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About Working at Commerce Building a career here is more than just steps on a ladder. It’s about helping people find financial safety and success, helping businesses thrive, and making sure people and their money are taken care of. And our commitment doesn’t stop there. Our culture is about our people, the ones in our communities and the ones that work with us. Here, you’ll find opportunities to grow and learn, to connect with others, and build relationships with the people around you. You’ll have the space and resources to grow into the best version of yourself. Because our number one investment is you.Creating an award-winning culture doesn't come easy. And after more than 155 years, we know Commerce Bank is only at its best when our people are. If this sounds interesting to you, keep reading and let’s talk. Compensation RangeAnnual Salary: $70,500.00 - $139,000.00 (Amount based on relevant experience, skills, and competencies.)How would you like to work for a great company that offers career growth and values your skills and experience? For over 150 years, Commerce Bank has built a strong reputation as a “Super Community” bank and is recognized as an industry leader. In today's growing and competitive financial services industry, we look for creative and innovative solutions to meet the needs of our customers. To achieve our results, we recruit the best and brightest employees who ask, listen and solve to meet our customers’ needs!Commerce Bank is seeking a motivated and customer focused individual for a Sr. Account Executive opportunity supporting our Healthcare sector. The Sr. Account Executive position serves as an ambassador of Commerce Bank to our customers. These positions are responsible for selling Automate Accounts Payable Solutions and Card Payment Services to targeted companies in designated sales territories. These targeted companies may, or may not, have an established relationship with Commerce Bank. Each Account Executive will develop and establish relationships with “C” level associates within the Healthcare sector. To achieve the objectives of these positions, each Account Executive will initiate the use of various prospecting methods including cold calling, leveraging internal and external referrals, as well as through industry available networking groups. In addition to prospecting, each Account Executive must employ effective listening, problem solving, presentation, sales, relationship management and negotiation skills, while leveraging effective closing techniques to meet and/or exceed assigned sales goals. Account Executives will also be tasked to assist with the transitioning of new account sales to the internal Account Management Team following the start of implementation processes.This opportunity will support growth across our in-market landscape, and candidates can be located anywhere within our in-market geography.Essential Functions <ul> <li>Identify, engage, and consult key decision makers around Commerce Bank Payment solutions specific to the healthcare sector</li> <li>Conduct sales calls performing consultative business process reviews</li> <li>Meet with assigned Commercial Officer (if applicable), and Commercial Card Senior Manager to discuss sales strategy</li> <li>Identify client organizational goals and objectives for process improvement and efficiency goals, then effectively matching solution capabilities to address these requirements</li> <li>Provide value-added services including but not limited to technical support, Product Development, Relationship Management, and other benefits of Commerce Bank’s CommerceVantage Solution Suite</li> <li>Negotiate contractual terms and pricing options while taking advantage of the best solutions that will yield pricing advantages for the customer and provide an acceptable return to Commerce Bank</li> <li>Own account and monitor its activity for a defined period of time and transition it to the Account Management Team</li> <li>Create customized proposals and present them to potential customers</li> <li>Clearly understand prospect’s current processes and future needs and identify strategies to improve efficiencies, reduce costs, or improve service to win business</li> <li>Meet with assigned Commercial Officer (if applicable), and Commercial Card Senior Managers to discuss sales opportunities</li> <li>Perform other duties as assigned</li> </ul>Knowledge, Skills &amp; Abilities Required<ul> <li>Strong knowledge of consultative sales process</li> <li>Strong data analysis skills</li> <li>Skilled at interacting with senior managers and able to develop a business case</li> <li>Able to work independently but with some oversight from direct supervisor</li> <li>Capable of managing relationships independently and in negotiating sales and contracts</li> <li>Superior presentation skills</li> <li> Ability to maintain a valid driver’s license and meet Commerce Bank’s driving record criteria; ongoing employment may be contingent upon meeting all driving requirements</li> <li>Motivated and organized self-starter with strong attention to detail and the ability to manage multiple priorities</li> <li>Inquisitive, agile, and strong team player with excellent written, verbal, and interpersonal communication skills</li> <li>Ability to remain adaptable and resilient to all situations with an optimistic outlook and cast a positive shadow that is aligned with our culture and Core Values</li> <li>Intermediate level proficiency with Microsoft Word, Excel, Teams, and Outlook </li> </ul>Education &amp; Experience<ul> <li>Bachelor’s degree in Business Administration or equivalent combination of education and experience required</li> <li>7+ years new customer acquisition sales experience in Commercial Card, Banking, or Financial Services. </li> <li>Proven track record within team selling and lead sharing environments required</li> </ul>For this position, Commerce Bank will review your motor vehicle driving record. If you express interest in and are considered for this position, you’ll be asked to authorize our review of that record.**Level of role is determined by knowledge, experience, skills, abilities, and education***For individuals applying, assigned and/or hired to work in areas with pay transparency requirements, Commerce is required by law to include a reasonable estimate of the compensation range for some roles. This compensation range is for the Account Executive I, II, III, Senior – Commercial Card and Senior Account Executive - Healthcare job and contemplates a wide range of factors that are considered in determining most appropriate job level and making compensation decisions, including but not limited to location, skill sets, education, relevant experience and training, licensure and certifications, and other business and organizational needs. The disclosed range estimate has not been adjusted for any applicable differentials (geographic, bilingual, or shift) that could be associated with the position or where it is filled. At Commerce, compensation decisions are dependent on the facts and circumstances of each situation. A reasonable estimate of the current base pay is $70,500 to $139,000 annually. This position will be eligible for additional compensation through performance-based incentive plan(s) that will correspond to meeting performance goals.#LI-RemoteThe candidate selected for this position may be eligible for the following employment benefits: employer sponsored health, dental, and vision insurance, 401(k), life insurance, paid vacation, and paid personal time. In addition, we offer career development, education assistance, and voluntary supplemental benefits. Click <a href="https://careers.commercebank.com/us/en/benefits" target="_blank">here</a> to learn more.Location: Remote, Phoenix, Arizona 85001Time Type:Full time

Commerce Bank

Senior Account Executive - Healthcare Commercial Payments

<h3>About SmartAsset:</h3> SmartAsset is an online destination for consumer-focused financial information and advice that powers SmartAdvisor, a national marketplace connecting consumers to financial advisors. Reaching approximately 75 million people each month (as of Sept. 2021) through its educational content and personalized calculators and tools, SmartAsset's mission is to help people make smart financial decisions. Ranked on the Inc. 5000 and Deloitte Technology Fast 500™ lists of fastest growing companies in 2021, SmartAsset closed a $110 million Series D round, valuing the company at over $1 billion. SmartAsset was also named to Y Combinator's list of Top 100 Companies of all time and Forbes' list of America's Best Startup Employers in 2020. About the team: The Account Executive sales team at SmartAsset is a group of 40+ inside sales professionals and sales managers located across the country. We are adding to our team as the company works to add new business to our fast growing client base. Our team of Account Executives and managers are hard working and passionate about sales, our product, and our company, and are eager to learn and see growth both personally and professionally. <h3>About the Job:</h3> <ul> <li>Comfortability working in a high volume activity/sales environment and being on monthly quotas</li> <li>Identifying and developing potential new clients through prospecting and cold outreach</li> <li>Providing detailed information to prospective customers and educating them on the features and benefits of SmartAsset’s platform</li> <li>Having a consultative approach with clients by understanding their business needs, explaining ROI and having a strong closing approach. </li> <li>Owning the full sales cycle, from prospecting to closing</li> <li>Becoming an expert in the financial advisor industry to better help identify strong advisor prospects who will be a good fit for the Smart Advisor platform </li> <li>Collaborating with company leadership to vet and research different strategies for generating more revenue. Operating with a high level of integrity and able work within organizational Rules of Engagement</li> <li>Staying organized, maintaining contacts and outreach in Salesforce</li> </ul> <h3>Skills / Experience You Have: </h3> <ul> <li>3-5 years of full sales cycle experience and/or in a Sales Development role, preferably in a fast-paced, high-growth startup environment</li> <li>Experience in an inside sales, cold calling, transactional sales role</li> <li>Ability to drive deals independently in a fast-paced, dynamic environment</li> <li>Comfortable speaking to and persuading prospective clients on the phone and making 80+ calls per day</li> </ul> <h3>Skills / Experience Preferred:</h3> <ul> <li>Attention to detail; excellent organization and time-management skills</li> <li>Comfortable in a fast-paced, high-growth startup environment</li> <li>Salesforce experience preferred but not required</li> <li>Team player who possess excellent interpersonal skills and communication skills</li> </ul> <h3>Available Benefits and Perks: </h3> <ul> <li>All roles at SmartAsset are currently and will remain remote - flexibility to work from anywhere in the Contiguous US.</li> <li>Medical, Dental, Vision - multiple packages available based on your individualized needs</li> <li>Life/AD&amp;D Insurance - basic coverage at 100% company paid, additional supplemental available </li> <li>Supplemental Short-term and Long-term Disability</li> <li>FSA: Medical and Dependant Care </li> <li>401K</li> <li>Equity packages for each role</li> <li>Time Off: Vacation, Sick and Parental Leave</li> <li>EAP (Employee Assistance Program)</li> <li>Financial Literacy Mentoring Program</li> <li>Pet Insurance</li> <li>Home Office Stipend</li> </ul> SmartAsset is an equal opportunity employer committed to fostering an inclusive, innovative environment with the best employees. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. If you have a disability or special need that requires accommodation, please contact us at <a href="mailto:Recruiting@smartasset.com" target="_blank">Recruiting@smartasset.com</a>. California, Colorado, Connecticut, Maryland, Nevada, Rhode Island, Washington, and New York City residents* $75,000 base salary and up to $130,000 OTE + RSUs + benefits. Salary at SmartAsset is determined based on permissible, non-discriminatory factors such as skills, experience, and geographic location within the contiguous United States.

SmartAsset

Account Executive

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Preferred applicants will currently hold 5 or more licenses in a combination of the following states: CA, WA, AZ, FL, NV, PA, TX, NC, MI, WI, OK, ME, MN, MO, IN, TN, CO, IL, NY, MD, OR, LA, DC, UT, NE, KY, KS, SC, OH, VA, GA, NJ - Licensed Clinical Social Worker (LCSW), Licensed (Clinical) Professional Counselor (LPC or LCPC or LPCC) , Licensed Mental Health Counselor (LMHC), or Licensed Marriage and Family Therapist (LMFT) Full Time or Part Time, Fully Remote - Licensed Clinical Therapist Position Summary: Join the MinuteClinic team, an industry-leading company for a refreshing change in a stable, consistent, and professional environment. We empower our therapists to practice at the top of their license with the support of our clinical care team, while reaching patients within their communities. What our Licensed Clinical Therapists find at MinuteClinic: - Autonomy to build and grow the MinuteClinic practice without the burden payor contracting, credentialing, and billing. - Opportunities to provide psychosocial support and education needed to address the mental wellbeing of individuals, couples/families ages 13+. - Evidence-based care and access to assessment and treatment planning tools to elevate and support the continuity of care for patients. - Career growth and professional development within the organization. - In-depth training, development, and support. Required Qualifications - Current, active, and unencumbered Multistate Licensure Licensed Clinical Social Worker (LCSW), Licensed (Clinical) Professional Counselor (LPC or LCPC) LPCC (CA ONLY) , Licensed Mental Health Counselor (LMHC), or Licensed Marriage and Family Therapist (LMFT) - Will be required to obtain licenses to practice in multiple states based on business needs. - Proven excellent diagnostic, care collaboration, treatment planning, and short-term counseling skills leveraging evidence-based methodologies including but not limited to motivational interviewing, problem solving therapy, and cognitive behavioral therapy Preferred Qualifications - Preferred applicants will currently hold 5 or more licenses in a combination of the following states CA, WA, AZ, FL, NV, PA, TX, NC, MI, WI, OK, ME, MN, MO, IN, TN, CO, IL, NY, MD, OR, LA, DC, UT, NE, KY, KS, SC, OH, VA, GA, NJ - Demonstrated exceptional interpersonal and team skills - Experience with or willingness to learn and adapt to virtual therapy delivery - Proven deep understanding of the psychosocial aspects of illness and health - Tech-savvy and comfortable using electronic health record systems and engaging on multiple platforms - Demonstrated understanding of insurance, Medicaid, Medicare billing requirements - Evidence of strong crisis intervention skills - Previous experience in a mental health clinic or hospital setting Education - Completed Master’s degree program from an accredited College or University. - Multistate License Required. Alaska (AK), Arizona (AZ), California (CA), Florida (FL), Idaho (ID), Missouri (MO), Texas (TX), Hawaii (HI), Oregon (OR), Arkansas (AR), New Hampshire (NH), Vermont (VT), Wyoming (WY) and Idaho (ID) Licensed Clinical Social Worker (LCSW), Licensed (Clinical) Professional Counselor (LPC or LCPC) LPCC (CA ONLY) , Licensed Mental Health Counselor (LMHC), or Licensed Marriage and Family Therapist (LMFT) Bring your heart to CVS Health! Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$26.01 - $74.78This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Licensed Clinical Therapist - Multistate

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.CVS Health has an exciting opportunity for an Informatics Manager to join our dynamic Risk Adjustment Analytics team! In this role, you will support data analysis, predictive modeling, and evaluation reporting within our Medicaid lines of business. The position will involve extracting, collecting, analyzing, and interpreting health, utilization, and financial data from many sources to address business questions regarding population health management, health and economic outcomes, and other business needs. You will be responsible for maintaining risk score model integrity across multiple states and communicate to business leaders the key drivers of results. Join this exciting opportunity to work directly with different teams across the organization and have a meaningful impact on our business! Successful candidates will possess the following abilities: - Design and code efficiently in SQL, SAS or similar programming language - Execute algorithms to solve business problems- Willing to probe into technical details, and problem solve - Build and improve processes - Juggle multiple priorities - Be organized and exhibit attention to detail Required Qualifications - 5 or more years of data analytics experience - 3 or more years of experience in technical programming fundamentals in SQL, SAS, or other data management software - 3 or more years of experience in creating reports and pivot tables in Excel Preferred Qualifications - Knowledge of government-regulated healthcare programs such as Medicare or Medicaid - Knowledge of health insurance concepts - Experience working in risk adjustment - Experience working at a health plan - Attention to detail and working independently - Project management experience EducationBachelor's Degree or equivalent work experience requiredAnticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$54,300.00 - $159,120.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 05/25/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Informatics Manager, Risk Adjustment Analytics

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position SummaryThis position will be on the Aetna Voluntary Underwriting team and is responsible for new business and renewal underwriting for Accident, Hospital Indemnity Protection, and Critical Illness products. The Senior Manager will administer strategy for Underwriting to support the organization’s financial and strategic goals, ensuring underwriting decisions are consistent, effective, and compliant.Key Responsibilities:<ul> <li> Strategic Planning &amp; Administration:<ul> <li>Contribute to the planning and administration of company programs and initiatives that promote the Underwriting area’s agenda.</li> <li>Implement organizational policies, goals, and objectives based on best practices in the field.</li> </ul> </li> <li> Underwriting Methodology:<ul> <li>Develop methodology to underwrite voluntary benefits products within established requirements to ensure profitability and achieve a consistent loss ratio target.</li> <li>Align management of large new and renewal group quotations to underwrite profitable business for the region.</li> </ul> </li> <li> Analysis &amp; Reporting:<ul> <li>Deliver analysis and reporting on underwriting key performance indicators and recommend actions for improvement.</li> <li>Advise on competitor activity, third-party activity, and changes in law that may affect underwriting performance.</li> </ul> </li> <li> Product Development:<ul><li>Participate in the design of new voluntary benefits products, ensuring they meet market needs and profitability targets.</li></ul> </li> <li> Team Management:<ul> <li>Manage operational aspects of the team, including budget, performance, and compliance.</li> <li>Implement workforce and succession plans to meet business needs.</li> </ul> </li> </ul> Required Qualifications<ul> <li>7 to 10 years of experience in underwriting.</li> <li>3 to 5 years experience in underwriting voluntary benefits products, including Accident, Hospital Indemnity Protection, and Critical Illness.</li> <li>Proven track record of developing and implementing underwriting strategies that drive profitability and growth.</li> </ul> Preferred Qualifications<ul> <li>Demonstrated ability to develop and execute long-term strategic plans that align with organizational goals.</li> <li>Experience in driving innovation and implementing new initiatives to enhance underwriting processes and product offerings.</li> <li>Experience in collaborating with sales, marketing, and customer service teams to develop and promote customer-focused underwriting solutions.</li> <li>Strong interpersonal skills and the ability to build and maintain relationships with key stakeholders, including clients, brokers, and consultants.</li> <li>Experience in leveraging technology to streamline underwriting processes and improve efficiency.</li> </ul> Education<ul><li>A bachelor’s degree from an accredited institution is required. Preferred fields of study include business administration, finance, economics, mathematics, or a related discipline. An advanced degree (MBA, Master’s) is a plus.</li></ul>Pay RangeThe typical pay range for this role is:$67,900.00 - $199,144.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 06/29/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Underwriting Tech Lead

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position Summary CVS Health, a Fortune 6 company, has an outstanding opportunity for a Medical Director (Medical Affairs).This is a remote based, work from home opportunity. The Medical Affairs department provides clinical business support to the entire enterprise and provides clinical oversight and mentorship for CVS Health clinical programs, PBM Clinical Quality activities, consultative support to the P&amp;T process, formulary development, drug information services and pipeline activities, and provision of clinical leadership to various internal departments (e.g., specialty pharmacy services, clinical product development, Enterprise Analytics, Compliance, Legal, Accreditation) and clients. The Medical Director (Medical Affairs) will report into the Medical Affairs Department and is responsible for clinical support and consultative activities across the PBM. In this role you may provide consultative clinical support to Account Management in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM activities (prior authorization and appeals) and responds to prescriber inquiries related to UM transactions and more generally related to CVS Health coverage policies. Medical Directors at CVS Health are encouraged to model the highest levels of clinical integrity, knowledge and cross functional thinking and decision making. Medical Directors represent the clinical decision making and professional thought process of the prescriber as a partner across the enterprise’s decisions and planning. – Each Director is responsible for providing oversight of a portion of CVS Health's clinical programs and commercial client program support. Will share in reviews of utilization management (PA) criteria and clinical policy revisions/reviews. – Directors will spend a portion of most days completing assigned medication utilization reviews (PA) and/or medical necessity appeals for commercial clients, governmental (Medicare/Medicaid) programs and individual client requested coverage determinations or appeals when appropriate. – Medical Directors will participate in inter-rater review activities and other quality oversight processes for internal Director UM decisions. If specifically assigned to one business segment (i.e., Medicare clients), each director will become sufficiently skilled in various UM programs to support other segments (including commercial and Medicaid) on evening and weekend coverage. –In this role you'll perform a share of special clinical investigations and research as requested by the Senior Medical Director, Medical Affairs. These projects can include brief reviews of published literature around specific pharmaceutical questions or more in-depth projects requiring collaboration with pharmacists within Medical Affairs and in business units outside of the Department. CVS Health, a Fortune 4 company, has an outstanding opportunity for a Medical Director (Medical Affairs). Required Qualifications * Family Medicine or Internal Medicine Board Certification.* Minimum of 5 years clinical experience in direct patient care. * 2 or more years proven experience in clinical outcomes, with a solid understanding of medical statistics, regulatory agencies, and analytic programs * Unrestricted license to practice medicine in the state in which the candidate is located. Preferred Qualifications * Combination of five years of management and/or clinical experience in a managed care environment and health administration, including adequate clinical experience in direct patient care and working with professionals at different levels as a teammate (e.g., RNs, PharmDs, etc.). * ABMS or AOA Board Certified in a recognized medical specialty, preferably in a Primary Care field (Internal medicine, Family Medicine) * Master’s Degree in Public Health Administration or MBA preferred, UM/QA certification desired * Proficiency in MS Office Suite Education * Must be graduate of an accredited Medical School and Residency Program * Possess an unrestricted active license to practice medicine in a State, Territory, Commonwealth of the United States, or the District of Columbia * Required annual Continuing Medical Education (CME) up to date and must remain current in medical and management areas during employmentPay RangeThe typical pay range for this role is:$174,070.00 - $374,920.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 06/30/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Medical Director (Medical Affairs)

Cherokee Nation Businesses

Business Development Manager DHS

Federal Business Development Manager Engineering & Manufacturing

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Job Summary<ul> <li>Develops Network database tools that enable network management to work more efficiently and focus efforts effectively.</li> <li>Advises on provider performance, network adequacy, geographical coverage, and makes necessary network modifications or expansions.</li> <li>Implements improvement initiatives to ensure that network databases meet all applicable regulatory and quality standards.</li> <li>Conducts market analysis, assesses competitive positioning, and recommends strategies to maintain a competitive edge.</li> <li>Consults with internal teams, including medical directors, operations managers, and network development professionals, to align provider network performance goals and objectives.</li> <li>Provides continuous recommendations to senior leadership to guide decision-making and ensure close alignment with the organization's strategic goals and objectives.</li> </ul> Required Qualifications<ul> <li>A minimum of 5 years of SQL and QuickBase (developing and building of dashboards), Python, SAS, Access, Excel, Salesforce, and/or other large data management tools.</li> <li>Adept at machine learning and AI</li> <li>Adept at managing large amounts of data</li> <li>Adept at project management</li> <li>Adept at problem solving and decision-making skills</li> <li>Adept at collaboration and teamwork</li> <li>Adept at Growth Mindset with Mentorship Capability</li> <li>Adept at execution and delivery (planning, delivering, and supporting) skills</li> <li>Adept at business intelligence (data driven insights)</li> <li>Intrinsically Driven</li> <li>Proactive Initiator</li> </ul> Preferred Qualifications<ul> <li>Prior Relevant Work Experience with a health system or large payor.</li> <li>Adept at Google Cloud/Desktop</li> </ul> Education<ul><li>Bachelor's degree preferred or a combination of professional work experience and education.</li></ul>Pay RangeThe typical pay range for this role is:$67,900.00 - $199,144.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 05/17/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Sr. Network Management Manager - QuickBase

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Job Purpose and Summary:This position is responsible for long range (12-18 months) and midrange (0-26 weeks) business forecasting and staff capacity planning for call and back office operations for Specialty Operation. This individual will be part of a team that owns the business planning, including staffing requirements and metrics performance as well as the many different types of analysis that are needed on an ad-hoc and reoccurring basis.This role is responsible for forecasting, modeling, performance projections, intermediate financial variance explanations, and analysis. This person must be able to clearly articulate a clear and concise narrative regarding weekly and monthly variances to budgets and/or quarterly reforecasts.Building strong working relationships with in a heavily matrixed environment and delivering on individual commitments will be critical to the success of this role. Candidates should possess outstanding analytical and critical-thinking skills as well as a proven track record of collaboration within cross-functional organizations (i.e. operations and finance). This person MUST be curious and want to understand how things work to drive continuous improvements.Primary Job Duties &amp; Responsibilities:Maintain accurate labor forecasts to predict staffing needs under a variety of intake volumes, workloads, work activities, rates and other conditions using data/statistical analysis.Participate/Lead weekly and monthly resource discussions with business partners including Operations, HR, Talent Acquisition, Training, and Vendor Management, to ensure current and future business outlooks are well documented and socialized.Maintain volume and handle time forecasts for all lines of business for all call and pharmacy functions; produce and communicate vendor locked forecasts.Investigate volume and handle time forecast variances and incorporate into upcoming forecasts.Actively participate in peak season staffing planning meetings including coordination of new hire classes and target LOBs.Contribute to quarterly forecast submission data for financial outlooks.Required Qualifications:<ul> <li>3-5 years of experience with Call Center and Backoffice Workforce Management/Resource Planning</li> <li>Specialty Pharmacies</li> <li>Basic finance fundamentals</li> </ul>​Skill In: <ul> <li>Strong Excel a MUST</li> <li>Tableau and/or other BI tools preferred</li> <li>Avaya/CMS, Verint or NICE</li> <li>Having a curiosity to drive change and improvements</li> </ul>​Ability To: <ul><li>Data analysis, problem solving, communicate at upper management level</li></ul>Education: <ul><li>Bachelors Degree in related field or equivalent experience is required</li></ul>Preferred Qualifications: <ul><li>5-8 years of experience in Pharmacy/PBM Operations</li></ul>Skill in:<ul><li>Plan and operations optimization</li></ul>Ability To:<ul> <li>Ability to obtain, review, analyze and compile information from multiple data sources</li> <li>Ability to handle multiple tasks with competing priorities</li> </ul>Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$54,300.00 - $159,120.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 04/30/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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