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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 The Appeal Supervisor (Meritain Health) develops and manages a team, in an effort to address matters regarding complaints and appeals, ensuring compliance with federal and/or state regulations. Leads the development of policies, procedures, and programs to ensure compliance with policies of all applicable federal and/or state government agencies.In this role, you will:<ul> <li>Manage the overall workflow of appeals as assigned.</li> <li>Provide coaching &amp; mentoring for a team of several analysts, specifically involving the handling of reviews.</li> <li>Ensure that any &amp; all compliance deadlines are adhered to and met.</li> <li>Assist in updating any relevant policies and procedures.</li> <li>Handle various escalated items, specifically related to appeals.</li> </ul>Required Qualifications<ul> <li>3+ years of experience working with appeals, including knowledge of job aids and workflows.</li> <li>2+ years of experience leading a team.</li> <li>Working knowledge of Microsoft Office products (Word, Excel, PowerPoint, Outlook).</li> </ul>Preferred Qualifications<ul> <li>2+ years of experience working with audits.</li> <li>2+ years of experience in training others.</li> <li>Product knowledge and experience with Appeals Regulatory Requirements.</li> <li>Strong communication skills, particularly with the ability to provide and receive feedback.</li> <li>Excellent time management skills.</li> <li>Ability to work collaboratively across teams.</li> <li>Strong analytical skills, focusing on accuracy and attention to details.</li> <li>Bachelor’s degree.</li> </ul> EducationHigh school diploma or GED.Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$43,888.00 - $102,081.00This 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: 06/16/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Appeal Supervisor (Meritain Health)

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.Overview:Aetna, CVS Health is looking for top sales leadership talent! We have an exciting work from home opportunity available for highly motivated individual to manage our Telesales vendor relationships as a Lead Director of Sales Support. The position will lead a team who will manage our Telesales vendor relations. The role will be responsible in ensuring our vendors have a formalized approach on recruitment, training, quality, and managing of the call center staff and activities to achieve superior business performance and sales goals. This role is ideal for candidates that are energetic, empathetic, and looking to become part of a growing business segment. Job Responsibilities:<ul> <li>Manage and lead a sales organization with a high level of focus on selling Aetna’s Medicare products.</li> <li>Oversee and lead daily operations of the call center including, but not limited to, communications, performance management, program and product training.</li> <li>Responsible for executing Telesales operations to scale and grow business across all product lines.</li> <li>Maximize effectiveness and efficiency of the sales leadership and programs (i.e. sales volume) leveraging capacity and productivity, among other levers, to achieve target sales volume.</li> <li>Partner with other functions (ex. Sales operations, training, quality) to ensure that call center staff and operations are well trained and prepared for effective and efficient operations of the team.</li> <li>Deploy daily operating models for team to ensure effective sales operations, high quality program submissions, and achievement of business results.</li> <li>Develop enhanced sales techniques and drives sales through robust knowledge and experience and make improvements to the model.</li> <li>Designs the allocation of resources to support key performance metrics.</li> <li>Controls negotiations with clients in complex financial situations.</li> <li>Other duties as assigned.</li> </ul> Background/Experience desired:At least 5 years in sales leadership role(s) preferably in Telesales and/or Medicare programs.5+ years of managing individual contributors and managers.Demonstrated successful experience in developing internal Telesales capabilities for insurance companies.Superior knowledge of Medicare products desirable.Life &amp; Health insurance license is a plus but not required to be employed. It is required to obtain the license within 60 days from the employment start date.High level of proficiency with Microsoft Office package.Adept at collaboration and teamworkMastery of problem solving and decision-making skillsMastery of growth mindset (agility and developing yourself and others) skillsEducation:The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.LICENSES AND CERTIFICATIONSInsurance/Licensed Life &amp; Health Insurance Agent (GA) is desiredPay RangeThe typical pay range for this role is:$100,000.00 - $231,540.00 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: 06/08/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Lead Director Sales - Medicare

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 Digital is looking for hands-on, passionate people who want to join a high energy and growing team to make a difference in customers’ lives and who want to be on the forefront of digital innovation that aims to reinvent what a pharmacy and a health care company can be in the digital world. The Senior Software Development Engineer - Full Stack includes closely working with a team of engineers to drive delivery excellence, partner with business and other IT leaders to build digital assets, provide expert level support to resolve complex issues and provide RCA, identify gaps in systems in current digital eco system and provide solutions to enhance overall performance. All of this is critical to driving Digital growth and improving customer experience. This individual will collaborate with digital leaders, business partners, and IT colleagues to deliver business growth and great customer experiences that differentiate CVS in the market, while ensuring efficient, effective, and safe product development. What we Expect of You:<ul> <li>Lead the design, development, and implementation of SOS/Catalog/Store Locator Backend Services using Java, J2EE, Spring Boot, Search, NoSQL (MongoDB/Cassandra), Kafka</li> <li>Act as a technical owner across strategic efforts involving the Cloud, backend solution, streaming, ML and more within Catalog</li> <li>Implement pub/sub messaging solutions using Kafka, ensuring reliable and efficient data flow between services</li> <li>Collaborate with product managers, architects, and other engineering teams to understand business requirements and translate them into technical solutions</li> <li>Participate in code reviews, provide mentorship to junior developers and champion best practices in software development and testing</li> <li>Integrate cloud-based services into application architecture, ensuring optimal performance and security of cloud-native applications</li> <li>Drive the adoption of CI/CD pipelines for automated testing, building, and deployment to enhance and secure the software supply chain</li> <li>Analyze and resolve complex issues in the applications, identifying root causes and implementing robust fixes</li> <li>Continuously optimize application performance and scalability through code improvements, cloud service optimizations, and infrastructure as code practices</li> <li>Stay up-to-date with the latest industry trends, technologies, and tools, and proactively suggest new approaches to improve the software development process</li> <li>Partner with technical leaders within CVS and the open source community and contribute to product strategy, frameworks, roadmap definition, and requirements-gathering</li> <li>Promote reusability of API’s across various clients while offering configurations</li> <li>Encourage and maintain engineering excellence on the team to build reliable distributed systems that our customers can build their business on</li> <li>Develop mindshare by collaborating and discussing ideas</li> <li>Plot and execute on the path from prototype to production for features</li> </ul> REQUIRED QUALIFICATIONS<ul> <li>5+ years of experience in systems analysis and application program development including front end and backend</li> <li>5+ years of development experience in one or more of the following languages: Java, SpringBoot, Search, NoSQL and/or Kafka</li> <li>5+ years of experience within an Agile software development</li> <li>3+ years of Web application development experience using Angular JS/React, CSS, Html, Javascript and/or Nodejs</li> <li>3+ years of experience building Enterprise solutions and managing client requirements and technical solutions</li> <li>3+ years of experience with cloud computing technologies; possess a track record developing in GCP/Azure or similar public cloud environment</li> <li>2+ years of experience in a DevOps role working with various technologies like Kubernetes, Argocd, CircleCI, GIT, Jenkins, Maven, JUnit, Docker, JMeter, Artifactory</li> <li>2+ years of CI/CD Pipeline automation experience</li> </ul> PREFERRED QUALIFICATIONS<ul> <li>Experience with Machine Learning and/or Artificial Intelligence (Vertex AI, Gen AI, GPT 3.5) modeling</li> <li>Familiarity with GraphQL/gRPC</li> <li>Develop and maintain scalable REST and GraphQL APIs as well</li> <li>Hands-on experience with Confluent Kafka or equivalent pub/sub messaging systems, including designing and implementing Kafka topics and consumers</li> <li>Experience with containerization technologies like Docker and Kubernetes with a focus on deploying and managing applications</li> <li>Ability to work in a fast-paced environment and deal with multiple priorities</li> </ul>EDUCATIONBachelor’s degree or, equivalent experience (HS diploma + 4 years relevant experience)BUSINESS OVERVIEWBring 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. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$83,430.00 - $203,940.00This 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: 09/26/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Senior Software Development Engineer - Full Stack

Your work days are brighter here.At Workday, it all began with a conversation over breakfast. When our founders met at a sunny California diner, they came up with an idea to revolutionize the enterprise software market. And when we began to rise, one thing that really set us apart was our culture. A culture which was driven by our value of putting our people first. And ever since, the happiness, development, and contribution of every Workmate is central to who we are. Our Workmates believe a healthy employee-centric, collaborative culture is the essential mix of ingredients for success in business. That’s why we look after our people, communities and the planet while still being profitable. Feel encouraged to shine, however that manifests: you don’t need to hide who you are. You can feel the energy and the passion, it's what makes us unique. Inspired to make a brighter work day for all and transform with us to the next stage of our growth journey? Bring your brightest version of you and have a brighter work day here.At Workday, we value our candidates’ privacy and data security. Workday will never ask candidates to apply to jobs through websites that are not Workday Careers. Please be aware of sites that may ask for you to input your data in connection with a job posting that appears to be from Workday but is not.In addition, Workday will never ask candidates to pay a recruiting fee, or pay for consulting or coaching services, in order to apply for a job at Workday.About the TeamWorkday’s Consulting teams are driven by a passion for our products and the success of our customers in implementing our best in class cloud solutions. We’re a diverse group of people, with an invaluable mix of experience and backgrounds, located across multiple locations within the region. We are often remote from one another but that doesn’t stop our sense of collaboration, supportiveness, and fun.About the RoleWe are looking for a hardworking, innovative and collaborative Absence / Time Tracking / Scheduling Consultant to join our team. In this role you will ensure the successful implementation of the Workday Absence, Time Tracking and Scheduling solutions with customers through product and implementation expertise. The ideal candidate for this position should have extensive experience implementing or supporting Absence / Time Tracking / Scheduling systems, requirements capturing, configuration, data conversion, and testing. You should be detail oriented, self-motivated, proactive, results-oriented and able to successfully partner with customers and your project team. Be ready to be challenged and have fun!<ul> <li>Master at least two of the following Workday modules: Absence, Time Tracking, Scheduling.</li> <li>Perform the following on a client engagement: understand client business requirements, configure the Workday solution, demonstrate the configurations through the development of prototype systems, assist the client in testing the Workday solution.</li> <li>Work with the client to help convert legacy data into Workday.</li> <li>Assist the Integration team in helping to configure and test integrations between Workday and third party/custom solutions.</li> <li>Understand Workday’s Implementation Methodology and use it on all client engagements.</li> <li>Ensure the client takes advantage of Workday's proven solutions.</li> <li>Mentor and share product knowledge with other consultants.</li> <li>Help deliver successful project outcomes and lasting client relationships.</li> </ul>About You"Proven mentorship skills, with the ability to foster individual growth and development through effective communication, constructive feedback, and goal setting, are highly valued." "Strong influencing skills, including persuasive communication and the ability to drive consensus and effectively collaborate with stakeholders, are crucial." Basic Qualifications: Senior Absence/Time Tracking/Scheduling Functional Consultant<ul> <li>A minimum of 5 years implementing two of the following solutions: Absence, Time Tracking, Scheduling.</li> <li>Previous consulting experience with a consulting/software company required.</li> <li>Experience implementing Workday or similar applications.</li> </ul>Basic Qualifications: Principal Absence/Time Tracking/Scheduling Functional Consultant<ul> <li>A minimum of 10 years implementing two of the following solutions: Absence, Time Tracking, Scheduling.</li> <li>Previous consulting experience with a consulting/software company required.</li> <li>Experience implementing Workday or similar applications.</li> </ul>Other Qualifications<ul> <li>Functional experience - Workday Absence, Time Tracking and/or Scheduling.</li> <li>Excellent verbal, written, and interpersonal communication skills are a must, including active listening and the ability to tailor communication style to diverse audiences.</li> </ul><ul> <li>Strong industry knowledge is essential, including staying abreast of current trends, competitive landscapes, and regulatory environments to contribute to strategic planning, risk management, and identifying new opportunities.</li> <li>Strong influencing skills, including persuasive communication and the ability to drive consensus and effectively collaborate with stakeholders, are crucial.</li> <li>Proven mentorship skills, with the ability to foster individual growth and development through effective communication, constructive feedback, and goal setting, are highly valued.</li> <li>Comprehensive product knowledge, including a thorough understanding of product features, benefits, applications, and market positioning, is essential.</li> <li>Exceptional relationship management skills are crucial, with a focus on building and maintaining strong relationships with clients, partners, and colleagues to foster collaboration, loyalty, and a positive work environment.</li> <li>Proven ability to effectively gather and analyze requirements through various techniques, ensuring project clarity and alignment with stakeholder needs, is critical.</li> <li>Proven project management experience and a passion for customer service.</li> <li>Strong solutions design skills, with the ability to analyze business challenges and develop effective solutions that leverage technology and optimize resources, are highly desired.</li> <li>Expertise in strategic business consulting, including market analysis, financial acumen, and strategic planning, to drive organizational growth and performance, is strongly desired.</li> <li>Excellent task management skills, with a proven ability to prioritize, organize, and execute tasks effectively to enhance workflow and productivity, are essential.</li> <li>Exceptional teamwork skills, including collaboration, communication, and contributing to a positive and productive work environment, are vital.</li> <li>Excellent time management skills, with the ability to prioritize, organize, and effectively manage workload to meet deadlines and enhance productivity, are key to success in this role.</li> <li>Experience deploying multiple implementation projects simultaneously a plus.</li> <li>Bachelor's degree or relevant experience required.</li> <li>Ability to travel up to 30% of the time.</li> </ul> Workday Pay Transparency StatementThe annualized base salary ranges for the primary location and any additional locations are listed below. Workday pay ranges vary based on work location. As a part of the total compensation package, this role may be eligible for the Workday Bonus Plan or a role-specific commission/bonus, as well as annual refresh stock grants. Recruiters can share more detail during the hiring process. Each candidate’s compensation offer will be based on multiple factors including, but not limited to, geography, experience, skills, job duties, and business need, among other things. For more information regarding Workday’s comprehensive benefits, please <a href="https://workdaybenefits.com/us/welcome-to-workday-benefits/prospective-workmates" target="_blank">click here</a>.Primary Location: USA.IL.Chicago Primary Location Base Pay Range: $147,400 USD - $221,100 USD Additional US Location(s) Base Pay Range: $133,300 USD - $236,800 USDIf performed in Colorado, the pay range for this job is $140,400 - $210,500 USD based on min and max pay range for that role if performed in CO.The application deadline for this role is the same as the posting end date stated as below: 06/09/2025 Our Approach to Flexible Work With Flex Work, we’re combining the best of both worlds: in-person time and remote. Our approach enables our teams to deepen connections, maintain a strong community, and do their best work. We know that flexibility can take shape in many ways, so rather than a number of required days in-office each week, we simply spend at least half (50%) of our time each quarter in the office or in the field with our customers, prospects, and partners (depending on role). This means you'll have the freedom to create a flexible schedule that caters to your business, team, and personal needs, while being intentional to make the most of time spent together. Those in our remote "home office" roles also have the opportunity to come together in our offices for important moments that matter.Pursuant to applicable Fair Chance law, Workday will consider for employment qualified applicants with arrest and conviction records.Workday is an Equal Opportunity Employer including individuals with disabilities and protected veterans.Are you being referred to one of our roles? If so, ask your connection at Workday about our Employee Referral process!

Workday

Principal Absence Time Tracking Scheduling Functional Consultant

At T-Mobile, we invest in YOU! Our Total Rewards Package ensures that employees get the same big love we give our customers. All team members receive a competitive base salary and compensation package - this is Total Rewards. Employees enjoy multiple wealth-building opportunities through our annual stock grant, employee stock purchase plan, 401(k), and access to free, year-round money coaches. That’s how we’re UNSTOPPABLE for our employees!Job Overview The Account Executive, SMB Team Sales role at T-Mobile is designed for ambitious, results-driven sales professionals who are passionate about building stellar customer relationships and bringing T-Mobile's unmatched products and services to underserved markets. This is a true hunter role that involves meeting and exceeding monthly sales quota objectives by successfully acquiring new accounts with small and medium sized businesses (1-299 employees) while developing skills to move your career into the next level Account Executive, SMB sales role. You will sell products, services, and solutions to gain new business through prospecting, cold-calling, networking, and generating leads and referrals. You will analyze customer needs and use solution-based selling techniques to demonstrate the value of T-Mobile products and services, tailoring customer recommendations to negotiate and close business.Job Responsibilities:<ul> <li>Lead generation: Generate and work leads in developed and underdeveloped territories through prospecting, cold calling, and networking under sales manager supervision.</li> <li>Customer needs: selling to demonstrate T-Mobile’s value. Recommend wireless solutions, including price plans, data services, handsets, and accessories.</li> <li>Deal negotiation: Negotiate and close deals.</li> <li>Skill development: Develop skills in prospecting, call execution, and relationship management with leadership. Participate in product training and sales meetings.</li> <li>Sales approaches: Create effective sales approaches, solutions, and proposals.</li> <li>Sales automation: Apply sales force automation, manage sales funnel, and report on sales activities and forecasts.</li> </ul> Education and Work Experience:<ul> <li>High School Diploma/GED (Required)</li> <li>Bachelor's Degree (Preferred)</li> <li>1+ years verifiable new customer acquisition sales experience, preferably within a commissioned environment. Preferred</li> <li>Outside B2B sales experience. Preferred</li> </ul> Knowledge, Skills and Abilities:<ul> <li>Task Management Ability to work well in a dynamic, fast changing environment that requires a high degree of multi-tasking. (Required)</li> <li>Customer Service Demonstrated experience delivering superior customer service and attention to detail. (Required)</li> <li>Communication Excellent interpersonal, written, and oral communication skills. (Required)</li> <li>Negotiation Effective negotiating and closing skills, including communication, emotional intelligence, and problem-solving. (Required)</li> <li>Cold Calling Ability to cold call/door knock (Preferred)</li> <li>Prospect Management Experience in identifying, nurturing, and guiding potential leads through a journey from initial contact to conversion. (Preferred)</li> <li>CRM Experience using CRM systems such as Salesforce, leveraging these tools to manage customer relationships and sales activities efficiently. (Preferred)</li> <li>Proposal Writing Experience preparing, delivering, and following-up on product/service proposals and pricing quotations. (Preferred)</li> </ul> Licenses and Certifications:<ul><li>Valid Driver's License</li></ul><ul> <li>At least 18 years of age</li> <li>Legally authorized to work in the United States</li> <li> </li> <li> Travel: Travel Required (Yes/No):Yes - Local Travel DOT Regulated: DOT Regulated Position (Yes/No):No Safety Sensitive Position (Yes/No):No </li> </ul>Total Target Cash Pay Range: $71,800 - $129,400, inclusive of target incentivesBase Pay Range: $43,080 - $77,640The pay range above is the general base pay range for a successful candidate in this role. The successful candidate’s actual pay will be based on various factors, such as work location, qualifications, and experience, so the actual starting pay will vary within this range. To find the pay range for this role based on hiring location, <a href="https://paylookup.t-mobile.com/paylookup?reqID=REQ311621&amp;paradox=1" target="_blank">https://paylookup.t-mobile.com/paylookup?reqID=REQ311621&amp;paradox=1</a>At T-Mobile, employees in regular, non-temporary Retail and Business Sales roles are eligible for monthly or quarterly sales incentives. At T-Mobile, our benefits exemplify the spirit of One Team, Together! A big part of how we care for one another is working to ensure our benefits evolve to meet the needs of our team members. Full and part-time employees have access to the same benefits when eligible. We cover all of the bases, offering medical, dental and vision insurance, a flexible spending account, 401(k), employee stock grants, employee stock purchase plan, paid time off and up to 12 paid holidays - which total about 4 weeks for new full-time employees and about 2.5 weeks for new part-time employees annually - paid parental and family leave, family building benefits, back-up care, enhanced family support, childcare subsidy, tuition assistance, college coaching, short- and long-term disability, voluntary AD&amp;D coverage, voluntary accident coverage, voluntary life insurance, voluntary disability insurance, and voluntary long-term care insurance. We don't stop there - eligible employees can also receive mobile service &amp; home internet discounts, pet insurance, and access to commuter and transit programs! To learn about T-Mobile’s amazing benefits, check out <a href="http://www.t-mobilebenefits.com/" target="_blank">www.t-mobilebenefits.com</a>.Never stop growing! As part of the T-Mobile team, you know the Un-carrier doesn’t have a corporate ladder–it’s more like a jungle gym of possibilities! We love helping our employees grow in their careers, because it’s that shared drive to aim high that drives our business and our culture forward. By applying for this career opportunity, you’re living our values while investing in your career growth–and we applaud it. You’re unstoppable! T-Mobile USA, Inc. is an Equal Opportunity Employer. All decisions concerning the employment relationship will be made without regard to age, race, ethnicity, color, religion, creed, sex, sexual orientation, gender identity or expression, national origin, religious affiliation, marital status, citizenship status, veteran status, the presence of any physical or mental disability, or any other status or characteristic protected by federal, state, or local law. Discrimination, retaliation or harassment based upon any of these factors is wholly inconsistent with how we do business and will not be tolerated. Talent comes in all forms at the Un-carrier. If you are an individual with a disability and need reasonable accommodation at any point in the application or interview process, please let us know by emailing <a href="mailto:ApplicantAccommodation@t-mobile.com" target="_blank">ApplicantAccommodation@t-mobile.com</a> or calling 1-844-873-9500. Please note, this contact channel is not a means to apply for or inquire about a position and we are unable to respond to non-accommodation related requests.

T-Mobile

Account Executive, SMB Team Sales - Pittsburgh, PA

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:Legal Counsel provides legal guidance, interpretation, advice, and recommendations for action to internal stakeholders and senior/executive management regarding federal/state regulations in the healthcare industry. Counsel serves as a subject matter expert by providing legal advice and interpretation of new legal requirements.Responsibilities &amp; Duties:<ul> <li>Provides legal advice and counsel to promote the company's mandates and protect the overall interests of the company.</li> <li>Prepares communication with state regulators, examiners, and/or consultants within expected deadlines/short timelines. </li> <li>Legal research and analysis related to state laws and regulations and market conduct findings reports. </li> <li>Supports legal review, analysis, and outcomes of state mental health parity exams.</li> <li>Legal review and assessment of any adverse state findings and consent orders.</li> <li>Identifies and reviews legal risk for business areas/subject matter experts for purposes of assessing market conduct impact and corrective action plans. </li> <li>Provides legal expertise on company-wide initiatives, which may require legal research and advice related to various parts of the CVS Health enterprise.</li> <li>Works collaboratively and cross functionally with a variety of areas including other members of the legal department, Compliance, Government Affairs, Regulatory Affairs, and business operations teams to implement new laws and regulations for assigned areas.</li> <li>Assists with onboarding junior-level staff to promote the development of departmental capabilities.</li> </ul>In order to be successful in this role you must exhibit the following:<ul> <li>Mastery of problem solving and decision-making skills.</li> <li>Mastery of collaboration and teamwork.</li> <li>Mastery of growth mindset (agility and developing yourself and others) skills. </li> <li>Mastery of execution and delivery (planning, delivering, and supporting) skills. </li> <li>Mastery of business intelligence. </li> </ul>Required Qualifications5+ years of experience as a practicing attorney.2+ years of healthcare law experience.Admitted to practice in at least one state and in good standing.Ability to travel up to 5%. Preferred QualificationsIn-house Counsel Certification (ICC) preferred. In depth knowledge of healthcare laws, regulations and industry standards governing the provision of healthcare.Experience working with state and federal government agencies.Healthcare laws and regulations including for example, ACA, Medicare, Medicaid, AWP/parity, pharmacy and/or mental health parity. Experience working with PBMs and/or the pharmacy division of a health plan and/or with health plans. EducationJD required Pay RangeThe typical pay range for this role is:$144,200.00 - $288,400.00 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: 07/31/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Legal Counsel

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.Manager, Assumptions GovernancePosition Summary:As Manager, Assumptions Governance, you will be responsible for key support functions for CVS Health’s PBM assumptions management. This role is critical in ensuring PBM forecasting accuracy by supporting the underwriting and finance forecasting process as well as assisting with other financial processes. Primary responsibilities include understanding, assessing, and implementing financial and utilization assumptions and artifacts; leveraging a combination of data driven insights and market dynamics to validate and vet assumptions; leverage market leading tools for the CFAO &amp; PBM Finance organizations to review and maintain assumptions and artifacts; and communicating to business partners.Additionally, this position will:<ul> <li>Manage assumptions across the PBM organization including finance, supply chain and other key areas. Partner with Business resources to gather, refine and evaluate assumptions and artifacts to impact the Underwriting process.</li> <li>Foster strong links to the PBM finance team regarding forecasting assumptions, client profitability efforts, and financial governance of underwriting activities.</li> <li>Support discussions that are highly complex financially. </li> <li>Play a critical role in creating a pricing governance structure to ensure financial objectives and process excellence are both met while meeting challenging deadlines and expectations driven by the marketplace.</li> <li>Prioritize effectively and efficiently to meet internal and external customer needs.</li> <li>Respond to inquiries involving assumptions to ensure accuracy and precision.</li> <li>Support the presentation of information to Executive Leadership. Respond to questions in real-time in support of their review and approval.</li> <li>Participate in peer reviews of high complex data requests to validate that modeled data and related analytic deliverables match and satisfy business requirements.</li> <li>Assist in ad-hoc analysis. </li> </ul>The successful candidate will have a track record that demonstrates the following abilities: working successfully in a cross-matrix environment, adapting and performing in a dynamic and changing environment, developing and leveraging a comprehensive understanding of CVS Caremark’s enterprise assets, developing a deep understanding of internal and external assumptions, maintaining high levels of customer satisfaction, constantly striving to innovate and improve processes and applying financial and analytical expertise to make informed recommendations and decisions.Required Qualifications:<ul><li>5+ years professional experience process and change management, Financial modeling, financial analysis and/or program management.</li></ul>Preferred Qualifications: <ul> <li>Strong understanding of PBM or healthcare industry</li> <li>Experience working within matrix organization collaborating to create meaningful predictive analytics.</li> <li>Strong understanding of, or experience with, internal and external facing pricing and analytics teams.</li> <li>Ability to innovate, develop, and implement new products or solutions requiring collaboration with internal partners. Demonstrated success developing effective relationships with key internal partners across the enterprise.</li> <li>Working knowledge of relational databases and warehouses; SQL, Python or other reporting languages.</li> <li>Experience managing complex projects in a matrix environment.</li> <li>Ability to summarize complex financial analysis and support recommendations in presentations to Executive Leadership.</li> <li>Ability to work independently in a fast-paced environment and manage tight deadlines.</li> <li>Proficient in SQL and Microsoft Office.</li> </ul>Education:<ul><li>Bachelors Degree in a relevant discipline, such as finance, mathematics, business or other related field required or equivalent work experience.</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: 06/30/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Manager, Assumptions Governance

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:The Senior Manager, Legal Contracts participates in the development and fulfillment of market conduct examination or state and federal investigation requests in support of Caremark’s PBM business. Evaluates market conduct matters and other regulatory requests and coordinates responses across various departments. Reviews and coordinates a variety of regulatory activities, performs legal research and analysis, and supports the Legal and Compliance groups in coordinating and tracking dispute matters, regulatory investigations and responses and market conduct exams.Responsibilities and Duties:<ul> <li>Develops a complex review and approval process to ensure deliverables meet rigorous legal and regulatory requirements.</li> <li>Directs teams to conduct risk assessments to mitigate potential risks associated with market conduct exams and regulatory inquiries and investigations.</li> <li>Determines potential legal, financial, or operational risks to develop risk mitigation strategies.</li> <li>Ensures that issues are triaged timely and aligned with the obligations of internal stakeholders. </li> <li>Establishes parameters to ensure transparency and clear communication throughout the examination or investigation process.</li> <li>Helps establish and implement the structure and processes to effectively track and manage market conduct and regulatory deliverables throughout their lifecycle.</li> </ul> Required Qualifications:7+ years of relevant professional work experience.5+ years of contract support or contract interpretation experience and/or 5+ years of healthcare, PBM or pharma experience. Preferred Qualifications:Adept at problem solving and decision-making skills.Adept at collaboration and teamwork.Adept at growth mindset (agility and developing yourself and others) skills.Adept at execution and delivery (planning, delivering, and supporting) skills.Certified Professional Contracts Manager (CPCM) preferred.Certified Federal Contracts Manager (CFCM) preferred.Education:Bachelor's degree required or equivalent years of relevant experience.Pay RangeThe typical pay range for this role is:$75,400.00 - $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: 07/31/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Legal Contracts - Senior Manager

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 SummaryWe are seeking an experienced medical professional to manage strategic initiatives, along with a team of medical coders/nurses supporting Aetna’s Special Investigations Unit.Key Responsibilities:<ul><li>Leadership: Leads a team of coding/nursing professionals who conduct reviews of medical records and claims for suspected healthcare fraud, waste, and abuse. Provides direction and counsel to support coders and progress reviews. Identification and implementation of key initiatives that support effective and efficient scalability along with meeting or exceeding ROI.</li></ul><ul><li>Team Management: Conducts team member evaluations and provides performance feedback to staff. Manages team’s caseload to ensure equitable distribution and exposure to wide range of reviews. Assist with business opportunities aligned to inventory allocation and prioritization.</li></ul><ul><li>Quality Control and Compliance: Maintains oversight of coder/nurse reviews, ensuring compliance with ICD-10, CPT and HCPCS coding guidelines. Assist with department build and implementation of SIU coding quality program.</li></ul><ul><li>Training: Assesses team’s training needs and works with SIU leadership on development plans for team members and SIU coding department. Contributes to the development and delivery of educational awareness and training programs that meet or exceed those required by state mandates. Coordinates ongoing trainings to educate team on updates or modifications to medical codes.</li></ul><ul><li>Presentations: Supports the team of coding/nursing professionals in presenting findings to internal and external stakeholders, including, but not limited to SIU Investigators, Aetna Plan Leadership, Law Enforcement, Legal Counsel, Providers, and State Regulators.</li></ul><ul><li>Collaboration: Develops and maintains close working relationships with Aetna Medical Directors, Nurses, and other clinical staff who conduct medical record reviews. Consults with clinical staff as needed to assist in reviews. Partnership with SIU leadership to deliver key initiatives dedicated to infrastructure build and stabilization.</li></ul>Required Qualifications and Skills:<ul> <li>Minimum of 8 years of experience in medical coding in an SIU setting with at least 5 years in a supervisory or management role.</li> <li>Strong knowledge of industry coding guidelines involving ICD-10, CPT and HCPCS codes.</li> <li>Ability to guide a team of coding professionals with differing levels of coding experience in a variety of medical specialties.</li> <li>Proficiency in Microsoft products including, but not limited to Word, Excel, Outlook, and PowerPoint.</li> <li>Experience in infrastructure build and design to include, but not limited to workforce modeling, efficiency identification and implementation resulting in demonstrated decrease in unit cost, inventory reporting, inventory allocation for Medicare, Medicaid and Commercial (fully insured and ASO) work product, development of standardized coding language, assist with operational dashboard development and execution of department action plans.</li> <li>Understanding of how to implement SIU coding quality programs, to include statistical sampling, IRR testing, building objective comprehension assessments for coding training and coding quality remediation plans.</li> <li>Ability to communicate to a wide range of stakeholders, adjusting the message as appropriate for the recipient(s).</li> <li>Proven experience in overseeing and executing operational projects.</li> <li>Potential to travel up to 10%, (dependent on business needs).</li> </ul>Preferred Qualifications:<ul> <li>Active Registered Nurse (RN) Licensure preferred</li> <li>Experience conducting audits of medical records to substantiate allegations of healthcare fraud, waste, and abuse.</li> <li>Experience leading a team of coding professionals who conduct reviews to substantiate allegations of healthcare fraud, waste, and abuse.</li> <li>Experience with Aetna or other MCO Commercial/Medicaid/Medicare plans</li> <li>Certified Professional Coder</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: 06/28/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Senior Special Investigations Coding Manager (Aetna SIU)

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.How will this role have an impact?The Executive Assistant will support technology executives in their day-to-day schedule management, meeting preparation, expenses, and a number of ad hoc work-related projects. This person will be the gatekeeper for the VPs and will help them prioritize and communicate with internal and external stakeholders in a timely, professional manner.What will you do?<ul> <li>Supporting technology executives in day-to-day activities including the coordination and management of meetings and daily schedule.</li> <li>Coordinate meetings, including booking rooms, and preparation of materials</li> <li>Manage expenses and submit expense reports in Concur</li> <li>Coordinate travel arrangements</li> <li>Assist with team events across multiple sites</li> <li>Arrange and execute team building, offsites, and social events/lunches</li> <li>Liaise with Technology and facilities departments regarding software, equipment, and office needs</li> <li>Ad hoc projects as needed</li> </ul>We are looking for someone with:<ul> <li>3+ years of experience in a supporting role for c-level executive</li> <li>Experience using G-Suite</li> <li>Proven professional organizational and time management skills</li> <li>Excellent interpersonal skills</li> <li>Track record of problem solving and critical thinking</li> </ul>Education<ul><li>Bachelor's degree preferred/specialized training/relevant professional qualification.</li></ul>Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$22.59 - $58.85This 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: 06/23/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

80 Jobs in Home, PA 15747, USA