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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 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: 07/14/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Medical Director (Medical Policy & Operations)

Salary Range $96,000 - $125,000*Job Description:Who We Are:Saks is a world-renowned luxury ecommerce destination. The company’s unique approach combines a focus on the digital customer experience with a strong connection to a network of extraordinary stores that extends that seamless experience into the real world. On its website and app, Saks offers an unparalleled selection of curated merchandise across fashion for women and men, beauty, jewelry, home décor and more. In addition to the shopping experience, customers come to Saks for inspiring editorial content, access to digital stylists, lifestyle experiences and other world-class services. The company is driven by significant enhancements to its platforms and offerings, with the goal of becoming the preeminent destination for luxury internationally.Role Summary:You will work across Saks Global, a combination of world-class luxury retailers, including Neiman Marcus, Bergdorf Goodman, Saks Fifth Avenue and Saks OFF 5TH. You are a highly motivated energy manager who successfully develops and implements energy procurement strategies focused on energy conservation and decarbonization. You are skilled at negotiating energy supply across a large portfolio of facilities, driving procurement efficiencies and cost-reduction. This cross-functional role will partner closely with Facilities, Legal and Store Ops and Finance and will be the subject matter expert on energy trends, regulatory requirements, market changes and renewable energy procurement. This role will also support the development of non-financial climate-related reporting and targets across Saks Global.Key Qualifications: Required Qualifications (Minimum Requirements)<ul> <li>Bachelor’s degree in Energy Management, Business, Engineering, Sustainability, or a related field</li> <li>5+ years of experience in energy procurement, renewable energy contracting, or a related area</li> <li>Strong negotiation skills and experience managing energy contracts within deregulated markets</li> <li>Familiarity with energy markets, utility tariffs, and regulatory frameworks</li> <li>Experience managing demand response programs and evaluating decarbonization opportunities</li> <li>Strong data management experience</li> <li>Excellent communication and stakeholder management skills.</li> <li>Ability to work in a fast-paced environment and manage multiple projects simultaneously.</li> </ul>Preferred Qualifications (nice to haves)<ul> <li>Master’s degree in related field</li> <li>Experience with energy modeling and/or certified energy manager (CEM) qualifications</li> <li>Proven experience in carbon accounting and emissions reduction strategies for retail sector</li> <li>Knowledge of energy storage, microgrids, and distributed energy resources, HVAC systems, and building automation systems</li> <li>Experience working on corporate sustainability teams</li> </ul> Role Description: <ul> <li>Lead Saks Global’s energy procurement for both conventional and renewable energy (Power Purchase Agreements, Renewable Energy Certificates, etc.) across large retail store and fulfilment center (FC) portfolio</li> <li>Negotiate favorable energy supply and rates with 3rd party</li> <li>Manage contracts in partnership with Legal, Procurement and Facilities</li> <li>Analyze and model energy consumption data to forecast annual consumption, and identify cost-saving and efficiency opportunities</li> <li>Manage demand response projects to optimize participation and maximize cost savings</li> <li>Monitor energy markets, regulatory changes, and emerging trends to inform procurement strategies</li> <li>Perform periodic on-site energy audits to optimize building performance and track trends within building automation systems</li> <li>Collaborate with internal teams and external service providers to develop and implement strategies for decarbonization, including investments in renewable energy projects and other sustainability initiatives</li> <li>Manage energy benchmarking reporting requirements across FCs and Stores</li> <li>Provide periodic reports and insights on energy cost trends, procurement performance, and sustainability impacts to senior leadership</li> <li>Support the development of ESG reporting metrics related to energy procurement and consumption.</li> <li>Work closely with utilities, suppliers, and third-party energy providers to optimize procurement strategies.</li> <li>Ensure compliance with corporate policies, regulatory requirements, and sustainability commitments.</li> </ul>Your Life and Career at Saks:<ul> <li>Exposure to rewarding career advancement opportunities</li> <li>A culture that promotes a healthy, fulfilling work/life balance </li> <li>Benefits package for all eligible full-time employees (including medical, vision and dental)</li> <li>An amazing employee discount </li> </ul>At this time, we are not providing immigration sponsorship/support for this role.Thank you for your interest with Saks. We look forward to reviewing your application.Saks provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Saks complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.Saks welcomes all applicants for this position. Should you be individually selected to participate in an assessment or selection process, accommodations are available upon request in relation to the materials or processes to be used.It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.Saks.com is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. *The above expected salary range may have some variability based upon factors including, but not limited to, a candidate’s overall experience, qualifications, and geographic location. If you are interested in the role, we encourage you to apply and, if selected to move forward in the interview process, you will have a chance to speak with our recruitment team regarding your specific salary expectations.

Saks Fifth Avenue

Manager, Energy Procurement & Insights

Ro is a direct-to-patient healthcare company with a mission of helping patients achieve their health goals by delivering the easiest, most effective care possible. Ro is the only company to offer nationwide telehealth, labs, and pharmacy services. This is enabled by Ro's vertically integrated platform that helps patients achieve their goals through a convenient, end-to-end healthcare experience spanning from diagnosis, to delivery of medication, to ongoing care. Since 2017, Ro has helped millions of patients, including one in every county in the United States, and in 98% of primary care deserts. Ro has been recognized as a Fortune Best Workplace in New York and Health Care for four consecutive years (2021-2024). In 2023, Ro was also named Best Workplace for Parents for the third year in a row. In 2022, Ro was listed as a CNBC Disruptor 50. We are seeking a highly analytical problem solver to join our Growth team as an Associate Manager, Lifecycle Marketing Operations. Reporting to the Manager, Lifecycle Marketing, you will play a key role in managing data pipelines, tracking performance, and optimizing our operational processes. Your expertise in data analysis, marketing automation, and process improvement will support Growth initiatives and drive impactful business outcomes.<h3>What You’ll Do:</h3> <ul> <li>Oversee workflow tools and CRM systems, ensuring customer data integrity and accuracy in partnership with Tech and Product.</li> <li>Own the creation of technical briefs for CRM-related projects, collaborating closely with stakeholders from Product, Tech, and Legal.</li> <li>Monitor CRM data for key operational insights (open rates, deliverability, event tracking) to ensure accuracy and system reliability.</li> <li>Assist in developing scalable data pipelines and automation processes to enhance reporting and campaign execution.</li> <li>Partner with Growth Analytics and Lifecycle strategists to build dashboards that inform lifecycle marketing strategy.</li> <li>Identify opportunities for automation and process optimization within the marketing technology stack.</li> <li>Ensure data integrity, scalability, and accessibility for lifecycle marketing initiatives.</li> <li>Analyze performance trends across customer segments and channels, providing data-driven recommendations.</li> <li>Lead evaluation, implementation, and optimization of marketing technology solutions.</li> <li>Establish scalable, well-documented processes to drive consistent and repeatable outcomes.</li> <li>Oversee and improve the QA process, maintaining high-quality standards and automating where possible.</li> </ul><h3>What You’ll Bring to the Team:</h3> <ul> <li>3-5+ years of experience in CRM, lifecycle marketing, or marketing operations.</li> <li>Strong analytical mindset with the ability to interpret data and optimize based on insights.</li> <li>Excellent communication skills, with the ability to present complex information clearly</li> <li>Systems-based thinking, you approach problems through the lens of first principles and over-index on building scalable, resilient systems</li> <li>Self-starter mindset with strong prioritization, problem-solving, and cross-functional collaboration skills.</li> <li>Experience with marketing automation, personalization strategies, and API integrations for dynamic content.</li> <li>Understanding of email deliverability best practices and compliance regulations (CAN-SPAM, GDPR, TCPA, etc.).</li> </ul><h3>Bonus Points:</h3> <ul> <li>Experience working with Braze and/or Liquid.</li> <li>Hands-on experience in HTML, CSS, and templating languages like Liquid.</li> <li>Familiarity with SQLProficiency in BI tools such as Looker, Mixpanel, or equivalent.</li> </ul><h3>We’ve Got You Covered:</h3> <ul> <li>Full medical, dental, and vision insurance + OneMedical membership</li> <li>Healthcare and Dependent Care FSA</li> <li>401(k) with company match</li> <li>Flexible PTO</li> <li>Wellbeing + Learning &amp; Growth reimbursements</li> <li>Paid parental leave + Fertility benefits</li> <li>Pet insurance</li> <li>Student loan refinancing</li> <li>Virtual resources for mindfulness, counseling, and fitness</li> </ul>We welcome qualified candidates of all races, creeds, genders, and sexuality to apply. The target base salary for this position ranges from $106,000 to $130,000 in addition to a competitive equity and benefits package (as applicable). When determining compensation, we analyze and carefully consider several factors, including location, job-related knowledge, skills and experience. These considerations may cause your compensation to vary.” Ro recognizes the power of in-person collaboration, while supporting the flexibility to work anywhere in the United States. For our Ro’ers in the tri-state (NY) area, you will join us at HQ on Tuesdays and Thursdays. For those outside of the tri-state area, you will be able to join in-person collaborations throughout the year (i.e., during team on-sites). At Ro, we believe that our diverse perspectives are our biggest strengths — and that embracing them will create real change in healthcare. As an equal opportunity employer, we provide equal opportunity in all aspects of employment, including recruiting, hiring, compensation, training and promotion, termination, and any other terms and conditions of employment without regard to race, ethnicity, color, religion, sex, sexual orientation, gender identity, gender expression, familial status, age, disability and/or any other legally protected classification protected by federal, state, or local law. See our California Privacy Policy <a href="https://ro.co/job-applicant-privacy-policy/" target="_blank">here</a>.

23 Operations Jobs in Stamford, CT, USA