a Staff Software Development Engineer, who will serve as a senior technical leader on a cross-functional product team responsible for designing, developing, and delivering scalable healthcare technology solutions. You will play a critical role in driving architecture decisions, mentoring engineers, and partnering with product, UX, and business stakeholders to build secure, cloud-native applications that enhance the digital healthcare experience. In this role, you will lead the development of distributed systems and microservices leveraging Java, Spring Boot, event-driven architectures, and modern cloud technologies. This Staff Engineer will also guide data migration and interoperability initiatives, supporting healthcare integrations that enable seamless and secure exchange of clinical data across platforms. The ideal candidate combines strong software engineering expertise with a passion for innovation, technical leadership, and delivering high-quality solutions in an Agile environment. Expectations for the Role Software

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 Supervisor, Clinical Health Services is responsible for oversight of healthcare management staff, including the organization and development of high performing teams. In this role, you will: Oversee a non-clinical DE staff Work closely with functional area managers to ensure consistency in clinical interventions supporting our members. Be accountable for meeting the financial, operational and quality objectives of the unit. Oversee the implementation of healthcare management services for assigned functional area. Implement clinical policies & procedures in accordance with applicable regulatory and accreditation standards (e.g. NCQA [ National Committee for Quality Assurance ], URAC [ Utilization Review Accreditation Commission ], state and federal standards, and mandates as applicable). Serve as a content model expert and mentor to the team regarding practice standards, quality of interventions, problem resolution and critical thinking. Ensure implementation and monitoring of best practice approaches and innovations to better address the member's needs across the continuum of care. May act as a liaison with other key business areas. May develop/assist in development and/review new training content. May collaborate/deliver inter and intra-departme

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. POSITION SUMMARY CVS Health is seeking a highly skilled Senior Data Engineer, Observability Engineering to join the Enterprise Observability Platform organization and help advance the next generation of observability, infrastructure, and security data capabilities. The Senior Data Engineer, Observability Engineering will play a critical role in designing, building, and operating scalable data pipelines and data products that power enterprise observability, operational intelligence, and security analytics across the organization. The Senior Data Engineer, Observability Engineering is a senior individual contributor responsible for developing and optimizing Databricks-based data engineering solutions that ingest, transform, govern, and deliver high-volume telemetry, infrastructure, application, and security data. This role combines deep hands-on technical execution with ownership of engineering excellence, operational reliability, performance optimization, and data platform best practices. Working closely with Observability Engineering, Security Engineering, Infrastructure Engineering, and Data Platform teams, the Senior Data Engineer, Observability Engineering will contribute to the evolution of the enterprise observability lakehouse by building resilient ingestion frameworks, establishing data quality standards, enhancing governance controls, and driving efficient, scalable data processing patter

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 Technician I is the initial point of contact for Prior Authorization requests from members, providers, and a diverse customer base. The Tech I will make the determination if a complex request should be transferred to a pharmacist for assistance. Additionally, the Tech I is responsible for maintaining complete, timely, and accurate documentation of all approvals and denials. In order to be successful in this role you will need proficiency pronouncing drug names and diagnosis and recognizing medical terminology. As well as navigating multiple software systems to document conversations and outcomes, which require keyboarding skills. This position requires schedule flexibility including rotations through nights, weekend and holiday coverage. Required Qualifications - 1 year experience in customer service or call center environment - Must be able to work from home - Have high speed internet Preferred Qualifications - Previous experience in pharmacy or healthcare industry. - Associate's or Bachelor's Degree. Pharmacy Technician License Education High School Diploma or equivalent GED Anticipated Weekly Hours 40<p style="text

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) Make a meaningful impact on patient care from wherever you are. We are seeking an experienced Registered Nurse (RN) to join our Utilization Management team. In this role, you will use your clinical expertise to review healthcare services, support appropriate care decisions, collaborate with providers, and help members navigate their healthcare journey. What You'll Do Review clinical information and apply evidence-based criteria to make coverage recommendations. Collaborate with healthcare providers and internal teams to support quality patient outcomes. Identify opportunities for care coordination and member support programs. Promote effective healthcare utilization and contribute to high-quality service delivery. Manage multiple systems and priorities in a fast-paced, team-oriented environment. Required Qualifications Active, unrestricted RN license in your state of residence. Minimum 2 years of RN experience in an adult acute care or critical care setting . Associate's Degree in Nursing. Strong communication, computer, and multitasking skills. Ability to work schedules that may include evenings, weekends, and holidays as part of a 24/7 operation. Preferred Qualificatio

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary CVS Health Prescription Records team serves as the sole managing interface for CVS Retails’ legal, subpoena, regulatory, attorney, patient and third-party record demands for patient and prescriber prescription records. This position will handle incoming customer inquiries by phone, fax and email in a contact center environment. You will have high-volume data entry expectations of these requests while ensuring the accuracy of details provided, along with being in charge of responsibly handling Protected Health Information. We have the responsibility of complying with regulatory demands and subpoena demands in accordance with state and federal HIPAA/Privacy requirements. Role Overview Shift: Monday-Friday 8:30-5:00 PM EST Hybrid: Must be able to work 2 days a week in the Cumberland, RI office. (Thursday are mandatory) Training Schedule: First 2 weeks training fully onsite in Cumberland following the regular schedule of 8:30-5:00 PM EST What you will do Work in a high volume, production oriented, time sensitive Call Center environment. Assist customers on the phone to provide Prescription Records and status updates on their requests. Process prescription records in a data entry system in response to fax, mail, and email requests from Regulatory Agencies, Courts (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. If you're looking to make a global difference in your next role, this opportunity is for you. Aetna International is seeking an Analyst, Account Manager who is passionate about delivering an exceptional customer experience and supporting the ongoing success of our Access U.S. customers. In this role, you will partner with Account Managers, customers, brokers, and internal business partners to provide day-to-day operational and service support throughout the customer lifecycle. You will help drive customer satisfaction and membership retention through proactive coordination, accurate execution, consultative problem-solving, and timely issue resolution. The Access U.S. business provides comprehensive health benefit solutions for U.S.-based employees of multinational organizations. Through a range of medical plans, wellness programs, digital health tools, global support services, and dedicated account management, Access U.S. helps employers offer competitive benefits while providing members with access to high-quality care and a personalized health care experience. Position Summar y Supports the Account Management team in delivering a consistent, high-quality experience for Access U.S. customers, brokers, and members. Provides operational and administrative support across eligibility, enrollment, benefit documentation, customer service activities, and issue resolution. Collaborat

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 Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing. Contributes to the efficient and accurate handling of medical claims for reimbursement through knowledge of medical coding and billing practices and effective communication skills. What you will do Handles and processes Benefits claims submitted by healthcare providers, ensuring accuracy, efficiency, and strict adherence to policies and guidelines. Determines the eligibility and coverage of benefits for each claim based on the patient's insurance plan and policy guidelines and scope. Assesses claims for accuracy and compliance with coding guidelines, medical necessity, and documentation requirements. Documents claim information in the company system, assigning appropriate codes, modifiers, and other necessary data elements to ensure accurate tracking, reporting, and processing of claims. Conducts reviews and investigations of claims that require additional scrutiny or validation to ensure proper claim resolution. Communicates with healthcare providers, patients, or other stakeholders to resolve any discrepancies or issues related to claims.</sp