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At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position SummaryCVS Health is seeking a dynamic and experienced Senior Manager, Strategic Initiatives to support the Healthspire Payor &amp; Life Sciences Solutions and PBM Product lines of business. Under the leadership of the Lead Director, Strategic Initiatives, you will lead cross-functional strategy activities, identify and evaluate growth opportunities on a recurring basis, and drive early-stage business development efforts that will ultimately address critical business challenges and growth opportunities, driving significant value for CVS Health.You will work closely with business leaders, finance partners and cross-functional stakeholders to help drive the business forward through the identification and execution of key initiatives that advance our portfolio objectives. This is a high-impact, high-visibility role ideal for a strong strategist who loves healthcare innovation and knows how to get things done. Key Responsibilities<ul> <li>Lead strategic assessments, opportunity sizing, and business case development for new initiatives across the business that have the potential to drive a sizeable impact in both the near and distant future.</li> <li>Support long-term strategic planning and roadmap development for emerging products and solutions.</li> <li>Conduct market research, competitive analysis, and customer discovery to validate new opportunities across all in-scope business areas.</li> <li>Develop and maintain key strategic artifacts (strategic planning toolkit, dashboards, environment scans, KPIs, executive readouts).</li> <li>Own project management of early-stage builds, pilots, or validation efforts in partnership with product and operational teams.</li> <li>Operate as a thought partner to the Director of Strategic Initiatives and other senior leaders.</li> </ul>To be a candidate for this role you will possess the following:<ul> <li>Healthcare industry basics including how health plans work, how PBMs work, where value is generated across the value chain, key levers that drive decision making by healthcare leadership.</li> <li>Understanding of the current state of healthcare while identifying emerging trends and prioritizing opportunities to leapfrog competition.</li> <li>Ability to formulate ideas and innovate without prompting and knowing when to bring in leadership for guidance and approvals.</li> </ul>**This position is a remote position. Candidates can live anywhere in the US.**Required Qualifications<ul> <li>5 or more years of experience in strategy consulting, healthcare innovation, corporate strategy, or strategic program management.</li> <li>Extensive experience developing business cases, financial models, and strategic recommendations.</li> <li>Exposure to strategic finance, including how to evaluate companies’ financial health and how to size potential opportunities.</li> <li>Experience leading cross-functional initiatives and driving results in complex corporate environments. </li> <li>Experience influencing a wide array of stakeholders, including those who are much more senior, to collect information, drive consensus, and develop recommendations.</li> </ul>Preferred Qualifications<ul> <li>Prior consulting experience. </li> <li>Experience in the pharmacy benefits management (PBM) industry.</li> <li>Experience leading Go-To-Market activities within pharmacy benefits management (PBM) or healthcare space. </li> </ul> Education<ul> <li>Bachelor’s degree required.</li> <li>Master’s degree preferred (MBA, MS in a related field).</li> </ul>Pay RangeThe typical pay range for this role is:$75,400.00 - $182,549.00 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: 05/31/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Senior Manager, Strategic Initiatives

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position SummaryWe are seeking an experienced medical professional to manage strategic initiatives, along with a team of medical coders/nurses supporting Aetna’s Special Investigations Unit.Key Responsibilities:<ul><li>Leadership: Leads a team of coding/nursing professionals who conduct reviews of medical records and claims for suspected healthcare fraud, waste, and abuse. Provides direction and counsel to support coders and progress reviews. Identification and implementation of key initiatives that support effective and efficient scalability along with meeting or exceeding ROI.</li></ul><ul><li>Team Management: Conducts team member evaluations and provides performance feedback to staff. Manages team’s caseload to ensure equitable distribution and exposure to wide range of reviews. Assist with business opportunities aligned to inventory allocation and prioritization.</li></ul><ul><li>Quality Control and Compliance: Maintains oversight of coder/nurse reviews, ensuring compliance with ICD-10, CPT and HCPCS coding guidelines. Assist with department build and implementation of SIU coding quality program.</li></ul><ul><li>Training: Assesses team’s training needs and works with SIU leadership on development plans for team members and SIU coding department. Contributes to the development and delivery of educational awareness and training programs that meet or exceed those required by state mandates. Coordinates ongoing trainings to educate team on updates or modifications to medical codes.</li></ul><ul><li>Presentations: Supports the team of coding/nursing professionals in presenting findings to internal and external stakeholders, including, but not limited to SIU Investigators, Aetna Plan Leadership, Law Enforcement, Legal Counsel, Providers, and State Regulators.</li></ul><ul><li>Collaboration: Develops and maintains close working relationships with Aetna Medical Directors, Nurses, and other clinical staff who conduct medical record reviews. Consults with clinical staff as needed to assist in reviews. Partnership with SIU leadership to deliver key initiatives dedicated to infrastructure build and stabilization.</li></ul>Required Qualifications and Skills:<ul> <li>Minimum of 8 years of experience in medical coding in an SIU setting with at least 5 years in a supervisory or management role.</li> <li>Strong knowledge of industry coding guidelines involving ICD-10, CPT and HCPCS codes.</li> <li>Ability to guide a team of coding professionals with differing levels of coding experience in a variety of medical specialties.</li> <li>Proficiency in Microsoft products including, but not limited to Word, Excel, Outlook, and PowerPoint.</li> <li>Experience in infrastructure build and design to include, but not limited to workforce modeling, efficiency identification and implementation resulting in demonstrated decrease in unit cost, inventory reporting, inventory allocation for Medicare, Medicaid and Commercial (fully insured and ASO) work product, development of standardized coding language, assist with operational dashboard development and execution of department action plans.</li> <li>Understanding of how to implement SIU coding quality programs, to include statistical sampling, IRR testing, building objective comprehension assessments for coding training and coding quality remediation plans.</li> <li>Ability to communicate to a wide range of stakeholders, adjusting the message as appropriate for the recipient(s).</li> <li>Proven experience in overseeing and executing operational projects.</li> <li>Potential to travel up to 10%, (dependent on business needs).</li> </ul>Preferred Qualifications:<ul> <li>Active Registered Nurse (RN) Licensure preferred</li> <li>Experience conducting audits of medical records to substantiate allegations of healthcare fraud, waste, and abuse.</li> <li>Experience leading a team of coding professionals who conduct reviews to substantiate allegations of healthcare fraud, waste, and abuse.</li> <li>Experience with Aetna or other MCO Commercial/Medicaid/Medicare plans</li> <li>Certified Professional Coder</li> </ul>Education:<ul><li>Bachelor's degree preferred or a combination of professional work experience and education.</li></ul>Pay RangeThe typical pay range for this role is:$67,900.00 - $199,144.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 06/28/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Senior Special Investigations Coding Manager (Aetna SIU)

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Program Overview Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand DSNP to change lives in new markets across the country.Position Summary/MissionOur Care Managers are frontline advocates for members who cannot advocate for themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness. Fundamental Components <ul> <li>Develops a proactive plan of care to address identified issues to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness.</li> <li>Uses clinical tools and information/data review to conduct an evaluation of member's needs and benefits.</li> <li>Applies clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning.</li> <li>Conducts assessments that consider information from various sources, such as claims, to address all conditions including co-morbid and multiple diagnoses that impact functionality.</li> <li>Uses a holistic approach to assess the need for a referral to clinical resources and other interdisciplinary team members.</li> <li>Collaborates with supervisor and other key stakeholders in the member’s healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences </li> <li>Utilizes case management processes in compliance with regulatory and company policies and procedures. Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.</li> </ul><h3>* Please note that at the 6-month mark candidate will be expected to meet metrics (10 hour per week talk time)</h3>Required Qualifications<ul> <li>Candidate must have an active and unrestricted Connecticut (CT) Registered Nurse (RN) License</li> <li>3+ years clinical practical experience</li> <li>2+ years care management, discharge planning and/or home health care coordination experience</li> <li>Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually</li> </ul>Preferred Qualifications <ul> <li>Bilingual</li> <li>Excellent analytical and problem-solving skills</li> <li>Effective communications, organizational, and interpersonal skills.</li> <li>Effective computer skills including navigating multiple systems and keyboarding</li> <li>Demonstrates proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint, as well as some special proprietary applications</li> <li>Certified Case Manager</li> </ul>Education<ul><li>Bachelor’s Degree (REQUIRED)</li></ul>Licensure<ul><li>Candidate must have an active and unrestricted Connecticut (CT) Registered Nurse (RN) License</li></ul>Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$66,575.00 - $142,576.00This 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: 06/12/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Care Manager, Registered Nurse

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.How will this role have an impact?The Executive Assistant will support technology executives in their day-to-day schedule management, meeting preparation, expenses, and a number of ad hoc work-related projects. This person will be the gatekeeper for the VPs and will help them prioritize and communicate with internal and external stakeholders in a timely, professional manner.What will you do?<ul> <li>Supporting technology executives in day-to-day activities including the coordination and management of meetings and daily schedule.</li> <li>Coordinate meetings, including booking rooms, and preparation of materials</li> <li>Manage expenses and submit expense reports in Concur</li> <li>Coordinate travel arrangements</li> <li>Assist with team events across multiple sites</li> <li>Arrange and execute team building, offsites, and social events/lunches</li> <li>Liaise with Technology and facilities departments regarding software, equipment, and office needs</li> <li>Ad hoc projects as needed</li> </ul>We are looking for someone with:<ul> <li>3+ years of experience in a supporting role for c-level executive</li> <li>Experience using G-Suite</li> <li>Proven professional organizational and time management skills</li> <li>Excellent interpersonal skills</li> <li>Track record of problem solving and critical thinking</li> </ul>Education<ul><li>Bachelor's degree preferred/specialized training/relevant professional qualification.</li></ul>Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$22.59 - $58.85This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 06/23/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Executive Assistant - Technology and AI

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position Summary The Enrollment Representative position will be supporting multiple health plans. Under general supervision, verifies enrollment status, makes changes to member/client records, and addresses a variety of enrollment questions or concerns. Maintains enrollment databases and coordinates transfer of non-electronic eligibility data. • Responds, researches, and resolves eligibility and/or billing related issues involving member specific information; •Works directly with clients, field marketing offices and/or local claim operations to achieve positive service outcomes.(*) • Monitors daily status reports assessing output for developing trends potentially impacting service levels. (*) • Applies all appropriate considerations associated with technical requirements, legislative/regulatory policies, account structure and benefit parameters in addressing eligibility matters. (*) • Validates benefit plan enrollment information for assigned clients for accuracy and completeness; coordinates the distribution of membership ID cards and partnering with appropriate internal/external support areas involving any requests for ID card customization. (*) • Completes screen coding and data entry requirements related to the systems processes impacting the generation and release of member-specific and plan sponsor products (e.g., ID cards, change applications, audit lists, in-force lists, HIPAA certificates and various reports). (*) • Completes data entry requirements for finalizing new enrollment information as well as for changes and/or terminations. (*) • When necessary, reviews and corrects transaction errors impacting eligibility interfaces and prepares eligibility/enrollment information for imaging. (*) • Interprets and translates client benefits and supporting account structure against internal systems/applications(i.e.,GEBAR, AAS, and CCI). (*) • Determines and communicates standard service charges to internal/external customers related to paper eligibility activities; May include negotiating and communicating charges pertaining to non-standard services. • Partners with other team functions to coordinate the release of eligibility and benefit plan information; reproduces group bills if requested by clients. Required Qualifications <ul> <li>Attention to detail and accuracy.</li> <li>Problem solving skills.</li> <li>Strong organization skills.</li> <li>Understands the impact of work to other teams and downstream support areas.</li> <li>Ability to analyze and research data to make appropriate corrections as necessary.</li> <li>Strong verbal and written communication skills.</li> <li>Workplace flexibility - ability to adapt to change.</li> <li>Required to maintain work schedule within EST time zone (9:30am- 6:00pm EST).</li> <li>Ability to remain available for overtime, with possible weekend work where needed.</li> </ul> Preferred Qualifications <ul> <li>Knowledge of Health Care and/or MCO’s.</li> <li>Knowledge of Enrollment.</li> <li>Knowledge Medicaid and/or Medicare.</li> <li>Knowledge and comfortability with learning different systems and using Excel (VLOOKUP).</li> </ul> Education <ul><li>High School Diploma or equivalent.</li></ul> Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$17.00 - $28.46This 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. 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: 05/27/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Eligibility Consultant

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.This position will be working from home anywhere in the US. Standard business hours 8:00am-5:00pm in time zone of residence Monday - Friday. Position SummaryThe Appeals Nurse Consultant position is responsible for processing the medical necessity of Medicare appeals for participating providers. Primary duties may include, but are not limited to: Requesting clinical, research, extrapolating pertinent clinical, applying appropriate Medicare Guidelines, navigate through multiple computer system applications in a fast-paced department. Must work independently as well as in a team environment while working remotely. Fast paced sedentary position, talking on the telephone, looking at computer screens, utilizing templates in Word, and typing on the computer. Required Qualifications<ul> <li>3+ years of clinical experience required.</li> <li>Active and unrestricted RN licensure in state of residence.</li> </ul> Preferred Qualifications<ul> <li>Managed Care experience.</li> <li>Utilization Management experience.</li> <li>Appeals experience. </li> <li>Pre Certification experience.</li> <li>Pre Authorization experience .</li> </ul> Education<ul> <li>Associates Degree minimum OR Diploma RN required</li> <li>Bachelors Degree preferred</li> </ul>Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$54,095.00 - $142,576.00This 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: 06/04/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Appeals Nurse Consultant - Fully Remote

CompanyCox Communications, Inc.Job Family GroupSalesJob ProfileDirector, Channel Sales - RSManagement LevelDirector Flexible Work Option Can work remotely anywhere in the specified countryTravel %Yes, 50% of the timeWork ShiftDayCompensationCompensation includes a base salary of $126,000.00 - $210,000.00. The salary rate may vary within the anticipated range based on factors such as the ultimate location of the position and the selected candidate's experience. In addition to the salary range identified herein, this role is also eligible for an annual incentive/commission target of $100,000.00.Job DescriptionAt RapidScale, exceptional technology is powered by exceptional people. As a growing leader in secure, reliable managed cloud solutions, we help SMBs and enterprises alike simplify IT and unleash innovation. With a broad portfolio spanning AWS, Azure and Google to a full set of Private Cloud and Cybersecurity solutions, RapidScale helps companies turn technology into their biggest competitive advantage. As part of the Cox family of companies, we offer best-in-class benefits, a commitment to work-life balance, and an award-winning workplace experience.Are you a driven hunter with a passion for landing large, complex enterprise cloud deals? As a Principal Cloud Account Executive-Strategic Pursuits, you’ll lead the charge in identifying, pursuing, and closing RapidScale’s most strategic net-new opportunities. This role is built for a top performer who thrives on creating new relationships, breaking into tough accounts, and driving transformative IT outcomes through multi-cloud managed services. Your ability to prospect, influence the C-suite, and close high-value contracts sets you apart.What You’ll DoAs a Principal Cloud Account Executive-Strategic Pursuits, you will serve as a lead business development executive for enterprise cloud managed services. You’ll focus on net-new logo acquisition, deepen strategic partnerships, and represent RapidScale’s capabilities at the highest levels.Key responsibilities include:<ul> <li> Net-New Business Development: Identify, pursue, and win net-new enterprise clients with complex cloud managed service’s needs. Target companies with $500M–$5B+ in revenue and drive multi-year recurring revenue opportunities.</li> <li> Strategic Sales Execution: Own the full sales lifecycle for enterprise cloud deals with total contract values exceeding $10+ million. Execute a disciplined, account-based sales strategy that emphasizes value creation, executive alignment, and win planning, including surfacing and shaping opportunities around generative AI, machine learning, and data modernization</li> <li> Executive Engagement &amp; C-Suite Influence: Build and maintain trusted relationships with CIOs, CTOs, and other senior stakeholders. Guide strategic conversations that connect RapidScale solutions, including AI/ML and data-driven innovation, to growth, cost efficiency, and compliance outcomes.</li> <li> Complex Deal Structuring: Lead multi-party negotiations and structure sophisticated managed services contracts spanning cloud infrastructure, modernization, security, and compliance. Work cross-functionally with legal, finance, and delivery teams to close high-quality deals.</li> <li> Cloud Ecosystem Collaboration: Accelerate pipeline and reach by co-selling and partnering with hyperscalers (AWS, Azure, Google Cloud). Leverage joint go-to-market programs, incentives, and technical teams to improve win rates.</li> <li> Pipeline Leadership &amp; Forecasting: Maintain a strong pipeline of strategic enterprise opportunities, with disciplined forecasting and funnel management.</li> <li> Thought Leadership &amp; Market Presence: Represent RapidScale at executive briefings, customer innovation sessions, and industry conferences. Share insights on evolving trends and help position RapidScale as a differentiated cloud partner.</li> <li> Cross-Functional Leadership: Collaborate with product, architecture, marketing, and delivery teams to build compelling solutions and ensure a seamless transition from sales to implementation.</li> </ul>Minimum Qualifications<ul> <li> Experience &amp; Education: Bachelor's degree and 10+ years of enterprise sales experience. The right candidate could also have a different combination, such as a master’s degree and 8 years’ experience; a Ph.D. and 5 years’ experience or 14+ years enterprise sales experience.</li> <li> Enterprise Sales Performance: Experience selling to and influencing executive stakeholders in large enterprise accounts ($500M–$5B+ revenue), with demonstrated c-suite gravitas and executive presence.</li> <li> Hunter Mindset: Experience identifying, developing, and closing net-new enterprise accounts with long-cycle, high-value pursuits.</li> <li> Multi-Cloud: Experience across Private Cloud and Public Cloud environments, with a strong track record of structuring and closing complex hybrid multi-cloud enterprise deals in large-scale organizations.</li> <li> Complex Deal Experience: Demonstrated ability to lead and close enterprise cloud deals exceeding $10-50+ million in total contract value.</li> <li> Travel: Willing and able to travel up to 35–40% for executive meetings, on-site workshops, and industry events.</li> </ul>Preferred Qualifications<ul> <li>Familiarity with enterprise AI/ML workloads and how organizations are leveraging generative AI, large language models, and data platforms to transform operations and drive innovation.</li> <li>Deep understanding of cloud infrastructure, IaaS, PaaS, containerization, security, and compliance frameworks. Certifications such as AWS Solutions Architect, Azure Solutions Architect, or Google Cloud Professional Cloud Architect are preferred.</li> <li>Established executive network and relationships across enterprise verticals.</li> <li>Experience with co-selling and GTM programs via AWS, Azure, or Google Cloud.</li> <li>Familiarity with key industries such as Healthcare, Financial Services, SaaS, or Retail.</li> <li>Skilled in navigating matrixed organizations and building alignment across diverse business and technical stakeholders.</li> </ul>BenefitsThe Company offers eligible employees the flexibility to take as much vacation with pay as they deem consistent with their duties, the company’s needs, and its obligations; seven paid holidays throughout the calendar year; and up to 160 hours of paid wellness annually for their own wellness or that of family members. Employees are also eligible for additional paid time off in the form of bereavement leave, time off to vote, jury duty leave, volunteer time off, military leave, and parental leave. About Us Cox Communications is all about creating moments of real human connection; and for employees, that’s true both in the workplace and in the problems we solve for customers. From building advertising solutions to unleashing IoT technologies to creating an exceptional experience for customers in our retail locations and online, we’re creating a world that is smarter and more connected. Benefits of working at Cox may include health care insurance (medical, dental, vision), retirement planning (401(k)), and paid days off (sick leave, parental leave, flexible vacation/wellness days, and/or PTO). For more details on what benefits you may be offered, visit our benefits page. Cox is an Equal Employment Opportunity employer – All qualified applicants/employees will receive consideration for employment without regard to that individual’s age, race, color, religion or creed, national origin or ancestry, sex (including pregnancy), sexual orientation, gender, gender identity, physical or mental disability, veteran status, genetic information, ethnicity, citizenship, or any other characteristic protected by law. Cox provides reasonable accommodations when requested by a qualified applicant or employee with disability, unless such accommodations would cause an undue hardship.Applicants must currently be authorized to work in the United States for any employer without current or future sponsorship. <h3> </h3>Application Deadline:

139 Jobs in Woonsocket, RI 02895, USA