*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 The Health Coach Dietitian roles is fully remote, and candidates can apply from any state, however, there is a preference for candidates that live in either MST or PST time zones. Normal Working Schedule: Monday -Friday 8:30am-5:00pm in time zone of residence with flexibility needed for member calls after 5pm. Candidates in EST time zone may need to work at least from 9:30am-6:00pm EST as their standard shift to provide the needed coverage for members in MST and PST time zones. Utilizes a collaborative process of assessment, planning, implementation, and evaluation, to engage, educate, and promote/influence members in decisions related to achieving and maintaining optimal nutritional status. Assessment of Members: - Through the use of clinical tools and information/data review, uses knowledge and experience of nutrition and diet planning to conduct comprehensive evaluation of member's nutritional status and risks. - Utilizes assessment techniques to determine member's level of health literacy, technology capabilities/access, and readiness to change. Enhancement of Medical Appropriateness and Quality of Care: - Assimilate health/nutritional assessment data to establish a recommended nutritional approach based on member's health status/risks, education, preferences, and support needs - Partners with members to identify opportunities for integration into available internal/external programs. - Using holistic approach consults with supervisors or others to overcome barriers with assisting members in meeting goals and objectives. - Identifies and escalates quality of care issues through established channels. - Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health. - Utilizing interviewing and active listening skills, provides nutritional coaching, information, and support to empower the member to make ongoing independent healthy lifestyle choices. - Interprets and utilizes clinical guidelines/criteria to positively impact members health. - Provides up-to-date information to help facilitate the member's understanding of his/her health status. - Helps member actively and knowledgably participate with their provider in healthcare decision-making. Required Qualifications - Registered Dietitian licensure through the Commission on Dietetic Registration - Registered Dietitian Licensure if required in the state of residence - Upon hire, it will be required to obtain licensure in multiple states (approximately 20 states) where members reside, with CVS supporting the cost of required licensure - 5+ years of experience working in a multidisciplinary team - 5+ years of experience with weight management, disease management, medical nutrition therapy and health lifestyle behavior change - 5+ years of coaching experience - Requires strong technical skills for working with multiple monitors and programs, proficiency with MS Office Suites (Outlook, Word, Excel) - Must be willing to work Monday -Friday 8:30am-5:00pm in time zone of residence with flexibility needed for member calls after 5pm. Candidates in EST time zone may need to work at least from 9:30am-6:00pm EST as their standard shift to provide the needed coverage for members in MST and PST time zones Preferred Qualifications - Certified Diabetes Care and Education Specialist (CDCES) - Candidates from MST/PST time zone - Experience in facilitating patient/client positive behavioral change . - Background in motivational interviewing, active listening skills, Trans theoretical Model, mindfulness based, and other evidence-based coaching techniques preferred. - Managed Care Organization experience preferred - Demonstrated ability to communicate, problem solve, and work effectively with people, use good judgment in challenging situations Education Bachelor's degree required Pay Range The typical pay range for this role is: $46,597.20 - $101,200.00 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: 04/30/2024

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Health Coach - Registered Dietitian

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: 07/26/2024

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 - $19.50 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 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: 07/26/2024

Pharmacy Technician Full Time

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 Looking for a career that rewards you? As a Back-End Pharmacy Technician with Omnicare, you will find not only rewarding work in your community, but a team focused on providing a supportive and innovative team environment for all members. Day In The Life: As an Back-End Pharmacy Technician, you will work to ensure all medication needs and regulatory standards are met for our patients. You will work in various workstations allowing you to grow your skillsets further. Our back-end team focuses on order fulfillment in our closed-door pharmacy setting, including packaging and dispensing of medication, reviewing delivery orders and bins for accuracy, and coordinating stock rotations. Additional tasks and responsibilities include:<ul><li>Rotating and working in various assigned pharmacy workstations including: Packaging, Staging, Returns, Receiving, Narcotics, IV, Ekit, Compounding, Omnicell Cycle Fill, Machine Packaging</li><li>Receiving product deliveries, pull and stage product for distribution, rotate stock, and coordinate activities with drivers to ensure shipments are accurate and deliveries are timely</li><li>Performing physical inventories of medication</li></ul> The Team and Rewarding Benefits: Omnicare, a CVS Health Company, provides care to those in skilled nursing facilities, assisted living communications, and chronic care settings. Although Omnicare pharmacies are not open to the public, you'll work amongst great colleagues in a supportive environment aligned with the company's mission, allowing our customers to focus on giving their patients the best care. In addition, we offer the following benefits:<ul><li>Competitive pay and comprehensive benefits</li><li>Paid training, tuition support, cross-training opportunities</li><li>FREE business, leadership, and development courses</li><li>Employee discount programs</li><li>Affordable back-up child and elder care</li><li>Up to $10,000 reimbursement for expenses to build a family: adoption, surrogacy, doula service (if work is 30+hours per week)</li><li>And more!</li></ul> Pay Range: INSERT STANDARD LANGUAGE HERERequired Qualifications What You Bring: <ul><li>Certification/licensed/registered pharmacy technician or as required by state law</li><li>One (1) or more years of experience as a pharmacy technician or equivalent experience</li></ul>Preferred Qualifications Additional Skills/Experience, but not Required: <ul><li>Prior experience in the long-term care industry</li><li>Prior experience in a pharmacy, retail, medical, or customer service setting</li><li>PTCB National Certification</li><li>Five (5) or more years of experience as a pharmacy technician or equivalent experience</li></ul>Education<ul><li>Verifiable High School Diploma or GED</li></ul>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. 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: 07/26/2024

Advanced Pharmacy Technician - Back End

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 is a full-time field-based teleworker opportunity in Oklahoma. Qualified candidates preferably reside within the central OKC area/region which includes Oklahoma county. Community Health Workers (CHW) serve the local community as a bridge between the member and family and the healthcare/social services system through member contact, face-to-face coaching sessions, outreach and education. By providing these services, CHW's help Aetna Better Health members attain and maintain better health outcomes, have access to and fully utilize needed social supports, improve relationships with health care practitioners/providers, and help all parties learn about each other's culture. The CHW's role is meant to assist with access to services and to improve the quality and cultural competence of service delivery. Fundamental Components:<ul><li>Engage members who are experiencing, or are at risk of, health disparities, to improve their engagement, access to care, and their overall health.</li><li>Conduct home visits with members to reinforce following the care plan, adjusting tasks to fit with the member's culture, language, and religion, improve access to care, and identify health care and social needs.</li><li>Obtain and educate members about available SoonerSelect Program services.</li><li>Educate healthcare professionals and providers about protective health factors and the social determinants of health that may be impacting member's health and treatment plan through various communication channels.</li><li>Advocate on behalf of the member and their preferences with respect to receiving member and family-centered care.</li><li>Build and maintain positive working relationships with the members, their circle of support, providers, care coordinators, and other health plan support staff. </li><li>When applicable, serve as a member of the Interdisciplinary Care Team (ICT) and the multidisciplinary case rounds supporting the member to bridge information between the member and the care team regarding any identified cultural and/or psychosocial elements.</li><li>Work to reduce cultural and socio-economic barriers between members and institutions.</li><li>Assist with care plan implementation and member education during in-home visits, help develop care management strategies, and work with team members to provide linkages that address the various health and social needs of members.</li><li>Assist members to identify socio-economic issues that affect their overall health and develop health/social management plans and goals.</li><li>Identify gaps and opportunities to strengthen systems of care within the member's community and assist members in utilizing community services, including scheduling appointments with social services agencies, (including transportation vendors) and assisting with completion of applications for eligible programs.</li><li>Assist members to access community-based resources to address non-medical needs and to support the member's Care Plan objectives and independence.</li><li>Support medication adherence by reviewing the member's current medication list and assist in obtaining refills.</li><li>Accompany members to appointments as needed or requested.</li><li>Provide support to member with filing grievances and appeals.</li><li>Outreach, engage, and support members for re-enrollment and primary care provider (PCP) or provider assignment.</li><li>Enter and maintain member records in electronic health record system, compile reports and complete other program documentation in a timely manner.</li><li>Travel extensively to client homes, community locations, various agencies, and other outreach destinations.</li><li>Ability to effectively provide support care to socially and medically complex patients in a variety of non-traditional settings.</li><li>Exceptional organizational and interpersonal skills, with attention to detail required.</li><li>Ability to work collaboratively in a team and manage multiple priorities, utilizes effective time management skills, and exercise sound judgment.</li><li>Ability to influence medical care providers as needed to adjust interventions based on member's cultural, ethnic, or religious preferences.</li><li>Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.</li><li>Knowledge of regional formal and informal community agencies and resources.</li><li>Working knowledge of multi-system outreach programs related to health care delivery, clinical education, and health-related services.</li><li>Ability to communicate medical information to health care professionals and care coordinators over the telephone.</li><li>Requires flexibility to work in situations in which the working conditions are unknown, as environments and situation of patient homes may vary.</li></ul>Required Qualifications<ul><li>Must reside in Central Oklahoma in specified areas</li><li>If not certified, completion of a Community Health Worker CHW/Promotora approved certification program recognized by the State of Oklahoma is required within 12 months of start date.</li><li>3-5 years' relevant experience working in a community-based position or in a mental health capacity</li><li>Meet all requirements set forth by the state (i.e. first aid, CPR, TB screen, etc).</li><li>Experience with Electronic Health Records.</li><li>2+ years of demonstrated proficiency with personal computers, keyboard, multiple systems navigation, and MS Office Suite applications (Outlook, Word, Excel, SharePoint).</li><li>Requires the ability to travel to multiple office locations and home locations.</li><li>Must possess reliable transportation and be willing and able to travel in-state up to 50-75% of the time. Mileage is reimbursed per our company expense reimbursement policy.</li></ul>Preferred Qualifications<ul><li>1-2 years' experience providing community services; experience in community/outpatient setting preferred.</li><li>Community Health Worker Certification is preferred at time of hire.</li><li>Experience in serving the Medicaid Populations in urban or rural environments with familiarity of local formal and informal resource networks preferred.</li><li>Preferred skills: Mental Health First Aid, Trauma Informed Care, HIPPA, C.L.A.S. Standards, Motivational Interviewing, and specialized training in medical terminology and practices for designated health conditions.</li><li>Experience providing care to American Indian/Indigenous American/Native American populations</li></ul>Education<ul><li>High School Diploma or G.E.D., or equivalent experience</li></ul>Pay Range The typical pay range for this role is: $18.50 - $31.72 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: 05/10/2024

Community Health Worker - Must live in Central Oklahoma

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. As a Delivery Driver for Omnicare Pharmacy, you will deliver prescription orders and/or products to customers on a predetermined route and schedule in a company provided vehicle. Delivery Drivers take important steps to ensure all medication needs and regulatory compliance standards are met for our patients and they demonstrate ethical conduct and always maintain patient confidentiality. Successful Delivery Drivers will utilize a customer service mindset to manage all assigned pharmacy workstations and tasks to support the team's ability to fill patient prescriptions promptly, safely and accurately.<ul><li>Provide timely and accurate delivery of medication, equipment, products and/or supplies into long term care facilities or patient's homes</li><li>Load products/materials</li><li>Responsible for vehicle maintenance and alerting management for maintenance issues.</li><li>Maintain and full compliance with all Federal, State and Local laws and regulations</li><li>Maintain highest professional and ethical standards</li><li>Following all applicable government regulations including HIPAA to ensure patient confidentiality</li></ul>While no professional driving experience is required, we encourage those with previous driving experience as a limo driver, taxi/bus driver, courier, or gig-economy worker to apply. While employees learn and develop their careers, they also receive a competitive salary and benefits package. We are committed to helping our employees succeed. We believe in continuing education, internal advancement, and providing opportunities for career development wherever and whenever possible. Although Omnicare pharmacies are not open to the public, you'll work amongst great colleagues in a supportive environment aligned with the company's mission, allowing our customers to focus on giving their patients the best care. You can start your career on the path you'd expect from an industry leader and join our team today. In addition to career growth, other benefits offered include:<ul><li>Competitive pay</li><li>Benefits starting 1st day of month following your start.</li><li>Paid training</li><li>Fast track career progression with tuition reimbursement and utilizing our university partners, potentially a free higher education.</li><li>Employee discount programs</li></ul> Notwithstanding the language in the below COVID Requirements section that references exemption from the vaccine requirement for medical or religious reasons, successful candidates for this position must be fully vaccinated against COVID-19 prior to their start date. Certain health care facilities and other clientele will not allow unvaccinated colleagues to enter their premises, even with a reasonable accommodation that involves COVID-19 testing. Since some of the essential functions of this position must be performed within our clients' facilities, no exemptions from the vaccination requirement will be allowed for this position. Qualifications:<ul><li>High School Diploma or GED is required</li><li>Possess geographical knowledge of service area</li><li>Flexibility required Nights and Weekends</li><li>Current, valid driver's license in the state at the level required for the vehicle's operation</li><li>Ability to drive for long periods of time</li></ul>Preferred Qualifications:<ul><li>Previous experience as a Delivery Driver</li></ul>Education:<ul><li>High School Diploma or G.E.D.</li></ul>Pay Range The typical pay range for this role is: $16.00 - $30.14 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: 07/26/2024 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.

Delivery Driver - Full Time

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. As a Delivery Driver for Omnicare Pharmacy, you will deliver prescription orders and/or products to customers on a predetermined route and schedule in a company provided vehicle. Delivery Drivers take important steps to ensure all medication needs and regulatory compliance standards are met for our patients and they demonstrate ethical conduct and always maintain patient confidentiality. Successful Delivery Drivers will utilize a customer service mindset to manage all assigned pharmacy workstations and tasks to support the team's ability to fill patient prescriptions promptly, safely and accurately.<ul><li>Provide timely and accurate delivery of medication, equipment, products and/or supplies into long term care facilities or patient's homes</li><li>Load products/materials</li><li>Responsible for vehicle maintenance and alerting management for maintenance issues.</li><li>Maintain and full compliance with all Federal, State and Local laws and regulations</li><li>Maintain highest professional and ethical standards</li><li>Following all applicable government regulations including HIPAA to ensure patient confidentiality</li></ul>While no professional driving experience is required, we encourage those with previous driving experience as a limo driver, taxi/bus driver, courier, or gig-economy worker to apply. While employees learn and develop their careers, they also receive a competitive salary and benefits package. We are committed to helping our employees succeed. We believe in continuing education, internal advancement, and providing opportunities for career development wherever and whenever possible. Although Omnicare pharmacies are not open to the public, you'll work amongst great colleagues in a supportive environment aligned with the company's mission, allowing our customers to focus on giving their patients the best care. You can start your career on the path you'd expect from an industry leader and join our team today. In addition to career growth, other benefits offered include:<ul><li>Competitive pay</li><li>Benefits starting 1st day of month following your start.</li><li>Paid training</li><li>Fast track career progression with tuition reimbursement and utilizing our university partners, potentially a free higher education.</li><li>Employee discount programs</li></ul> Notwithstanding the language in the below COVID Requirements section that references exemption from the vaccine requirement for medical or religious reasons, successful candidates for this position must be fully vaccinated against COVID-19 prior to their start date. Certain health care facilities and other clientele will not allow unvaccinated colleagues to enter their premises, even with a reasonable accommodation that involves COVID-19 testing. Since some of the essential functions of this position must be performed within our clients' facilities, no exemptions from the vaccination requirement will be allowed for this position. Qualifications:<ul><li>High School Diploma or GED is required</li><li>Possess geographical knowledge of service area</li><li>Flexibility required Nights and Weekends</li><li>Current, valid driver's license in the state at the level required for the vehicle's operation</li><li>Ability to drive for long periods of time</li></ul>Preferred Qualifications:<ul><li>Previous experience as a Delivery Driver</li></ul>Education:<ul><li>High School Diploma or G.E.D.</li></ul>Pay Range The typical pay range for this role is: $16.00 - $27.54 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: 07/26/2024 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.

Delivery Driver - Part Time

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. Approximately 10% of travel required within the state of Virginia. Must reside in state of Virginia, preferably in the Central Region. Position Summary Responsible for the review and evaluation of clinical information and documentation to determine if the plan is person-centered, based on the assessment, and whether it addresses the individual's needs and personal goals. Reviews documentation and interprets data obtained from clinical records or systems to monitor and evaluate DMAS Home Community Based Services (HCBS) waivers and program participation requirements. Coordinates and conducts exit interviews/conferences with providers and educates them on specific waivers and other audit requirements. Evaluates documentation/information to determine compliance with clinical policy, regulatory and accreditation guidelines, and maximize compliance with Virginia Medicaid Waiver Programs. Implements corrective action plans (CAPs), provision of technical assistance, and referrals to the Department of Program Integrity when applicable and follows up on CAPs to ensure compliance. Pro-actively and consistently applies waiver program requirements, accreditation standards, and HEDIS specifications to assure that activities are processed within guidelines. Condenses complex information into a clear and precise clinical picture, while working independently. Reports audit or clinical findings timely to appropriate staff or others to ensure appropriate outcome and/or follow-up improvement as indicated. Required Qualifications - 3+ years of clinical experience required - 3+ years of Quality experience required - Virginia resident required - Licensed RN with current unrestricted state of Virginia licensure required - Must possess reliable transportation and be willing and able to travel approximately 10% of the time. Mileage is reimbursed per our company expense reimbursement policy - 1+ year of experience using Microsoft Excel Preferred Qualifications - Managed Care and HEDIS experience preferred Education - Associates degree minimum required - Bachelor's degree preferred Pay Range The typical pay range for this role is: $60,522.80 - $129,600.00 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: 06/17/2024

Quality Management Nurse Consultant

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 Account Executive develops and implements account management and cross/up sell strategies to build and maintain strong external and internal relationships to achieve customer satisfaction, revenue, membership, and earnings objectives for existing customers in assigned business segments, products, and geographies for a base of large market or multi-product and geography accounts, wile serving as the primary interface for all products and services and creates demand for the organization's products and services by raising their profile with customers. Fundamental Components: <ul><li> Develops and executes account management strategy for a strategic, multi-geography or high tier book of business to include discussions on service levels and expectations, process improvements, operation of benefits plans, identification of gaps in service levels, and determination of root causes and solution development through cross-functional coordination via internal and external senior or executive levels decision makers. </li><li> Develops and executes the renewal process ensuring appropriate margins and customer/membership retention targets are achieved. Prepares client for renewal by explaining cost drivers of benefit plan, offers solutions to reduce costs, delivers renewal to client and producer. Formulates complex financial decision recommendations and presents them to management. Supports New Business Sales team with finalist meetings for new business. </li><li> Assesses the competitive environment and develops sales strategies to capitalize on market opportunities and drive a competitive advantage. </li><li> Develops and maintain and executes strategic cross-functional annual business plan and account strategy by customer that reflects the customer's business objectives and how Aetna solutions align with those objectives to achieve our operational, financial, network, clinical and relationship initiatives (internal and external version). Retains and cultivates a profitable book of business by coordinating the renewal process. </li><li> Works collaboratively within Aetna and across business functions to ensure customer needs are understood and key issues are addressed. </li><li> Responsible for Customer Strategy & Relationship Management for day-to-day contacts, senior management, and key decision makers - ensure multi- threaded throughout the organization - also leads/manages the Producer Relationship for this customer. </li><li> Understands industry trends, market dynamics and able to tie these levers to the Customer's/Account Strategy. </li><li> Leads coordination for communications of any CVS/Aetna News (i.e. general business announcements, operational support, etc.) </li><li> Directly accountable for retention of assigned portfolio (persistency and renewal goals), owns the financial management of their assigned book. Owns, manages, and coordinates renewal strategies. Drives/executes on upsell activities. </li><li> Supports New Business Sales team with finalist meetings for new opportunities. </li><li> Responsible for financial performance, including pricing and negotiation, ensuring alignment with profitability targets for assigned portfolio. Reviews and consultatively presents customer reporting with meaningful analytics, trending, and insightful recommendations for additional programs and services. Leads Presentations with clients. </li><li> Required to communicate with internal and external parties telephonically and/or in person. May require travel to offsite locations for in-person meetings </li></ul> Required Qualifications - Prior Self-funded Health Insurance Account Management experience of 2 years -Maintain excellent verbal and written communication skills -Understand competitive environment and market opportunities -Ability to successfully establish and maintain relationships with internal business partners. -Exhibit consistency in follow through on outstanding items to point of resolution -Ability to participate and/or successfully host client meetings as appropriate -Demonstrate adherence to PHI and HIPPA policies -Active Health & Life license Preferred Qualifications -2+ years Account management experience -Located in the southeast states -Bachelor' Degree in Business Education Associate's degree or equivalent work experience (HS diploma + 2 years relevant experience) Pay Range The typical pay range for this role is: $43,500.00 - $101,300.00 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. 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: 05/23/2024

Account Executive (Meritain Health)

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 Responsible for performing quality inter-rater review audits of medical records coded by internal team (CDQA and Sr CDQA) to ensure the ICD-10 codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures .In this position you will have the opportunity to demonstrate proficiency in the following:- Proven ability to support coding judgment and decisions using industry standard evidence and tools.- Ability to confidently speak to such evidence across stakeholders with varying knowledge and clinical expertise in either written or verbal forms including communication with clinical or coding staff, federal regulators and vendor coding resources.- Leads dispute resolution.- Acts as mentor to provide education to internal staff based on audit findings; provides general education on ICD codes as appropriate.- Effectively communicates the audit process and results to appropriate departments and management.- Conducts process audits to ensure compliance with internal policies and procedures and existing CMS regulations.- Identifies and recommends opportunities for process improvements so that productivity and quality goals can be met or exceeded and operational efficiency and final accuracy is achieved.- Ability to work independently as well as in a cross functional role within other teams for collaboration on best practices.- Adhere to stringent timelines consistent with project deadlines and directives.- Must possess high level of dependability and is able to meet coding accuracy and production standards.- Monitors own work to help ensure quality.- Required to act in ethical manner at all times as required under HIPAA's Privacy and Security rules to handle patient data with uncompromised adherence to the law.-Possesses a genuine interest in improving and promoting quality; demonstrates accuracy and thoroughness and assists others to achieve the same through mentoring and instruction.- Medical record auditing skills and abstraction expertise. -Serves as the training resource and subject matter expert to vendors, providers and other team members for questions regarding ICD coding and documentation requirements.-Conducts process audits to ensure compliance with internal policies and procedures as well as regulatory guidance from CMS, OIG or other Regulatory body.-Expertise in assigning accurate medical codes for diagnoses as documented for physicians and other qualified healthcare providers in the office and/or facility setting.-Thorough knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical necessity.- In depth knowledge of medical terminology and anatomy for all body systems.-Understand the audit process for risk adjustment models. -Identify and communicate documentation deficiencies to allow for continuous education opportunities for providers, vendors and peers.- Expertise in medical documentation, fraud, abuse and penalties for documentation and coding violations based on governmental guidelines.- Apply AHA Coding Clinic guidance to identify and resolve coding issues.-Remains current on educational training and requirements including ICD coding, CMS documentation requirements, and State and Federal regulations.-Performs other related duties as required. Required Qualifications CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist-Physician).) ( CRC (Certified Risk Adjustment Coder must be able to obtain within 1 year of employment ) Computer proficiency including experience with Microsoft Office products (Word, Excel, Access, PowerPoint, Outlook, industry standard coding applications). Experience with International Classification of Disease (ICD) codes required Minimum of 2 years recent and related experience in medical record documentation review, diagnosis coding, and/or auditing Preferred Qualifications 5 years recent and related experience in medical record documentation review, diagnosis coding, and/or auditing. Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories CRC (HCC)CPMA (Certified Professional Medical Auditor), CDEO (Certified Documentation Expert Outpatient) or CPC-I (Certified Professional Coding Instructor) preferred. Excellent analytical and problem solving skills. Superior communication, organizational, and interpersonal skills Education Completion of AAPC/AHIMA training program for core credential (CPC, CCS-P) with associated work history/on the job experience equal to approximately 2 years for CPC. Business Overview : 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. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. Pay Range The typical pay range for this role is: $18.50 - $31.72 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: 05/13/2024

Coding Data Quality Auditor

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 Utilization Management (UM) Nurse Consultant role is fully remote and employee can live in any state. As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. You would be responsible for ensuring the member is receiving the appropriate care at the appropriate time and at the appropriate location, while adhering to federal and state regulated turn-around times. This includes reviewing written clinical records. The UM Nurse Consultant job duties include (not all encompassing): -Reviews services to assure medical necessity, applies clinical expertise to assure appropriate benefit utilization, facilitates safe and efficient discharge planning and works closely with facilities and providers to meet the complex needs of the member. - Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program - Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members - Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure, and clinical judgment to render coverage determination/recommendation along the continuum of care - Communicates with providers and other parties to facilitate care/treatment - Identifies members for referral opportunities to integrate with other products, services and/or programs - Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization -Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function. Required Qualifications: - Must have active current and unrestricted RN state licensure in state of residence - 2+ years of clinical experience as an RN (all clinical areas considered: Home Health, Med/Surg, Telemetry, ICU, NICU, Long term care, orthopedics, and more) - Must be willing to work Monday through Thursday 8am-4:30pm and Friday 8:30am-5:00pm in time zone of residence. Shift times may vary occasionally per the need of the department. - Must be willing to work late shift requirement until 9:00pm EST on a quarterly basis. - Must be willing to work a weekend shift requirement (Saturday and Sunday both) per the needs of the team. - Must be willing to work Holiday rotation per the need of the department (typically 1 holiday per year). Preferred Qualifications: - 1+ years' experience Utilization Review experience - 1+ years' experience Managed Care - Strong telephonic communication skills - 1+ years' experience with Microsoft Office Suite (PowerPoint, Word, Excel, Outlook) - Experience with computers toggling between screens while using a keyboard and speaking to customers. - Ability to exercise independent and sound judgment, strong decision-making skills, and well-developed interpersonal skills - Ability to manage multiple priorities, effective organizational and time management skills required - Ability use a computer station and sit for extended periods of time Education: Associates Degree required BSN preferred Pay Range The typical pay range for this role is: $29.10 - $62.31 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: 04/30/2024

Utilization Management Nurse Consultant

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 Support Comprehensive coordination of National Medical Excellence Program. - Utilizes ASD/ATV/HRP/MedCompass and other Aetna systems to build, research and enter member information in applicable system. - Performs non-medical research including eligibility verification, COB, and benefits verification. - Maintains accurate and complete documentation of required information and meets risk management, regulatory and accreditation requirements. _ Performs intake of calls from members or providers regarding services via telephone, fax, EDI. - These duties may include but are not limited to processing referrals, making outreach calls, entering data. -Collaborates with the clinical team, medical directors, claims and contacting staff. -Communicates with transplant financial coordinator at the transplant center. -Initiates authorizations regarding kidney transplants. -Communicates with the member regarding transplant services. -Other duties as assigned. Required Qualifications -Computer skills, including in MS Office -Ability to communicate with diverse populations -Ability to collaborate with and work in a team environment -Flexibility and ability to work independently Preferred Qualifications -Prior insurance experience -Call center experience -Customer Service experience over the phone Education Associates degree, or equivalent experience Pay Range The typical pay range for this role is: $18.50 - $35.29 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: 05/03/2024

Care Management 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 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></ul>*The above represents a summary of the functions of a Pharmacy Manager. Additional functions and physical requirements are available on the full job description. Required Qualifications <ul><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)..Bachelor of Science in Pharmacy or Pharm. D. degree</li></ul>Pay Range The typical pay range for this role is: $65.00 - $81.00 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: 06/26/2024 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.

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<ul><li>Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members.</li><li>Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation along the continuum of care</li><li>Communicates with providers and other parties to facilitate care/treatment Identifies members for referral opportunities to integrate with other products, services and/or programs</li><li>Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization</li><li>Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function.</li><li>Typical office working environment with productivity and quality expectations.</li><li>Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.</li><li>Sedentary work involving periods of sitting, talking, listening.</li><li>Work requires sitting for extended periods, talking on the telephone and typing on the computer. Ability to multitask, prioritize and effectively adapt to a fast paced changing environment.</li><li>Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding.</li><li>Effective communication skills, both verbal and written</li></ul>Required Qualifications - 3+ years of experience as a Registered Nurse - Must have active current and unrestricted RN licensure in state of residence - Must possess 1+ years of clinical experience in acute or post-acute setting - Must be available to work Monday through Friday in time zone of residence 8 AM to 5 PM - Occasional holidays and weekends may be required per business needs Preferred Qualifications - 3+ years of clinical experience - Managed Care experience preferred Education Associates Degree required BSN preferred Pay Range The typical pay range for this role is: $30.39 - $65.66 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: 04/30/2024

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. This is a full-time telework position. Standard working hours: Monday-Friday 8:00a-5:00p in time zone of residence. Position Summary The Associate Manager, Clinical Health Service will oversee the implementation of healthcare management services for assigned functional area. Fundamental Components &bull; Implements clinical policies & procedures in accordance with applicable regulatory and accreditation standards (e.g., NCQA, URAC, state and federal standards and mandates as applicable) &bull; Serve as a content model expert and mentor to the team regarding practice standards, quality of interventions, problem resolution and critical thinking &bull; Ensure implementation and monitoring of best practice approaches and innovations to better address the member's needs across the continuum of care &bull; May act as a liaison with other key business areas. &bull; May develop/assist in development and/review new training content &bull; May collaborate/deliver inter and intra-departmental training sessions &bull; Protects the confidentiality of member information and adheres to company policies regarding confidentiality &bull; Manages resources responsible for identification of members, development and implementation of care plans, enhancement of medical appropriateness and quality of care and monitoring, evaluating, and documenting of care &bull; Evaluate and interpret data, identify areas of improvement, and focus on interventions to improve outcomes &bull; Develop, initiate, evaluate, monitor, and communicate performance expectations &bull; Ensures the team's understanding and use of information system capability and functionality &bull; Participate in the recruitment and hiring process for staff using clearly defined requirements in terms of education, experience, technical and performance skills &bull; Assesses developmental needs and collaborates with others to identify and implement action plans that support the development of high performing teams &bull; Establish an environment and work style that promotes the concept of teamwork, cross product integration, and continuum of care thinking that results in strong performance &bull; Consistently demonstrates the ability to serve as a model change agent and lead change efforts &bull; Create a positive work environment by acknowledging team contributions, soliciting input, and offering personal assistance, when needed Accountable for maintaining compliance with policies and procedures and implements them at the employee level &bull; Communicate effectively with Providers, Members, Staff and other Leaders (e.g., may provide support to the sales staff & network staff via onsite customer visits and/or presentations) Required Qualifications: 3+ years in clinical area of expertise Must have active and unrestricted RN or LCSW licensure in state of residence Preferred Qualifications: Managed Medicare experience Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually Education and Certification Requirements Master's degree in behavioral health field; or Registered Nurse (BSN preferred) Pay Range The typical pay range for this role is: $72,306.00 - $155,700.00 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: 04/30/2024

Associate Manager, Clinical Health Services (Remote)

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 We are seeking an experienced and dynamic Business Project Manager to join the NextGen Reporting team. This role acts as a product owner for new reporting requests and is responsible for assessing scope of new projects, overseeing, and managing various projects and driving successful outcomes by using a hands-on approach to requirements and deliverables. This role requires strong leadership skills, excellent communication abilities, strong requirements/ analytical skills, and a keen eye for detail. The ideal candidate will collaborate closely with a cross-functional team to develop requirements and coordinate the delivery of projects using the scaled agile framework. The role requires a strong understanding of healthcare insurance and experience with analytics & reporting capabilities. Ability to query data to understand business gaps and issues is a plus. The candidate should be able to effectively lead discussions with business analysts and technical teams to prioritize and finalize requirements and collaborate with IT project managers to schedule and manage the deliverables of the project. We are looking for a strong leader who requires minimal day to day guidance and can independently handle project deliverables, escalate risks and issues and work with cross-functional stakeholders to report status. If you are a quick learner and want to work in a fast paced, collaborative environment, this job is a great fit for you. Required Qualifications Proven experience (7+ years) in business analysis and/or project management roles for IT projects Strong leadership skills and excellent communication skills, both verbal and written, with the ability to effectively interact with stakeholders at all levels. Solid understanding of project management methodologies, tools, and techniques (agile preferred) Strong analytical and problem-solving skills with a focus on delivering results. Ability to adapt to changing priorities and thrive in a fast-paced, dynamic environment. Health insurance and claim background is preferred. Knowledge of SQL, relational databases & analytical tools preferred Education Bachelor's degree Pay Range The typical pay range for this role is: $60,300.00 - $132,600.00 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: 05/31/2024

Manager, Project Management - NextGen Platform Enablement

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 Responsible for the overall supervision of Customer Service employees. Accountable for member/provider satisfaction, retention, and growth by efficiently delivering competitive services to members/providers. Responsible for the overall supervision of Care Management Associates in the National Medical Excellence Program &bull; Develops, motivates, evaluates and coaches staff on work procedures, proper call handling and teamwork delivering excellent customer service. &bull; Is visible and available to staff to answer questions, monitor calls and give ongoing feedback. &bull; Utilizes available incentive programs to reward, recognize and celebrate team and individual successes. &bull; Assesses individual and team performance on a regular basis and provides candid and timely feedback regarding developmental and training needs; includes completion of monthly and annual scorecards. &bull; Monitors all performance measures such as daily stats and schedule adherence; allocates resources to meet volume and performance demands. &bull; Develops and maintains strong collaborative relationships with constituents and internal business partners to maintain excellent lines of communication and share resources to meet common service center objectives. &bull; Remove barriers to job performance and ensures regulatory compliance. &bull; Attracts, selects, and retains high caliber, diverse talent able to successfully achieve or exceed business goals. &bull; Builds a cohesive team that works well together. &bull; Acts as liaison between staff and other areas, including management, all segments, provider teams, etc., communicating workflow results, ideas, and solutions. &bull; Proactively analyzes constituent data, identifies trends and issues. &bull; Recognizes and acts on the needs to improve the development and delivery of products and services. &bull; Clearly identifies what must be accomplished for successful completion of business objectives. &bull; Effectively applies and enforces Aetna HR policies and practices, i.e., FML/EML, Attendance, Code of Conduct, Disciplinary Guidelines Required Qualifications - 3+ years experience mentoring/leading others - 2-3 years management experience, managing 15-25 employees - A background in call center management and production - Ability to adapt - Ability to take clear direction, and take action. - Must be a team player, and an independent worker. Preferred Qualifications - Care Management Associate experience and/or customer service experience - Prior Supervisory Experience Education - Verifiable High School Diploma or G.E.D., or equivalent experience 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: 05/10/2024

Supervisor Customer Service - National Medical Excellence

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: $16.00 - $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: 05/17/2024

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 Operations Manager is a member of the Store Management team, and as such, fulfills the company purpose of helping people on their path to better health by driving store execution and performance while building consumer loyalty to CVS/pharmacy through a focus on excellent customer service. Under the supervision of the Store Manager, the Operations Manager will maintain an engaged, productive store team through strong leadership, demonstrating initiative and leading by example. The Operations Manager is responsible for supporting the Store Manager in the total leadership and strategic operation of a CVS/pharmacy store including:<ul><li>Overall store management, supervision, and policy implementation</li><li>Sales and inventory management</li><li>Employee staffing, training, and development</li><li>Financial management</li><li>Customer service leadership</li></ul>Unlike the Store Manager in Training position, the Operations Manager position is not part of the CVS/pharmacy Retail Management Development Program. Operations Managers are not eligible for direct promotion to Store Manager. Candidates with a short-term goal of becoming a CVS Store Manager should instead apply for Store Manager in Training openings. Essential Functions: 1. Management Lead others and work effectively with store crews Supervise, assign and direct activities of the store's crew Effectively communicate information to store crew and supervisors in an open and timely manner Support Store Manager with actions plans for operational and service improvement 2. Customer Service Assist customers with their questions, problems and complaints Promote CVS customer service culture (greet, offer help, and thank) Required Qualifications<ul><li>Deductive reasoning ability, advanced analytical skills and computer skills.</li><li>Advanced communication skills, leadership, supervision, and influencing skill</li><li>Ability to work a full-time flexible schedule, including some early morning, overnight and weekend shifts, to work overtime as needed, and to respond to urgent issues at the store when they arise</li></ul>Preferred Qualifications<ul><li>Experience as a retail manager or supervisor</li></ul>Education High School diploma or equivalent preferred but not required. Pay Range The typical pay range for this role is: $17.50 - $29.00 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: 06/23/2024

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