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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. Medical Director - SIU (Special Investigations Unit) CVS Health - Special Investigations Unit (SIU) Join our mission to safeguard healthcare integrity and protect patient well-being. As the Medical Director of Healthcare Fraud Investigations, you'll lead our efforts to detect, prevent, and combat fraudulent activities in the healthcare system. **This is a remote based, work from home role.** Key Responsibilities: The Special Investigations Unit (SIU) Medical Director will be responsible for performing reviews of medical records in support of healthcare fraud investigations. Serving as a clinical liaison supporting SIU activities across all lines of business the SIU Medical Director will be responsible for making both pre and post-payment claim payment determinations based on Aetna Clinical Policy and/or state and federal regulations. Additional responsibilities include: <ul><li>Serves as a clinical liaison supporting SIU Investigators, Managers, and Directors in matters pertaining to the investigation of suspected healthcare fraud cases </li></ul> <ul><li>Develops and delivers presentations to internal and external customers regarding healthcare fraud matters and Aetna’s approach to fighting fraud. </li></ul> <ul><li>Provides clinical expertise and business direction in the creation of analytical solutions designed to identify potentially fraudulent scenarios </li></ul> <ul><li>Maintains open communication with constituents within and external to the organization </li></ul> <ul><li>Uses available resources and technology in developing evidence, supporting allegations of fraud, waste, or abuse </li></ul> <ul><li>Documents all appropriate information related to medical review determinations </li></ul> <ul><li>Proactively builds relationships with other internal MDs to obtain clinical guidance when required to ensure accurate decision making </li></ul> <ul><li>Represents Aetna as a witness in legal matters as required, and as approved by the Legal Department. Demonstrates high level of knowledge and acts confidently when providing testimony during civil or criminal proceedings. </li></ul> <ul><li>Responsible for peer to peer reviews of SIU related claims based on provider escalation or state/federal requirements </li></ul> <ul><li>Supports legal efforts by providing expert medical testimony and </li></ul> <ul><li>Conducts root cause analysis to identify potential control gaps in the organization’s existing clinical policy, procedures, claim editing etc., and proactively seeks out appropriate contacts to help implement solutions. </li></ul> <ul><li>Mentor and educate SIU team members on clinical aspects of fraud schemes </li></ul> Required Qualifications: <ul><li>MD or DO with active license, preferably in emergency medicine or primary care </li></ul> <ul><li>5+ years of clinical practice experience </li></ul> <ul><li>Strong analytical and problem-solving skills </li></ul> <ul><li> Excellent communication and leadership abilities </li></ul> Preferred Qualifications: <ul><li>3+ years supporting healthcare fraud investigations or related field </li></ul> <ul><li>Board Certification in Emergency Medicine</li></ul> Education: <ul> <li>Active and current state medical license without encumbrances</li> <li>M.D. or D.O., Board Certification in a recognized specialty including post-graduate direct patient care experience</li> </ul> Pay 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: 07/28/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Medical Director - SIU (Special Investigations Unit)

Job Description: <ul><li> Job Description At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities and shareholders every day. One of the keys to driving Responsible Growth is being a great place to work for our teammates around the world. We’re devoted to being a diverse and inclusive workplace for everyone. We hire individuals with a broad range of backgrounds and experiences and invest heavily in our teammates and their families by offering competitive benefits to support their physical, emotional, and financial well-being. Bank of America believes both in the importance of working together and offering flexibility to our employees. We use a multi-faceted approach for flexibility, depending on the various roles in our organization. Working at Bank of America will give you a great career with opportunities to learn, grow and make an impact, along with the power to make a difference. Join us! Job Description: This job is responsible for tool and service designs within a technical domain that enable business strategies in accordance with architectural governance, standards and policies. Key responsibilities include creating infrastructure tools and their integration as a service, facilitating deployment of technical solutions by developing templates, playbooks and automation used during implementation. Job expectations include looking for opportunities to improve efficiency when implementing and maintaining tools/services and embracing a culture of innovation and continuous improvement. Responsibilities: - Senior level engineer able to provide technical leadership and delivery strategy for Application Delivery Services to align business requirements to technical solutions to improve availability, functionality, and security. - Working with lines of business to translate/align business requirements for delivery of the ADS services. - Ability to analyze and understand a variety of existing and emerging business requirements, interface with technology engagement teams as a fully seasoned and proficient traffic management solutions engineer, in providing best in class application load balancing solutions that align to meet business and technology requirements. - Ability to analyze and understand a variety of existing and emerging business requirements, interface with technology engagement teams as a fully seasoned and proficient traffic management solutions engineer, in providing best in class automation solutions that align to meet business and technology requirements. - This highly dynamic position will require the ability to manage multiple technical project engagements requiring the candidate to be a “team player” who can also work independently in managing to multiple deadlines, priorities and diverse set of applications and requirements. - Candidate will be a strong engineering minded individual with polished collaboration, written, and communication skills and a proven track record interacting with various levels of management, clients, and technical team members in delivering technical traffic management solutions. - Development, and optimization of F5 rule Required Skills: <ul> <li>7+ years of experience as a technical SME. </li> <li>5+ years for Infrastructure engineering hands on experience with F5 Networks products (LTM/GTM/ASM/AFM/SSLO) </li> <li>3+ years’ experience developing, optimizing, integration/testing, troubleshooting F5 complex rules. </li> <li>3+ years of experience with VMWare/Avi Networks experience </li> <li>5+ years working in conjunction with products and services such as DNS, Load Balancing, </li> <li>3+ years of experience with F5 DNS Express </li> <li>3+ years’ experience Inventory Management </li> <li>Experience with other equivalent Application Delivery Controller such as Avi Networks, Citrix, etc. </li> <li>Strong understanding of general network technologies (e.g., TCP/IP networking, SSL, Firewall, Proxy, Load Balancing) </li> <li>Deep knowledge of diverse networking devices like Routing, Switching, Firewalls, WAF </li> <li>F5 TMSH Experience and Knowledge </li> <li>Experience with routing solutions such as BGP setup for Anycast based Infrastructure Services</li> </ul> Desired Skills: <ul> <li>Linux OS Experience </li> <li>VMWare, Azure, Terraform/Cloud formation experience.</li> <li>Understanding of Cloud services and SDN</li> <li>Deep understanding of diverse set of networked applications and terms requiring application traffic management solutions, including HTTP, HTTPS, SSH, FTP, DNS, NTP, ANYCAST services, NAT, WAF, Firewalls, Routing, Switching, etc. </li> <li>Programming with Python Experience </li> </ul> </li></ul> Shift:1st shift (United States of America) Hours Per Week: 40

Bank of America

F5 ADS Solution Engineer

Job Description: At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. We do this by driving Responsible Growth and delivering for our clients, teammates, communities and shareholders every day. Being a Great Place to Work is core to how we drive Responsible Growth. This includes our commitment to being an inclusive workplace, attracting and developing exceptional talent, supporting our teammates’ physical, emotional, and financial wellness, recognizing and rewarding performance, and how we make an impact in the communities we serve. Bank of America is committed to an in-office culture with specific requirements for office-based attendance and which allows for an appropriate level of flexibility for our teammates and businesses based on role-specific considerations. At Bank of America, you can build a successful career with opportunities to learn, grow, and make an impact. Join us! Job Description: Responsible for creating technical plans from requirements expressed in a non-technical language and delivering significant components of large projects or full smaller projects. Effectively structures communication and communicates with influence and nuance outside of immediate team. Often manages planning, technical, team, and relationship needs of projects. Creates approaches to solving business problems and is very familiar with the business components that guide problem selection. Is a team expert in some relevant class of models and runs models through their entire lifecycle. Key Responsibilities: <ul> <li>Develop Marketing Mix Models using appropriate statistical approaches; draw inference and conclusion based on model results </li> <li>Effectively articulate the model results to stakeholders, properly incorporate business feedback into the model </li> <li>Regularly monitor the model performance, recalibrate/redevelop the model as needed </li> <li>Document the model development process and model changes with internally required standard </li> <li>Understand nuanced communication; adjust to the tone of the room; effectively structure communication; speak clearly and effectively to multiple stakeholders including skip-level manager; manage technical aspects of projects </li> <li>Understand the structure and purpose of our work streams; learn how our business clients work; plan parts of projects and keep track of relevant details </li> <li>Independently derive the correct lessons from raw data; balance well the competing needs of the model development lifecycle </li> <li>Master the standard capabilities of Python </li> <li>Write efficient computer code using white space, comments, indentation, arrays, control blocks, and modularization </li> <li>Build datasets from complex data warehouses </li> </ul> Skills: <ul> <li>Artificial Intelligence/Machine Learning</li> <li>Data Mining</li> <li>Model Development</li> <li>Problem Solving</li> <li>Risk Modeling</li> <li>Analytical Thinking</li> <li>Business Acumen</li> <li>Oral Communications</li> <li>Technical Documentation</li> <li>Written Communications</li> <li>Critical Thinking</li> <li>Decision Making</li> <li>Innovative Thinking</li> <li>Presentation Skills</li> </ul> Required Qualifications: <ul> <li>3-7 years of modeling experience; direct experience in Marketing Mix Modeling is strongly preferred</li> <li>Advanced Python programming skills</li> <li>Proficient in modern modeling methods</li> <li>Demonstrated ability to speak and write clearly and concisely to convey complex data to a non-technical audience</li> <li>Demonstrated ability to work effectively both in a team environment and independently</li> <li>Self-motivation, self-direction, organizational skills, and the ability to manage multiple priorities without sacrificing quality or timelines</li> <li>Understand important parts of our data flows</li> </ul> Minimum Education Requirement: Advanced degree in statistics or related field, such as econometrics, engineering, applied mathematics, the applied sciences, or other heavily quantitative disciplines or equivalent work experience For internal employees; participation in a work from home posture does not make you ineligible to post Shift:1st shift (United States of America) Hours Per Week: 40

Consumer Behavior Modeler

Job Description: At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities and shareholders every day. One of the keys to driving Responsible Growth is being a great place to work for our teammates around the world. We’re devoted to being a diverse and inclusive workplace for everyone. We hire individuals with a broad range of backgrounds and experiences and invest heavily in our teammates and their families by offering competitive benefits to support their physical, emotional, and financial well-being. Bank of America believes both in the importance of working together and offering flexibility to our employees. We use a multi-faceted approach for flexibility, depending on the various roles in our organization. Working at Bank of America will give you a great career with opportunities to learn, grow and make an impact, along with the power to make a difference. Join us! Job Description: This job is responsible for providing payment processing solutions to small business clients in a phone-based environment primarily through referrals from an assigned group of small business specialists, financial centers, and other internal partners. Key responsibilities include consulting with small business clients to understand their priorities and providing solutions to meet their business needs. Job expectations include having an awareness of merchant payment processing solutions, pricing, software, gateways, and security. Responsibilities: <ul> <li>Leverages consultative sales processes to provide merchant payment solutions for small business clients via channels such as Advanced Client Solutions, Financial Centers, Digital, and direct inbound calls</li> <li>Drives toward sales and revenue goals while balancing operational excellence, risk management, and client experience expectations</li> <li>Adheres to schedule managed by the workforce management team to ensure adequate phone coverage in contact center environment</li> <li>Collaborates with internal partners and clients to determine payment processing needs and acts as a champion for clients by connecting expertise across the company to help achieve their goals</li> <li>Identifies opportunities proactively and develops a pipeline for sales opportunities through inbound and self-scheduled outbound calling activities</li> <li>Determines prospect external sources such as association relationships, centers of influence, and vendor relationships among others and may be required to attend trade shows as assigned</li> <li>Adapts to an ever changing payment processing environment, maintains accurate records, and adheres to Service Level Agreements</li> </ul> Skills: <ul> <li>Client Experience Branding</li> <li>Client Solutions Advisory</li> <li>Customer and Client Focus</li> <li>Payment Processing</li> <li>Pipeline Management</li> <li>Consulting</li> <li>Credit Documentation Requirements</li> <li>Oral Communications</li> <li>Referral Management</li> <li>Written Communications</li> <li>Financial Analysis</li> <li>Interpret Relevant Laws, Rules, and Regulations</li> <li>Issue Management</li> <li>Prospecting</li> </ul> Required Qualifications: <ul> <li>Customer focus</li> <li>Relationship building</li> <li>Oral and written communication</li> <li>Time management</li> <li>Consultative sales</li> <li>Pipeline management</li> <li>Problem solving</li> <li>Teamwork</li> <li>Presentation skills</li> <li>Telephone sales</li> <li>Referral sales</li> <li>2 to 4+ years of sales experience</li> <li>Technical expertise </li> <li>Highly motivated to succeed in a performance driven environment​</li> <li>Available to work 12PM - 9PM Monday - Friday</li> </ul> Desired Qualifications: <ul> <li>Business Acumen: Industry knowledge in healthcare, retail, restaurant, business to business and ISV </li> <li>Merchant products and solutions</li> <li>Multi-lingual ability is a plus</li> <li>Bilingual in Spanish preferred</li> <li>Learning agility</li> <li>CRM (Client Relationship Management System)</li> </ul> Minimum Education Requirement: High School Diploma / GED / Secondary School or equivalent Shift:1st shift (United States of America) Hours Per Week: 40

Centralized Merchant Consultant

Job Description: At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities and shareholders every day. One of the keys to driving Responsible Growth is being a great place to work for our teammates around the world. We’re devoted to being a diverse and inclusive workplace for everyone. We hire individuals with a broad range of backgrounds and experiences and invest heavily in our teammates and their families by offering competitive benefits to support their physical, emotional, and financial well-being. Bank of America believes both in the importance of working together and offering flexibility to our employees. We use a multi-faceted approach for flexibility, depending on the various roles in our organization. Working at Bank of America will give you a great career with opportunities to learn, grow and make an impact, along with the power to make a difference. Join us! Job Description: This job is responsible for providing payment processing solutions to small business clients in a phone-based environment primarily through referrals from an assigned group of small business specialists, financial centers, and other internal partners. Key responsibilities include consulting with small business clients to understand their priorities and providing solutions to meet their business needs. Job expectations include having an awareness of merchant payment processing solutions, pricing, software, gateways, and security. Responsibilities: <ul> <li>Leverages consultative sales processes to provide merchant payment solutions for small business clients via channels such as Advanced Client Solutions, Financial Centers, Digital, and direct inbound calls</li> <li>Drives toward sales and revenue goals while balancing operational excellence, risk management, and client experience expectations</li> <li>Adheres to schedule managed by the workforce management team to ensure adequate phone coverage in contact center environment</li> <li>Collaborates with internal partners and clients to determine payment processing needs and acts as a champion for clients by connecting expertise across the company to help achieve their goals</li> <li>Identifies opportunities proactively and develops a pipeline for sales opportunities through inbound and self-scheduled outbound calling activities</li> <li>Determines prospect external sources such as association relationships, centers of influence, and vendor relationships among others and may be required to attend trade shows as assigned</li> <li>Adapts to an ever changing payment processing environment, maintains accurate records, and adheres to Service Level Agreements</li> <li>Analyze Rates and Fees to negotiate a positive solution for both the bank as well as the client</li> <li>Be an advocate to resolve client concerns</li> <li>Be a trusted advisor to deepen client relationships</li> </ul> Skills: <ul> <li>Client Experience Branding</li> <li>Client Solutions Advisory</li> <li>Customer and Client Focus</li> <li>Payment Processing</li> <li>Pipeline Management</li> <li>Consulting</li> <li>Credit Documentation Requirements</li> <li>Oral Communications</li> <li>Referral Management</li> <li>Written Communications</li> <li>Financial Analysis</li> <li>Interpret Relevant Laws, Rules, and Regulations</li> <li>Issue Management</li> <li>Prospecting</li> </ul> Required Qualifications: <ul> <li>Customer focus</li> <li>Relationship building</li> <li>Oral and written communication</li> <li>Time management</li> <li>Consultative sales</li> <li>Pipeline management</li> <li>Problem solving</li> <li>Teamwork</li> <li>Presentation skills</li> <li>Telephone sales</li> <li>Referral sales</li> <li>2 to 4+ years of sales experience</li> <li>Technical expertise </li> <li>Highly motivated to succeed in a performance driven environment​</li> </ul> Desired Qualifications: <ul> <li>Business Acumen: Industry knowledge in healthcare, retail, restaurant, business to business and ISV </li> <li>Merchant products and solutions</li> <li>High school diploma</li> <li>Multi-lingual ability is a plus</li> <li>Learning agility</li> <li>CRM (Client Relationship Management System)</li> </ul> Minimum Education Requirement: High School Diploma / GED / Secondary School or equivalent Shift:1st shift (United States of America) Hours Per Week: 40

Centralized Merchant Consultant - CRPT/Retention

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 is the leader in enterprise-class, software-as-a-servic​e​ (SaaS) solutions for managing global businesses. Workday’s Professional Services Delivery teams are driven by a passion for our products and the success of our customers in implementing and generating the highest value possible from our outstanding cloud solutions. We’re a diverse group of people, with an invaluable mix of experiences and backgrounds, located across multiple locations. We are committed to diversity and inclusion expressed in the VIBE (Value, Inclusion, Belonging, Equity) approach: At Workday, we VIBE™ Our team lives and breaths Workday’s core values with ‘Employees’ being the first one.About the RoleThe Sr. Engagement Manager will be an expert with the Workday Deployment Methodology. They will lead/manage mid to large deployments and resolve complex issues in creative and effective ways. They will also support executive level expectations by providing internal suggestions to management, based on field experience, as to how to potentially enhance the Workday Deployment Methodology.<ul> <li>Become a guide in Workday's Implementation Methodology and demonstrate it on all engagements.</li> <li>Lead the implementation of 2-4 simultaneous projects.</li> <li>Show strength in the Workday product suite - HCM, Payroll, and/or Financials.</li> <li>At times, participate in the sales cycle to gather requirements, formulate delivery approach, and develop a proposal/SOW.</li> <li>Provide guidance and mentoring to those Professional Service resources working on their implementations.</li> <li>Ensure projects are accurately planned and staffed.</li> <li>Work with the internal customer project manager to identify/resolve all issues that could impact project scope and/or timeframes.</li> <li>Present at Executive Steering Committee meetings.</li> <li>Ensure the client takes advantage of Workday standard methodologies.</li> <li>Be a liaison for professional services when interacting with sales and/or development.</li> <li>Find opportunities to position other service offerings.</li> <li>Ensure the client can serve as a reference upon completing their implementation.</li> <li>Assist in the transition of the customer from professional services to product support.</li> <li>Ensure the project is delivered within the budget outlined in the SOW.</li> <li>Present client with change orders in the event they're asking Workday to perform tasks that are outside the scope of the SOW.</li> </ul>About YouBasic Qualifications<ul> <li>3+ years experience of project management with HCM, Payroll, Financial or Student implementations within medium enterprise, large enterprise, higher education and/or state and local governments.</li> <li>3+years of experience implementing Workday, Oracle, SAP, PeopleSoft or similar applications.</li> </ul> Other Qualifications<ul> <li>Consulting experience either as an internal consultant or with a consulting/software company.</li> <li>Experience implementing Workday, Oracle, SAP, PeopleSoft, or similar application.</li> <li>Solid grasp with at least one of the following business areas: Human Resources, Benefits, Payroll, General Ledger, Accounts Payable/Receivable, Services procurement.</li> <li>Project Management experience.</li> <li>Excellent communication, organization, time management, and social skills.</li> <li>Passion for customer service.</li> <li>Business development skills.</li> <li>Knowledge of Internet technology and cloud-based applications.</li> <li>Previous experience with a major systems integrator and/or an enterprise software company a plus.</li> <li>Previous service sales experience a plus. Successful candidates have a balance of functional (business) and technical experience.</li> <li>Ability to travel up to 50%</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="http://workdaybenefits.com/us/welcome-to-workday-benefits/prospective-workmates" target="_blank">click here</a>.Primary Location: USA.GA.AtlantaPrimary Location Base Pay Range: $122,800 USD - $184,200 USDAdditional US Location(s) Base Pay Range: $116,700 USD - $207,200 USD 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

Sr Engagement Manager - Diversified Industries

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position Summary This individual contributor position reports to the Lead Director, Medicare Member Materials. This is an exciting opportunity to join our team! You will be responsible for directly creating and influencing our Medicare materials, specifically the Mid-Year Enrollee Notification of Available Supplemental Benefits, sent to all beneficiaries outlining usage of supplemental benefits during the plan year.This role involves logic-based programming similar to advanced Excel formulas, not back-end software development.What You Will DoWhether it’s developing strategic logic-based configurations or troubleshooting issues in document logic, your role will be a very important one to ensuring our documents are created accurately. Day to day responsibilities include:<ul> <li>Responsible for configuration logic and rules for Medicare Advantage health plan documents using our proprietary front-end document authoring tools</li> <li>Participating in peer review and auditing to support accuracy</li> <li>Identifying coding issues and debugging</li> <li>Troubleshooting application errors</li> <li>Identifying gaps in processes or organization, and challenge self and others to develop and implement solutions</li> <li>Supporting a sense of urgency regarding managing tasks and timelines</li> <li>Promoting synergy through inter-departmental partnerships</li> <li>Managing projects and tasks in an independent manner</li> <li>Influencing all stake holders to support key projects/programs to ensure positive outcomes that deliver on results</li> <li>Collaborating and partnering with other functional/business areas to ensure all workflow processes and interdependencies are identified and addressed</li> <li>Acting as an advocate for change requiring influencing others to see the value in project</li> </ul> Required Qualifications<ul> <li>3+ years of Medicare member materials experience at a regional or national health plan</li> <li>3+ years of experience supporting health care applications</li> <li>Ability to use logical thinking to design efficient front-end rules and logic (similar to conditional formulas or scripting) to achieve desired outcomes</li> <li>Ability to troubleshoot document logic or rule-based configuration errors as well as application errors</li> <li>Ability to meet strict deadlines</li> <li>Excellent communication and interpersonal skills</li> <li>Strong attention to detail</li> <li>Drives change to improve performance results, organization effectiveness and/or systems/quality/services (e.g., policies, processes or systems)</li> </ul> Preferred Qualifications<ul> <li>Prior experience in working with translation vendors to support creating multi-lingual materials</li> <li>Demonstrated success working to build new technologies and software to support member materials compliance</li> <li>Knowledge of Medicare Advantage rules, including the Medicare Managed Care Manual and Medicare Marketing Guidelines</li> <li>Familiarity with markup or logic-based languages (e.g., HTML, XML, or conditional scripting)</li> <li>Master’s degree</li> </ul> EducationBachelor's degree or equivalent experiencePay RangeThe typical pay range for this role is:$67,900.00 - $149,328.00 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: 06/15/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Sr. Manager, Medicare Member Materials Configuration

Job Description: <ul> <li> At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities and shareholders every day. One of the keys to driving Responsible Growth is being a great place to work for our teammates around the world. We’re devoted to being a diverse and inclusive workplace for everyone. We hire individuals with a broad range of backgrounds and experiences and invest heavily in our teammates and their families by offering competitive benefits to support their physical, emotional, and financial well-being. Bank of America believes both in the importance of working together and offering flexibility to our employees. We use a multi-faceted approach for flexibility, depending on the various roles in our organization. Working at Bank of America will give you a great career with opportunities to learn, grow and make an impact, along with the power to make a difference. Join us! Job Description: This job is responsible for providing specialized and personalized service offering advice and guidance to financial center clients through the full spectrum of borrowing and banking offerings at each stage of the client's life plan. Key responsibilities include acquiring new and deepening existing client relationships by conducting client meetings and presenting customized solutions to clients to help them achieve their financial goals. Job expectations include effectively balancing sales performance, operational risk, and client relationship care by leveraging specialized expertise. Responsibilities: </li> <li>Recommends financial advice and guidance that align with client financial goals and needs</li> <li>Builds and deepens relationships with new and existing clients by leveraging the full capabilities of the bank</li> <li>Analyzes client financial needs and applies knowledge of borrowing and banking to recommend alternative or additional financial services that best align with the client's unique priorities</li> <li>Connects with clients through outreach and pipeline management activities and conducts consistent follow-up routines to meet client needs</li> <li>Makes decisions on client requests and makes referrals to appropriate internal partners based on client needs</li> <li> Partners with financial center leaders, performance managers, and market leaders to provide specialized guidance and coaching to financial center associates during meetings to assist with team delivery of an exceptional client experience</li> <li> Required Qualifications: </li> <li>Has demonstrated experience and proven success with business-to-business sales, or small business banking.</li> <li>Has strong communication skills with the ability to effectively influence clients.</li> <li>Has effective customer service skills with ability to manage the full client end-to-end experience and problem resolution.</li> <li>Has a proven sales track record.</li> <li> Desired Qualifications: ​ </li> <li>Experience with financial information, spreadsheets and financial skills.</li> <li>Experience with in-person customer service and sales.</li> <li>Experience working with small business clients.</li> <li>Experience meeting or exceeding goals.</li> <li>A working knowledge of small business products and services.</li> <li>Bilingual skills.</li> <li> Skills: </li> <li>Client Management</li> <li>Client Solutions Advisory</li> <li>Customer and Client Focus</li> <li>Referral Identification</li> <li>Risk Management</li> <li>Client Experience Branding</li> <li>Credit Documentation Requirements</li> <li>Credit and Risk Assessment</li> <li>Pipeline Management</li> <li>Referral Management</li> <li>Attention to Detail</li> <li>Collaboration</li> <li>Issue Management</li> <li>Prospecting</li> <li>Relationship Building</li> <li> Minimum Education Requirement: High School Diploma / GED / Secondary School or equivalent </li> </ul> Shift:1st shift (United States of America) Hours Per Week: 40

Business Solutions Advisor - Gainesville Square

Job Description: At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. We do this by driving Responsible Growth and delivering for our clients, teammates, communities and shareholders every day. Being a Great Place to Work is core to how we drive Responsible Growth. This includes our commitment to being an inclusive workplace, attracting and developing exceptional talent, supporting our teammates’ physical, emotional, and financial wellness, recognizing and rewarding performance, and how we make an impact in the communities we serve. Bank of America is committed to an in-office culture with specific requirements for office-based attendance and which allows for an appropriate level of flexibility for our teammates and businesses based on role-specific considerations. At Bank of America, you can build a successful career with opportunities to learn, grow, and make an impact. Join us! About the Team: The Global Technology Service Management function is a new team charted with designing, improving, and overseeing next generation IT Service Management (ITSM) policies, processes, and solutions. Our mission is to ensure the appropriate controls and capabilities are in place to enable the delivery of stable, resilient, and available technology services to our customers and employees. Job Description: The ServiceNow Governance Lead is a key role within the ServiceNow Core Platform Center of Excellence team. This net new role in the organization will ensure that risk is managed in an optimized and effective way. The primary areas of governance work will cover creation and management of all ServiceNow processes to ensure efficiency and management of the ServiceNow Platform. This job is responsible for leading and executing on internal control discipline and operational excellence within a Line of Business (LOB) or Enterprise Control Function (ECF). Key responsibilities include executing LOB or ECF processes and tools to drive adherence to enterprise-wide standards. Job expectations include supporting the implementation of quality assurance and quality control processes within the LOB or ECF through ongoing monitoring and testing of controls, identifying issues and control improvements for remediation, and building out actions plans and milestones. Responsibilities: <ul> <li>Create and operate a governance framework encompassing ServiceNow Core Platform processes</li> <li>Assess the ITSM processes against governance framework and global process management expectations</li> <li>Create, maintain and/or improve processes, as needed</li> <li>Perform process control effectiveness periodically, identifying gaps and opportunities</li> <li>Drive design improvements on flows, procedures, performance indicators, and operational metrics</li> <li>Leads the assessment of the design and effectiveness of the risk and control environment to support Client Operational Services and ensure adherence to enterprise-wide standards</li> <li>Performs monitoring and testing of controls, identifying issues and control improvements for remediation</li> <li>Leads the implementation of optimized controls and enhanced Quality Assurance (QA) practices to support business continuity efforts</li> <li>Manages the performance and productivity of team members that conduct quality inspection reviews</li> <li>Ensures timely execution of QA activities including control execution, case management, and results reporting</li> <li>Manages and reviews all operations front line unit responses for regulatory exams, internal audits, and other monitoring and inspection reviews</li> <li>Ensures accuracy of data and that relevant information is captured for inspection metrics to support governance for dashboard reporting</li> </ul> Required Qualifications:<ul> <li>Minimum of 5 years of experience with the ServiceNow Platform</li> <li>Minimum of 3 years of experience ServiceNow process design</li> <li>Experience in operation and improvement of a governance framework in a large enterprise environment</li> <li>Experience in managing governance councils, committees or other leadership bodies</li> <li>Experience creating or improving policy, standard, and key indicator design</li> <li>Self-starter with ability to handle multiple assignments simultaneously</li> <li>Proven ability to quickly learn and understand complex subject matter</li> </ul> Desired Qualifications: <ul> <li>Bachelor's Degree in technology or related field</li> <li>Superb written communication skills, with a keen eye for detail</li> </ul> Skills: <ul> <li>Controls Management</li> <li>Oral Communications</li> <li>Risk Management</li> <li>Stakeholder Management</li> <li>Continuous Improvement</li> <li>Drives Engagement</li> <li>Influence</li> <li>Strategic Thinking</li> <li>Data and Trend Analysis</li> <li>Decision Making</li> <li>Monitoring, Surveillance, and Testing</li> <li>Problem Solving</li> <li>Quality Assurance</li> </ul> Shift:1st shift (United States of America) Hours Per Week: 40

ServiceNow Governance Lead

Job Description: At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities and shareholders every day. One of the keys to driving Responsible Growth is being a great place to work for our teammates around the world. We’re devoted to being a diverse and inclusive workplace for everyone. We hire individuals with a broad range of backgrounds and experiences and invest heavily in our teammates and their families by offering competitive benefits to support their physical, emotional, and financial well-being. Bank of America believes both in the importance of working together and offering flexibility to our employees. We use a multi-faceted approach for flexibility, depending on the various roles in our organization. Working at Bank of America will give you a great career with opportunities to learn, grow and make an impact, along with the power to make a difference. Join us! About the Team: The Global Technology Service Management function is a new team charted with designing, implementing, and managing next generation Service Management policies, processes and solutions. Our mission is to ensure the appropriate controls and capabilities are in place to enable the delivery of stable, resilient, and available technology services to our customers and employees. Position Summary: The ServiceNow Platform Lead Administrator will play a leading role in maintaining the ServiceNow platform as defined by the Product teams. Our Operations team is responsible for level-2 end-user support, code migration/release support as well as production availability for over 10 ServiceNow instances. This role will provide hands on technical expertise to resolve service availability issues which includes coordinating cross team efforts to perform root cause analysis and problem resolution. You will work in a team environment to plan and implement software (or hardware) changes. We participate in various phases of the application lifecycle including plan, server build and software installation, release implementation, continuous improvement, and decommission. At these early stages of our ServiceNow deployment, sharing knowledge and developing a documentation library as a team will be essential to our success. This job is responsible for managing the day-to-day activities and functions for the assigned team. Key responsibilities include delegating work to team members, supervising work processes, providing informal leadership of sub teams or technology silos, managing on call and support schedules, and providing leadership, mentorship, and direction to team members. Job expectations include solving complex technical and analytical issues and effectively communicating results to senior management and Line of Business partners. Key responsibilities: <ul> <li>Maintain and support the ServiceNow platform while adhering to bank policies and standards</li> <li>Manage ServiceNow code quality control processes and routines</li> <li>Lead and mentor a team of operations specialists assigned to work on ServiceNow</li> <li>Respond to incidents for application availability issues as part of on-call duties</li> <li>Respond to incidents/pages for application functional issues or questions as part of daily duties</li> <li>Use your technical knowledge to triage service availability issues and restore service</li> <li>Research and resolve system defects, lead root cause analysis, and drive permanent resolution</li> <li>Ensure appropriate monitoring is in place and maintained to ensure application availability</li> <li>Participate in software release implementation meetings</li> <li>Participate in and coordinate maintenance activities</li> <li>Prepare and maintain application support/process documentation</li> <li>Develop management jobs, automation routines, or deployment scripts</li> <li>Manages and prioritizes multiple tasks and assignments for the team including tracking tasks and tickets in system(s) of record, ensuring enterprise service level agreements are met, and participating in defect, incident, problem, and change review meetings and release activities</li> <li>Provides point of escalation for team members, peers, and partner teams, and shares the leadership Point of Contact for triage of high priority incidents or consulting engagements</li> <li>Performs all responsibilities of team members from applicable teams</li> <li>Works with appropriate teams to ensure alerts, monitoring, dashboards, and processes are established appropriately for new projects and initiatives</li> <li>Participates and helps with resource interviews and onboarding processes</li> <li>Performs access reviews, conducts compliance activities, and serves as a delegate for administrative processes</li> </ul> Skills: <ul> <li>Collaboration</li> <li>Influence</li> <li>Production Support</li> <li>Risk Management</li> <li>Analytical Thinking</li> <li>Innovative Thinking</li> <li>Result Orientation</li> <li>Stakeholder Management</li> <li>Adaptability</li> <li>Automation</li> <li>Project Management</li> <li>Solution Delivery Process</li> </ul> Required Qualifications: <ul> <li>Minimum of 5+ years of experience a ServiceNow development and engineering with emphasis on platform management.</li> <li>Must have an active and verifiable ServiceNow Certified System Administrator (CSA) certification.</li> <li>Proven experience as an administrator in highly regulated environments.</li> <li>Experience in maintaining multiple ServiceNow environments.</li> <li>Experience monitoring and maintaining ServiceNow products, supporting software engineering, maximizing data processing systems, building cloud-compatible services, and operating within an enterprise IT lifecycle.</li> <li>Experience supporting ServiceNow integrations for security, risk, and compliance.</li> <li>Experience with ServiceNow instance cloning and management.</li> <li>Experience maintaining both Windows and Linux MID servers.</li> </ul> Desired Qualifications: <ul> <li>ServiceNow certified implementation specialist (CIS).</li> <li>ServiceNow certified application developer (CAD).</li> <li>Experience in financial institution information technology security, compliance with rules, regulations, and financial industry standards.</li> <li>Experience leveraging MID servers for integration and automation.</li> <li>Experience with ServiceNow Discovery and other Configuration Management Database (CMDB)population toolsets.</li> </ul> Shift:1st shift (United States of America) Hours Per Week: 40

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