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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.<h2>This position is 100% remote and can be located anywhere in the United States.</h2><h2>Position Summary</h2><h2>As the Clinical Program Manager in Specialty Pharmacy, you will partner with Specialty Trade and pharmaceutical manufacturer clients to conceive and deliver services that differentiate CVS Health as the premier Specialty Pharmacy provider. Facing dynamic customer needs and an evolving specialty landscape, you will strategically design the patient journey and innovate on value-enhancing omnichannel product delivery solutions related to your specific disease portfolio. You will develop novel strategies to drive value, secure access to limited distribution drugs, successfully launch Specialty drugs across the enterprise, and execute on company initiatives. You will serve as the enterprise clinical subject matter expert for an assigned set of therapies and stay abreast of your portfolio pipeline along with trends in the marketplace to ensure CVS Health has programs that optimize patient care and clinical outcomes. You will collaborate with Trade, Pharmacy Trade Product, Specialty Operations, Account Management, Professional Practice, Prescriber Sales and other entities to ensure alignment of services, review results and identify opportunities to optimize patient, physician, and pharma relationships. A strong clinical background with a high level of independent judgement and initiative is required. Excellent interpersonal skills, a strategic vision, critical thinking, the ability to prioritize, and creativity will aid in your success to drive new opportunities for the business. </h2><h2>Responsibilities include but are not limited to:</h2><ul> <li><h2>Develop relationships and enhance partnerships with pharmaceutical manufacturers and key decision makers</h2></li> <li><h2>Present clinical services and therapy capabilities to external individuals or groups to secure product access and gain incremental market share, effectively adjust presentation style to meet to the needs of a virtual or live audience</h2></li> <li><h2>Generate omnichannel pharmacy care delivery solutions aimed at enhancing value for CVS enterprise and business partners based on evolving marketplace trends</h2></li> <li><h2>Create best-in-class, customizable patient adherence programs that deliver improved clinical outcomes</h2></li> <li><h2>Serve as the clinical expert on key business initiatives and provide insight into strategic planning </h2></li> <li><h2>Analyze clinical trends and projections to formulate concepts for new programs, products and services while collaborating with internal stakeholders to gather feedback and actionable insights</h2></li> <li><h2>Utilize market intelligence, clinical trends/projections, client requests and organic innovation to develop new and novel pharmacy care programs/products that optimize patient care and pharmacy services</h2></li> <li><h2>Work cross-functionally with enterprise partners to identify enhanced value opportunities for strategic manufacturer accounts</h2></li> <li><h2>Creatively leverage enterprise assets to create opportunities and programs to enhance and support our manufacturer client offerings</h2></li> </ul><ul> <li><h2>Manage and optimize assigned therapy portfolio throughout the product life cycle, including drug launches, creation of patient and prescriber centered solutions, solutions for barriers and driving continuity of care</h2></li> <li><h2>Present market intelligence, trend results and continued opportunities at ongoing client-facing business reviews as necessary</h2></li> </ul><ul> <li><h2>Monitor the Specialty pharmaceutical pipeline and maintain full knowledge of all specialty pipeline products within respective therapeutic portfolio seeking FDA approval over the next 3 years</h2></li> <li><h2>Deliver internal and external customer clinical education and awareness across Specialty therapies. Serve as a clinical resource and partner for enterprise colleagues through therapy awareness programs, operational trainings and other clinical education training(s)</h2></li> <li><h2>Elevate market eminence through participation in key industry conferences, staying abreast of market developments, and learning from industry thought leaders</h2></li> <li><h2>Engage with the specialty pharmacy patient community to better understand patient and prescriber challenges to create unique solutions that enhance and improve on their experience with CVS Specialty</h2></li> </ul><h2> Required Qualifications </h2><ul> <li><h2>Active pharmacist license that is in good standing </h2></li> <li><h2>8+ years of healthcare related experience </h2></li> <li><h2>3+ years of Clinical Specialty Pharmacy experience required </h2></li> <li><h2>Proficiency with MS Office including Word, PowerPoint, Visio and Excel </h2></li> <li><h2>Ability to travel approximately 15% of the time</h2></li> </ul><h2> Preferred Qualifications </h2><ul> <li><h2>Excellent interpersonal, verbal, written and communication skills </h2></li> <li><h2>Strong presentation skills are critical for conveying ideas, persuading audiences, and engaging with stakeholders</h2></li> <li><h2>Effectively adjust presentation style to meet to the needs of a virtual or live audience</h2></li> <li><h2>Ability to work across boundaries and collaborate with internal colleagues and external clients </h2></li> <li><h2>Strong clinical background with an aptitude to learn about new therapies and drug products </h2></li> <li><h2>High level of independent judgment and initiative </h2></li> <li><h2>Strategic judgment, critical thinking and creativity </h2></li> <li><h2>Knowledge and confidence to present and interact with leadership and large audiences </h2></li> <li><h2>Strong project management skills including attention to detail, follow-up and working to tight deadlines </h2></li> </ul><h2> Education </h2><h2> • Bachelor's degree in Pharmacy or PharmD </h2>Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$135,575.00 - $228,800.00This 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: 05/15/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Pharmacist - Clinical Program Manager - Specialty Pharmacy

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 Financial Analyst - Rebate Payment Operations requires a professional, detail-orientated, and flexible individual. The department is innovative, fast-paced, and in a consistent state of change, establishing a need for superior analytical and time-management skills. The role requires the individual to work autonomously on set deliverables while maintaining the strategy for continuous improvement. This role will be instrumental in maintaining and improving the team's rebate payment calculation, reporting, and communication processes.The Financial Analyst - Rebate Payment Operations is responsible for managing a robust calendar of rebate payment deliverables. This involves performing detailed manual calculations, large standard payment reconciliations, and thorough historical payment research projects, all requiring extensive use of Microsoft Access, Microsoft Excel, enterprise accounting platforms (SAP), and enterprise client registration systems. The individual in the role will have the autonomy to complete deliverables as they see fit and in accordance with team standards and contractual obligations.The Financial Analyst - Rebate Payment Operations interacts with many levels within the organization. This includes but is not limited to, relaying detail on large payments to upper leadership, working with internal audit teams to provide standard reporting and improve processes, working with management and peers to develop training and work instruction documentation, and managing a consistent workload of requests and inquiries submitted through a workload management platform (Salesforce).A successful candidate will have the following skills:- Demonstrated success working independently as well as in a team environment- Strong analytical and problem-solving skills- Positive attitude- Strong attention to detail- Ability to effectively manage tight deadlines and escalated issuesRequired<ul> <li>1+ years of professional experience.</li> <li>1+ years of Excel experience.</li> </ul>Preferred<ul> <li>Experience in PBM industry, with pharmaceutical rebates, or contract administration.</li> <li>Experience with SAP and Salesforce.</li> <li>Strong Excel skills including pivot tables, advanced formulas, VBA.</li> <li>Ability to work with and complete analysis on significant amounts of data, using Microsoft Access and Excel.</li> </ul>Education<ul><li>Bachelor's degree or equivalent experience.</li></ul>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: 05/02/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Analyst, Financial Operations

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 SummaryProvides leadership and maintains oversight of functions over the Meritain Health Network Operations Team. Executes local strategic and operational plan in support of business segment customer service objectives and initiatives. Plans, directs, and implements procedures that will assure a high level of customer access and satisfaction. Responsible for the quality and effectiveness of own team and related teams, identifying and resolving technical, operational and team problems. Manages a team of professional employees.Required Qualifications<ul> <li>5+ years of being a people leader</li> <li>5+ years of experience in managing high volume operational work with network implementations, network configurations, maintaining provider files/fee schedules, and coordinating online provider directories.</li> <li>Proven strong leadership skills managing high-performance teams, setting strategic direction, and influencing change that resulted in quantifiable positive outcomes.</li> <li>Demonstrated issue resolution with a sense of urgency.</li> <li>3 to 5 years Healthcare industry experience required.</li> </ul>Preferred Qualifications<ul> <li>Network or Provider related experience.</li> <li>Vendor Management.</li> </ul>EducationBachelor's degree or equivalent experience.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: 06/16/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Senior Manager, Network Operations

<h3> Position Summary </h3> Are you an experienced, passionate pioneer in technology who wants to work in a collaborative environment? As an experienced Epic Certified Professional Billing Expected Reimbursement Contracts Specialist you will have the ability to share new ideas and collaborate on projects as a consultant without the extensive demands of travel. If so, consider an opportunity with Deloitte under our Project Delivery Talent Model. Project Delivery Model (PDM) is a talent model that is tailored specifically for long-term, onsite client service delivery. Work you’ll do/Responsibilities <ul> <li>As a Consultant at Deloitte Consulting, you will be responsible for individually contributing to your work / mentor junior team members along with liaising with onsite/offshore teams to understand the functional requirements.</li> <li>Working on Billing and Contracts Reimbursement configuration and builds by maintaining industry and client standards ensuring build quality and timeline adherence as well as debugging and resolving any issues/defects.</li> <li>Participate in the daily calls / scrum meetings with respect to deliverables and build the weekly status reports to be reviewed with leadership. </li> <li>Resolve issues or incidents reported by end users and escalate any quality issues or risks with team leads/scrum masters/project leaders. </li> <li>This position has responsibility within all phases of patient access application support and optimization including design, build, test, and maintenance of the application</li> <li>This role provides outstanding client service and contributes to the organization’s mission of utilizing information technology to improve patient care</li> <li>Troubleshoot problems and address questions from users and provide on-call support on a rotating basis.</li> <li>Make recommendations, review and test changes, enhancements, and each new release as assigned.</li> <li>Communicate regularly with Engagement Managers (Directors), project team members, and representatives from various functional and / or technical teams, including escalating any matters that require additional attention and consideration from engagement management</li> </ul> The Team Our Core Technology Operations (CTO) team offers differentiated operate services for our clients with solutions to help organizations scale and optimize critical business operations, drive speed to outcome, deliver business transformation, and build resilience in an uncertain future. Qualifications Required <ul> <li>Epic Certification: Must possess current Epic Professional Billing Expected Reimbursement Contracts certification</li> <li>5+ years of experience in IT systems administration, with at least 2 years specifically working with Epic systems.</li> <li>Prior experience working in the Healthcare Industry</li> <li>Bachelor's degree, preferably in Computer Science, Information Technology, Computer Engineering, or related IT discipline; or equivalent experience</li> <li>Limited immigration sponsorship may be available</li> <li>Remote work with the ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve. Also, provide on-call support on a rotating basis.</li> </ul> Preferred <ul> <li>Epic Certification: Current Epic Resolute Professional Billing/Epic Resolute Hospital Billing certification</li> <li>Previous Consulting experience</li> <li>Analytical/ decision making responsibilities</li> <li>Analytical ability to manage multiple projects and prioritize tasks into manageable work products</li> <li>Can operate independently or with minimum supervision</li> <li>Excellent written and communication skills</li> <li>Ability to deliver technical demonstrations</li> </ul> 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> 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-usdc.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

Epic Certified Professional Billing Expected Reimbursement Contracts Specialist

<h3> Position Summary </h3> Are you an experienced, passionate pioneer in technology who wants to work in a collaborative environment? As an experienced Epic Certified Hospital Billing Expected Reimbursement Contracts Specialist you will have the ability to share new ideas and collaborate on projects as a consultant without the extensive demands of travel. If so, consider an opportunity with Deloitte under our Project Delivery Talent Model. Project Delivery Model (PDM) is a talent model that is tailored specifically for long-term, onsite client service delivery. Work you’ll do/Responsibilities <ul> <li>As a Consultant at Deloitte Consulting, you will be responsible for individually contributing to your work / mentor junior team members along with liaising with onsite/offshore teams to understand the functional requirements.</li> <li>Working on Billing and Contracts Reimbursement configuration and builds by maintaining industry and client standards ensuring build quality and timeline adherence as well as debugging and resolving any issues/defects.</li> <li>Participate in the daily calls / scrum meetings with respect to deliverables and build the weekly status reports to be reviewed with leadership. </li> <li>Resolve issues or incidents reported by end users and escalate any quality issues or risks with team leads/scrum masters/project leaders. </li> <li>This position has responsibility within all phases of patient access application support and optimization including design, build, test, and maintenance of the application</li> <li>This role provides outstanding client service and contributes to the organization’s mission of utilizing information technology to improve patient care</li> <li>Troubleshoot problems and address questions from users and provide on-call support on a rotating basis.</li> <li>Make recommendations, review and test changes, enhancements, and each new release as assigned.</li> <li>Communicate regularly with Engagement Managers (Directors), project team members, and representatives from various functional and / or technical teams, including escalating any matters that require additional attention and consideration from engagement management</li> </ul> The Team Our Core Technology Operations (CTO) team offers differentiated operate services for our clients with solutions to help organizations scale and optimize critical business operations, drive speed to outcome, deliver business transformation, and build resilience in an uncertain future. Qualifications Required <ul> <li>Epic Certification: Must possess current Epic Hospital Billing Expected Reimbursement Contracts certification.</li> <li>5+ years of experience in IT systems administration, with at least 2 years specifically working with Epic systems.</li> <li>Prior experience working in the Healthcare Industry</li> <li>Bachelor's degree, preferably in Computer Science, Information Technology, Computer Engineering, or related IT discipline; or equivalent experience</li> <li>Limited immigration sponsorship may be available</li> <li>Remote work with the ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve. Also, provide on-call support on a rotating basis.</li> </ul> Preferred <ul> <li>Epic Certification: Current Epic Resolute Professional Billing/Epic Resolute Hospital Billing certification</li> <li>Previous Consulting experience</li> <li>Analytical/ decision making responsibilities</li> <li>Analytical ability to manage multiple projects and prioritize tasks into manageable work products</li> <li>Can operate independently or with minimum supervision</li> <li>Excellent written and communication skills</li> <li>Ability to deliver technical demonstrations</li> </ul> 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> 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-usdc.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.

Epic Certified Hospital Billing Expected Reimbursement Contracts Specialist

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 SummaryAetna, a CVS Health company has an outstanding opportunity for a Medical Director. Ready to take your career to the next level with a Fortune 6 company? This is a remote Work at Home position and can be located anywhere in the United States. In this role as Medical Director MPO (Medical Policy &amp; Operations) you will be responsible for providing clinical expertise and business direction in support of medical management programs to promote the delivery of high quality, constituent focused medical care with a focus on clinical and payment policy. This Medical Director provides subject matter expertise to provide clinical support and business direction in these areas. Knowledge of Aetna clinical and coding policy and experience with appeals, claim review, reimbursement issues, and coding is preferable, but a willingness to learn is essential. The Primary Responsibilities of the Medical Director include support of the appeal process, clinical claim review process, pre-certification, and predetermination of covered benefits in the Commercial and Medicare environment. This Medical Director provides subject matter expertise in clinical and payment policy to provide clinical support and business direction in these areas. In this role you will: ◾Participate on work groups as a clinical subject matter expert to identify and promote opportunities to improve the quality and efficiency of health care services. ◾Apply clinical coding and reimbursement expertise to ensure alignment and correct application of Aetna policies and practices to service and payment requests.◾Proactively use data analysis to identify opportunities for quality improvement and positively influence the effective delivery of quality care services. ◾ Be a subject matter expert and internal consultant and payment policy contributor subject matter expertise and internal consultant. ◾Demonstrate the ability to work within and lead as necessary teams comprised of a diverse group of health delivery professionals in order to manage the business objectives of the company. ◾Work Collaboratively with the functional areas. Required Qualifications*Five (5) or more years of experience in Health Care Delivery System e.g., Clinical Practice and Health Care Industry. *Active and current state medical license without encumbrances. *M.D. or D.O., Board Certification in an ABMS recognized specialty including post-graduate direct patient care experience Preferred Qualifications* Health plan/payor experience. * Foundational baseline skills in Medicine, Health Policy, Coding: HCPCS / CPT, Clinical Policy, Reimbursement and Health Care Systems. * Strong communication skills both written and verbal. Education* M.D. or D.O., Board Certification in an ABMS recognized specialty including post-graduate direct patient care experiencePay 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: 04/30/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Medical Director (Medical Policy & Operations)

<h3> Position Summary </h3> Tired of Tax Compliance and Busy Season? You’ve earned your stripes as a tax specialist and tapped into the world of cutting-edge tax technology. You are not an expert in technology, but you can offer profound insight about how U.S. federal income tax models and computations work. If you have a passion for improving computational software applications and proprietary solutions, we have the career opportunity to keep you buzzing! Work You’ll Do: As a Tax Sr. Manager in our Partnership Solutions Group, Operational Partnership Services team you will: <ul> <li>Refine your skillset with the ability to work with large-scaled operating partnership tax clients on matters that mean the most to them.</li> <li>Diversify your industry experience by working on a plethora of various industries including private equity, healthcare, tech, financial products, oil &amp; gas, green energy, real estate, consumer products, and other various industries.</li> <li>Deliver value to client experiencing a public offering (including SPACs) and interact with external counsel, underwriters, client executives, and capital market professionals through the SEC public filing process.</li> <li>Assist our client with public offering transactions including but not limited to initial proxy and registration statements for Up-C and SPAC structures.</li> <li>Work with Up-C clients on an on-going basis during periodic service periods during the year.</li> <li>Develop an understanding of the public monetization transactional process, including tax receivable agreements.</li> <li>Create cutting-edge technology that evolves around U.S. federal income tax principles for partnership tax, data analytics, and the user experience.</li> <li>Lead engagement teams and have the opportunity to work with highly motivated and dedicated teams. Mentor and develop of engagement staff, providing leadership, counseling, career guidance, and guidance on issues related to work/life fit.</li> <li>Implement strategic tax structures and processes, and oversee complex tax computation projects for clients, with emphasis on identification and communication of technical tax and service issues.</li> <li>Determine and solve for complexities with the U.S. federal income tax impact of public offerings.</li> <li>Participate in marketplace activities, recruiting, and process and technology innovation.</li> <li>Identify service opportunities, manage client accounts, and advance various Deloitte initiatives.</li> </ul> The Team: National Federal Tax Services (NFTS) is a national practice within Deloitte Tax LLP made up of a number of tax service offerings. Each NFTS service offering has been developed and built as a result of a tax planning idea, a marketplace driver, or a technological innovation - all with the purpose of delivering results for our clients. Our people are entrepreneurial in spirit and have always had the work-hard/play-hard mentality. NFTS service lines provide tax planning for the largest organizations across all industries. In the Operational Partnership Services (OPS) service line, which is a part of the Partnership Solutions Group within NFTS, OPS professionals counsel privately-held and publicly-traded partnerships across the United States on a wide range of federal tax and issues involving Up-C, mergers, acquisitions, divestitures, initial public offerings (IPO), post-offering assistance, and process design and improvement. Industries served by the Operational Partnership Services practice include private equity, real estate, telecom, technology, healthcare, media &amp; entertainment, energy, retail, and financial services that frequently involve asset management, venture capital, and international outbound joint ventures. Come join the team! Qualifications: Required: <ul> <li>Ability to perform job responsibilities within a hybrid work model that requires US Tax professionals to co-locate in person 2 – 3 days per week</li> <li>8+ years of experience in federal partnership tax</li> <li>Bachelor’s degree in accounting or other business-related field required</li> <li>Proven leadership skills demonstrating strong judgment, problem-solving, and decision-making abilities</li> <li>Proven management experience indicating strong organizational skills and the ability to plan and manage budgets and workplans</li> <li>Demonstrated U.S. federal income tax partnership experience</li> <li>Ability to travel up to 25%, on average, based on the work you do and the clients and industries/sectors you serve</li> <li>One of the following, active accreditations obtained:</li> <ul> <li>Licensed CPA in state of practice/primary office if eligible to sit for the CPA</li> <li>If not CPA eligible:</li> <ul> <li>Licensed Attorney</li> <li>Enrolled Agent</li> <li>Certifications:</li> <ul> <li>Chartered Financial Advisor (CFA)</li> <li>Certified Financial Planner (CFP)</li> </ul> </ul> </ul> </ul> Preferred: <ul> <li>Advanced degree such as master’s in science of tax (MST), JD, or LLM</li> <li>Previous Big 4 or large CPA firm experience</li> <li>Aptitude in MS Project, Word, Excel, and Visio</li> <li>Transaction and M&amp;A experience</li> <li>Alteryx experience</li> <li>Self-starter with demonstrated ability to effectively handle multiple, competing priorities</li> <li>Numerical-problem-solving focus</li> <li>Demonstrated effective verbal and written communication skills</li> </ul> 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 $103,320 to $235,170. 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> nftstax btstax 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 diverse, equitable, and 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. <a href="https://www2.deloitte.com/us/en/pages/about-deloitte/articles/deloitte-inclusion.html" target="_blank">Learn more about our inclusive culture.</a> 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.

7 Operations Jobs in Missouri