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The Sr. Manager Distribution Excellence Capabilities will be responsible for deploying and executing a comprehensive distribution strategy that drives efficiency, consolidation, and superior performance across our distribution network. This role will play a critical part in shaping the future of our supply chain operations, overseeing the performance of distribution partners, and ensuring strong governance with the regions.Accountabilities: Global Distribution Strategy Development<ul> <li>Execute at a global distribution strategy aligned with the company’s growth objectives and operational goals. Exceed AOP targets set out at the beginning of the fiscal year</li> <li>Work with Regional Distribution managers to ensure our go to market strategy is consistent and regionally adaptable for local needs. The framework will be consistent with good distribution management standards, AOP targets, QTR business reviews, Incentive programs, Marketing plans, technical service, training programs and key customer engagement.</li> <li>Performance Metrics: Establish key performance indicators (KPI’s) for distributors, monitor progress, and provide feedback to ensure continuous improvement</li> <li>Market Analysis: Conduct market research to identify new distribution opportunities and assess the competitive landscape</li> <li>Collaboration: Work closely with regional sales team, marketing, and logistics teams to align distribution strategies with overall business objectives</li> <li>Risk Management: Identify potential risks in distribution network and work with regions to develop contingency plans to mitigate disruptions</li> </ul>Global distributor relationship management<ul> <li>CoE will develop distributor AOP framework, deployment of framework will be one of the top responsibilities of this role</li> <li>Quarterly business review with global and local distributors as part of the governance</li> <li>Develop incentive programs for distributor reps and distribution partners</li> <li>Working side by side with marketing, on marketing collateral and plans for optimal customer engagement</li> <li>Work with local technical service team to ensure the appropriate level of expertise is deployed</li> <li>In partnership with the regions, help develop distribution training guides, deploy minimal training standards</li> </ul>Governance of Distribution Partners<ul> <li>Establish governance frameworks to manage relationships with distribution partners effectively.</li> <li>Develop and implement policies, standards, and guidelines to ensure compliance with company objectives and regulatory requirements.</li> <li>Reporting: Prepare and present regular reports on distribution performance, including analysis of key metrics and recommendations for improvements</li> <li>Conduct regular audits and assessments of distribution partners to ensure adherence to agreed service levels and contract terms</li> </ul> Qualifications:<ul> <li>Bachelor’s degree in supply chain management, Logistics, Business Administration, or a related field </li> <li>Experience in managing distribution networks in the food industry or similar sectors is highly preferred.</li> <li> Direct selling and customer negotiation at senior level </li> <li>Strong strategic thinking and problem-solving abilities, with a focus on optimizing complex distribution systems.</li> <li>Excellent communication and negotiation skills, with the ability to build and maintain strong relationships with internal and external stakeholders.</li> <li>•Proficiency in supply chain management software and distribution technology.</li> <li>Advanced communication skills for regular interactions and influencing with senior internal and external stakeholders. Able to influence managed areas and persuade peers and key decision makers. </li> <li>Problems faced are complex and may require multidimensional solutions and thought leadership.</li> <li> Requires ability to influence others to accept practices and approaches, and an ability to communicate with internal regional stakeholders and global distributors. </li> </ul>Supervisor Org: Commercial TransformationLocation: Global - must be near officeIn compliance with US pay transparency the salary range is $115,000 - $165,000. This is the indicative range for the role should it be based in the US but note that each geography carries specific salary ranges for the role reflective of local market conditionsSalary Grade: 6California Consumer Privacy Act ("CCPA")The Company is committed to complying with the California Consumer Privacy Act (“CCPA”) and all data privacy and laws in the jurisdictions in which it recruits and hires employees. We collect the following categories of personal information for the purpose of hiring the best qualified applicants and to comply with applicable employment laws: Name and contact information; Job preference and work availability; Social Security Number and/or other identification information; Education and qualifications; Employment history and experience; Military service; Reference and background check information, including relevant criminal history and credit history; Social media information; Pre-employment test results; Post-offer medical examination information and results, including drug test results; Voluntary self-disclosure information regarding minority, veteran, and disability status; and Information provided by you during the hiring process.<h2>Tate &amp; Lyle is an equal opportunity employer, committed to the strength of an inclusive workforce.</h2>

Cp Kelco

Sr. Manager, Distribution Execellence Capabilities

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:As a Specialty Manufacturer Services Senior Consultant, you will serve as the liaison in account management for pharma manufacturers within the CVS Specialty Business unit. This is an excellent opportunity to interface with Executive Leadership both internally and externally. As a healthcare professional supporting clients, you will use your years of expertise to grow our business through retention and client satisfaction to ensure continued access to limited distribution drugs (LDD). You will accomplish this through:<ul> <li>Leading the account team including Trade, Clinical, and Specialty operations as the quarterback, and have ownership for client satisfaction and service delivery -Ensuring we are adhering to all contract stipulations between CVS Health and the pharma manufacturer.</li> <li>Developing and delivering strategic quarterly and annual reporting to clients on their drug trends and overall performance through Quarterly Business Reviews (QBRs).</li> <li>Formulating responses and triaging issues with collaboration from internal partners, including Trade, Clinical, and Specialty Operations - Ensuring retention of pharma manufacturers and access to drugs by building relationships with key client stakeholders and asking effective probing questions that lead to innovation benefiting both the pharma manufacturer and CVS Health.</li> </ul>Your success as a Senior Consultant will be driven by your ability to proactively manage the account and achieve excellent client satisfaction. You will function as a leader for the account team and your ability to influence others to deliver results for your client will also be a key factor in your success. Your understanding of Specialty and the pharma manufacturer environment, as well as keeping up to date on market trends, will enable you to position CVS Health effectively to client decision makers. The contributions you will make as a Senior Consultant will position CVS Health for long term growth in the competitive Specialty marketplace.You must have ability to travel up to 25% of the time. Travel may be required, but is not limited to flights, overnight stays, local travel, travel on short notice and other travel deemed necessary by the Company.Required Qualifications:<ul> <li>1-3 years of experience of relevant work experience, including sometime in client facing roles</li> <li>Extraordinary verbal and written communication skills</li> <li>Proficient with MS Office especially Power Point, and including Word, Excel, SharePoint, and Teams</li> </ul> Preferred Qualifications:<ul> <li>Experience working in a PBM, Specialty pharmacy, or pharma manufacturing organization</li> <li>Excellent organizational, time management and multi-tasking skills</li> <li>Ability to facilitate and conduct comprehensive and timely issue resolution and in-depth root cause analysis, where needed</li> <li>Excellent interpersonal and collaborative skills with the ability to work and lead in a team environment</li> <li>Ability to work independently in a fast paced and changing work environment with attention to detail and the ability to meet deadlines with a variety of responsibilities</li> <li>Ability to creatively solve problems when dealing with a multitude of variables where standard resolution does not exist</li> <li>Ability to demonstrate effective presentation skills with the ability to lead group presentations regarding strategic and operational performance metrics to clients on a monthly, quarterly and/or on an as-needed basis to promote client satisfaction, client retention and upsell opportunities</li> </ul>Education:<ul><li>Bachelor's degree is required, or equivalent work experience </li></ul>Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$46,988.00 - $112,200.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 06/06/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Account Management - Senior Analyst

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 SummaryAs the Executive Director, Human Resources Business Partner – Mid-West you will support the Division Vice President to lead the Mid-West Retail team of 5 that supports approximately 18,000 colleagues. In this role, you and your team of HR professionals will be responsible for developing and executing various strategies for the Division. Utilizing the human resources centers of excellence, you will advise to develop divisional people strategies and align, build and execute to address the current and future direction of the business.Major Responsibilities:<ul> <li>Partner with Retail and Pharmacy Divisional Operations Leaders to develop and execute both long and short term business plans, providing input beyond the HR strategy</li> <li>Challenge business partners think differently regarding HR and operational issues; Act as a thought partner, challenging current thinking and modeling creative problem-solving to impact business decisions</li> <li>Identify the HR levers (selection, job design, training, compensation, recognition) that will improve the impact of organizational capability on business outcomes</li> <li>Partner with HR peers (HRBPs and COE) to provide integrated solutions to the business</li> <li>Drive talent development strategies and goal setting for Store colleagues and Field Management</li> <li>Partner with COE’s to create and execute engagement and labor relations strategies.</li> <li>Team with business leaders to organize their optimal structure and human capital requirements</li> <li>Evaluate and adjust human capital based on business needs in partnership Business Leaders</li> <li>Champion a change capable organization that helps colleagues to thrive in a constantly changing environment</li> <li>Orchestrate the pace and process of change (i.e. new rollouts, programs, tools, etc.) to ensure delivery of outcomes by helping leaders to clearly articulate critical few behaviors to inspire colleagues and build openness</li> <li>Assess commitment and sustainability of change(s) using a variety of methods to gather colleague perspective</li> <li>Broker advising, project, and other work with Centers of Excellence, using Enterprise resources and expertise</li> <li>Diagnose issues at a Division level and engages appropriate COE expertise</li> <li>Share key insights and actions based on HR data and metrics</li> <li>Utilize trend reporting to help Leaders make business improvements; sponsors new ideas/solutions; takes initiative to improve results</li> <li>Enthusiastically identify future trends and potential root causes</li> <li>Anticipate and probe into the core of problems to determine underlying patterns, root causes and identify and implement optimal short- and long- term solutions</li> <li>Demonstrate technology, tools, and resources to optimize organizational effectiveness (people, process, policy)</li> <li>Ensure selection and talent management tools are being used effectively by all</li> <li>Integrate relevant data and information (for example, labor statistics, seasonal data, unique market characteristics, local labor supply, organizational planning), and apply the findings to positively impact the Divisional HR strategy</li> <li>Make recommendations for specific compensation changes; ensures fairness in all compensation related decisions</li> <li>Partner with Advice and Counsel COE as needed to ensure all policies and procedures are being communicated</li> <li>Recognize, articulate and shape company culture</li> <li>Ensure teams are exhibiting the CVS Health values and partner with them to shadow appropriate behaviors</li> <li>Consistently uphold culture norms publicly</li> <li>Drive diversity awareness and demonstrate behaviors that create a culture of acceptance and inclusion</li> <li>Dedicatedly assess business for possible union vulnerability; work with Leaders and Labor Relations to resolve employee concerns, educate team to avoid union related issues</li> <li>Drive the development of innovative and effective processes designed to increase colleague engagement and organizational success</li> <li>Sustain Leader focus on engagement of colleagues; recognizes trends; designs and implements solutions</li> </ul>Required QualificationsThe candidate will have a strong work ethic, be a self-starter, and be able to be highly productive in a dynamic, collaborative environment. This position offers broad exposure to all aspects of the company’s business, as well as significant interaction with all the business leaders. The candidate will be expected to have the following key attributes:<ul> <li>10 years of strategic Human Resources experience</li> <li>3+ years HR leadership</li> <li>Experience identifying business opportunities and create and implement people strategies to address.</li> <li>Confirmed ability to build and handle relationships with field or senior business leaders; ability to coach and develop colleagues at all levels</li> <li>Proven collaboration skills with business leadership and with members of the HR centers of excellence.</li> <li>Critical thinking skills; ability to develop, document and communicate strategies</li> <li>Experience gathering data, analyzing issues, identifying core causes and address opportunities related to a diverse and dynamic slate of business challenges</li> <li>Recognizing development gaps and partnering across groups to solve them; strong facilitation and training skills</li> <li>Worked to triage and prioritize challenging priorities</li> <li>Project and change management skills to respond to short and long term business priorities</li> <li>Ability to impact, influence and drive action and accountability in others</li> <li>SHRM Certification</li> <li>Experience working in unionized environments</li> <li>Candidate must reside in Mid-West Region (Illinois, Indiana, Michigan, Minnesota, Missouri, Tennessee and West Virginia) – 30-50% travel throughout the Mid-West Region</li> </ul> Preferred Qualifications<ul><li>Advanced Degree preferred</li></ul> EducationBachelor's Degree or equivalent experience requiredPay RangeThe typical pay range for this role is:$131,500.00 - $303,195.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 06/30/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Executive Director, HR Business Partner - Mid-West

Training is On-site at McKay-Dee Hospital Remote, UT Shift Hours: Full Time, Monday - Friday 9am - 5:30pm Mountain Standard Time R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. The Customer Service Representative Hospital Specialist will be responsible for accurate and timely patient registration utilizing medical systems. This position will be responsible for timely and accurately verifying patients demographics and insurance plans over the phone. This work will need to be performed according to established policies and procedures. The associate will provide exceptional customer service to physicians, patients, family members and all other medical professionals.The successful candidate demonstrates a high level of customer service behavior and ability to problem-solve, is self-motivated and flexibleTo thrive in this job, you’ll need to be a confident multi-tasker who is a quick study with technology and can type and answer phones. You don’t need to have any previous experience or knowledge in healthcare. Since this is a hospital/lab environment, you will need to be prepared to see illness and injuries. We’ll teach you everything you need to know, which makes this a perfect starting point to launch your healthcare career. Responsibilities:<ul> <li>Perform registration and basic insurance verification, ensuring collection of 7 critical data elements necessary for proper patient identification and billing. </li> <li>Identify and update patient demographic information on the Host system as defined by departmental policy and procedures. </li> <li>identify non-participating Insurance or Out of Networks plans; takes necessary steps to inform patients and physicians regarding options, including but not limited to canceling appointment. </li> <li>Obtain Insurance Card copies or validate insurance information via electronic medical record, transfer information, or insurance eligibility tool. </li> <li>Provide courteous and accurate patient and hospital information with way finding instructions for patients, families, visitors, and ancillary areas. </li> <li>Prepare documents for imaging/scanning into electronic patient record. </li> <li>Explains processes and forms to patients prior to securing signatures and ensures that all documents are properly signed and witnessed as required. </li> <li>Assemble and disassemble patient charts or departmental documents according to department policy. </li> <li>Maintain inventory control of forms and paper supplies needed in area. </li> <li>Assist with all possible account resolutions pertaining to patient balances. </li> <li>Perform all other duties and projects as assigned.</li> <li>Have financial conversations and collecting payments based off patient estimated financial responsibilities/standard deposits. </li> </ul>Required Qualifications:<ul> <li>High School diploma or GED</li> <li>Customer Service Experience </li> <li>Computer savvy with experience navigating between multiple systems simultaneously</li> <li>Must have MS Office Experience and excellent typing skills</li> </ul>Desired Qualifications:<ul> <li>iCentra Registration Experience</li> <li>Experience working in a healthcare environment</li> <li>Completed a Medical Terminology class Certification in healthcare access preferred</li> </ul>For this US-based position, the base pay range is $14.69 - $20.28 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career. Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a <a href="http://go.r1rcm.com/benefits" target="_blank">competitive benefits package.</a>R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights <a href="https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf" target="_blank">California Consent </a>To learn more, visit: <a href="https://R1RCM.com" target="_blank">R1RCM.com</a>Visit us on <a href="https://www.facebook.com/R1RCM" target="_blank">Facebook</a>

R1 RCM

Customer Service Representative - Hospital 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 SummaryThis is an advanced level program position that will be responsible for providing strategic technology support and direction to operations management and leadership teams.<ul> <li>Own CGSO Incident Management for CAS, MHK and Novologix (NLX) prior authorization systems, as well as CRxM Pharmacy Advisor applications.</li> <li>Lead a dynamic team of technical product SMEs.</li> <li>Coordinate problem analysis, solution validation, risk management, issue resolution/escalation, communication, and stakeholder engagement for all technology initiatives.</li> <li>Responsible for integration and coordination of changes across upstream product and IT teams and downstream operational teams.</li> <li>Appropriately identifying problems, challenges, risks and impacts for any change or enhancement being proposed and problem solving to ensure optimal Operational performance.</li> <li>Drive improvements through incident management, but also in collecting an understanding of best practices in each business unit and streamlining all business units to adopt these best practices.</li> <li>Responsible for working closely with stakeholders and business partners to manage application incidents and impacts during product releases.</li> <li>Interface and communicate directly with Senior and Executive leadership from all different areas of the company and interface heavily with IT development partners.</li> <li>Operate with a high level of flexibility to meet the demands of a production environment, regulatory/accreditation landscape, and client customization to ensure our technology supports the operational expense, client savings, and compliance goals. Must ensure compliance with all appropriate regulations – Federal and State, accreditation standards – URAC and NCQA, client requirements, and performance guarantees, especially as it relates to technology functionality.</li> </ul> Required Qualifications*5+ years of relevant work experience*Demonstrated success in leadership role.*2+ years experience building executive level deliverables.*Strong Microsoft 365 (including Word, Excel, PowerPoint, and SharePoint skills)*Excellent verbal and written communication skills.*Experience working efficiently and effectively in a cross-functional team setting with colleagues from multiple business segments and levels.*Understand complex problems, identify technical solutions, and define business requirements to support the solution.*Experience ensuring team efficiency.*Experience with prior authorization systems Preferred Qualifications *Healthcare, insurance, or pharmacy experience*Formal operational experience with CAS, Novologix, MHK, Pharmacy Advisor *products.*Experienced handling product incident management.*Experienced working through ambiguity and influencing others for buy-in. Education Bachelor's degree or relevant job experience required.Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$60,300.00 - $145,860.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 06/20/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Manager, Clinical Services

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 As a Senior Software Development Engineer with CVS Health, you will participate on a product team of 6-10 people (engineers, UX designers, and product manager) and work with the team to build high-quality, usable products to customers and stakeholders. You will help educate both business and technology personnel on the development process and create products from discovery and framing through iterative development and delivery. You will also maintain a user-centered and business-as-priority approach in design perspective and practice. A firm understanding of Java development principles and agile methodologies is crucial for success in this role.Responsibilities<ul> <li>Work in a collaborative environment, contributing to Agile team</li> <li>Design efficient and user-friendly software products to advance and support business needs</li> <li>Develop frontend and backend code utilizing test-driven development</li> </ul>Required Qualifications<ul> <li>5+ years of experience with enterprise solution delivery in a large-scale distributed software design environment, preferably in a J2EE development environment</li> <li>5+ years of Java development experience while utilizing Spring Boot and/or Spring MVC</li> <li>2+ years of experience with frontend development including Angular 8+, React, or similar</li> <li>1+ year of experience using Agile concepts such as continuous integration (CI/CD) and test-driven development (TDD)</li> </ul>Preferred Qualifications<ul> <li>Cloud development experience</li> <li>PaaS and/or SaaS development experience</li> </ul> EducationBachelor’s degree in computer science, information systems, engineering or related field preferred or equivalent experienceAnticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$101,970.00 - $203,940.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 05/29/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Senior Software Development Engineer

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 SummarySchedule: <ul><li>Monday-Friday (flex evening schedule in CST time zone) </li></ul>- Supports comprehensive coordination of medical services including intake, screening, and referrals to Aetna Better Health. - Promotes/supports quality effectiveness of Healthcare Services. - Performs intake of calls from members or providers regarding services via telephone, fax, EDI. - Utilizes Aetna system to build, research and enter member information. - Screens requests for appropriate referral to medical services staff. - Approve services that do not require a medical review in accordance with the benefit plan. - Performs non-medical research including eligibility verification, COB, and benefits verification. - Maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements. - Promotes communication, both internally and externally to enhance effectiveness of medical management services (e.g., claim administrators, Plan Sponsors, and third party payers as well as member, family, and health care team members respectively) - Protects the confidentiality of member information and adheres to company policies regarding confidentiality. - Communicate with Aetna Case Managers, when processing transactions for members active in this Program. - Supports the administration of the precertification process in compliance with various laws and regulations and/or NCQA standards, where applicable, while adhering to company policy and procedures. - Places outbound calls to providers to provide information or obtain clinical information for approval of medical authorizations. - Uses Aetna Systems such as MedCompass, QNXT, ProFAX and ProPAT. - Communicates with Aetna Nurses and Medical Directors when processing transactions for members active in this Program. - Sedentary work involving significant periods of sitting, talking, hearing, and keying. - Work requires visual acuity to perform close inspection of written and computer-generated documents as well as a PC monitor. Required Qualifications - 1-2 years’ experience working as a medical assistant, office assistant or other clinical/equivalent experience. Preferred Qualifications- Call center experience is preferred, 1-2 years- Prior authorization experience, 1-2 years Education- Associates degree, preferred - High School Diploma, GED or equivalent experience.Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$17.00 - $31.30This 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: 05/28/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Inbound/Outbound Queue Associate

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 Lead the Charge in Transforming Healthcare Technology at Signify Health (a CVS company). We are seeking a highly experienced and visionary Staff Software Engineer to play a pivotal role in shaping the future of our healthcare platform.This is a senior technical position focused on architecting, designing, and delivering highly scalable, resilient, and innovative microservices-based solutions. While your primary influence will be on the backend architecture and strategy, you will also provide technical guidance on UI component development using Angular. If you are a passionate technologist with a proven track record of driving complex projects, mentoring engineers, and setting technical direction in a collaborative environment, we want to hear from you!What you will do<ul> <li>Architect and Lead: Design, develop, and lead the implementation of complex, high-performance, and secure microservices using .NET/C# or Java. Drive technical strategy and roadmap for critical systems.</li> <li>Technical Excellence &amp; Mentorship: Champion best practices in software engineering, including design patterns, code quality, testing, and operational excellence. Mentor and coach other engineers, fostering a culture of technical growth and innovation.</li> <li>System-Wide Impact: Collaborate with principal engineers, product managers, architects, and other stakeholders to define system architecture, identify technical priorities, and ensure alignment with business goals.</li> <li>Advanced Messaging &amp; Cloud Solutions: Architect and implement sophisticated solutions leveraging messaging systems like Kafka, NServiceBus, or RabbitMQ. Design and optimize for cloud platforms (e.g., AWS, Azure, or GCP), ensuring scalability, reliability, and cost-effectiveness.</li> <li>Data Architecture &amp; Optimization: Provide expert guidance on database design ( SQL Server, Postgres) and data warehousing strategies ( Snowflake), focusing on performance, scalability, and data integrity.</li> <li>UI Technical Guidance: While not the primary focus, provide architectural oversight and technical guidance for the development of UI components using Angular; leverage experience with React to inform broader front-end strategies.</li> <li>Search &amp; Analytics Expertise: Design and implement robust solutions utilizing Elasticsearch for advanced logging, monitoring, distributed tracing, and complex search functionalities.</li> <li>Cross-Functional Leadership: Lead technical discussions, drive consensus, and represent engineering in cross-functional planning and decision-making forums.</li> <li>Innovation &amp; Emerging Technologies: Evaluate and champion the adoption of new technologies and methodologies, such as gRPC and Akka.net, to enhance our platform's capabilities.</li> <li>Operational Stewardship: Take ownership of the operational health and performance of the systems you build, including proactive monitoring, incident response, and root cause analysis.</li> </ul> Required Qualifications<ul> <li>8+ years of progressive experience in software development, with a significant focus on backend systems and distributed architectures.</li> <li>Deep expertise in .NET/C# OR Java, with a proven ability to design and deliver complex, scalable applications.</li> <li>Extensive experience in architecting, building, and deploying microservices in a production environment.</li> <li>Advanced proficiency with cloud technologies (e.g., AWS, Azure, Google Cloud Platform), including infrastructure-as-code, containerization (Docker, Kubernetes), and serverless architectures.</li> <li>In-depth knowledge and hands-on experience with enterprise messaging systems such as Kafka, NServiceBus, or RabbitMQ.</li> <li>Strong architectural and development skills with relational databases like SQL Server or Postgres, and data warehousing solutions like Snowflake.</li> <li>Demonstrable experience with front-end development, particularly Angular, and a solid understanding of modern front-end principles. Familiarity with React is beneficial.</li> <li>Expertise in leveraging Elasticsearch (or similar) for complex search, logging, and analytics.</li> <li>Proven ability to lead technical projects, mentor engineers, and influence technical direction.</li> <li>Exceptional problem-solving, analytical, and critical thinking skills.</li> <li>Excellent communication, presentation, and interpersonal skills, with the ability to articulate complex technical concepts to diverse audiences.</li> <li>Ability to travel 10-20% as needed. </li> </ul>Preferred Qualifications<ul> <li>Significant experience with gRPC for high-performance inter-service communication.</li> <li>Deep understanding and practical application of actor-based concurrency frameworks like Akka.net.</li> <li>Proven track record of driving technical innovation and adopting new technologies within an organization.</li> <li>Experience in the healthcare industry, with knowledge of standards like HL7 FHIR, DICOM, or HIPAA regulations.</li> <li>Contributions to open-source projects or a strong public technical presence (e.g., tech talks, publications).</li> <li>Knowledge of AI tools such as Cursor, Github Copilot.</li> </ul> Education<ul><li>Bachelor's or Master's degree in Computer Science, Engineering, or a related field, or equivalent extensive practical experience.</li></ul>Pay RangeThe typical pay range for this role is:$130,295.00 - $260,590.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 05/30/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Staff Software Development Engineer

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 SummarySchedule- Tuesday-Saturday 8:30-5pmCST Supports comprehensive coordination of medical services including intake, screening, and referrals to Aetna Better Health.Additional responsibilities to include but not limited to the following: - Promotes/supports quality effectiveness of Healthcare Services. - Performs intake of calls from members or providers regarding services via telephone, fax, EDI. - Utilizes Aetna system to build, research and enter member information. - Screens requests for appropriate referral to medical services staff. - Approve services that do not require a medical review in accordance with the benefit plan. - Performs non-medical research including eligibility verification, COB, and benefits verification. - Maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements. - Promotes communication, both internally and externally to enhance effectiveness of medical management services (e.g., claim administrators, Plan Sponsors, and third party payers as well as member, family, and health care team members respectively) - Protects the confidentiality of member information and adheres to company policies regarding confidentiality. - Communicate with Aetna Case Managers, when processing transactions for members active in this Program. - Supports the administration of the precertification process in compliance with various laws and regulations and/or NCQA standards, where applicable, while adhering to company policy and procedures. - Places outbound calls to providers to provide information or obtain clinical information for approval of medical authorizations. - Uses Aetna Systems such as MedCompass, QNXT, ProFAX and ProPAT. - Communicates with Aetna Nurses and Medical Directors when processing transactions for members active in this Program. - Sedentary work involving significant periods of sitting, talking, hearing, and keying. - Work requires visual acuity to perform close inspection of written and computer-generated documents as well as a PC monitor. Required Qualifications - 1 plus years’ experience working as a medical assistant, office assistant or other clinical/equivalent experience.- Ability to work weekends Preferred Qualifications- Call center experience is preferred, 1 plus years- Prior authorization experience, 1 plus years- Associates Degree Education High School Diploma or equivalent GEDAnticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$17.00 - $31.30This 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: 05/28/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Inbound/ Outbound Queue Associate

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 As a Senior Analyst, Data Governance Operations, you will play a pivotal role in driving our data governance initiatives forward. Leveraging your excellent communication skills, you will lead meaningful conversations, host trainings, and foster relationships with various teams across the organization. This role offers the chance to work closely with a diverse set of stakeholders, influencing the way data is viewed, managed, and leveraged across the organization. If you're passionate about data and its potential to drive business success, this could be the perfect role for you.<h3>Responsibilities:</h3><ul> <li>Engage with stakeholders across different functions to understand and address data-related needs and challenges.</li> <li>Serve as a key point of contact for data stewards and owners across different domains, assisting with onboarding, addressing queries, and ensuring they have the resources and support needed to effectively manage their domains.</li> <li>Develop and nurture relationships with various teams, positioning the data governance unit as a reliable partner in all data matters.</li> <li>Assist in the development and updating of training content and materials; host and facilitate training sessions to enhance the organization's understanding and implementation of data governance practices.</li> <li>Support ongoing data governance projects, ensuring timely execution and alignment with the company's strategic goals.</li> <li>Assist in maintaining governance documentation, ensuring all processes, policies, and standards are up-to-date and easily accessible for internal teams.</li> <li>Address data governance related issues, escalating where necessary and ensuring timely resolution.</li> <li>Support the collection and reporting of data governance metrics, helping to showcase the progress and impact of governance initiatives.</li> </ul> Required Qualifications<ul><li>Minimum one year of experience supporting data governance operations, data policy, data management, or a related field.</li></ul> Preferred Qualifications<ul> <li>Strong verbal and written communication skills.</li> <li>Ability to facilitate meetings and training sessions effectively.</li> <li>Knowledge of data governance best practices and principles.</li> <li>Strong analytical and problem-solving skills.</li> <li>Team player with the ability to work independently.</li> <li>Strong interpersonal skills and a keen ability to build and nurture relationships.</li> <li>Organized, detail-oriented, and able to juggle multiple priorities simultaneously.</li> </ul> Education<ul><li>Bachelor's degree in a related field (e.g., Information Systems, Business Administration) or equivalent experience. </li></ul>Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$79,310.00 - $158,620.00This 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: 05/30/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

64 Jobs in Springfield, IL, USA