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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 Summary CVS Health, a Fortune 6 company, has an outstanding opportunity for a Medical Director (Medical Affairs).This is a remote based, work from home opportunity. The Medical Affairs department provides clinical business support to the entire enterprise and provides clinical oversight and mentorship for CVS Health clinical programs, PBM Clinical Quality activities, consultative support to the P&amp;T process, formulary development, drug information services and pipeline activities, and provision of clinical leadership to various internal departments (e.g., specialty pharmacy services, clinical product development, Enterprise Analytics, Compliance, Legal, Accreditation) and clients. The Medical Director (Medical Affairs) will report into the Medical Affairs Department and is responsible for clinical support and consultative activities across the PBM. In this role you may provide consultative clinical support to Account Management in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM activities (prior authorization and appeals) and responds to prescriber inquiries related to UM transactions and more generally related to CVS Health coverage policies. Medical Directors at CVS Health are encouraged to model the highest levels of clinical integrity, knowledge and cross functional thinking and decision making. Medical Directors represent the clinical decision making and professional thought process of the prescriber as a partner across the enterprise’s decisions and planning. – Each Director is responsible for providing oversight of a portion of CVS Health's clinical programs and commercial client program support. Will share in reviews of utilization management (PA) criteria and clinical policy revisions/reviews. – Directors will spend a portion of most days completing assigned medication utilization reviews (PA) and/or medical necessity appeals for commercial clients, governmental (Medicare/Medicaid) programs and individual client requested coverage determinations or appeals when appropriate. – Medical Directors will participate in inter-rater review activities and other quality oversight processes for internal Director UM decisions. If specifically assigned to one business segment (i.e., Medicare clients), each director will become sufficiently skilled in various UM programs to support other segments (including commercial and Medicaid) on evening and weekend coverage. –In this role you'll perform a share of special clinical investigations and research as requested by the Senior Medical Director, Medical Affairs. These projects can include brief reviews of published literature around specific pharmaceutical questions or more in-depth projects requiring collaboration with pharmacists within Medical Affairs and in business units outside of the Department. CVS Health, a Fortune 4 company, has an outstanding opportunity for a Medical Director (Medical Affairs). Required Qualifications * Family Medicine or Internal Medicine Board Certification.* Minimum of 5 years clinical experience in direct patient care. * 2 or more years proven experience in clinical outcomes, with a solid understanding of medical statistics, regulatory agencies, and analytic programs * Unrestricted license to practice medicine in the state in which the candidate is located. Preferred Qualifications * Combination of five years of management and/or clinical experience in a managed care environment and health administration, including adequate clinical experience in direct patient care and working with professionals at different levels as a teammate (e.g., RNs, PharmDs, etc.). * ABMS or AOA Board Certified in a recognized medical specialty, preferably in a Primary Care field (Internal medicine, Family Medicine) * Master’s Degree in Public Health Administration or MBA preferred, UM/QA certification desired * Proficiency in MS Office Suite Education * Must be graduate of an accredited Medical School and Residency Program * Possess an unrestricted active license to practice medicine in a State, Territory, Commonwealth of the United States, or the District of Columbia * Required annual Continuing Medical Education (CME) up to date and must remain current in medical and management areas during employmentPay RangeThe typical pay range for this role is:$174,070.00 - $374,920.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 05/30/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Medical Director (Medical Affairs)

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position SummaryThe Supervisor is responsible for oversight of LTSS/Waiver healthcare case management staff including the organization and development of high performing teams. Works closely with functional area managers to ensure consistency in clinical interventions supporting our members. Accountable for meeting the financial, operational and quality objectives of the unit. This position is a full time 40 hour work week.Required Qualifications <ul> <li>5+ years post master’s degree clinical experience for Behavioral Health License and 5 years post bachelor's clinical experience for Registered Nursing License</li> <li>One of the following active and unrestricted Illinois state licenses: RN, LCPC, LCSW, LMFT</li> <li>Must reside in or around Chicago Illinois</li> <li>Must possess reliable transportation and be willing and able to travel up to 25% of the time in the state of IL to complete audits and visits with clinical staff as needed. Mileage is reimbursed per our company expense reimbursement policy</li> </ul>Preferred Qualifications<ul> <li>Managed Medicare/Medicaid experience </li> <li>Previous leadership experience strongly </li> <li>Computer literacy and experience with Microsoft Excel, Word, and web-based applications</li> <li>Ability to work with people in such a manner as to build high morale and group commitment to goals and objectives</li> <li>Ability to evaluate and interpret data, identify areas of improvement, and focus on interventions to improve outcomes</li> <li>Ability to communicate effectively with providers, members, staff and other leaders both in oral and written formats (e.g., may provide support to the sales staff &amp; network staff via onsite customer visits and/or presentations)</li> </ul>Education<ul> <li>Master's Degree (REQUIRED) for Behavioral Health License</li> <li>Bachelor's Degree (REQUIRED) for Registered Nursing License</li> </ul>Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$88,374.00 - $190,344.00This 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: 04/20/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Associate Manager Clinical Health Services (Must reside in or around Chicago Illinois)

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.Company: Oak Street HealthTitle: House Calls Behavioral Health SpecialistLocation: IllinoisCompany DescriptionThe mission of Oak Street Health is to rebuild healthcare as it should be. We are a rapidly growing, innovative company of community-based healthcare centers delivering higher quality health and wellness care that improves outcomes, manages medical costs and provides an unmatched experience for adults on Medicare. The Oak Street model integrates outstanding clinical expertise, technology, and teamwork to deliver improved care quality and cost savings. These cost savings are then reinvested into care in our communities, creating a virtuous cycle of improving community health. We are a national organization serving over 100,000 patients and we are growing rapidly. We are a <a href="https://www.oakstreethealth.com/diversity-equity-and-inclusion-at-oak-street-health" target="_blank">diverse</a> team of care providers, service team members, technologists, community outreach experts, business professionals, and more -- all dedicated to our Oaky Values and motivated by our mission. We're looking forward to getting to know you!For more information, visit <a href="http://www.oakstreethealth.com" target="_blank">www.oakstreethealth.com</a>.Role Description:The House Calls Behavioral Health Specialist is a key resource for the At-Home Care Teams. The At-Home Care Teams deliver high-touch, high-quality primary care to our Oak Street Health's highest risk patients. In this role, the LCSW will coordinate, support and perform community based, behavioral healthcare for these patients and will be a key contributor and collaborator within the care team to support care coordination and all other needs. Core Responsibilities:<ul> <li>Collaborate with OSH At-Home providers and Psychiatric Consult to identify and intervene with patients with psychosocial, community resource, and/or behavioral health needs</li> <li>Function as the behavioral health and community resource expert on the OSH At-Home care team and actively contribute during team meetings</li> <li>Facilitate goals of care and advance care planning discussions with patients and families in collaboration with their medical providers</li> <li>Manage referrals for patients requiring specialized services through resource connections</li> <li>Actively manage the shared BH registry to track individual patient progress of treatment toward target</li> <li>Prepare and attend weekly registry review sessions with Psychiatric consult</li> <li>Function as the behavioral health and community resource expert on the OSH At-Home care team and actively contribute during interdisciplinary team meetings</li> <li>Screen and assess patients for common mental health and substance use disorders</li> <li>Develop care plans and facilitate referrals to external resources</li> <li>Provide short-term counseling and evidence-based treatments within the Collaborative Care Model</li> <li>Accurate and timely documentation of patient encounters in Oak Street's electronic medical record</li> <li>Other duties, as assigned </li> </ul>What are we looking for?We're looking for motivated, licensed clinical social workers with:<ul> <li>Comfort and ability to work in a variety of environments, including patients' homes</li> <li>Demonstrated ability to collaborate effectively in a team setting</li> <li>Comfort supporting patients who are facing significant health, psychosocial and/or mental health issues</li> <li>Experience with performing comprehensive biopsychosocial health, mental health and substance abuse disorder assessments</li> <li>Experience with assessment and treatment planning for those with common mental health and/or substance use disorders and complex psychosocial needs</li> <li>Working knowledge of differential diagnosis and psychosocial treatments of common mental health and/or substance use disorders </li> <li>Familiarity with brief, structured intervention techniques (e.g., Motivational Interviewing, Behavioral Activation)</li> <li>Proficient PC skills</li> <li>US work authorization</li> <li>Someone who embodies being 'Oaky'</li> </ul>What does being Oaky look like?<ul> <li>Radiating positive energy</li> <li>Assuming good intentions</li> <li>Creating an unmatched patient experience</li> <li>Driving clinical excellence</li> <li>Taking ownership and delivering results</li> <li>Being relentlessly determined </li> </ul>Why Oak Street? Oak Street Health offers our coworkers the opportunity to be at the forefront of a revolution in healthcare, as well as:<ul> <li>Collaborative and energetic culture</li> <li>Fast-paced and innovative environment</li> <li>Competitive benefits including paid vacation and sick time, generous 401K match with immediate vesting, and health benefits</li> </ul>Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply to oakstreethealth.com/careers.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. 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: 03/16/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Behavioral Health Specialist - House Calls Program

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.Director, Strategic Proposals Management This is a highly visible leadership position within the Government Segment of Strategic Proposals Management which sits in the broader Client Financial and Profitability organization. This leader will be responsible for the oversight for the development of technical, financial, and business objectives within the Government segment .As a leader in this highly visible and accountable team you will be tasked with executing strategic initiatives, developing talent, participating in strategy discussions related to sales opportunities, driving innovation in process and contributing to our collaborative and supportive culture. This individual will be seen as a key contributor leading to the overall goal of delivering high quality client proposals on time, with a focus on detailed accuracy, and with an exceptional win rates. This highly matrixed leadership position will be successful through close collaboration with other PBM business functions including consultant relations, competitive intelligence, underwriting, sales, PBM operations, and legal. This work requires executive presence, presentation and delivery skills, and the ability to make connections across disciplines and levels of seniority. Key Responsibilities <ul> <li>Develop infrastructure and processes, leveraging existing and future tools to provide monitoring and surveillance of changes in market requests, needs or requirements. Further engage appropriate groups to proactively assess impact and under what conditions we could accommodate</li> <li>Identify, implement standards and measures of performance and impact across Proposals team. Participate in team and broader organization and matrixed partners training and development. </li> <li>Lead team to define processes and execute operations assuring accurate and complete capture of ALL client commitments as part PBM client renewal / win. Further, collaborate with matrixed partners to assure incorporation into contract language and other handoffs.</li> <li>Define and manage process to assure appropriate communication, acknowledgment, and ongoing management with appropriate internal partners of proposal and contractual commitments. </li> <li>Collaborate, understand, and develop team on standards and innovations of PBM pricing strategies, definitions, and related information</li> <li>Provide consultation and recommendations in support of developing and executing on strategy, overall process innovation and operational efficiency</li> <li>Maintain accountability for finalizing portions of PBM client proposals related to pricing and financial terms knowing when to self-approve and/or escalate items for further review.</li> <li>Participate in external client negotiations as needed.</li> <li>Support timely review of contractual terms and seek approval of any variations with key points of contact.</li> <li>Identify and implement process improvements, enhancements, and tool enhancement on an ongoing basis.</li> </ul>Required Qualifications<ul> <li>10+ years of prior work experience in relevant areas such as Finance, Sales or Legal within a large corporate environment.</li> <li>3+ years experience as a people leader managing a team of individuals</li> <li>3+ years experience with all facets of PBM– operations, economics and services</li> </ul>Preferred Qualifications<ul> <li>Proficiency with standard tools such as Contract Lifecycle Management, Obligation Management Applications, Excel and Tableau.</li> <li>Prior PBM Underwriting and/or health care contracting experience</li> <li>Existing PBM subject matter expertise</li> <li>Strong contractual and financial analytical abilities.</li> <li>Strong Project Management Experience – with emphasis on process innovation and process improvement</li> <li>Highly Organized, detail-oriented with strong capability in structured and critical thinking</li> <li>High level of independent judgment and proactivity</li> <li>Self-motivation, entrepreneurialism, high energy and ability to successfully function in a high-demand, performance-driven environment</li> <li>Strong Internal Relationship skills across diverse teams</li> <li>Strong communication (written and oral) – executive presence and ability to influence across disciplines and at multiple levels of organization</li> <li>MS Office – including Excel, Powerpoint etc. </li> <li>Ability to guide and influence teams – aligned with broader defined strategies and overlapping initiatives</li> </ul>Education<ul> <li>Bachelor’s Degree required or relevant work experience required</li> <li> Preferred Advanced Degree (i.e. MBA, MPH)</li> </ul>Pay RangeThe typical pay range for this role is:$100,000.00 - $231,540.00 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: 05/03/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Ld Dir,Proposals

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 – Mountain West you will support the Division Vice President to lead the Mountain 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 • 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 Mountain West Region ( Alaska, Arizona, Colorado, Idaho, Iowa, Minnesota, Montana, Nebraska, Nevada, New Mexico, North Dakota, Oregon, South Dakota, Texas, Utah, Washington, Wisconsin, Wyoming ) – 30-50% travel throughout the Mountain 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: 04/25/2025Qualified 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 - Mountain West

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.LGS/OA for Lewis Ave, Tulsa OKAnticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$18.50 - $35.29This 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: 10/08/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

8350-Lead Generation 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 SummaryAs a Senior Analyst, you will be responsible for using SQL, SAS, Tableau, MS Access, MS Excel, and related applications to determine disruption to existing and potential clients when network changes take place to retain and win business. This position involves making high-level decisions, managing multiple requests/priorities, developing new solutions to simplify the reporting process, and producing both standard and custom reports for multiple lines of business and specific clients regarding retail pharmacy network accessibility.Key Responsibilities:Data Management: Build queries, perform data imports and extracts, analyze data, compare networks, and create reports to support network disruption requests from internal customers (including Sales, Account Management, Membership Initiatives, Network Development, and Retail Analysis areas).Network Strategy Support: Support network strategies and initiatives through analytics reporting to project network disruption in various scenarios.Collaboration: Collaborate with team members on reporting initiatives and projects surrounding network disruption.Cross-Team Interaction: Attend meetings with Sales/Proposals and Network Disruption team leadership to clarify any custom requests from external consultants. Required Qualifications- 4 years previous work experience in Network Management or similar role.- Proficiency in SQL, SAS, Tableau, MS Access, MS Excel, and other relevant applications.- Strong analytical and problem-solving skills with the ability to interpret complex data sets.- Excellent verbal and written communication skills to effectively interact with internal teams and external clients.- Ability to manage multiple requests and priorities in a fast-paced environment. Preferred Qualifications- Working experience in the Pharmacy Benefits Management (PBM) or related healthcare industry. EducationBachelor's Degree in Computer Science, Information Technology, Data Analytics, or a related field or equivalent work experience. Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$46,988.00 - $91,800.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 03/28/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Senior Analyst, Network Disruption

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 Clinical Pharmacist performs retrospective drug utilization reviews. They distribute clinical drug information and educate providers and staff regarding appropriate use of pharmaceutical treatment regimens. This individual will be responsible for: Performing pharmacy review and making evidence-based recommendations regarding Medicare members. Identify opportunities within the health plan for integration of quality measures in current case management or other clinical programs. Communicate to providers and members on quality indicators for Medicare programs. Provide clinical pharmacy support to programs targeted toward Medicare membership. Actively participate and collaborate as part of the multidisciplinary team to improve member’s medication regimen and overall health. Perform other duties as required. Required Qualifications: <ul><li>Current unrestricted state pharmacist license </li></ul> <ul><li>Live in and be licensed in a state that allows clinical services to be performed in a work from home position </li></ul> <ul><li>3+ years in a Clinical Pharmacist Role* which must include at least one of the following: </li></ul> <ul><li>Rounding and making therapy recommendations as an active part of a multi-disciplinary care team </li></ul> <ul><li>Independently managing patient therapy under a collaborative practice agreement </li></ul> <ul><li>One year of a Pharmacy Practice Residency </li></ul> *Clinical Pharmacist Role: <ul><li>Established experience in functions beyond fundamental dispensing and order-processing activities such as optimization of medication selection, dosing, and monitoring </li></ul> <ul><li>Experience with population health and/or disease state management </li></ul> <ul><li>Ability to research and analyze medication literature including drug information, disease states, and clinical practice guidelines to identify gaps in care and create/communicate a recommendation plan to providers. </li></ul> Preferred Qualifications: <ul><li>Board Certified Ambulatory Care Pharmacist, or Board-Certified Geriatric Pharmacist, or Board-Certified Pharmacotherapy Specialist, </li></ul> <ul><li>Certified in MTM </li></ul> <ul><li>Bilingual </li></ul> <ul><li>Experience with Medicare STARS and Part D formulary benefit </li></ul> Education BS or PharmD Degree in Pharmacy Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$106,200.00 - $225,000.00This 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: 04/15/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Clinical Pharmacist - Medicare

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 involves up to 25% travel in the state of Illinois. Must reside in Chicago or surrounding area.The hours for this position are Monday-Friday 8a-5p CST.The Supervisor is responsible for oversight of LTSS/Waiver healthcare case management staff including the organization and development of high performing teams. Works closely with functional area managers to ensure consistency in clinical interventions supporting our members. Accountable for meeting the financial, operational and quality objectives of the unit.Required Qualifications<ul> <li>Minimum 5+ years post master’s degree clinical experience required for BH License and 5+ years post-bachelor's clinical experience for RN License.</li> <li>One of the following active and unrestricted Illinois state licenses is required: RN, LCPC, LCSW, LMFT</li> <li>Willing and able to participate in up to 25% of travel in the state of IL to complete audits and visits with clinical staff as needed. Reliable transportation is required. Mileage is reimbursed per our company expense reimbursement policy</li> <li>Must reside in or around the city of Chicago</li> </ul>Preferred Qualifications<ul> <li>Managed Medicare/Medicaid experience</li> <li>Previous leadership experience </li> <li>Computer literacy and experience with Microsoft Excel, Word, and web-based applications</li> <li>Ability to work with people in such a manner as to build high morale and group commitment to goals and objectives</li> <li>Ability to evaluate and interpret data, identify areas of improvement, and focus on interventions to improve outcomes</li> <li>Ability to communicate effectively with Providers, Members, Staff and other Leaders both in oral and written formats (e.g., may provide support to the sales staff &amp; network staff via onsite customer visits and/or presentations)</li> </ul>Education<ul> <li>Master's Degree required for BH License</li> <li>Bachelor's Required for RN License.</li> </ul>Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$88,374.00 - $190,344.00This 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: 04/11/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Associate Manager Clinical Health Services (Chicago, IL)

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 CVS Health has a robust collaboration strategy and roadmap that is centered around the end-user experience. Leveraging Cloud-based platforms such as Office 365 and best-in-class collaboration tools including Microsoft Teams, Slack and Zoom. The Compute Engineer resolves system and end-user issues as well as contributes to governance, process control, application integrations and interoperability, vendor engagement, and monitoring and reporting capabilities. The Compute Engineer partners with key internal and external stakeholders to implement and support holistic, congruent, and secure collaboration solutions that provide a superior customer experience for all lines of the PBM, Specialty, Retail and HealthCare businesses. You will contribute to project and enhancement work that satisfies a particular use case, engineer an automation solution to increase productivity and/or minimize human error, and continuously improve the adoption and security of the platform. You will be responsible for the overall health, extensibility, and performance of the collaboration suite, inclusive of knowledge documentation.Required Qualifications<ul> <li>1-2 years of experience with Cloud Systems and Applications - Azure, O365, Microsoft Teams, Slack</li> <li>Experience supporting cross-functional initiatives and communicating effectively and confidently with vendors, project team members, and stakeholders</li> <li>Experience with Enterprise change management processes and tools (Service Now) Working knowledge of Enterprise solutions including Active Directory/LDAP, SSO, Monitoring Tools (Splunk, Exoprise), ServiceNow, DLP toolsets</li> </ul>Preferred Qualifications<ul><li>Previous healthcare experience and domain knowledge is a plus, as is working with data and analytics and how it is leveraged within the healthcare/retail industry</li></ul>Education<ul><li>Bachelor's Degree in Information Technology, Computer Science, Engineering, or related field or 3+ years of IT system engineering and support experience.</li></ul>Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$72,100.00 - $144,200.00This 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: 04/15/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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