*UPGRADE IN PROGRESS* -- CareerCircle platform upgrades will occur between Monday June 27th 10PM Eastern Time through Tuesday June 28th 4AM Eastern Time.&nbsp; The system may be intermittently unavailable during this timeframe.&nbsp;&nbsp;

*UPGRADE IN PROGRESS* -- CareerCircle is upgrading its capabilities and as a result the system may be temporarily unavailable as we bring new capabilities and infrastructure online to better serve our members.&nbsp; If you receive an error during this timeframe please bear with us as we're working to improve our system and you may need to retry that operation at a later time.&nbsp; &nbsp;

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors&trade; support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary<ul><li>Network Management Analyst is an important role within the Network team that assists with day to day network operations and acts as a liaison between external vendors and internal team members.</li><li>Key responsibilities include:</li><li>Responsible for the management of the AI Network Management mailbox; answering or triaging network related questions</li><li>Assist with the Network TPA Compliance Assessment process as needed</li><li>Assist with Sales support process - network support / RFP - RFI inquiry support</li><li>Maintain and support on QuickBase and SharePoint to ensure all network related materials and documents are up to date.</li><li>Assist with GU Health enrollment and mailbox management</li><li>Responsible for all processes, reports, and management of AI provider nominations</li><li>Responsible for maintaining the data in the Provider Nominations QuickBase</li><li>Ensures that scheduled reports are accurate and delivered timely to recipients</li><li>Coordinates with Allianz Network team to ensure the timely updates on nominations referred to Allianz</li><li>Responsible for the management of the AI Provider Nominations mailbox</li><li>Responsible for the certification of all new and continuing directly contracted providers in the Aetna International Direct Pay Network</li><li>Responsible for monitoring the status of all directly contracted providers' licenses and updating the validation upon expiration or at least every 3 years (long term licenses)</li><li>Responsible for escalating non-compliant providers for review by Network Lead Directors</li><li>Responsible for maintaining the provider participation standards for all countries in which Aetna has directly contract provider relationships</li><li>Reviewing submitted contracts prior to provider/TPA (third party administrator) signature to ensure contract is in compliance with current Aetna International contract policies</li><li>Responsible for saving final/fully executed provider agreements in the Provider / TPA folders on the applicable SharePoint/shared drives</li><li>Responsible for the management of all Provider and TPA agreements ensuring that they maintain incompliance with CVS Health Records Retention policies.</li><li>Support various network projects as needed.</li></ul>Required Qualifications<ul><li>2+ years of health insurance and/or provider network setup experience.</li></ul>Preferred Qualifications<ul><li>Spanish language speaker preferred</li></ul>Education<ul><li>Bachelors degree or equivalent experience.</li></ul>Pay Range The typical pay range for this role is: $40,600.00 - $85,100.00 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. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits We anticipate the application window for this opening will close on: 06/13/2024

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Network Management Analyst

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors&trade; support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary Summary: Health is everything. At CVS Health, colleagues are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we help people on their path to better health -from advising on prescriptions to helping manage chronic and specialty conditions. As Pharmacy Manager, you have one of the most significant roles in our company - delivering our purpose, modeling our values, and demonstrating genuine, authentic care for our patients. In addition to leading and directing your Pharmacy Staff, comprised of both staff Pharmacists and Pharmacy Technicians, you are accountable for the management, oversight and operation of all aspects within your pharmacy. This includes:<ul><li>Patient Safety</li><li>Pharmacy Professional Practice</li><li>Regulatory Requirements</li><li>Quality Assurance</li><li>Customer Service</li><li>Personnel Management</li><li>Inventory Management</li><li>Financial Profitability</li><li>Loss Prevention</li><li>Workflow Management A key component of the Pharmacy Manager role is keeping your customers and patients healthy through adoption and management of patient care programs. Additionally, you will:</li><li>Lead with Heart - display empathy and compassion for your patients, customers, caregivers and colleagues on your team</li><li>Motivate, inspire and develop your Pharmacy Support Staff by balancing assignments that maximize colleagues' strengths, address development opportunities and decrease knowledge gaps</li><li>Identify critical business opportunities and meaningful solutions to drive growth and improve performance in your pharmacy</li><li>Successfully implement those solutions by leading your team to achieve specified goals</li><li>Adapt to change and adjust plans to thrive in a dynamic community healthcare setting</li><li>Seek new ways to grow, collaborate with others and deliver better outcomes</li><li>Align others around purpose to gain support and commitment</li><li>Facilitate a 'team' culture that promotes caring, energy, enthusiasm and pride</li><li>Apply acquired knowledge to help drive healthy outcomes and differentiate CVS from competitors</li><li>The above represents a summary of the functions of a Pharmacy Manager. Additional functions and physical requirements are available on the full job description.</li><li></li><li>Required Qualifications Minimum Required Qualifications:</li><li>Active Pharmacy License in the state in which you are employed</li><li>Not on the DEA Excluded Parties List</li><li>Immunization Certification through an accredited organization (i.e. APhA)</li><li>Listed on the pharmacy state license as the 'pharmacist in charge'</li><li>Submission of required information/documents to your state PMP administrator to register for PMP access (in states with active PMP for pharmacist use).</li><li></li><li>Preferred Qualifications Education Bachelor of Science in Pharmacy or Pharm. D. degree</li></ul>Pay Range The typical pay range for this role is: $70.00 - $87.00 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. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits We anticipate the application window for this opening will close on: 07/31/2024 CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work. CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through ColleagueRelations@CVSHealth.com If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.

CA Pharmacy Manager

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors&trade; support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary Retail Store Associates play a meaningful role within the CVS Health family. At CVS Health, we're shaping the future of health care for people, businesses, and communities. With your talents and expertise, you can help us play a more active and supportive role in each person's unique healthcare needs. Join our team of thousands as we positively impact millions...one customer at a time. The Retail Store Associate position provides an opportunity, in a leading retail setting, to excel in a growing, high impact, customer focused role, working both independently and as a member of a team, to positively impact the lives of others. Essential Functions:<ul><li>Providing differentiated customer service by anticipating customer needs, demonstrating compassion and care in all interactions, and actively identifying and resolving potential service issues</li><li>Focusing on the customer by giving a warm and friendly greeting, maintaining eye contact and offering help locating additional items, when needed</li><li>Accurately perform cashier duties - handling cash, checks and credit card transactions with precision while following company policies and procedures</li><li>Maintaining the sales floor by restocking shelves, checking in vendors, updating pricing information and completing inventory management tasks as directed by store manager</li><li>Supporting opening and closing store activities, when needed</li><li>Providing customer support to all departments, including photo and beauty, ensuring departments are fully stocked and operational while remaining current with all updated services and tools</li><li>Assisting pharmacy personnel when needed, including working regular shifts in the pharmacy as part of opportunities for growth and career development</li><li>Embracing and advocating for new CVS services and loyalty programs that support our purpose of helping people on their path to better health</li><li></li><li>Required Qualifications<ul><li>At least 16 years of age Physical Requirements:</li><li>Remaining upright on the feet, particularly for sustained periods of time</li><li>Lifting and exerting up to 35 lbs of force occasionally, up to 10 lbs of force frequently, and a negligible amount of force regularly to move objects to and from, including overhead lifting</li><li>Visual Acuity - Having close visual acuity to perform activities such as: viewing a computer terminal, reading, visual inspection involving small parts/details</li></ul>Preferred Qualifications<ul><li>Previous experience in a retail or customer service setting</li></ul>Education High School diploma or equivalent preferred but not required.</li></ul>Pay Range The typical pay range for this role is: $16.00 - $19.00 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. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits We anticipate the application window for this opening will close on: 08/30/2024

Store Assoicate

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors&trade; support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary Retail Store Associates play a meaningful role within the CVS Health family. At CVS Health, we're shaping the future of health care for people, businesses, and communities. With your talents and expertise, you can help us play a more active and supportive role in each person's unique healthcare needs. Join our team of thousands as we positively impact millions...one customer at a time. The Retail Store Associate position provides an opportunity, in a leading retail setting, to excel in a growing, high impact, customer focused role, working both independently and as a member of a team, to positively impact the lives of others. Essential Functions:<ul><li>Providing differentiated customer service by anticipating customer needs, demonstrating compassion and care in all interactions, and actively identifying and resolving potential service issues</li><li>Focusing on the customer by giving a warm and friendly greeting, maintaining eye contact and offering help locating additional items, when needed</li><li>Accurately perform cashier duties - handling cash, checks and credit card transactions with precision while following company policies and procedures</li><li>Maintaining the sales floor by restocking shelves, checking in vendors, updating pricing information and completing inventory management tasks as directed by store manager</li><li>Supporting opening and closing store activities, when needed</li><li>Providing customer support to all departments, including photo and beauty, ensuring departments are fully stocked and operational while remaining current with all updated services and tools</li><li>Assisting pharmacy personnel when needed, including working regular shifts in the pharmacy as part of opportunities for growth and career development</li><li>Embracing and advocating for new CVS services and loyalty programs that support our purpose of helping people on their path to better health</li><li></li><li>Required Qualifications<ul><li>At least 16 years of age Physical Requirements:</li><li>Remaining upright on the feet, particularly for sustained periods of time</li><li>Lifting and exerting up to 35 lbs of force occasionally, up to 10 lbs of force frequently, and a negligible amount of force regularly to move objects to and from, including overhead lifting</li><li>Visual Acuity - Having close visual acuity to perform activities such as: viewing a computer terminal, reading, visual inspection involving small parts/details</li></ul>Preferred Qualifications<ul><li>Previous experience in a retail or customer service setting</li></ul>Education High School diploma or equivalent preferred but not required.</li></ul>Pay Range The typical pay range for this role is: $15.00 - $18.00 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. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits We anticipate the application window for this opening will close on: 08/30/2024

Sales Associate

You've invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you'll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. Position Summary: As a Graduate Intern, you have a critical role at the forefront of delivering our purpose, modeling our values, and demonstrating genuine, authentic care for our patients. In addition to learning how to support the Pharmacy Manager in leading and directing your Pharmacy Technician Support Staff, you are accountable for learning how to support the management, oversight and operation of all aspects within your pharmacy. This includes:<ul><li>Quality Assurance</li><li>Patient Safety</li><li>Pharmacy Professional Practice</li><li>Regulatory Requirements</li><li>Customer Service</li><li>Personnel Management</li><li>Inventory Management</li><li>Financial Profitability</li><li>Loss Prevention</li><li>Workflow Management</li></ul>A key component of the Graduate Intern role is keeping your customers and patients healthy through adoption and management of patient care programs. Additionally, you will:<ul><li>Lead with Heart - display empathy and compassion for your patients, customers, caregivers and colleagues on your team</li><li>Motivate, inspire and develop your Pharmacy Support Staff by balancing assignments that maximize colleagues' strengths, address development opportunities and decrease knowledge gaps</li><li>Identify critical business opportunities and contribute to the development of meaningful solutions to drive growth and improve performance in your pharmacy</li><li>Successfully implement those solutions by leading your team to achieve specified goals</li><li>Adapt to change and adjust plans to thrive in a dynamic community healthcare setting</li><li>Seek new ways to grow, collaborate with others and deliver better outcomes</li><li>Align others around purpose to gain support and commitment</li><li>Actively contribute to a 'team' culture that promotes caring, energy, enthusiasm and pride</li><li>Apply acquired knowledge to help drive healthy outcomes and differentiate CVS from competitors</li></ul>Required Qualifications:<ul><li>Active Pharmacy Intern License in the state in which you are employed</li><li>Not on the DEA Excluded Parties List</li><li>Immunization Certification through an accredited organization (e.g., APhA)</li><li>No pending felony charges or convictions for criminal offenses involving controlled substances</li></ul>Education: Current enrollment in a School of Pharmacy in the 4th year, who will be graduating with a Pharm. D. degree in 2024 Pay Range The typical pay range for this role is: $30.00 - $32.50 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 year in pharmacy school, geography and other relevant factors. Whether in our pharmacies or through our health service offerings, we are pioneering a bold new approach to total health care. As health care innovators, we are making quality care affordable, accessible, simple and seamless. We await your fresh ideas, new perspectives, and the unique contributions you will make to our organization. We anticipate the application window for this opening will close on: 07/06/2024

Pharmacy Intern - Grad

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors&trade; support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary/Mission Community Care Case Manager use a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication and available resources to promote quality, cost effective outcomes. Fundamental Components & Physical Requirements Acts as a liaison with member/client /family, employer, provider(s), insurance companies, and healthcare personnel as appropriate. Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care. Interacts with members/clients telephonically or in person. May be required to meet with members/clients in their homes, worksites, or physician's office to provide ongoing case management services. Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client's appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate. Communicates with member/client and other stakeholders as appropriate (e.g., medical providers, attorneys, employers and insurance carriers) telephonically or in person. Prepares all required documentation of case work activities as appropriate. Interacts and consults with internal multidisciplinary team as indicated to help member/client maximize best health outcomes. May make outreach to treating physician or specialists concerning course of care and treatment as appropriate. Provides educational and prevention information for best medical outcomes. Applies all laws and regulations that apply to the provision of rehabilitation services; applies all special instructions required by individual insurance carriers and referral sources. Conducts an evaluation of members/clients' needs and benefit plan eligibility and facilitates integrative functions using clinical tools and information/data. Utilizes case management processes in compliance with regulatory and company policies and procedures. Facilitates appropriate condition management, optimize overall wellness and medical outcomes, appropriate and timely return to baseline, and optimal function or return to work. Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes, as well as opportunities to enhance a member's/client's overall wellness through integration. Monitors member/client progress toward desired outcomes through assessment and evaluation. Required Background Experience: -Registered Nurse with active state license in Illinois or any active compact license. -Minimum 3+ years clinical practical experience preference: (diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare members. -Minimum 2+ years CM, discharge planning and/or home health care coordination experience Preferred Background Experience: -Bilingual preferred -Certified Case Manager is preferred. -Additional national professional certification (CRC, CDMS, CRRN, COHN, or CCM) is preferred, but not required -Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications. -Efficient and Effective computer skills including navigating multiple systems and keyboarding -Willing and able to obtain multi state RN licenses if needed, company will provide. Education Requirements: &bull; Associate's degree or Nursing Diploma Required &bull; Bachelor's degree Preferred Pay Range The typical pay range for this role is: $63,200.80 - $136,600.00 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. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits We anticipate the application window for this opening will close on: 06/28/2024

Case Manager RN

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors&trade; support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary Execution of the strategic and operational business plan for the business segment's clinical operations, inbound/outbound call queue, implementation, and/or plan sponsor operations. Coordinates business segment policies and procedures in support of financial, operational, and service requirements. Implements care coordination services provided to plan populations in order to meet specific regulatory requirements and provide holistic bio-psychosocial care to members in a cost-effective manner. As a member of the Key Personnel team for Aetna Better Health of Virginia , the candidate will need to travel to required meetings throughout the state. Fundamental Components<ul><li>Leads a clinical team that supports timely Health Risk Screenings, Comprehensive Assessments, Care Plan development and Enrollee interventions in accordance with the State contracts</li><li>Develop and manage clinical operations focused on improving clinical and financial outcomes, member engagement, member satisfaction, and use of best practices and standards.</li><li>Serve as liaison with regulatory and accrediting agencies and other health business units.</li><li>Formulate and implement strategies for achieving applicable department/unit metrics and provide operational direction.</li><li>Responsible for cross-functional integration of care management, program operations with core organization-wide business functions including claims, member services, compliance, quality, utilization management, and network/provider services.</li><li>Serve as technical, professional, and business resource (may cross multiple business functions).</li><li>Support quality improvement projects through successful implementation.</li><li>Develop and participate in presentations and consultations to existing and prospective stakeholders.</li><li>Direct/provide enhancements to business processes, policies, and infrastructure to improve clinical operational efficiency (may cross multiple business functions).</li><li>Develop, implement, and evaluate policies and procedures, which meet business needs (may cross multiple business functions).</li><li>Implements and monitors business plan and oversees any implementations or business transitions impacting clinical operations.</li><li>Collaborates and partners with other business areas across/within regions or segments and within other centralized corporate areas to ensure all workflow processes and interdependencies are identified and addressed on an on-going basis.</li><li>Ability to synthesize program performance and clinical outcomes.</li><li>Promote a clear vision aligned with company values and direction; sets specific challenging and achievable objectives and action plans; motivates others to balance customer needs and business success; challenges self and others to look to the future to create quality products, services, and solutions.</li><li>Knowledge of the regulations, standards, and policies which relate to medical management. Ability to communicate in a highly effective manner with internal and external constituents in both written and oral format. Ability to evaluate and interpret data for the purposes of monitoring staff performance, regulatory compliance, and development of new programs and processes to meet business demands.</li></ul>Required Qualifications<ul><li> Must reside in Virginia. </li><li> Virginia-licensed registered nurse with current unencumbered license and experienced in the activities of Care Management. </li><li>Nationally recognized case management certification, or ability to obtain within 90 days.</li><li>5+ years of clinical practice experience in physical or behavioral healthcare.</li><li>5+ years of management or clinical leadership.</li><li>3+ years of experience with personal computer, keyboard navigation, and MS Office Suite applications.</li><li>Must possess reliable transportation and be willing and able to travel in-state up to 15% of the time. National travel intermittently. Mileage is reimbursed per our company expense reimbursement policy.</li></ul>Preferred Qualifications<ul><li>Master's degree preferred.</li><li>Medicaid, insurance, managed care, experience.</li></ul>Pay Range The typical pay range for this role is: $110,467.50 - $237,900.00 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. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits We anticipate the application window for this opening will close on: 07/30/2024

Principal Clinical Leader - Remote VA

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors&trade; support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary This position can be work from home anywhere in the United States. Must be flexible to work EDT hours (8:00 am - 5 pm EDT) Conducts investigations to effectively pursue the prevention, detection, investigation and prosecution of healthcare fraud, waste, and abuse. Also reports suspected fraud, waste, and abuse to state and federal agencies as required by law and regulation. Fundamental Components: - Conducts investigations of known or suspected acts of healthcare fraud, waste, and abuse - Communicates with federal, state, and local law enforcement agencies as appropriate in matters pertaining to the prosecution of specific healthcare fraud cases - Investigates to prevent payment of fraudulent, abusive, or otherwise improperly billed claims submitted by providers, members, and others - Facilitates the recovery of company and customer monetary losses - Provides input regarding controls for preventing or monitoring fraud related issues within the business units - Delivers educational programs designed to promote deterrence and detection of fraud and minimize losses to the company - Maintains open communication with constituents within and external to the company - Uses available resources and technology in developing evidence, supporting allegations of fraud, waste, and abuse - Researches and prepares cases for clinical and legal review - Documents all appropriate case activity in tracking system - Makes referrals, both internal and external, in the required timeframe - Exhibits behaviors outlined in Employee Competencies - Exhibits behaviors outlined in SIU Investigator Competencies - May include travel to testify in court proceedings or training if necessary Required Qualifications - 1-3 years of Investigative experience in the area of healthcare fraud, waste and abuse - Strong knowledge of medical terminology/CPT/HCPCS coding. - Advanced skills with Microsoft Excel - Experience in healthcare/medical insurance claims investigation or professional/clinical experience - Background with law enforcement agencies involving economic or insurance related matters; or professional investigation experience involving economic or insurance related matters; or an authorized medical professional to evaluate medical related claims - Strong analytical and research skills - Proficient in researching information and identifying information resources - Proficiency in Word, MS Outlook products, Database search tools, and use in the Intranet/Internet to research information - Strong verbal and written communication skills - Strong customer service skills - Ability to interact with different groups of people at different levels and provide assistance on a timely basis - Ability to utilize company systems to obtain relevant electronic documentation - Ability to travel and participate in legal proceedings, arbitrations, depositions, etc. Preferred Qualifications - AHFI, CFE, Certified Professional Coder - Knowledge of CVS/Aetna's policies and procedures Education - College degree in Criminal Justice or related field Pay Range The typical pay range for this role is: $40,600.00 - $89,300.00 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. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits We anticipate the application window for this opening will close on: 06/17/2024

SIU Investigator

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors&trade; support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary Health is everything. At CVS Health, we are committed to increasing patient access to care, lowering costs and improving the quality of care. Millions of times a day, we're helping people on their path to better health- from advising patients on their prescriptions to helping them manage their chronic and specialty conditions. Because we're present in so many moments, big and small, we have an active, supportive role in shaping the future of health care. Pharmacy Technicians are at the forefront of our purpose as they deliver compassionate care to our millions of patients every day. Come join our team of dedicated and caring Pharmacy Technicians who demonstrate our core values of Accountability, Caring, Collaboration,Innovation and Integrity in everything they do in our pharmacies every day. Whether you are new to working in pharmacies or are an experienced Pharmacy Technician, we have a place for you on our team to use your skills and talents to serve and care for our patients and customers. The Pharmacy Technician position provides individuals with an opportunity to work in a leading retail pharmacy company and in a role that positively impacts the lives and health of others. You will work in an environment where the highest professional and ethical standards are maintained as well as full compliance with all Federal, State and Local laws and regulations. Pharmacy Technicians take important steps to ensure all medication needs and regulatory compliance standards are met for our patients and they demonstrate ethical conduct and maintain patient confidentiality at all times. Success for incumbents in this role includes being able to manage all assigned pharmacy workstations and tasks to support the team's ability to promptly, safely and accurately fill patient prescriptions all while providing caring service that exceeds customer expectations. If you like working in fast-paced environments and demonstrating compassionate, genuine care for patients and customers, this job is for you! As a new Pharmacy Technician, you are required to complete an extensive CVS Pharmacy Technician Training Program as well as satisfy all registration, licensing and certification requirements according to your State's Board of Pharmacy guidelines. Your Pharmacy Technician duties will be restricted by your manager at first until you complete all necessary requirements. Once you satisfy all requirements and expand your Pharmacy Technician duties, you have the opportunity to continue to build your clinical, technical and insurance knowledge and expertise by leveraging available tools and training to build your pharmacy career. Are you ready to help people on their path to better health? We are ready to have you join our team and help you on your career path to achieve your goals! Please note in select markets the collective bargaining agreement rules regarding the Pharmacy Technician would apply. DISCLAIMER: The above information on this description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job. Based on the role and location, this position may require you to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless you are approved for a reasonable accommodation based on disability, medical condition, pregnancy, or religious belief that prevents them from being vaccinated. Proof of vaccination will be required on your first day of employment or within the first few months in the position, depending on the role and location. If you are considered for a role, more information will be provided during the hiring process. Required Qualifications<ul><li>Must be at least 16 years of age</li><li>Licensure requirements vary by state</li><li>Attention and Focus o The ability to concentrate on a task over a period of time without being distracted</li><li>Customer Service Orientation o Actively look for ways to help people, and do so in a friendly manner o Notice and understand customers' reactions, and respond appropriately</li><li>Communication Skills o Use and understand verbal and written communication to interact with customers and colleagues o Actively listening by giving full attention to what others are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times</li><li>Mathematical Reasoning o The ability to use math to solve a problem, such as calculating day's supply of a prescription</li><li>Problem Resolution o Is able to judge when something is wrong or is likely to go wrong; recognizing there is a problem o Choosing the best course of action when faced with a complex situation with several available options PHYSICAL DEMANDS:</li><li>Remaining upright on the feet, particularly for sustained periods of time</li><li>Moving about on foot to accomplish tasks, particularly for moving from one work area to another</li><li>Picking, pinching, typing or otherwise working primarily with fingers rather than whole hand or arm</li><li>Extending hand(s) and arm(s) in any direction</li><li>Bending body downward and forward by bending spine at the waist</li><li>Stooping to a considerable degree and requiring full use of the lower extremities and back muscles</li><li>Expressing or exchanging ideas by means of spoken word; those activities where detailed or important spoken instructions must be conveyed accurately</li><li>Perceiving the nature of sounds at normal speaking levels with or without correction, and having the ability to receive detailed information through oral communication</li><li>Visual Acuity: o The worker is required to have close visual acuity to perform activities such as: transcribing, viewing a computer terminal, reading, visual inspection involving small parts</li><li>Occasional lifting of up to 30 lbs; exerting up to 30 lbs of force occasionally and/or up to 10 lbs of force frequently, and/or a negligible amount of force constantly to move objects</li></ul>Preferred Qualifications<ul><li>Previous experience in a pharmacy, retail, medical, or customer service setting</li><li>Previous experience as a Pharmacy Technician</li><li>PTCB National Certification</li></ul>Education High School diploma or equivalent preferred but not required. Pay Range The typical pay range for this role is: $16.00 - $21.00 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. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits We anticipate the application window for this opening will close on: 08/30/2024

Pharmacy Technician

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors&trade; support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary Health is everything. At CVS Health, we are committed to increasing patient access to care, lowering costs and improving the quality of care. Millions of times a day, we're helping people on their path to better health- from advising patients on their prescriptions to helping them manage their chronic and specialty conditions. Because we're present in so many moments, big and small, we have an active, supportive role in shaping the future of health care. Pharmacy Technicians are at the forefront of our purpose as they deliver compassionate care to our millions of patients every day. Come join our team of dedicated and caring Pharmacy Technicians who demonstrate our core values of Accountability, Caring, Collaboration,Innovation and Integrity in everything they do in our pharmacies every day. Whether you are new to working in pharmacies or are an experienced Pharmacy Technician, we have a place for you on our team to use your skills and talents to serve and care for our patients and customers. The Pharmacy Technician position provides individuals with an opportunity to work in a leading retail pharmacy company and in a role that positively impacts the lives and health of others. You will work in an environment where the highest professional and ethical standards are maintained as well as full compliance with all Federal, State and Local laws and regulations. Pharmacy Technicians take important steps to ensure all medication needs and regulatory compliance standards are met for our patients and they demonstrate ethical conduct and maintain patient confidentiality at all times. Success for incumbents in this role includes being able to manage all assigned pharmacy workstations and tasks to support the team's ability to promptly, safely and accurately fill patient prescriptions all while providing caring service that exceeds customer expectations. If you like working in fast-paced environments and demonstrating compassionate, genuine care for patients and customers, this job is for you! As a new Pharmacy Technician, you are required to complete an extensive CVS Pharmacy Technician Training Program as well as satisfy all registration, licensing and certification requirements according to your State's Board of Pharmacy guidelines. Your Pharmacy Technician duties will be restricted by your manager at first until you complete all necessary requirements. Once you satisfy all requirements and expand your Pharmacy Technician duties, you have the opportunity to continue to build your clinical, technical and insurance knowledge and expertise by leveraging available tools and training to build your pharmacy career. Are you ready to help people on their path to better health? We are ready to have you join our team and help you on your career path to achieve your goals! Please note in select markets the collective bargaining agreement rules regarding the Pharmacy Technician would apply. DISCLAIMER: The above information on this description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job. Based on the role and location, this position may require you to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless you are approved for a reasonable accommodation based on disability, medical condition, pregnancy, or religious belief that prevents them from being vaccinated. Proof of vaccination will be required on your first day of employment or within the first few months in the position, depending on the role and location. If you are considered for a role, more information will be provided during the hiring process. Required Qualifications<ul><li>Must be at least 16 years of age</li><li>Licensure requirements vary by state</li><li>Attention and Focus o The ability to concentrate on a task over a period of time without being distracted</li><li>Customer Service Orientation o Actively look for ways to help people, and do so in a friendly manner o Notice and understand customers' reactions, and respond appropriately</li><li>Communication Skills o Use and understand verbal and written communication to interact with customers and colleagues o Actively listening by giving full attention to what others are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times</li><li>Mathematical Reasoning o The ability to use math to solve a problem, such as calculating day's supply of a prescription</li><li>Problem Resolution o Is able to judge when something is wrong or is likely to go wrong; recognizing there is a problem o Choosing the best course of action when faced with a complex situation with several available options PHYSICAL DEMANDS:</li><li>Remaining upright on the feet, particularly for sustained periods of time</li><li>Moving about on foot to accomplish tasks, particularly for moving from one work area to another</li><li>Picking, pinching, typing or otherwise working primarily with fingers rather than whole hand or arm</li><li>Extending hand(s) and arm(s) in any direction</li><li>Bending body downward and forward by bending spine at the waist</li><li>Stooping to a considerable degree and requiring full use of the lower extremities and back muscles</li><li>Expressing or exchanging ideas by means of spoken word; those activities where detailed or important spoken instructions must be conveyed accurately</li><li>Perceiving the nature of sounds at normal speaking levels with or without correction, and having the ability to receive detailed information through oral communication</li><li>Visual Acuity: o The worker is required to have close visual acuity to perform activities such as: transcribing, viewing a computer terminal, reading, visual inspection involving small parts</li><li>Occasional lifting of up to 30 lbs; exerting up to 30 lbs of force occasionally and/or up to 10 lbs of force frequently, and/or a negligible amount of force constantly to move objects</li></ul>Preferred Qualifications<ul><li>Previous experience in a pharmacy, retail, medical, or customer service setting</li><li>Previous experience as a Pharmacy Technician</li><li>PTCB National Certification</li></ul>Education High School diploma or equivalent preferred but not required. Pay Range The typical pay range for this role is: $16.00 - $16.00 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. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits We anticipate the application window for this opening will close on: 08/30/2024

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors&trade; support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary Responsibilities to include but not limited to the following: &bull; Performs intake of calls from members or providers regarding services via telephone, fax, EDI. &bull; Utilizes MedCompass and other Aetna system to build, research and enter member information. &bull; Screens requests for appropriate referral to medical services staff. &bull; Approve services that do not require a medical review in accordance with the benefit plan. &bull; Performs intake of calls from members or providers regarding services via telephone, fax, EDI. &bull; Utilizes MedCompass and other Aetna system to build, research and enter member information. &bull; Screens requests for appropriate referral to medical services staff. &bull; Approve services that do not require a medical review in accordance with the benefit plan. &bull; Performs non-medical research including eligibility verification, COB, and benefits verification. &bull; Maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements. &bull; Promotes communication, both internally and externally to enhance effectiveness of medical management services (e.g., claim administrators, Plan Sponsors, and third-party payers as well as member, family, and health care team members respectively). Protects the confidentiality of member information and adheres to company policies regarding confidentiality. &bull; Supports the administration of the precertification process in compliance with various laws and regulations, URAQ and/or NCQA standards, where applicable, while adhering to company policy and procedures. &bull; Places outbound calls to providers under the direction of Medical Management Nurses to obtain clinical information for approval of medical authorizations. Uses Aetna Systems such as MedCompass, QNXT, ProFAX, ProPAT, and Milliman Criteria. &bull; Communicates with Aetna Nurses and Medical Directors, when processing transactions for members active in this Program. Required Qualifications - 1 plus years working in medical office or medical assistant experience, some prior authorization experience. Preferred Qualifications - Customer service experience, Microsoft Office, call center experience. - Familiarity with basic medical terminology and concepts used in care management. - Computer literacy in order to navigate through internal/external computer systems, including Excel and Microsoft Word. Ability to work on a rotation schedule for weekends/holidays. Education High School Diploma or equivalent GED Pay Range The typical pay range for this role is: $17.00 - $28.45 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. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits We anticipate the application window for this opening will close on: 06/14/2024

Inbound Queue Associate

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors&trade; support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary The Shift Supervisor Trainee role is an entry-level, short-term role that prepares an employee to perform a higher-level supervisory role, such as Operations Supervisor or Shift Supervisor. The Shift Supervisor Trainee performs work as directed in order to prepare for future supervisory responsibilities, completes basic operations and management skills training, and also learns about key aspects of the business (e.g., building customer loyalty through exceptional service) and CVS/pharmacy culture. Upon successful completion of the training program, Shift Supervisor Trainees are eligible to be considered for promotion to open Operations Supervisor or Shift Supervisor positions. These key leadership roles support the CVS Store Management team in driving store execution and performance while building consumer loyalty to CVS/pharmacy through a focus on excellent customer service. When there is no manager onsite, the Operations Supervisor or Shift Supervisor leads the store staff, ensures that store operations run smoothly, and is responsible for ensuring the completion of all opening and closing procedures. Essential Functions: 1. Management<ul><li>Work effectively with store management and store crews</li><li>Supervise the store's crew through assigning, directing and following up of all activities</li><li>Effectively communicate information both to and from store management and crews 2. Customer Service</li><li>Assist customers with their questions, problems and complaints</li><li>Promote CVS customer service culture. (Greet, offer help, and thank)</li><li>Handle all customer relations issues in accordance with company policy and promote a positive shopping experience for all CVS customers</li><li>Maintain customer/patient confidentiality</li><li></li><li>Required Qualifications Deductive reasoning ability, analytical skills and computer skills. Advanced communication skills. Ability to work a flexible schedule, including some early morning, overnight and weekend shifts, to work overtime as needed. Preferred Qualifications<ul><li>Experience in retail</li></ul>Education High School diploma or equivalent preferred but not required.</li></ul>Pay Range The typical pay range for this role is: $16.55 - $22.00 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. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits We anticipate the application window for this opening will close on: 07/01/2024

Shift Supervisor Trainee

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors&trade; support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary The Health Equity Specialist is responsible for managing and supporting organizational health equity goals by implementing, monitoring, and evaluating ABHNJ performance measures to identify, prevent, and reduce health care disparities. The Health Equity Specialist reports to the ABHNJ Director of Quality Management and will work in close partnership with the ABHNJ CEO, COO, CMO, CFO, and all matrixed growth partners to address health disparities. Successful candidate must live in New Jersey or be willing to relocate. Responsibilities include:<ul><li> Managing and supporting organizational health equity goals through identifying, analyzing, and addressing health disparities, performance improvement plans and interventions related to health disparities, cultural competence training, modifying, and establishing internal and external policies and procedures to address and incorporate health equity, and reporting on organizational diversity activities to facilitate an inclusive workforce to support beneficiaries. </li><li> Chairing the ABHNJ Health Equity/Disparity Workgroup </li><li> Developing and implementing a process and action plan to identify and evaluate healthcare disparities by subgroups including gender, race, ethnicity, historically marginalized populations, primary language, geographic location, and disability status </li><li> Evaluating the effectiveness of the action plan </li></ul>Required Qualifications<ul><li> At least three (3) years of experience in NJ Medicaid Managed care </li><li>Strong analytical and communication skills (written and verbal)</li><li>Demonstrated ability to effectively interact with providers, advocate and state partners.</li><li>Excellent organization and time management skills</li><li>Experience navigating a matrixed organization. </li><li>Experience developing and executing project plans and processes. </li></ul>Preferred Qualifications<ul><li>Project Management experience preferred</li><li>Attention to detail</li><li>Experience in Human Resources</li></ul>Education Bachelor's degree or High School Equivalent and 4 years of experience or Associate degree and 2 years of experience in health related field Pay Range The typical pay range for this role is: $63,300.00 - $139,200.00 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. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits We anticipate the application window for this opening will close on: 06/29/2024

Health Equity Specialist (ABHNJ)

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors&trade; support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary Health is everything. At CVS Health, we are committed to increasing patient access to care, lowering costs and improving the quality of care. Millions of times a day, we're helping people on their path to better health- from advising patients on their prescriptions to helping them manage their chronic and specialty conditions. Because we're present in so many moments, big and small, we have an active, supportive role in shaping the future of health care. Pharmacy Technicians are at the forefront of our purpose as they deliver compassionate care to our millions of patients every day. Come join our team of dedicated and caring Pharmacy Technicians who demonstrate our core values of Accountability, Caring, Collaboration,Innovation and Integrity in everything they do in our pharmacies every day. Whether you are new to working in pharmacies or are an experienced Pharmacy Technician, we have a place for you on our team to use your skills and talents to serve and care for our patients and customers. The Pharmacy Technician position provides individuals with an opportunity to work in a leading retail pharmacy company and in a role that positively impacts the lives and health of others. You will work in an environment where the highest professional and ethical standards are maintained as well as full compliance with all Federal, State and Local laws and regulations. Pharmacy Technicians take important steps to ensure all medication needs and regulatory compliance standards are met for our patients and they demonstrate ethical conduct and maintain patient confidentiality at all times. Success for incumbents in this role includes being able to manage all assigned pharmacy workstations and tasks to support the team's ability to promptly, safely and accurately fill patient prescriptions all while providing caring service that exceeds customer expectations. If you like working in fast-paced environments and demonstrating compassionate, genuine care for patients and customers, this job is for you! As a new Pharmacy Technician, you are required to complete an extensive CVS Pharmacy Technician Training Program as well as satisfy all registration, licensing and certification requirements according to your State's Board of Pharmacy guidelines. Your Pharmacy Technician duties will be restricted by your manager at first until you complete all necessary requirements. Once you satisfy all requirements and expand your Pharmacy Technician duties, you have the opportunity to continue to build your clinical, technical and insurance knowledge and expertise by leveraging available tools and training to build your pharmacy career. Are you ready to help people on their path to better health? We are ready to have you join our team and help you on your career path to achieve your goals! Please note in select markets the collective bargaining agreement rules regarding the Pharmacy Technician would apply. DISCLAIMER: The above information on this description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job. Based on the role and location, this position may require you to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless you are approved for a reasonable accommodation based on disability, medical condition, pregnancy, or religious belief that prevents them from being vaccinated. Proof of vaccination will be required on your first day of employment or within the first few months in the position, depending on the role and location. If you are considered for a role, more information will be provided during the hiring process. Required Qualifications<ul><li>Must be at least 16 years of age</li><li>Licensure requirements vary by state</li><li>Attention and Focus o The ability to concentrate on a task over a period of time without being distracted</li><li>Customer Service Orientation o Actively look for ways to help people, and do so in a friendly manner o Notice and understand customers' reactions, and respond appropriately</li><li>Communication Skills o Use and understand verbal and written communication to interact with customers and colleagues o Actively listening by giving full attention to what others are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times</li><li>Mathematical Reasoning o The ability to use math to solve a problem, such as calculating day's supply of a prescription</li><li>Problem Resolution o Is able to judge when something is wrong or is likely to go wrong; recognizing there is a problem o Choosing the best course of action when faced with a complex situation with several available options PHYSICAL DEMANDS:</li><li>Remaining upright on the feet, particularly for sustained periods of time</li><li>Moving about on foot to accomplish tasks, particularly for moving from one work area to another</li><li>Picking, pinching, typing or otherwise working primarily with fingers rather than whole hand or arm</li><li>Extending hand(s) and arm(s) in any direction</li><li>Bending body downward and forward by bending spine at the waist</li><li>Stooping to a considerable degree and requiring full use of the lower extremities and back muscles</li><li>Expressing or exchanging ideas by means of spoken word; those activities where detailed or important spoken instructions must be conveyed accurately</li><li>Perceiving the nature of sounds at normal speaking levels with or without correction, and having the ability to receive detailed information through oral communication</li><li>Visual Acuity: o The worker is required to have close visual acuity to perform activities such as: transcribing, viewing a computer terminal, reading, visual inspection involving small parts</li><li>Occasional lifting of up to 30 lbs; exerting up to 30 lbs of force occasionally and/or up to 10 lbs of force frequently, and/or a negligible amount of force constantly to move objects</li></ul>Preferred Qualifications<ul><li>Previous experience in a pharmacy, retail, medical, or customer service setting</li><li>Previous experience as a Pharmacy Technician</li><li>PTCB National Certification</li></ul>Education High School diploma or equivalent preferred but not required. Pay Range The typical pay range for this role is: $16.00 - $24.00 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. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits We anticipate the application window for this opening will close on: 08/30/2024

Pharmacy Techinican

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors&trade; support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary This position is work from home and open nationwide. Responsible for providing care coordination and health care navigation assistance to members on specific specialty infused medications. PRIMARY DUTIES AND RESPONSIBILITIES: 1. Interacts with patients, medical office staff, and health plan providers through both inbound/ outbound calls, explaining benefits regarding site of care and facilitating changes to ensure a smooth transition in patient care. 2. Provides care coordination and health care navigation assistance to members. 3. Facilitates member understanding of benefit change as it relates to specialty medications and works with physicians and their agents to transition to alternate site of care as applicable. 4. Communicates with member's PCP, specialist, or the clinical team when needed to address gaps in care. Improves compliance with treatment plans or insurance benefit design. 5. Works with Specialty Pharmacy to ensure member transition without interruption in therapy. 6. Performs other duties and responsibilities as assigned. Operating hours: 8:00am - 8:00pm EST, Monday - Friday Schedule: four 10 hour shifts, 8:00am - 7:00pm EST and 9:00am - 8:00pm EST. (shifts rotate each week, colleagues work 4 days with 1 day off during the week) 1 hour lunch break. Required Qualifications<ul><li>Valid Pharmacy Technician License per state requirements</li><li>National Certification - PTCB or ExCPT</li><li>Minimum two years of experience as a pharmacy technician.</li><li>Previous telephonic experience in healthcare; prior work experience in infusion, medical health office, or specialty pharmacy setting preferred. </li></ul>Preferred Qualifications<ul><li>Excellent verbal and written communications and listening skills.</li><li>Proficiency with Microsoft Office, including Word, Excel, and Outlook.</li><li>Ability to perform independently; be self-directed. </li><li>Previous work from home experience.</li></ul>Education<ul><li>High School Diploma</li></ul>Pay Range The typical pay range for this role is: $17.00 - $25.65 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. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits We anticipate the application window for this opening will close on: 06/30/2024

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