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<h3> Position Summary </h3> Chief Architect Leader (US Deloitte Technology – Product Engineering) Role Overview: As the Chief Architect Leader for Deloitte's DT-US Product Engineering, you will be the visionary and driving force behind our technology strategy, pivotal in driving Product Engineering Transformation. You will be a key member of the leadership team, responsible for both strategic and tactical decisions, and accountable for delivering enterprise initiatives. Your role will encompass driving the architectural vision, strategy, and technology roadmap, overseeing system design and enterprise architecture, ensuring technical integrity, and achieving product objectives to transform various products or business areas. You will build and nurture the architecture function alongside fellow engineering leaders, drive technical strategies for the future, advocate for best practices, and mentor team members to foster a culture of innovation and excellence in architectural design. Recruiting for this role ends on April 25, 2025. Responsibilities: <ul> <li> Strategic Planning:Transform business goals into actionable strategies and roadmaps, evolving our technology blueprint and architecture to deliver incremental business value with fully automated, resilient products and platforms, while shaping the technical vision and architectural strategy to achieve business goals and contribute to the overall firm’s technical vision.</li> <li> Technical Leadership:Design long-term, resilient, secure and scalable technology architectures with a focus on AI, while engaging in hands-on architecture design, architectural reviews, and technical mentorship to ensure innovative and practical solutions.</li> <li> Team Leadership: Own and drive the architecture practice, focusing on recruiting and managing hands-on architects and engineering leaders to build a high-performing team. Lead by example and model the way of a true engineer - by showcasing examples of tackling complex architectural challenges, leading critical projects, conducting technical workshops and providing real-time solutions.</li> <li> Innovation and Thought Leadership:Identify and recommend new technology trends impacting Product Engineering, lead innovation activities, support and evolve enterprise platform capabilities, and showcase work externally through conferences, white papers, and industry publications.</li> <li> Mastery in Craft:Spearhead engineering strategy initiatives and continuous improvement, showcasing their passion for technology and architecture, continuously upskilling, sharing insights, and fostering a culture of learning and innovation.</li> <li> Strategic Vision and Executive Collaboration: Advocate and communicate a shared technology vision across the enterprise while collaborating with executives to define and implement transformation strategies.</li> <li> Stakeholder Management:Engage with stakeholders to manage complex products, drive priorities, and manage expectations to ensure seamless co-creation between stakeholders, product, experience and engineering team to enable business goals.</li> </ul> The Team: US Deloitte Technology Product Engineering has modernized software and product delivery, creating a scalable, cost-effective model that focuses on value/outcomes that leverages a progressive and responsive talent structure. As Deloitte’s primary internal development team, Product Engineering delivers innovative digital solutions to businesses, service lines, and internal operations with proven bottom-line results and outcomes. It helps power Deloitte’s success. It is the engine that drives Deloitte, serving many of the world’s largest, most respected companies. We develop and deploy cutting-edge internal and go-to-market solutions that help Deloitte operate effectively and lead in the market. Our reputation is built on a tradition of delivering with excellence. Qualifications and Required Skills: Educational Background A bachelor’s degree in computer science, or a related discipline. An advanced degree (e.g., MS) is preferred but not required. Experience is the most relevant factor. Experience <ul> <li>20+ years of hands-on software engineering experience at the enterprise level, including start-ups, architecting, designing, coding, deploying and operating products &amp; platforms.</li> <li>5+ years of experience with driving technology vision, strategy, research and roadmap.</li> <li>10+ years of experience with cloud-native engineering, using FaaS/PaaS on multiple cloud hyper-scalers like Azure, AWS, and GCP.</li> <li>5+ years in data engineering and AI/ML creating production-grade applications with exposure to GenAI</li> </ul> Technical Expertise <ul> <li>Strong fullstack experience in various frontend, backend, integration and COTs applications such as Angular, React, NodeJS, .NET Core/C#, Java, Mulesoft, SAP, ServiceNow, Salesforce</li> <li>Deep experience with Big-data technologies such as SQL/NoSQL, Python/R, MS Stack, Mobile, RPA, D&amp;A.</li> <li>Strong experience in DevSecOps driving multiple daily product deployments using full automation from code check-in to production deployment with all quality checks through SDLC lifecycle</li> <li>Strong SRE experience to fully automate operations with smart monitoring, proactive issue detection and seamless recovery</li> <li>In-depth understanding of Agile methodologies, XP, Lean, SAFe, ITSM, GRC, GDPR, SOC2.</li> </ul> Communication and Influencing Skills <ul> <li>Excellent interpersonal and organizational skills, with the ability to handle diverse situations, multiple initiatives, complex projects, and changing priorities, driving the vision with passion, empathy, and care.</li> </ul> Limited immigration sponsorship may be available Ability to travel 0-25%, on average, based on the work you do and the clients and industries/sectors you serve The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $145,000 to $260,000. You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance. Information for applicants with a need for accommodation: <a href="https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-assistance-for-disabled-applicants.html" target="_blank">https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-assistance-for-disabled-applicants.html</a> EA_ExpHire Recruiting tips From developing a stand out resume to putting your best foot forward in the interview, we want you to feel prepared and confident as you explore opportunities at Deloitte. <a href="https://www2.deloitte.com/us/en/pages/careers/topics/recruiting-tips.html" target="_blank">Check out recruiting tips from Deloitte recruiters.</a> Benefits At Deloitte, we know that great people make a great organization. We value our people and offer employees a broad range of benefits. <a href="https://www2.deloitte.com/us/en/pages/careers/articles/life-at-deloitte-benefits-and-rewards.html" target="_blank">Learn more about what working at Deloitte can mean for you.</a> Our people and culture Our inclusive culture empowers our people to be who they are, contribute their unique perspectives, and make a difference individually and collectively. It enables us to leverage different ideas and perspectives, and bring more creativity and innovation to help solve our client most complex challenges. This makes Deloitte one of the most rewarding places to work. Our purpose Deloitte’s purpose is to make an impact that matters for our clients, our people, and in our communities. We are creating trust and confidence in a more equitable society. At Deloitte, purpose is synonymous with how we work every day. It defines who we are. We are focusing our collective efforts to advance sustainability, equity, and trust that come to life through our core commitments. <a href="https://www2.deloitte.com/us/en/pages/about-deloitte/articles/purpose-at-deloitte-us.html" target="_blank">Learn more about Deloitte's purpose, commitments, and impact.</a> Professional development From entry-level employees to senior leaders, we believe there’s always room to learn. We offer opportunities to build new skills, take on leadership opportunities and connect and grow through mentorship. From on-the-job learning experiences to formal development programs, our professionals have a variety of opportunities to continue to grow throughout their career.

Deloitte

Chief Architect Leader

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 SummaryCVS Health’s Analytics &amp; Behavior Change (A&amp;BC) is an organization within CVS Health working to solve some of the most challenging problems at the intersection of technology, analytics, and healthcare. A&amp;BC leverages advanced analytics (AI, ML, LLM), user-centric product design, and a hypothesis-driven top-down approach to transform data into actionable and customer-centric insights, predictions, and products. A&amp;BC’s aim is to drive growth, improve health outcomes and expand access to healthcare for all our members and customers.The Care Delivery Analytics &amp; Behavior Change team is part of the overall Analytics and Behavior Change organization (A&amp;BC). The team plays a key role in shaping the future of CVS Health’s growing care delivery ecosystem (i.e., HealthSpire) by collaborating with key business areas across CVS Health to deliver impactful analytic solutions, insights, predictions, and digital products. We are a fast-paced, collaborative, disruptive and fun team focused on building innovation that aims to make CVS’s healthcare ecosystem better for all those involved in it. The Sr. Data Scientist role within CVS Health Care Delivery Growth team is on the front line of driving innovation and directly impacting business decisions. As a Senior Data Scientist, you will play a crucial role in shaping the future of healthcare delivery. Your work will directly contribute to improving health outcomes for our members and enhancing the overall patient experience. This team works with business partners to understand their goals and objectives and generates insights connecting analytical results with business problems/goals and present recommendations to internal teams and business partners. You will get the opportunity to build ML models to predict future outcomes, solve highly complex business problems, and support decision making. In addition, you will also analyze large data sets in real-time databases, develop insights, and influence business operations to enhance performance. The ideal candidate is a flexible collaborator and team player who can contribute to all phases of the project including data preparation, data cleaning and interpretation, analysis, model building, quality assessments and presentation of results.Position Responsibilities<ul> <li>Develops and/or uses algorithms and statistical predictive models and determines analytical approaches and modeling techniques to evaluate scenarios and potential future outcomes.</li> <li>Performs analyses of structured and unstructured data to solve multiple and/or complex business problems utilizing advanced statistical techniques and mathematical analyses and broad knowledge of the organization and/or industry.</li> <li>Collaborates with cross-functional business partners to understand their problems and goals, develop predictive modeling, statistical analysis, data reports and performance metrics.</li> <li>Develops and participates in presentations and consultations to existing and prospective constituents on analytics results and solutions.</li> <li>Interacts with internal and external peers and managers to exchange complex information related to areas of specialization.</li> <li>Uses strong knowledge in algorithms and predictive models to investigate problems, detect patterns and recommend solutions.</li> <li>Uses strong programming skills to explore, examine and interpret large volumes of data in various forms.</li> <li>Join forces with the Data Engineering team to ensure the availability and integrity of data required for analytics, ML ops for deployment, and identify opportunities for data integration, automation, and augmentation.</li> </ul> Required Qualifications<ul> <li>5+ years' experience in data science and advanced analytics</li> <li>5+ years' experience writing complex and efficient SQL code and leveraging exploratory data analysis techniques to develop insights from data</li> <li>3+ years' experience with Python</li> <li>3+ years' experience building ML models ( e.g., Vertex AI or Amazon Sagemaker )</li> <li>2+ years' experience leveraging Cloud technologies (e.g. GCP, Azure, AWS, Snowflake, Databricks)</li> <li>Proven experience overseeing end-to-end model development from ideation through solution development to deployment/monitoring including in standard and advanced ML modeling techniques (e.g., Regression Models, Decision Trees, Neural Networks, etc.)</li> <li>Solid understanding of the US healthcare system including provider, payor, and regulatory landscape.</li> </ul>Preferred Qualifications<ul> <li>Experience at a top-tier management consulting firm or an in-house consulting role</li> <li>Strong business acumen and problem-solving skills with ability to communicate technical concepts and implications to business partners</li> <li>Forward-thinking, anticipates and prevents problems and roadblocks before they occur</li> <li>Solid understanding of the US healthcare system including provider, payor, and regulatory landscape and understanding of Medicare and Medicaid programs. Thorough understanding of care delivery solutions (e.g., Value Based Care, In-Home Evaluations, e-consults, etc.)</li> <li>Proven attention to detail, critical thinking, and the ability to work both independently and collaboratively within a cross-functional team</li> <li>Experience within an agile product development framework</li> </ul> Education<ul> <li>Bachelor's degree or equivalent work experience in Mathematics, Statistics, Computer Science, Business Analytics, Economics, Physics, Engineering, or related discipline</li> <li>Master’s degree preferred</li> </ul>Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$83,430.00 - $222,480.00This 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: 04/08/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Senior Data Scientist - Home Health 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 This position will support clients in the Central and Eastern time zones.Plans, monitors and manages internal projects from initiation through completion. Secures required resources and uses formal processes and tools to manage resources, budgets, risks and changes. Manages projects to ensure on-time completion according to specifications and within budgeted costs. At the higher levels, incumbents manage large multifaceted projects; at lower levels, incumbents may be concerned with clearly identifiable elements or functions within a larger project. Typically incumbents matched to this function are working towards or have achieved certification in project management.What you will do<ul> <li>Acts as a top-level specialist on project and program planning and develops comprehensive program plans that encompass objectives, deliverables, timelines, and resource allocation.</li> <li>Adapts project and program plans to ensure alignment with business objectives and reinforce organizational standards.</li> <li>Applies highly developed knowledge of financial management principles to manage cost estimation, tracking, and budget reporting for programs and projects.</li> <li>Coaches junior-level project and program managers on how to utilize key performance indicators (KPIs) to measure progress and analyze project and program outcomes.</li> <li>Coordinates knowledge sharing among project teams to highlight success stories and improve project and program management practices through insights.</li> <li>Creates a continuous improvement plan for the project and program department to enhance delivery processes and outcomes.</li> <li>Designs the change management protocol to effectively respond to obstacles that may arise during project and program lifecycles.</li> <li>Utilizes data visualization tools and techniques to present project and program data in a visually appealing easily understandable format.</li> <li>Participates in project/program team training and development activities to enhance project management skills and knowledge.</li> </ul> Required Qualifications<ul> <li>5-10 years of managed care experience</li> <li>Adept at problem solving and decision making skills</li> <li>Adept at collaboration and teamwork</li> <li>Adept at growth mindset (agility and developing yourself and others) skills</li> <li>Adept at execution and delivery (planning, delivering, and supporting) skills</li> <li>Adept at business intelligence</li> </ul>Preferred Qualifications or Knowledge of:<ul><li>Preferred experience with HRP, ACAS, EPDB, MedCompass</li></ul> Education Bachelor's degree or equivalent experiencePay RangeThe typical pay range for this role is:$75,400.00 - $165,954.00 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: 05/04/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Senior Manager, Project Program Management

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)

<h3> Position Summary </h3> A Lead Product Manager is an expert individual contributor responsible for ensuring a product’s value and viability within a product line. This role involves leading empowered, cross-functional product teams to solve complex customer problems that align with strategic business needs. The Lead Product Manager is accountable for the product’s success, from vision to execution, and collaborates closely with various functions and stakeholders to deliver valuable, viable, usable, and feasible solutions. The Lead Product Manager plays a crucial role in ensuring the success of our most strategic, complex products by balancing customer needs with business objectives. This role requires a blend of strategic vision, analytical skills, and collaborative teamwork to deliver valuable, viable, usable, and feasible solutions. It demands a high degree of experience and expertise in the modern product management craft and a drive for continuous improvement. Recruiting for this role ends 5/31/25 Key Responsibilities <ol> <li>Product Accountability</li> <ul> <li>Responsible and accountable for the product's value and viability, including profit and loss</li> <li>Formulate and achieve Key Performance Indicators (KPIs) for identified problems to solve.</li> <li>Drive strategy-aligned solutions to achieve product profit and loss objectives.</li> <li>Measure KPIs and analyze outcomes to inform future strategies.</li> </ul> <li>Vision and Strategy</li> <ul> <li>Co-create, own, and evangelize the product vision, strategy, and roadmap.</li> <li>Align product objectives with the product line and business goals.</li> <li>Co-create in collaboration with business stakeholders, engineering, experience, and delivery.</li> </ul> <li>Market and User Engagement</li> <ul> <li>Conduct user research and competitive analysis.</li> <li>Engage the team with users and stakeholders through continuous research and direct interactions.</li> <li>Collaborate and guide the team toward solutions that address priority user and business needs.</li> </ul> <li>Collaboration and Teamwork</li> <ul> <li>Work side-by-side with cross-functional (business, engineering, experience, and delivery) team members to achieve KPI outcomes.</li> <li>Promote a product operating model that emphasizes outcomes over output (minimize overproduction while maximizing value).</li> <li>Build empowered teams and product communities who exhibit collective product ownership.</li> </ul> <li>Continuous Improvement</li> <ul> <li>Remove obstacles for the team and ensure smooth flow of continuous value achievement.</li> <li>Promote and drive rapid, emergent, and ongoing learning and adaptation to meet objectives.</li> <li>Drive innovation and improvement of the process to drive out waste and accelerate value achievement</li> <li>Spread knowledge and best practices within the product vertical community.</li> </ul> </ol> The successful candidate will possess and/or have the: <ul> <li>Experience being accountable for value and viability results for an empowered product team.</li> <li>Proven accountability for value, viability and P&amp;L objectives for a product.</li> </ul> <ul> <li>Demonstrated experience in modern product craft of delivering the right thing, in the right way, at the right time.</li> <li>Ability to analyze data and derive actionable insights.</li> </ul> <ul> <li>Innovative and experimental approach to solving complex problems.</li> <li>Clear and effective communication with team members, stakeholders, and customers.</li> <li>Ability to lead and inspire cross-functional teams, fostering collaboration and collective movement toward product goals.</li> <li>Deep understanding of customer needs and engagement patterns, driving teams to deliver solutions that customers love and that work for the business.</li> <li>Ability to develop and execute a strategic vision for the product, aligning it with broader business objectives.</li> <li>Expert analytical and problem-solving skills.</li> <li>Exceptional communication and collaboration abilities.</li> <li>Ability to influence at all organizational levels through inclusion and leadership.</li> <li>Detail-oriented, organized, and visionary.</li> <li>Learning-forward, experimental, and value-oriented mindset.</li> <li>Customer-centric methods and practices.</li> <li>Expert in modern product management craft and domain (tools, methods, and practices).</li> <li>Ability to navigate complexity and uncertainty.</li> <li>Broad knowledge across multiple business areas.</li> <li>Quick to reach expert-level knowledge within the product domain being served.</li> </ul> <ul> <li>Strong leadership capabilities.</li> <li>Customer-centric mindset.</li> <li>Ability to work as an individual contributor in a collaborative, cross-functional team.</li> <li>Humble, curious, and learning-forward mindset.</li> <li>Favor small step action and evidence over detailed upfront planning and precision aiming.</li> <li>Experience with lean solutions and rapid, inexpensive experimentation to emerge the right thing, in the right way, at the right time.</li> <li>High levels of continuous customer and user engagement.</li> </ul> The Team US Deloitte Technology Product Engineering has modernized software and product delivery, creating a scalable, lean, cost-effective model that harnesses early user outcomes in a way that optimizes business impact. To enable this vision, we leverage a progressive and responsive talent structure. As Deloitte’s primary internal development team, Product Engineering delivers innovative digital solutions to businesses, service lines, and internal operations with proven bottom-line results and outcomes. It helps power Deloitte’s success. It is the engine that drives Deloitte, serving many of the world’s largest, most respected companies. We develop and deploy cutting-edge internal and go-to-market solutions that help Deloitte operate effectively and lead in the market. Our reputation is built on a tradition of delivering with excellence. Qualifications Required: <ul><ul> <li>Bachelor’s degree in business, Marketing, Engineering, or a related field.</li> <li>8+ years of proven experience in product management or related roles.</li> <li>Limited immigration sponsorship may be available</li> <li>Ability to travel 0-10%, on average, based on the work you do and the clients and industries/sectors you serve</li> </ul></ul> Preferred: <ol><ul> <li>An MBA or related advanced degree is beneficial.</li> <li>15+ years of experience in product management or related roles.</li> </ul></ol> The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $118,700 to $243,700. You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance. Information for applicants with a need for accommodation: <a href="https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-assistance-for-disabled-applicants.html" target="_blank">https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-assistance-for-disabled-applicants.html</a> EA_ITS_ExpHire Recruiting tips From developing a stand out resume to putting your best foot forward in the interview, we want you to feel prepared and confident as you explore opportunities at Deloitte. <a href="https://www2.deloitte.com/us/en/pages/careers/topics/recruiting-tips.html" target="_blank">Check out recruiting tips from Deloitte recruiters.</a> Benefits At Deloitte, we know that great people make a great organization. We value our people and offer employees a broad range of benefits. <a href="https://www2.deloitte.com/us/en/pages/careers/articles/life-at-deloitte-benefits-and-rewards.html" target="_blank">Learn more about what working at Deloitte can mean for you.</a> Our people and culture Our inclusive culture empowers our people to be who they are, contribute their unique perspectives, and make a difference individually and collectively. It enables us to leverage different ideas and perspectives, and bring more creativity and innovation to help solve our client most complex challenges. This makes Deloitte one of the most rewarding places to work. Our purpose Deloitte’s purpose is to make an impact that matters for our clients, our people, and in our communities. We are creating trust and confidence in a more equitable society. At Deloitte, purpose is synonymous with how we work every day. It defines who we are. We are focusing our collective efforts to advance sustainability, equity, and trust that come to life through our core commitments. <a href="https://www2.deloitte.com/us/en/pages/about-deloitte/articles/purpose-at-deloitte-us.html" target="_blank">Learn more about Deloitte's purpose, commitments, and impact.</a> Professional development From entry-level employees to senior leaders, we believe there’s always room to learn. We offer opportunities to build new skills, take on leadership opportunities and connect and grow through mentorship. From on-the-job learning experiences to formal development programs, our professionals have a variety of opportunities to continue to grow throughout their career.

Deloitte Technology |Product Engineering |Product Manager Path | Lead Product Manager

<h2>Job Description</h2>As a Technical Account Manager at Zendesk, you'll become an extension of our largest customers' teams, bridging technical expertise with business acumen. You'll guide clients in maximizing value from Zendesk solutions by understanding their business strategy, consulting on implementation methodologies, and creating technical solutions to business problems. Rather than performing implementations yourself, you'll partner with clients and internal teams to navigate configurations, integrations, and overall architecture to drive innovation and transformation in customer experience.<h3>Core Responsibilities</h3><ul> <li>Establish relationships across all levels of client organizations, from administrators to C-level executives</li> <li>Document customer CX/EX ecosystems including use-cases, workflows, configurations, integrations, and technical architecture</li> <li>Develop and lead tailored Customer Technical Roadmaps with short, medium, and long-term improvement plans</li> <li>Conduct regular operational reviews, including weekly client meetings, monthly value playbacks, and quarterly business reviews</li> <li>Orchestrate Zendesk resources (Support, Professional Services, Product Managers) to support implementations</li> <li>Create critical issue resolution plans and work closely with support teams</li> <li>Advocate for customer needs with Zendesk product teams</li> <li>Collaborate with other TAMs to ensure continuous improvement and global delivery excellence</li> </ul><h3>Required Qualifications</h3><ul> <li>Knowledge of Zendesk products and experience managing Zendesk environments</li> <li>10+ years of technical experience, with at least 5 years in enterprise environments</li> <li>Proven track record driving technical initiatives within organizations</li> <li>Experience in service management, operational support, and customer/employee experience management</li> <li>History of customer-facing technical leadership in enterprise settings</li> <li>Ability to thrive in collaborative and matrix environments</li> <li>Superior communication skills for all organizational levels</li> <li>Understanding of SaaS implementations, API use cases, and logic-based workflows</li> <li>Proven ability to develop creative solutions to complex problems, paired with genuine technical curiosity</li> <li>Deep understanding of at least one industry vertical</li> </ul><h3>What You'll Bring to the Role</h3><ul> <li>Strategic vision to identify opportunities clients haven't recognized</li> <li>Ability to translate business objectives into technical roadmaps</li> <li>Skills to deliver measurable ROI and demonstrate business value</li> <li>Forward-thinking approach to anticipate technology shifts</li> <li>Leadership capability to align multiple stakeholders with competing priorities</li> <li>Continuous self-development and learning agility</li> </ul><h3>Why Work With Us</h3><ul> <li>Join a friendly, collaborative, and growing team</li> <li>Help customers adapt and get value from an evolving product in a dynamic market</li> <li>Position yourself at the center of Zendesk, interacting with diverse teams</li> <li>Build a long-term career with phenomenal benefits supporting physical and mental wellbeing</li> <li>Make a meaningful impact on client business outcomes</li> </ul>The US annualized base salary range for this position is $116,000.00-$174,000.00. This position may also be eligible for bonus, benefits, or related incentives. While this range reflects the minimum and maximum value for new hire salaries for the position across all US locations, the offer for the successful candidate for this position will be based on job related capabilities, applicable experience, and other factors such as work location. Please note that the compensation details listed in US role postings reflect the base salary only (or OTE for commissions based roles), and do not include bonus, benefits, or related incentives.The intelligent heart of customer experienceZendesk software was built to bring a sense of calm to the chaotic world of customer service. Today we power billions of conversations with brands you know and love.Zendesk believes in offering our people a fulfilling and inclusive experience. Our hybrid way of working, enables us to purposefully come together in person, at one of our many Zendesk offices around the world, to connect, collaborate and learn whilst also giving our people the flexibility to work remotely for part of the week.Zendesk is an equal opportunity employer, and we’re proud of our ongoing efforts to foster <a href="http://www.zendesk.com/diversity-inclusion/" target="_blank">global diversity, equity, &amp; inclusion</a> in the workplace. Individuals seeking employment and employees at Zendesk are considered without regard to race, color, religion, national origin, age, sex, gender, gender identity, gender expression, sexual orientation, marital status, medical condition, ancestry, disability, military or veteran status, or any other characteristic protected by applicable law. We are an AA/EEO/Veterans/Disabled employer. If you are based in the United States and would like more information about your EEO rights under the law, please <a href="https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf" target="_blank">click here</a>. Zendesk endeavors to make reasonable accommodations for applicants with disabilities and disabled veterans pursuant to applicable federal and state law. If you are an individual with a disability and require a reasonable accommodation to submit this application, complete any pre-employment testing, or otherwise participate in the employee selection process, please send an e-mail to <a href="#">peopleandplaces@zendesk.com</a> with your specific accommodation request.

Zendesk

Technical Account Manager

<h2>Job Description</h2>Zendesk’s award-winning Product Marketing team is looking for a Sr. Manager, Product Marketing: Contact Center to help drive Zendesk’s GTM and product initiatives. This role is responsible for supporting a wide variety of PMM functions including research, messaging and positioning, GTM support, enablement and partnership across multiple organizations to achieve the company goals. You will support and partner with a cross-functional team tied to all the GTM organizations in our business and will work closely with senior leaders in sales, marketing, and product. You are also passionate about ‘rolling your sleeves up’ and working cross-functionally with a broad set of stakeholders to get things done. Reporting to the Senior Director of PMM, this role requires regular communication with Zendesk’s global teams in time zones around the world.Responsibilities:<ul> <li>Developing fundamental insights of our market, customers, key buyers, and competitors </li> <li>Apply market insights and research to drive unique messaging &amp; positioning to differentiate Zendesk in a crowded marketplace</li> <li>Develop fundamental sales enablement assets. Bring learnings from research to drive more effective training &amp; assets.</li> <li>Bring innovative ideas to up-level deliverables or improve processes.</li> <li>Subject matter expert for their discipline who works cross-functionally to accomplish goals. </li> <li>Work closely with Product to launch new features, update roadmaps and create GTM materials</li> <li>Work closely with teams and leaders to develop, operationalize, and execute marketing activities related to the strategy</li> <li>Work with teams working in Field Sales, Marketing, Partner Sales, and Post-Sales Services </li> <li>Support cross-functional efforts including long-range planning and matrixed regional programs</li> <li>Help maintain internal alignment with other parts of the company including Product, Finance, IT, and HR</li> <li>Support strategic updates and presentations for E-Staff and other key stakeholders </li> <li>Plus, additional duties that might be assigned by your manager from time-to-time, including duties that might not be specific to competitive analysis, messaging and positioning.</li> </ul>Skills and Experience:<ul> <li>8+ years experience in Product Marketing, preferably for a CCaaS or company that provides contact center software to enterprise companies</li> <li>Strong business skills and knowledge.</li> <li>Must have an understanding of the contact center industry and customer service platforms that support that industry.</li> <li>Articulate and very skilled at storytelling in a simple straightforward way.</li> <li>Superior analytical and problem-solving skills with a focus on attention to detail, pattern recognition, insight generation, and ability to process information quickly to deliver against tight deadlines</li> <li>Executive presence and ability to engage with senior leadership in a constructive and collaborative manner</li> <li>Willingness to go beyond strategy in order to support execution and realization</li> <li>Determination to focus on outcomes and be self-motivated and directed</li> <li>A customer-first mentality</li> <li>BA/BS or equivalent</li> </ul>Nice to haves:<ul><li>Familiarity with AWS and Amazon Connect</li></ul>The US annualized base salary range for this position is $148,000.00-$222,000.00. This position may also be eligible for bonus, benefits, or related incentives. While this range reflects the minimum and maximum value for new hire salaries for the position across all US locations, the offer for the successful candidate for this position will be based on job related capabilities, applicable experience, and other factors such as work location. Please note that the compensation details listed in US role postings reflect the base salary only (or OTE for commissions based roles), and do not include bonus, benefits, or related incentives.Hybrid: In this role, our hybrid experience is designed at the team level to give you a rich onsite experience packed with connection, collaboration, learning, and celebration - while also giving you flexibility to work remotely for part of the week. This role must attend our local office for part of the week. The specific in-office schedule is to be determined by the hiring manager.The intelligent heart of customer experienceZendesk software was built to bring a sense of calm to the chaotic world of customer service. Today we power billions of conversations with brands you know and love.Zendesk believes in offering our people a fulfilling and inclusive experience. Our hybrid way of working, enables us to purposefully come together in person, at one of our many Zendesk offices around the world, to connect, collaborate and learn whilst also giving our people the flexibility to work remotely for part of the week.Zendesk is an equal opportunity employer, and we’re proud of our ongoing efforts to foster <a href="http://www.zendesk.com/diversity-inclusion/" target="_blank">global diversity, equity, &amp; inclusion</a> in the workplace. Individuals seeking employment and employees at Zendesk are considered without regard to race, color, religion, national origin, age, sex, gender, gender identity, gender expression, sexual orientation, marital status, medical condition, ancestry, disability, military or veteran status, or any other characteristic protected by applicable law. We are an AA/EEO/Veterans/Disabled employer. If you are based in the United States and would like more information about your EEO rights under the law, please <a href="https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf" target="_blank">click here</a>. Zendesk endeavors to make reasonable accommodations for applicants with disabilities and disabled veterans pursuant to applicable federal and state law. If you are an individual with a disability and require a reasonable accommodation to submit this application, complete any pre-employment testing, or otherwise participate in the employee selection process, please send an e-mail to <a href="#">peopleandplaces@zendesk.com</a> with your specific accommodation request.

Senior Product Marketing Manager, Contact Center

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.<h3>Position Summary:</h3><h3>Responsible for the successful design and delivery of complex analyses, reporting solutions and applications to meet business needs. Interacts directly with internal customers and colleagues in the development of reporting and analytic solutions.</h3><ul> <li><h3>Collaborates with internal partners and organizations in the design and development of reporting solutions, analytic studies and applications to support business needs.</h3></li> <li><h3>Develops, validates and executes complex queries, develops complex reports and performs complex data analysis that answers business questions for internal customers; interprets results, and makes recommendations to business areas based on findings.</h3></li> <li><h3>Designs and Develops applications for internal customers.</h3></li> <li><h3>Evaluates data needs of assigned projects, assures data integrity and suitability, and determines data collection methods, metrics definitions and evaluation methods.</h3></li> <li><h3>Turns data into actionable information through reporting solutions.</h3></li> <li><h3>Troubleshoots technical details / issues.</h3></li> <li><h3>Presents analysis and reports to internal customers and stakeholders.</h3></li> </ul><h3>Required Qualifications:</h3><h3>2 - 4 + years of experience in most of the following:</h3><ul> <li><h3>Experience with Microsoft Access (manipulating forms, tables, queries, etc.), Excel, Visual Basic for Applications (VBA)</h3></li> <li><h3>Experience with reporting platform SQL Server Integrated Services (SSIS)</h3></li> <li><h3>Development Database Languages / Knowledge / Experience - Transact SQL (T-SQL)</h3></li> <li><h3>Database Knowledge / Experience - MS SQL Server</h3></li> </ul><h3>Preferred Qualifications:</h3><ul> <li><h3>Development Programming Languages / Knowledge / Experience - ASP.NET, C#, JavaScript</h3></li> <li><h3>Oracle PLSQL</h3></li> <li><h3>Experience with GCP (querying with BigQuery) and Oracle</h3></li> <li><h3>Experience with reporting platform WEBI (SAP BI Launchpad)</h3></li> <li><h3>Knowledge of QNXT databases and underlying data structures</h3></li> <li><h3>Crystal Reporting experience preferred</h3></li> </ul><h3>Education</h3><ul><li><h3>Bachelor's degree in Information Systems, Computer Science, or equivalent related work experience</h3></li></ul>Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$46,988.00 - $122,400.00This 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: 05/10/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Senior Analyst - Informatics Developer - Work From Home

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 SummaryThe Professional Prod Pharmacist must have expertise and knowledge of the Pharmacy claims appeal process and the various applications used in the appeal process to comply with state bill requirements. In this role, you will be responsible for reviewing and resolving MAC appeals, developing and implementing solutions individually, and being a lead working with IT to automate solutions for complex requirements unique to states with pharmacy bills. This also includes being the appeals team SME in understanding the impact of appeal related issues and resolving them under tight TATs to remain in compliance. The Professional Prod Pharmacist is also responsible for creating reports required to monitor appeal bill compliance, satisfying client reporting requirements for appeals, as well as developing and ensuring the accuracy of appeal reporting as required by state agencies. This role requires a thorough knowledge of claim adjudication in order to perform research, internal claim related processes, and being a leader working with other internal business units to develop new solutions to meet the ever-increasing number of complex pharmacy bill compliance requirements. The position will be responsible for quality control process to ensure compliance.What you will do<ul> <li>Review and resolving MAC appeals</li> <li>Leads with strategic leadership and guidance to pricing teams, ensuring effective response to pharmacy and state department of insurance (DOI) appeals are effectively reviewed and responded.</li> <li>Partner with legal to disposition pharmacy complaints and appeals that come through state agencies</li> <li>Leads and owns the process and work instruction documents that comply with state laws and meets CVS compliance</li> <li>Leads and participate in state appeals audit and exam. Provides the information to state DOI on the inquiries.</li> <li>Interprets and drafts responses to state DOI inquiries and works with CVS legal team to respond to inquiries.</li> <li>Collaborates cross-functionally with legal, compliance, network and other teams to manage the pricing appeals.</li> <li>Counsels and mentor pricing team members, providing guidance and support to enhance their pricing skills and professional development.</li> <li>Delivers pricing solutions and recommendations that drive profitability and revenue optimization and contribute to the overall financial success of the organization.</li> </ul>This is a remote role open to qualified candidates within the United States. Required Qualifications<ul> <li>5+ years relevant work experience</li> <li>2+ years demonstrated experience in managed care (PBM) environment</li> <li>Familiarity with wholesaler invoices</li> <li>Demonstrated ability to work under tight deadlines</li> <li>Excellent Communication, interpreting, writing and leadership skills</li> <li>Ability to prioritize, organize, and manage DOI requests</li> </ul> Preferred Qualifications<ul> <li>1+ years’ experience with all Pharmacy and state department of insurance appeal related processes and state regulations, and claims adjudication, including claims adjudication logic</li> <li>Proficient in Excel, MS Access, Salesforce, and Pharmacy Portal</li> <li>Adjudication system experience</li> <li>Strong mathematical problem-solving skills</li> <li>Prior PBM Knowledge</li> </ul> Education<ul> <li>BS in Pharmacy or Pharm D</li> <li>Current Pharmacist License in good standing, based on applicable state licensing requirements.</li> </ul>Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$94,500.00 - $211,200.00This 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: 04/23/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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