• VA

Develop and implement account management strategies, maintain strong customer relationships, achieve revenue and earnings objectives, create demand and raise profile with customers, assess competitive environment, and develop sales strategies.

• ME, WI, VT, NY, IL, MA, NJ, PA, CT, NH, RI, MI

Use clinical and analytical skills to positively impact clients' health while reducing healthcare costs. Serve as a clinical expert on the account team, analyze drug utilization patterns, deliver reporting, educate clients on clinical programs, and m..

• Hartford, CT

Design, implement, and maintain automated workflows and processes for public cloud governance. Develop governance frameworks for managing cloud resources, access controls, and cost optimization. Collaborate with teams to integrate cloud automation so..

• Cumberland, RI

Design, develop and maintain automated solutions for Open Source and Oracle database deployments, configuration, backup and recovery, monitoring and performance tuning.

• Fairfield, NJ

Ensure accuracy in pharmaceutical dispensing, provide customer service to patients and healthcare professionals, and provide leadership and guidance to supporting staff as a pharmacist in a specialty mail order pharmacy...

• RI, TX, IL

Lead strategic account team to deliver solutions, client satisfaction, and service delivery. Influence client up-sell opportunities through consultative selling skills. Develop and deliver quarterly and annual reporting to clients on drug trend and f..

• Hartford, CT

Design, develop, and maintain automated solutions for database deployment, configuration, backup and recovery, monitoring, and performance tuning. Collaborate with software development teams to integrate database automation process. Troubleshoot and ..

• TX

Lead process optimization, analysis, and improvement initiatives, utilizing Six Sigma, Agile, and Lean methodologies. Collaborate with cross-functional teams to streamline workflows, implement digital tools, and ensure compliance with organizational ..

• OH, MS, TX, GA, NY, VA, IL, MA, NC, SC, CT, RI, TN, KY

Manage architectural design development and implementation of drawings for facilities, oversee project management of A&E firms and consultants, ensure conformance with standards and requirements, and manage multiple complex projects simultaneously.

• Bloomington, MN, Downers Grove, IL

Lead discussions and negotiations for high-value rebate contracts with pharmaceutical manufacturers. Develop and foster strong relationships with direct manufacturers and industry partners. Coordinate with key leaders responsible for pharmacy benefit..

• Phoenix, AZ

Lead development across legacy underwriting modeling, data interpretation, and automated financial reporting. Manage multiple complex issues, work independently in a fast-paced environment, and prioritize effectively. Exceptional communication and pr..

• IL

Lead high-priority AI initiatives, design and implement GenAI solutions, prioritize data sources, create roadmaps, and communicate technically with engineers. 2-3 years of software development experience required.

• Woonsocket, RI

Collaborates with business and technical partners to develop functional area product strategy and roadmap, including the established list of priorities for Colleague Experience.

• Wellesley, MA

Coordinate clinical data initiatives, lead project efforts for clinical data exchange, manage vendor relationships, and ensure successful implementations for health system connectivity. Required: 5+ years of clinical data exchange experience, 3+ year..

• Cumberland, MD

Lead a digital product development team, contribute to product vision and strategy, prioritize team backlog, monitor product performance, collaborate with cross-functional teams, and manage stakeholders.

• Albany, NY

Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration...

• Miami, FL

Assess, plan, and implement care management strategies for members enrolled in the Long-Term Care Program. Collaborate with providers and community resources to address members' health and social determinant needs. Advocate for members to ensure nece..

• MN

Lead a team to build internal tools for composing customer-facing pages across business units. Set OKRs, partner with leaders, hire high-performing engineers, and participate in design and architecture processes.

• MN

Lead efforts to build and design a Web Platform used by millions of customers. Collaborate with engineers, product managers, designers, and leadership to drive amazing customer experiences. Stay updated on emerging technologies and improve software q..

• AZ, TX, OK, VA, IL, PA, CA

Analyze financial performance, review contract terms, and provide pricing recommendations. Collaborate with various departments to manage short- and long-term projects effectively. Create reporting packages and presentations for management.

• MO

Act as a primary resource for dental products, maintaining provider network, negotiating contracts, and ensuring quality and service. Present plan design and promote EDI initiatives to dental providers. Strong communication skills required.

• AZ

Responsible for packaging software for the enterprise, ingesting raw installation media and packaging with applicable tools and scripting. Proficient in various packaging tools and scripting languages. Requires 5+ years of experience in software...

• NC

Lead underwriting and financial analysis activities, develop relationships with sales and account management, acquire and maintain knowledge of PBM plan management strategies, work with internal partners to enhance analytical support, manage tight de..

• PA

Oversee day-to-day PBM operations as the main point of contact for clients. Ensure timely delivery of client requests, build relationships with key stakeholders, and provide high-level client service.

• NJ

Establish positive relationships with providers, assist with complex issues, monitor service capabilities, and educate providers on policies and procedures. Requires strong communication and critical thinking skills. Bachelor's degree preferred.

• WA

Assist with establishing and implementing results-based programs and innovative initiatives for the network operations area, under general supervision. Collaborate internally and cross-functionally to support initial negotiations and re-negotiations...

• Cumberland, RI

Lead, mentor, and develop a team of Accounting professionals. Design and implement key controls over Rebate accounting, receipts, and payments. Evaluate reserves and recommend adjustments. Streamline and automate processes.

• Cumberland, RI

Lead and mentor a team of Accounting professionals. Design, implement and maintain key controls over Rebate accounting. Evaluate key reserves and communicate to Senior Management. Identify areas for process improvement and drive automation.

• RI, OH, NY, IL, MA, MD, Washington, DC, KS, FL, IN, CT, PA, NJ, KY

Manage complex lawsuits against CVS, analyze case files, develop litigation strategies, review legal documents, provide reporting on case developments, and collaborate with internal stakeholders and outside counsel.

• US National

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 appointm...

• CT, OH, TX, FL, PA, UT

Learning rework queues, working rework reports, researching and troubleshooting failed claims, adding and editing overrides in RxClaim, logging audits and errors, identifying trends for process improvement, and raising issues to management.

• Nashville, TN

Lead team-members through engineering of IAM solutions, coordinate IAM team's work and keep projects on schedule, manage implementations and releases via CI/CD strategies, influence and align key stakeholders.

• Mount Prospect, IL, Buffalo Grove, IL, Wheeling, IL, Palatine, IL, Bartlett, IL, Elgin, IL, Rolling Meadows, IL, Des Plaines, IL, Schaumburg, IL

Facilitate appropriate healthcare outcomes for members by providing care coordination, support, and education. Evaluate members' needs and eligibility, coordinate care plan activities, and monitor care plan progress. Identify and escalate quality of ..

• Pittsburgh, PA, Buffalo Grove, IL, Woonsocket, RI, Hartford, CT, Irving, TX

Develop clinically and ethically based content for drug coverage programs, participate in interpretation, review and development of content supporting client specific and standard drug coverage programs, and train new or existing UM pharmacists on pr..

• AZ

Responsible for assisting with the intake/enrollment process. Prepare a medication summary and personal care plan with recommendations for the patient to share with their medical providers.

• US National

Manage vendor relationships and coordinate tasks and projects to drive performance. Improve vendor processes and deliver on stakeholder and business performance. Communicate with internal and external teams to ensure operational excellence.

• AZ

Consult with patients, assess medications for safety and effectiveness, develop care plans, and provide follow-up to ensure positive outcomes. Must have Arizona Pharmacist License and excellent communication skills.

• TN, VA, NY, MA, MD, NC, CT, NJ, PA, RI, DE

Lead the sales process for PBM and clinical programs in the Health Plan segment, including financial input, contract negotiations, and building relationships with key prospects. Mentor colleagues and contribute to team calls. Must reside in the Northeast.

• US National

Develop technical solutions to drive process efficiency, risk mitigation, and automation. Collaborate with business partners to analyze processes, identify pain points, and lead solution development. Drive impactful value and deliver on organizationa..

• GA

Maintain and manage multi-vendor mainframe z/OS Disk & Tape environments. Leverage storage management products/utilities. Perform storage monitoring/tuning for performance and capacity. Develop and deploy best practice solutions in alignment with bus..

• CO

Lead Backend Node Developer responsible for providing technical leadership and guidance to the digital engineering team, researching and evaluating emerging technologies, designing and implementing complex features, and troubleshooting technical chal..

• Woonsocket, RI, or US National

Innovate and achieve growth targets by staying ahead of healthcare trends, creating business cases, managing external relationships, and executing new initiatives. Draw insights from data and build innovative business ideas.

• Phoenix, AZ, or US National

Formulate pricing strategy and execute financial modeling. Collaborate with sales and account services to provide recommendations on pricing and negotiation strategy. Develop and maintain domain expertise in PBM and enterprise profitability.

• TX

Lead Director responsible for managing provider contracts, negotiating high-value contracts with complex providers, managing contract performance, identifying cost-saving initiatives, and collaborating cross-functionally to achieve network expansion ..

• Hartford, CT

Lead cloud engineering and automation teams to deliver innovative cloud-based solutions aligned with business goals. Develop cloud strategy, oversee cloud engineering management and automation, and foster team leadership and development.

• Harrisburg, PA

Lead Solution Architect responsible for developing business, application/integration, data, infrastructure, platform, and security architectures. Collaborate with various teams to create solution architectures for key strategic initiatives and delive..

• RI

Manager specializing in strategic data analyses to support key business decisions for the PBM line of business. Use data-driven insights to develop winning business strategies and enhance existing solutions. Strong expertise in financial modeling, da..

• San Antonio, TX

Provides clinically relevant information as is necessary and as it pertains to the translating, dispensing, and shipping of prescription medication through communication with members and/or health care professionals.

• CT

"Lead cross-functional team to review and analyze incidents, implement action plans, and prevent future occurrences. Ensure scalability, performance, resiliency, and stability of key applications during critical peak periods."

• Cumberland, RI, Moon Township, PA, Scottsdale, AZ, Hartford, CT, Chicago, IL, Blue Bell, PA, Downers Grove, IL

Support leaders and employees with advice on company policies, manage workplace inquiries, provide coaching, corrective actions, and terminations. Collaborate with stakeholders to promote positive employee relations.