Strategic Consultant jobs at Cardinal Health - 47 jobs
Consultant, Business Analysis
Cardinal Health 4.4
Strategic consultant job at Cardinal Health
Headquartered in Dublin, Ohio, Cardinal Health, Inc. (NYSE: CAH) is a global, integrated healthcare services and products company connecting patients, providers, payers, pharmacists and manufacturers for integrated care coordination and better patient management. Backed by nearly 100 years of experience, with more than 50,000 employees in nearly 60 countries, Cardinal Health ranks among the top 20 on the Fortune 500
**_What Business Analysis contributes to Cardinal Health_**
Information Technology oversees the effective development, delivery, and operation of computing and information services. This function anticipates, plans, and delivers Information Technology solutions and strategies that enable operations and drive business value.
Business Analysis serves as a liaison between the organization's businesses and IT systems development teams to align business strategies and capability needs and to ensure IT systems enable their desired value. This job family identifies and analyzes business needs, defines requirements and objectives, and makes recommendations for solutions using new and existing technologies. This job family researches and documents relationships between the components of the application system (i.e., end users, business processes, data, applications, and devices) and translates business requirements into application requirements.
The Consultant, Business Analysis partners with business leaders and project teams to identify business needs and deliver Information Technology solutions. The Consultant defines project scopes in order to efficiently deliver on the identified business cases and ensures that solution development, implementation and change management activities achieve desired business goals. Through business process improvements and activation of new capabilities, the Consultant enables business units to achieve their operational and commercial objectives.
We are seeking a Warehouse Solutions IT Business Analyst who wants to be part of a high caliber sustain team focused on building and enhancing our supply chain solutions. In this role, you will serve as a key liaison between business stakeholders and IT development teams, ensuring alignment between business strategies and technology capabilities to deliver maximum value. You will collaborate with a team of technology experts to develop and execute innovative solutions that optimizes our warehouse operations. From warehouse management solutions, warehouse automation, and robotic implementations to digitizing our paper-based labeling and printing processes, you'll be working closely with business product owners, subject matter experts, and development teams to organize and deliver on critical projects. To accomplish that, this job family identifies and analyzes business needs, defines requirements and objectives, and makes recommendations for solutions using new and existing technologies. This job family also may serve as the primary test lead and platform lead for the various projects engaged to organize and deliver.
**_Responsibilities_**
+ Leads elicitation sessions with stakeholders to develop and articulate process flows, requirements, and rules, and prepare appropriate documentation.
+ Collaborates with subject matter experts to execute user acceptance testing and change management activities.
+ Solid experience in all phases of the software development lifecycle applying best practices and Agile software development methodologies and story card writing expertise.
+ Partners with functional experts to ensure scope is clearly defined for projects and implementation initiatives.
+ Investigates business operations, identifies causes behind the results achieved, and articulates the effects of those results on the business.
+ Ability to perform development of test automation by designing and writing automated test scripts based on defined test cases, including the definition of test data for consumption by scripts during test execution.
+ Facilitates and optimizes work intake and prioritization process across WMS solutions while partnering with business partners, including engagement of teams on effort, impact and timeline.
+ Provides timely and effective communication, including appropriate status updates, to all impacted stakeholders and project partners, conveying technical concepts and project progress simply and concisely.
+ Develop and maintain PE scripts to support automation initiatives.
+ Capture and analyze performance metrics and transaction volumes to support performance testing.
+ Preparing results from performance test execution for management and stakeholder review.
+ Document requirements in JIRA and coordinate handoff to the testing team.
+ Train business users on new system features, workflows, and process changes.
+ Provide test and deployment support on site and virtually.
+ Manage Manhattan Linux platform for code deployments and logs extraction.
+ Demonstrates problem solving ability that allows for effective and timely resolution of system issues including but not limited to production outages.
+ Demonstrate knowledge of software development techniques, software languages, system integrations, and hardware/software platforms
**_What is expected of you and others at this level_**
+ Applies comprehensive knowledge and a thorough understanding of concepts, principles, and technical capabilities to perform varied tasks and projects
+ May contribute to the development of policies and procedures
+ Works on complex projects of large scope
+ Develops technical solutions to a wide range of difficult problems
+ Solutions are innovative and consistent with organization objectives
+ Completes work; independently receives general guidance on new projects
+ Work reviewed for purpose of meeting objectives
+ May act as a mentor to less experienced colleagues
**_Qualifications_**
+ 5-8 years of experience preferred.
+ Bachelor's Degree in a Computer Science, Business or related discipline preferred.
+ Functional experience with Warehouse Management solutions such as Manhattan Warehouse Management products (WMOS 2019, Active WM) preferred.
+ Strong understanding of supply chain processes and how they relate to warehouse operations.
+ Hands on experience with JIRA, story card writing, backlog grooming, 3-Amigos, and other agile ceremonies preferred.
+ Hands on experience in testing of API, web applications & mobile applications using Selenium, Appium, Postman etc. tools preferred.
+ Experience with enterprise PE tools such as JMeter and BlazeMeter.
+ Ability to understand and work through testing processes UAT, Functional, and Non-Functional testing.
+ Experience in gathering requirements and documenting in tracking tools such as JIRA.
+ Experience with basic Linux administration a plus.
+ Excellent problem solving and critical thinking skills; ability to identify problems, gather facts, data mapping, analyze potential risks and impacts, and choose or propose a solution.
+ Strong analytical skills, including thorough understanding of how to solicit and interpret customer business needs, model business functions, and translate them into application and operational requirements and user stories.
+ Strong oral and written communication skills, ability to ask probing questions, lead cross-functional meetings and ability to translate technical concepts to non-technical team members and executives
+ Work independently, prioritizing work and proactively communicating status.
+ Exhibit general understanding of hardware/software platforms including but not limited to operating systems, databases, application servers, web servers and integration technologies.
**Anticipated salary range:** $80,900 - $115,500
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 1/19/2026 *if interested in opportunity, please submit application as soon as possible.
The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
$80.9k-115.5k yearly 59d ago
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Consultant, Business Analysis
Cardinal Health 4.4
Strategic consultant job at Cardinal Health
**_What Business Analysis contributes to Cardinal Health_** Information Technology oversees the effective development, delivery, and operation of computing and information services. This function anticipates, plans, and delivers Information Technology solutions and strategies that enable operations and drive business value.
Business Analysis serves as a liaison between the organization's businesses and IT systems development teams to align business strategies and capability needs and to ensure IT systems enable their desired value. This job family identifies and analyzes business needs, defines requirements and objectives, and makes recommendations for solutions using new and existing technologies. This job family researches and documents relationships between the components of the application system (i.e., end users, business processes, data, applications, and devices) and translates business requirements into application requirements.
**_Job Summary_**
The Consultant, Business Analysis partners with business leaders and project teams to identify business needs and deliver effective Information Technology solutions. This role defines project scope, facilitates requirements gathering, and ensures solution development, implementation, and change management activities achieve the intended business outcomes.
The role also serves as a subject matter expert (SME) on core systems and processes, helping the broader team understand system capabilities, data flows, and business impacts. With a natural curiosity to learn, a self-starter mindset, and a focus on collaboration, the Consultant proactively seeks ways to improve processes, mentor colleagues, and enhance business efficiency through technology.
**_Responsibilities_**
+ Applies best practices for business analysis, including requirements elicitation, documentation, and validation, while staying informed on emerging industry trends.
+ Defines and manages requirements in alignment with Software Development Life Cycle (SDLC) and project scope, ensuring clarity in problem statements, objectives, and strategies.
+ Leads elicitation sessions using a variety of methods such as interviews, workshops, surveys, documentation analysis, and business modeling with key stakeholders.
+ Facilitates analysis of complex business problems and makes actionable recommendations for process or system improvements.
+ Serves as a subject matter expert (SME) on core business systems and processes, maintaining a deep understanding of functionality, integrations, and dependencies.
+ Helps team members understand system architecture and functionality, ensuring consistent knowledge and effective troubleshooting across the team.
+ Trains and mentors new employees on systems, tools, and best practices to enable team success and consistent execution.
+ Mediates across IT teams, leveraging knowledge of organizational roles, systems, and interdependencies to drive collaboration and alignment.
+ Focuses on process analysis and re-engineering, with a strong understanding of technical challenges and their business implications.
+ Demonstrates strong communication, facilitation, and listening skills to bridge the gap between business and technical stakeholders.
+ Monitors and resolves Intermediate Document error (IDOC) and Advance Shipping Notification (ASN) errors within SAP systems.
+ Performs testing and cutover activities during IT deployments.
+ Works through issues and reporting needs across all inventory systems and teams.
+ Creates, maintains, and enhances reports and metrics dashboards to support data-driven decision-making.
+ Provides data support for project execution and performance tracking.
+ Acts as a mentor to less experienced colleagues, fostering growth and collaboration.
+ Investigates business operations to identify root causes and opportunities for improvement, articulating business impacts and recommended actions.
+ Partners with functional experts to define project scope and ensure alignment with business objectives and ROI expectations.
+ Leads stakeholder sessions to develop and document process flows, requirements, and business rules.
+ Collaborates with subject matter experts to execute user acceptance testing (UAT) and manage change activities.
+ Provides timely, clear communication to stakeholders and project partners, translating technical concepts into accessible insights.
+ Manages relationships with vendors and external partners to ensure smooth system integration and project execution.
+ Partners with project stakeholders and leadership to summarize project outcomes, insights, and impacts for presentation to senior management.
+ Proactively seeks opportunities to improve processes and create innovative solutions that help teams achieve their goals.
+ Approaches problem-solving with curiosity and experimentation - a "tinkerer" mindset that asks, "What happens if I pull this lever?".
+ Exhibits self-motivation and ownership, working independently to identify issues, propose solutions, and drive results without waiting for direction.
+ Continuously pursues learning opportunities to expand business and technical expertise, staying ahead of evolving systems and tools.
**_Qualifications_**
+ 4+ years of experience, preferred
+ Bachelor's degree in related field, or equivalent work experience, preferred
+ Proficiency in Microsoft Office Suite
+ Working knowledge of SCORE, SAP, and MDG platforms preferred
+ Strong analytical, documentation, and communication skills
**_What is expected of you and others at this level_**
+ Applies comprehensive knowledge and a thorough understanding of concepts, principles, and technical capabilities to perform varied tasks and projects
+ May contribute to the development of policies and procedures
+ Works on complex projects of large scope
+ Develops technical solutions to a wide range of difficult problems
+ Solutions are innovative and consistent with organization objectives
+ Completes work; independently receives general guidance on new projects
+ Work reviewed for purpose of meeting objectives
+ May act as a mentor to less experienced colleagues
**Anticipated salary range:** $80,900 - $115,500
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 1/16/2026 *if interested in opportunity, please submit application as soon as possible.
The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
$80.9k-115.5k yearly 60d+ ago
Utilization Management Nurse Consultant - Medicaid Program
CVS Health 4.6
Remote
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary
We are seeking a detail‑oriented and dedicated Registered Nurse to support our Medical Management team. In this role, you'll play an essential part in ensuring members receive timely and accurate communication regarding their healthcare services.
You'll be responsible for composing and auditing approval, extension, and denial letters that meet regulatory, accreditation, and quality standards. Limited phone time.
This position supports the overall effectiveness of our medical management programs by promoting clear communication, maintaining precise documentation, and helping ensure members receive high‑quality, appropriate care. If you enjoy a balance of clinical knowledge, writing, and administrative coordination, this role offers an excellent opportunity to apply your skills in a meaningful way.
Key Responsibilities
Create, review, and audit medical determination letters including approvals, extensions, and denials
Ensure all documentation meets regulatory, accreditation, and internal quality standards
Support effective medical management by facilitating clear communication across internal teams and external partners
Maintain accurate, complete records for compliance and risk‑management requirements
Contribute to overall quality and effectiveness of healthcare services through attention to detail and process consistency
Required Qualifications
Registered Nurse (RN) with an active, unrestricted license in the state of residence
1+ year of clinical nursing experience
📅 Schedule: Thursday-Saturday, 9:00 AM-8:00 PM ESTPreferred Qualifications
Experience in Utilization Management or Managed Care
Strong grammar, writing, and editing skills
Ability to multi‑task and work efficiently in a fast‑paced environment
Education
Associate or Bachelor's degree in Nursing
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$26.01 - $56.14
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. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *****************************************
We anticipate the application window for this opening will close on: 01/31/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$26-56.1 hourly Auto-Apply 3d ago
Utilization Management Nurse Consultant
CVS Health 4.6
Remote
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Utilization Management is a 24/7 operation and work schedule may include weekends, holidays, and evening hours.
UM Nurse Consultant
Fully Remote- WFH- 8A-5P in EST or CST
Position Summary
UM Nurse Consultant
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
3+ years of experience as an RN
Active and unrestricted RN licensure in state of residence
Able to work in multiple IT platforms/systems
1+ years of experience with Microsoft Office Applications (Outlook, Teams, Excel)
Preferred Qualifications
Prior authorization utilization experience preferred
Outpatient Clinical experience
Knowledge of Medicare/Medicaid
Managed care experience
Education
Associates Degree in Nursing required
BSN preferred
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$26.01 - $74.78
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.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *****************************************
We anticipate the application window for this opening will close on: 01/30/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$26-74.8 hourly Auto-Apply 4d ago
Utilization Management Nurse Consultant
CVS Health 4.6
Remote
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary
Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours.
• 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.
• Typical office working environment with productivity and quality expectations.
• Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.
• Sedentary work involving periods of sitting, talking, listening.
• 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.
• Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding.
• Effective communication skills, both verbal and written
Required Qualifications
- 2+ years of experience as a Registered Nurse in adult acute care/critical care setting
- Must have active current and unrestricted RN licensure in state of residence
- Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours
Preferred Qualifications
- 2+ years of clinical experience required in med surg or specialty area
- Managed Care experience preferred, especially Utilization Management
- Preference for those residing in EST or CST zones
Education
Associates Degree required
BSN preferred
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$26.01 - $74.78
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.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *****************************************
We anticipate the application window for this opening will close on: 01/23/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$26-74.8 hourly Auto-Apply 12d ago
Utilization Management Nurse Consultant
CVS Health 4.6
Dallas, TX jobs
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary: Clinical Precertification - Complex Spine
This is a Work at Home role. Working hours are Mon-Fri 9-6 in your time zone.
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
3+ years of experience as a Registered Nurse
Must have active current and unrestricted RN licensure in state of residence
1+ years of Med/Surg experience
1+ years of experience with Microsoft Office applications (Outlook, Teams, Excel)
Utilization Management is a 24/7 operation and work schedules will include holidays and evening hours
Preferred Qualifications
Prior Authorization or Utilization Management experience
Managed care experience
Experience using Med Compass
Ambulatory surgery experience
Education
Associates degree required
Bachelor's in Nursing preferred
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$29.10 - $62.32
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.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *****************************************
We anticipate the application window for this opening will close on: 01/24/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$29.1-62.3 hourly Auto-Apply 11d ago
Utilization Management Nurse Consultant
CVS Health 4.6
Remote
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary
Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours.
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.
Typical office working environment with productivity and quality expectations.
Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.
Sedentary work involving periods of sitting, talking, listening.
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.
Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding.
Effective communication skills, both verbal and written
Required Qualifications
- 2+ years of experience as a Registered Nurse in adult acute care/critical care setting
- Must have active current and unrestricted RN licensure in state of residence
- Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours
Preferred Qualifications
- 2+ years of clinical experience required in med surg or specialty area
- Managed Care experience preferred, especially Utilization Management
- Preference for those residing in CT zones
Education
- Associates Degree in Nursing required
- Bachelor in Science and Nursing preferred
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$29.10 - $62.32
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.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *****************************************
We anticipate the application window for this opening will close on: 02/09/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$29.1-62.3 hourly Auto-Apply 11d ago
Sr Analyst,Business Consultant
CVS Health 4.6
Remote
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary
This role is responsible for managing financial planning, forecasting, and reporting for the Internal Telesales and Strategy budget of over $150M+. The individual will provide strategic insights to senior leadership, ensuring alignment with organizational goals. Candidates should possess strong analytical skills, communication abilities, and experience in collaborating across functions like Finance and Operations. A successful track record of managing large budgets and delivering accurate, timely financial reports is essential. The position also involves influencing decision-making, validating forecast and accrual assumptions, and supporting initiatives through data analysis and scenario modeling.
Cross-Functional Collaboration - Serve as the primary liaison between finance, operations, procurement, AP, external vendors, and other internal and external teams. Address all inquiries related to budgeting, forecasting, and reporting processes, ensuring clear communication and effective resolution of issues.
Financial Upload - Upload Forecast, AP and T&E data in financial database. Conduct thorough verification to ensure data integrity and accuracy, enhancing the reliability of financial reporting.
Month End Close - Oversee month end close activities by tracking AP spend, booking/releasing accruals, updating actuals and preparing comprehensive variance commentary to highlight significant deviations from budgeted expectations.
Vendor Budgeting - Manage vendor budget processes including the monthly presentation of volume and sales, alongside related KPI's. Ensure alignment with organizational goals and provide insights to optimize vendor performance.
Forecasting and Budgeting - Develop quarterly and annual forecast and budgets that align with the company's strategic objectives.
Continuous Improvement - Drive initiatives to enhance reporting structures and methodologies that improve the accuracy and reliability of budgeting and forecasting processes.
Required Qualifications
•Bachelor's Degree in Finance, Accounting, or related field (Required)
•5-8 years of progressive experience in financial planning & analysis, corporate finance, or accounting
•Demonstrated expertise in month-end close, accrual accounting, variance analysis, and forecasting
•Strong analytical skills with proven ability to translate financial data into actionable business insights
•Proficiency in advanced Excel, financial modeling, and strong business acumen
• Experience managing budgets over $100M, including multi-year forecasts and scenario modeling
• Excellent written and verbal communication skills, with the ability to present complex information to executive audiences
• Ability to manage multiple priorities and deadlines in a fast-paced environment
Preferred Qualifications
• Master's Degree in Finance, Accounting, Business Administration, or related field (Preferred)
•Experience in healthcare, insurance, or multi-unit corporate environments
•Proficient in cost optimization strategies, performance metric evaluation, and KPI analysis
•Demonstrated management in cross-functional initiatives and process improvement projects
• Strong change management skills with the ability to implement new financial processes or tools effectively
Education
Bachelor Degree Required
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$46,988.00 - $91,800.00
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.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *****************************************
We anticipate the application window for this opening will close on: 01/19/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$47k-91.8k yearly Auto-Apply 5d ago
Utilization Management Nurse Consultant
CVS Health 4.6
New York, NY jobs
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate.
And we do it all with heart, each and every day.
Position Summary: Clinical Precertification - Complex Spine This is a Work at Home role.
Working hours are Mon-Fri 9-6 in your time zone.
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 Qualifications3+ years of experience as a Registered NurseMust have active current and unrestricted RN licensure in state of residence1+ years of Med/Surg experience1+ years of experience with Microsoft Office applications (Outlook, Teams, Excel) Utilization Management is a 24/7 operation and work schedules will include holidays and evening hours Preferred QualificationsPrior Authorization or Utilization Management experience Managed care experience Experience using Med CompassAmbulatory surgery experience EducationAssociates degree required Bachelor's in Nursing preferred Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$29.
10 - $62.
32This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.
The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future.
Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be.
In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *************
cvshealth.
com/us/en/benefits We anticipate the application window for this opening will close on: 01/24/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$29 hourly 10d ago
Utilization Management Nurse Consultant - Medicaid Program
CVS Health 4.6
Delaware, OH jobs
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate.
And we do it all with heart, each and every day.
Position SummaryWe are seeking a detail‑oriented and dedicated Registered Nurse to support our Medical Management team.
In this role, you'll play an essential part in ensuring members receive timely and accurate communication regarding their healthcare services.
You'll be responsible for composing and auditing approval, extension, and denial letters that meet regulatory, accreditation, and quality standards.
Limited phone time.
This position supports the overall effectiveness of our medical management programs by promoting clear communication, maintaining precise documentation, and helping ensure members receive high‑quality, appropriate care.
If you enjoy a balance of clinical knowledge, writing, and administrative coordination, this role offers an excellent opportunity to apply your skills in a meaningful way.
Key ResponsibilitiesCreate, review, and audit medical determination letters including approvals, extensions, and denials Ensure all documentation meets regulatory, accreditation, and internal quality standards Support effective medical management by facilitating clear communication across internal teams and external partners Maintain accurate, complete records for compliance and risk‑management requirements Contribute to overall quality and effectiveness of healthcare services through attention to detail and process consistency Required QualificationsRegistered Nurse (RN) with an active, unrestricted license in the state of residence1+ year of clinical nursing experience Schedule: Thursday-Saturday, 9:00 AM-8:00 PM ESTPreferred QualificationsExperience in Utilization Management or Managed CareStrong grammar, writing, and editing skills Ability to multi‑task and work efficiently in a fast‑paced environment EducationAssociate or Bachelor's degree in NursingAnticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$26.
01 - $56.
14This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.
The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future.
Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be.
In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *************
cvshealth.
com/us/en/benefits We anticipate the application window for this opening will close on: 01/31/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$26 hourly 2d ago
Consultant, Business Analysis
Cardinal Health 4.4
Strategic consultant job at Cardinal Health
Headquartered in Dublin, Ohio, Cardinal Health, Inc. (NYSE: CAH) is a global, integrated healthcare services and products company connecting patients, providers, payers, pharmacists and manufacturers for integrated care coordination and better patient management. Backed by nearly 100 years of experience, with more than 50,000 employees in nearly 60 countries, Cardinal Health ranks among the top 20 on the Fortune 500
What Business Analysis contributes to Cardinal Health
Information Technology oversees the effective development, delivery, and operation of computing and information services. This function anticipates, plans, and delivers Information Technology solutions and strategies that enable operations and drive business value.
Business Analysis serves as a liaison between the organization's businesses and IT systems development teams to align business strategies and capability needs and to ensure IT systems enable their desired value. This job family identifies and analyzes business needs, defines requirements and objectives, and makes recommendations for solutions using new and existing technologies. This job family researches and documents relationships between the components of the application system (i.e., end users, business processes, data, applications, and devices) and translates business requirements into application requirements.
The Consultant, Business Analysis partners with business leaders and project teams to identify business needs and deliver Information Technology solutions. The Consultant defines project scopes in order to efficiently deliver on the identified business cases and ensures that solution development, implementation and change management activities achieve desired business goals. Through business process improvements and activation of new capabilities, the Consultant enables business units to achieve their operational and commercial objectives.
We are seeking a Warehouse Solutions IT Business Analyst who wants to be part of a high caliber sustain team focused on building and enhancing our supply chain solutions. In this role, you will serve as a key liaison between business stakeholders and IT development teams, ensuring alignment between business strategies and technology capabilities to deliver maximum value. You will collaborate with a team of technology experts to develop and execute innovative solutions that optimizes our warehouse operations. From warehouse management solutions, warehouse automation, and robotic implementations to digitizing our paper-based labeling and printing processes, you'll be working closely with business product owners, subject matter experts, and development teams to organize and deliver on critical projects. To accomplish that, this job family identifies and analyzes business needs, defines requirements and objectives, and makes recommendations for solutions using new and existing technologies. This job family also may serve as the primary test lead and platform lead for the various projects engaged to organize and deliver.
Responsibilities
Leads elicitation sessions with stakeholders to develop and articulate process flows, requirements, and rules, and prepare appropriate documentation.
Collaborates with subject matter experts to execute user acceptance testing and change management activities.
Solid experience in all phases of the software development lifecycle applying best practices and Agile software development methodologies and story card writing expertise.
Partners with functional experts to ensure scope is clearly defined for projects and implementation initiatives.
Investigates business operations, identifies causes behind the results achieved, and articulates the effects of those results on the business.
Ability to perform development of test automation by designing and writing automated test scripts based on defined test cases, including the definition of test data for consumption by scripts during test execution.
Facilitates and optimizes work intake and prioritization process across WMS solutions while partnering with business partners, including engagement of teams on effort, impact and timeline.
Provides timely and effective communication, including appropriate status updates, to all impacted stakeholders and project partners, conveying technical concepts and project progress simply and concisely.
Develop and maintain PE scripts to support automation initiatives.
Capture and analyze performance metrics and transaction volumes to support performance testing.
Preparing results from performance test execution for management and stakeholder review.
Document requirements in JIRA and coordinate handoff to the testing team.
Train business users on new system features, workflows, and process changes.
Provide test and deployment support on site and virtually.
Manage Manhattan Linux platform for code deployments and logs extraction.
Demonstrates problem solving ability that allows for effective and timely resolution of system issues including but not limited to production outages.
Demonstrate knowledge of software development techniques, software languages, system integrations, and hardware/software platforms
What is expected of you and others at this level
Applies comprehensive knowledge and a thorough understanding of concepts, principles, and technical capabilities to perform varied tasks and projects
May contribute to the development of policies and procedures
Works on complex projects of large scope
Develops technical solutions to a wide range of difficult problems
Solutions are innovative and consistent with organization objectives
Completes work; independently receives general guidance on new projects
Work reviewed for purpose of meeting objectives
May act as a mentor to less experienced colleagues
Qualifications
5-8 years of experience preferred.
Bachelor's Degree in a Computer Science, Business or related discipline preferred.
Functional experience with Warehouse Management solutions such as Manhattan Warehouse Management products (WMOS 2019, Active WM) preferred.
Strong understanding of supply chain processes and how they relate to warehouse operations.
Hands on experience with JIRA, story card writing, backlog grooming, 3-Amigos, and other agile ceremonies preferred.
Hands on experience in testing of API, web applications & mobile applications using Selenium, Appium, Postman etc. tools preferred.
Experience with enterprise PE tools such as JMeter and BlazeMeter.
Ability to understand and work through testing processes UAT, Functional, and Non-Functional testing.
Experience in gathering requirements and documenting in tracking tools such as JIRA.
Experience with basic Linux administration a plus.
Excellent problem solving and critical thinking skills; ability to identify problems, gather facts, data mapping, analyze potential risks and impacts, and choose or propose a solution.
Strong analytical skills, including thorough understanding of how to solicit and interpret customer business needs, model business functions, and translate them into application and operational requirements and user stories.
Strong oral and written communication skills, ability to ask probing questions, lead cross-functional meetings and ability to translate technical concepts to non-technical team members and executives
Work independently, prioritizing work and proactively communicating status.
Exhibit general understanding of hardware/software platforms including but not limited to operating systems, databases, application servers, web servers and integration technologies.
Anticipated salary range: $80,900 - $115,500
Bonus eligible: No
Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
Medical, dental and vision coverage
Paid time off plan
Health savings account (HSA)
401k savings plan
Access to wages before pay day with my FlexPay
Flexible spending accounts (FSAs)
Short- and long-term disability coverage
Work-Life resources
Paid parental leave
Healthy lifestyle programs
Application window anticipated to close: 1/19/2026 *if interested in opportunity, please submit application as soon as possible.
The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity
Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.
Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.
To read and review this privacy notice click
here
$80.9k-115.5k yearly Auto-Apply 60d ago
Utilization Management Nurse Consultant - Medicaid Program
CVS Health 4.6
Ohio jobs
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate.
And we do it all with heart, each and every day.
Position SummaryWe are seeking a detail‑oriented and dedicated Registered Nurse to support our Medical Management team.
In this role, you'll play an essential part in ensuring members receive timely and accurate communication regarding their healthcare services.
You'll be responsible for composing and auditing approval, extension, and denial letters that meet regulatory, accreditation, and quality standards.
Limited phone time.
This position supports the overall effectiveness of our medical management programs by promoting clear communication, maintaining precise documentation, and helping ensure members receive high‑quality, appropriate care.
If you enjoy a balance of clinical knowledge, writing, and administrative coordination, this role offers an excellent opportunity to apply your skills in a meaningful way.
Key ResponsibilitiesCreate, review, and audit medical determination letters including approvals, extensions, and denials Ensure all documentation meets regulatory, accreditation, and internal quality standards Support effective medical management by facilitating clear communication across internal teams and external partners Maintain accurate, complete records for compliance and risk‑management requirements Contribute to overall quality and effectiveness of healthcare services through attention to detail and process consistency Required QualificationsRegistered Nurse (RN) with an active, unrestricted license in the state of residence1+ year of clinical nursing experience Schedule: Thursday-Saturday, 9:00 AM-8:00 PM ESTPreferred QualificationsExperience in Utilization Management or Managed CareStrong grammar, writing, and editing skills Ability to multi‑task and work efficiently in a fast‑paced environment EducationAssociate or Bachelor's degree in NursingAnticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$26.
01 - $56.
14This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.
The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future.
Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be.
In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *************
cvshealth.
com/us/en/benefits We anticipate the application window for this opening will close on: 01/31/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate.
And we do it all with heart, each and every day.
Position SummaryMedicare Precertification Utilization Management Nurse Consultant position:Utilization Management is a 24/7 operation and work schedules will include holidays and evening hours 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 Qualifications3+ years of experience as a Registered NurseMust have active current and unrestricted RN licensure in state of residence1+ years of Med/Surg experience1+ years of experience with Microsoft Office applications (Outlook, Teams, Excel) Must be willing and able to work Friday, Saturday, Sunday and Monday 10 hr shifts after approx 4-5 months of training Monday - Friday 8:30-5pm EST with occasional holiday rotation.
Preferred QualificationsPrior Authorization or Utilization Management experience Managed care experience Experience using MedCompassAmbulatory surgery experience EducationAssociates degree required BSN preferred Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$26.
01 - $62.
32This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.
The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future.
Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be.
In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *************
cvshealth.
com/us/en/benefits We anticipate the application window for this opening will close on: 01/17/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$26 hourly 9d ago
Consultant, Salesforce Functional Business Analysis
Cardinal Health 4.4
Strategic consultant job at Cardinal Health
**What Product Systems Analysis contributes to Cardinal Health** Commercial Technologies manages the enterprise's portfolio of commercial technologies to maximize the business value of the technologies and enhance the customer experience. This function creates strategies for the portfolio and innovative solutions based on relationships with business leaders, develops back-end solutions and capabilities, and improves the front-end experience.
Product System Analysis serves as a liaison between the business and IT to align product strategies and capabilities, also providing technical business specifications to IT. This job family identifies and analyzes product needs, defines requirements, objectives, and participates in the solutions making process. This job family optimize business processes by leveraging the functionality of the technology and product solution.
**Job Summary**
The team manages build and re-shaping of business process, procedures and accountability standards for sales enablement tools, specifically Salesforce.com and other associated technologies to maximize the business value of the technologies and enhance the user experience. This function creates strategies for the portfolio and innovative solutions based on relationships with business leaders, develops back-end solutions and capabilities, and improves the front-end experience.
This role serves as a liaison between the business and IT to align product strategies and capabilities, also providing technical business specifications to IT. This job family identifies and analyzes product needs, defines requirements, objectives, and participates in the solutions making process. This job family optimize business processes by leveraging the functionality of the technology and product solution.
**Responsibilities**
+ Functional requirements development and ownership
+ Work with stakeholders to understand business requirements, map key processes, understand pain points
+ Assess and improve upon potential business processes that need review to more efficiently migrate to Salesforce.com
+ Work closely with IT team to act as the voice of the customer and provide feedback on requirements and functionality
+ Support the business by applying cross functional subject matter expertise of business processes, systems, and integration to facilitate continuous improvement and innovation
+ Coordinate with the Salesforce admin team to design the functionality in SFDC
+ UAT testing management and hypercare support
+ Work closely with development team and core project team to produce product documentation including user guides, test scripts, and internal/external materials
+ Ability to describe complex concepts with the appropriate amount of detail based on audience
+ Support the field in answering questions. Provide key details to learning business partner for training materials related to functionality
+ User adoption management
+ Develop strategies and plans to drive end user adoption and optimization
+ Manage KPI and tools supporting change management and user adoption, providing a clear picture to stakeholders on change process and continued focal areas that may need additional support
+ Ability to describe complex concepts with the appropriate amount of detail based on audience
+ Training support
+ Capturing key details of the process and work with training to incorporate into user guides that support the end user experience and training strategy
+ Training change network to become subject matter experts and provide support to them as they work to train the business end users
**Qualifications**
+ Bachelor's degree in related field, or equivalent work experience, preferred
+ 5+ years of general business experience, preferred
+ 2+ years experience working within Salesforce.com, preferred
+ Salesforce Administrator or other relevant certification, preferred
+ Experience with Salesforce.com implementation, configuration and/or optimization, preferred
+ Ability to align CRM functionality with business goals
+ Experience contributing to long-term strategy and execution
+ Ability to work cross-functionally to understand and improve business processes and determine the functional requirements
+ Project management experience (formal or informal)
+ KPI tracking and reporting for adoption and optimization
+ Ability to influence and negotiate across teams
+ Strong communication and presentation skills
+ Problem solving and process identification skills, preferred
+ Ability to travel up to 25%
**What is expected of you and others at this level**
+ Applies comprehensive knowledge and a thorough understanding of concepts, principles, and technical capabilities to perform varied tasks and projects
+ May contribute to the development of policies and procedures
+ Works on complex projects of large scope
+ Develops technical solutions to a wide range of difficult problems. Solutions are innovative and consistent with organization objectives
+ Completes work independently receives general guidance on new projects
+ Work reviewed for purpose of meeting objectives
+ May act as a mentor to less experienced colleagues
**Anticipated salary range:** $80,900 - $115,500
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 02/13/2026 *if interested in opportunity, please submit application as soon as possible.
The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
\#LI-TF1
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
$80.9k-115.5k yearly 34d ago
Consultant, Business Analysis
Cardinal Health 4.4
Strategic consultant job at Cardinal Health
What Business Analysis contributes to Cardinal Health
Information Technology oversees the effective development, delivery, and operation of computing and information services. This function anticipates, plans, and delivers Information Technology solutions and strategies that enable operations and drive business value.
Business Analysis serves as a liaison between the organization's businesses and IT systems development teams to align business strategies and capability needs and to ensure IT systems enable their desired value. This job family identifies and analyzes business needs, defines requirements and objectives, and makes recommendations for solutions using new and existing technologies. This job family researches and documents relationships between the components of the application system (i.e., end users, business processes, data, applications, and devices) and translates business requirements into application requirements.
Job Summary
The Consultant, Business Analysis partners with business leaders and project teams to identify business needs and deliver effective Information Technology solutions. This role defines project scope, facilitates requirements gathering, and ensures solution development, implementation, and change management activities achieve the intended business outcomes.
The role also serves as a subject matter expert (SME) on core systems and processes, helping the broader team understand system capabilities, data flows, and business impacts. With a natural curiosity to learn, a self-starter mindset, and a focus on collaboration, the Consultant proactively seeks ways to improve processes, mentor colleagues, and enhance business efficiency through technology.
Responsibilities
Applies best practices for business analysis, including requirements elicitation, documentation, and validation, while staying informed on emerging industry trends.
Defines and manages requirements in alignment with Software Development Life Cycle (SDLC) and project scope, ensuring clarity in problem statements, objectives, and strategies.
Leads elicitation sessions using a variety of methods such as interviews, workshops, surveys, documentation analysis, and business modeling with key stakeholders.
Facilitates analysis of complex business problems and makes actionable recommendations for process or system improvements.
Serves as a subject matter expert (SME) on core business systems and processes, maintaining a deep understanding of functionality, integrations, and dependencies.
Helps team members understand system architecture and functionality, ensuring consistent knowledge and effective troubleshooting across the team.
Trains and mentors new employees on systems, tools, and best practices to enable team success and consistent execution.
Mediates across IT teams, leveraging knowledge of organizational roles, systems, and interdependencies to drive collaboration and alignment.
Focuses on process analysis and re-engineering, with a strong understanding of technical challenges and their business implications.
Demonstrates strong communication, facilitation, and listening skills to bridge the gap between business and technical stakeholders.
Monitors and resolves Intermediate Document error (IDOC) and Advance Shipping Notification (ASN) errors within SAP systems.
Performs testing and cutover activities during IT deployments.
Works through issues and reporting needs across all inventory systems and teams.
Creates, maintains, and enhances reports and metrics dashboards to support data-driven decision-making.
Provides data support for project execution and performance tracking.
Acts as a mentor to less experienced colleagues, fostering growth and collaboration.
Investigates business operations to identify root causes and opportunities for improvement, articulating business impacts and recommended actions.
Partners with functional experts to define project scope and ensure alignment with business objectives and ROI expectations.
Leads stakeholder sessions to develop and document process flows, requirements, and business rules.
Collaborates with subject matter experts to execute user acceptance testing (UAT) and manage change activities.
Provides timely, clear communication to stakeholders and project partners, translating technical concepts into accessible insights.
Manages relationships with vendors and external partners to ensure smooth system integration and project execution.
Partners with project stakeholders and leadership to summarize project outcomes, insights, and impacts for presentation to senior management.
Proactively seeks opportunities to improve processes and create innovative solutions that help teams achieve their goals.
Approaches problem-solving with curiosity and experimentation - a “tinkerer” mindset that asks, “What happens if I pull this lever?”.
Exhibits self-motivation and ownership, working independently to identify issues, propose solutions, and drive results without waiting for direction.
Continuously pursues learning opportunities to expand business and technical expertise, staying ahead of evolving systems and tools.
Qualifications
4+ years of experience, preferred
Bachelor's degree in related field, or equivalent work experience, preferred
Proficiency in Microsoft Office Suite
Working knowledge of SCORE, SAP, and MDG platforms preferred
Strong analytical, documentation, and communication skills
What is expected of you and others at this level
Applies comprehensive knowledge and a thorough understanding of concepts, principles, and technical capabilities to perform varied tasks and projects
May contribute to the development of policies and procedures
Works on complex projects of large scope
Develops technical solutions to a wide range of difficult problems
Solutions are innovative and consistent with organization objectives
Completes work; independently receives general guidance on new projects
Work reviewed for purpose of meeting objectives
May act as a mentor to less experienced colleagues
Anticipated salary range: $80,900 - $115,500
Bonus eligible: No
Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
Medical, dental and vision coverage
Paid time off plan
Health savings account (HSA)
401k savings plan
Access to wages before pay day with my FlexPay
Flexible spending accounts (FSAs)
Short- and long-term disability coverage
Work-Life resources
Paid parental leave
Healthy lifestyle programs
Application window anticipated to close: 1/16/2026 *if interested in opportunity, please submit application as soon as possible.
The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.
Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.
To read and review this privacy notice click
here
$80.9k-115.5k yearly Auto-Apply 60d+ ago
Consultant, Business Analysis
Cardinal Health 4.4
Strategic consultant job at Cardinal Health
What Business Analysis contributes to Cardinal Health Information Technology oversees the effective development, delivery, and operation of computing and information services. This function anticipates, plans, and delivers Information Technology solutions and strategies that enable operations and drive business value.
Business Analysis serves as a liaison between the organization's businesses and IT systems development teams to align business strategies and capability needs and to ensure IT systems enable their desired value. This job family identifies and analyzes business needs, defines requirements and objectives, and makes recommendations for solutions using new and existing technologies. This job family researches and documents relationships between the components of the application system (i.e., end users, business processes, data, applications, and devices) and translates business requirements into application requirements.
Job Summary
The Consultant, Business Analysis partners with business leaders and project teams to identify business needs and deliver effective Information Technology solutions. This role defines project scope, facilitates requirements gathering, and ensures solution development, implementation, and change management activities achieve the intended business outcomes.
The role also serves as a subject matter expert (SME) on core systems and processes, helping the broader team understand system capabilities, data flows, and business impacts. With a natural curiosity to learn, a self-starter mindset, and a focus on collaboration, the Consultant proactively seeks ways to improve processes, mentor colleagues, and enhance business efficiency through technology.
Responsibilities
* Applies best practices for business analysis, including requirements elicitation, documentation, and validation, while staying informed on emerging industry trends.
* Defines and manages requirements in alignment with Software Development Life Cycle (SDLC) and project scope, ensuring clarity in problem statements, objectives, and strategies.
* Leads elicitation sessions using a variety of methods such as interviews, workshops, surveys, documentation analysis, and business modeling with key stakeholders.
* Facilitates analysis of complex business problems and makes actionable recommendations for process or system improvements.
* Serves as a subject matter expert (SME) on core business systems and processes, maintaining a deep understanding of functionality, integrations, and dependencies.
* Helps team members understand system architecture and functionality, ensuring consistent knowledge and effective troubleshooting across the team.
* Trains and mentors new employees on systems, tools, and best practices to enable team success and consistent execution.
* Mediates across IT teams, leveraging knowledge of organizational roles, systems, and interdependencies to drive collaboration and alignment.
* Focuses on process analysis and re-engineering, with a strong understanding of technical challenges and their business implications.
* Demonstrates strong communication, facilitation, and listening skills to bridge the gap between business and technical stakeholders.
* Monitors and resolves Intermediate Document error (IDOC) and Advance Shipping Notification (ASN) errors within SAP systems.
* Performs testing and cutover activities during IT deployments.
* Works through issues and reporting needs across all inventory systems and teams.
* Creates, maintains, and enhances reports and metrics dashboards to support data-driven decision-making.
* Provides data support for project execution and performance tracking.
* Acts as a mentor to less experienced colleagues, fostering growth and collaboration.
* Investigates business operations to identify root causes and opportunities for improvement, articulating business impacts and recommended actions.
* Partners with functional experts to define project scope and ensure alignment with business objectives and ROI expectations.
* Leads stakeholder sessions to develop and document process flows, requirements, and business rules.
* Collaborates with subject matter experts to execute user acceptance testing (UAT) and manage change activities.
* Provides timely, clear communication to stakeholders and project partners, translating technical concepts into accessible insights.
* Manages relationships with vendors and external partners to ensure smooth system integration and project execution.
* Partners with project stakeholders and leadership to summarize project outcomes, insights, and impacts for presentation to senior management.
* Proactively seeks opportunities to improve processes and create innovative solutions that help teams achieve their goals.
* Approaches problem-solving with curiosity and experimentation - a "tinkerer" mindset that asks, "What happens if I pull this lever?".
* Exhibits self-motivation and ownership, working independently to identify issues, propose solutions, and drive results without waiting for direction.
* Continuously pursues learning opportunities to expand business and technical expertise, staying ahead of evolving systems and tools.
Qualifications
* 4+ years of experience, preferred
* Bachelor's degree in related field, or equivalent work experience, preferred
* Proficiency in Microsoft Office Suite
* Working knowledge of SCORE, SAP, and MDG platforms preferred
* Strong analytical, documentation, and communication skills
What is expected of you and others at this level
* Applies comprehensive knowledge and a thorough understanding of concepts, principles, and technical capabilities to perform varied tasks and projects
* May contribute to the development of policies and procedures
* Works on complex projects of large scope
* Develops technical solutions to a wide range of difficult problems
* Solutions are innovative and consistent with organization objectives
* Completes work; independently receives general guidance on new projects
* Work reviewed for purpose of meeting objectives
* May act as a mentor to less experienced colleagues
Anticipated salary range: $80,900 - $115,500
Bonus eligible: No
Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
* Medical, dental and vision coverage
* Paid time off plan
* Health savings account (HSA)
* 401k savings plan
* Access to wages before pay day with my FlexPay
* Flexible spending accounts (FSAs)
* Short- and long-term disability coverage
* Work-Life resources
* Paid parental leave
* Healthy lifestyle programs
Application window anticipated to close: 1/16/2026 *if interested in opportunity, please submit application as soon as possible.
The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.
Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.
$80.9k-115.5k yearly Auto-Apply 28d ago
Utilization Management Nurse Consultant - Medicaid Program
CVS Health 4.6
New Hampshire, OH jobs
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate.
And we do it all with heart, each and every day.
Position SummaryWe are seeking a detail‑oriented and dedicated Registered Nurse to support our Medical Management team.
In this role, you'll play an essential part in ensuring members receive timely and accurate communication regarding their healthcare services.
You'll be responsible for composing and auditing approval, extension, and denial letters that meet regulatory, accreditation, and quality standards.
Limited phone time.
This position supports the overall effectiveness of our medical management programs by promoting clear communication, maintaining precise documentation, and helping ensure members receive high‑quality, appropriate care.
If you enjoy a balance of clinical knowledge, writing, and administrative coordination, this role offers an excellent opportunity to apply your skills in a meaningful way.
Key ResponsibilitiesCreate, review, and audit medical determination letters including approvals, extensions, and denials Ensure all documentation meets regulatory, accreditation, and internal quality standards Support effective medical management by facilitating clear communication across internal teams and external partners Maintain accurate, complete records for compliance and risk‑management requirements Contribute to overall quality and effectiveness of healthcare services through attention to detail and process consistency Required QualificationsRegistered Nurse (RN) with an active, unrestricted license in the state of residence1+ year of clinical nursing experience Schedule: Thursday-Saturday, 9:00 AM-8:00 PM ESTPreferred QualificationsExperience in Utilization Management or Managed CareStrong grammar, writing, and editing skills Ability to multi‑task and work efficiently in a fast‑paced environment EducationAssociate or Bachelor's degree in NursingAnticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$26.
01 - $56.
14This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.
The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future.
Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be.
In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *************
cvshealth.
com/us/en/benefits We anticipate the application window for this opening will close on: 01/31/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate.
And we do it all with heart, each and every day.
Position SummaryMedicare Precertification Utilization Management Nurse Consultant position:Utilization Management is a 24/7 operation and work schedules will include holidays and evening hours 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 Qualifications3+ years of experience as a Registered NurseMust have active current and unrestricted RN licensure in state of residence1+ years of Med/Surg experience1+ years of experience with Microsoft Office applications (Outlook, Teams, Excel) Must be willing and able to work Friday, Saturday, Sunday and Monday 10 hr shifts after approx 4-5 months of training Monday - Friday 8:30-5pm EST with occasional holiday rotation.
Preferred QualificationsPrior Authorization or Utilization Management experience Managed care experience Experience using MedCompassAmbulatory surgery experience EducationAssociates degree required BSN preferred Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$26.
01 - $62.
32This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.
The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future.
Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be.
In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *************
cvshealth.
com/us/en/benefits We anticipate the application window for this opening will close on: 01/17/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate.
And we do it all with heart, each and every day.
Position SummaryMedicare Precertification Utilization Management Nurse Consultant position:Utilization Management is a 24/7 operation and work schedules will include holidays and evening hours 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 Qualifications3+ years of experience as a Registered NurseMust have active current and unrestricted RN licensure in state of residence1+ years of Med/Surg experience1+ years of experience with Microsoft Office applications (Outlook, Teams, Excel) Must be willing and able to work Friday, Saturday, Sunday and Monday 10 hr shifts after approx 4-5 months of training Monday - Friday 8:30-5pm EST with occasional holiday rotation.
Preferred QualificationsPrior Authorization or Utilization Management experience Managed care experience Experience using MedCompassAmbulatory surgery experience EducationAssociates degree required BSN preferred Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$26.
01 - $62.
32This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.
The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future.
Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be.
In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *************
cvshealth.
com/us/en/benefits We anticipate the application window for this opening will close on: 01/17/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$26 hourly 9d ago
Consultant, Business Analysis
Cardinal Health 4.4
Strategic consultant job at Cardinal Health
Headquartered in Dublin, Ohio, Cardinal Health, Inc. (NYSE: CAH) is a global, integrated healthcare services and products company connecting patients, providers, payers, pharmacists and manufacturers for integrated care coordination and better patient management. Backed by nearly 100 years of experience, with more than 50,000 employees in nearly 60 countries, Cardinal Health ranks among the top 20 on the Fortune 500
What Business Analysis contributes to Cardinal Health
Information Technology oversees the effective development, delivery, and operation of computing and information services. This function anticipates, plans, and delivers Information Technology solutions and strategies that enable operations and drive business value.
Business Analysis serves as a liaison between the organization's businesses and IT systems development teams to align business strategies and capability needs and to ensure IT systems enable their desired value. This job family identifies and analyzes business needs, defines requirements and objectives, and makes recommendations for solutions using new and existing technologies. This job family researches and documents relationships between the components of the application system (i.e., end users, business processes, data, applications, and devices) and translates business requirements into application requirements.
The Consultant, Business Analysis partners with business leaders and project teams to identify business needs and deliver Information Technology solutions. The Consultant defines project scopes in order to efficiently deliver on the identified business cases and ensures that solution development, implementation and change management activities achieve desired business goals. Through business process improvements and activation of new capabilities, the Consultant enables business units to achieve their operational and commercial objectives.
We are seeking a Warehouse Solutions IT Business Analyst who wants to be part of a high caliber sustain team focused on building and enhancing our supply chain solutions. In this role, you will serve as a key liaison between business stakeholders and IT development teams, ensuring alignment between business strategies and technology capabilities to deliver maximum value. You will collaborate with a team of technology experts to develop and execute innovative solutions that optimizes our warehouse operations. From warehouse management solutions, warehouse automation, and robotic implementations to digitizing our paper-based labeling and printing processes, you'll be working closely with business product owners, subject matter experts, and development teams to organize and deliver on critical projects. To accomplish that, this job family identifies and analyzes business needs, defines requirements and objectives, and makes recommendations for solutions using new and existing technologies. This job family also may serve as the primary test lead and platform lead for the various projects engaged to organize and deliver.
Responsibilities
Leads elicitation sessions with stakeholders to develop and articulate process flows, requirements, and rules, and prepare appropriate documentation.
Collaborates with subject matter experts to execute user acceptance testing and change management activities.
Solid experience in all phases of the software development lifecycle applying best practices and Agile software development methodologies and story card writing expertise.
Partners with functional experts to ensure scope is clearly defined for projects and implementation initiatives.
Investigates business operations, identifies causes behind the results achieved, and articulates the effects of those results on the business.
Ability to perform development of test automation by designing and writing automated test scripts based on defined test cases, including the definition of test data for consumption by scripts during test execution.
Facilitates and optimizes work intake and prioritization process across WMS solutions while partnering with business partners, including engagement of teams on effort, impact and timeline.
Provides timely and effective communication, including appropriate status updates, to all impacted stakeholders and project partners, conveying technical concepts and project progress simply and concisely.
Develop and maintain PE scripts to support automation initiatives.
Capture and analyze performance metrics and transaction volumes to support performance testing.
Preparing results from performance test execution for management and stakeholder review.
Document requirements in JIRA and coordinate handoff to the testing team.
Train business users on new system features, workflows, and process changes.
Provide test and deployment support on site and virtually.
Manage Manhattan Linux platform for code deployments and logs extraction.
Demonstrates problem solving ability that allows for effective and timely resolution of system issues including but not limited to production outages.
Demonstrate knowledge of software development techniques, software languages, system integrations, and hardware/software platforms
What is expected of you and others at this level
Applies comprehensive knowledge and a thorough understanding of concepts, principles, and technical capabilities to perform varied tasks and projects
May contribute to the development of policies and procedures
Works on complex projects of large scope
Develops technical solutions to a wide range of difficult problems
Solutions are innovative and consistent with organization objectives
Completes work; independently receives general guidance on new projects
Work reviewed for purpose of meeting objectives
May act as a mentor to less experienced colleagues
Qualifications
5-8 years of experience preferred.
Bachelor's Degree in a Computer Science, Business or related discipline preferred.
Functional experience with Warehouse Management solutions such as Manhattan Warehouse Management products (WMOS 2019, Active WM) preferred.
Strong understanding of supply chain processes and how they relate to warehouse operations.
Hands on experience with JIRA, story card writing, backlog grooming, 3-Amigos, and other agile ceremonies preferred.
Hands on experience in testing of API, web applications & mobile applications using Selenium, Appium, Postman etc. tools preferred.
Experience with enterprise PE tools such as JMeter and BlazeMeter.
Ability to understand and work through testing processes UAT, Functional, and Non-Functional testing.
Experience in gathering requirements and documenting in tracking tools such as JIRA.
Experience with basic Linux administration a plus.
Excellent problem solving and critical thinking skills; ability to identify problems, gather facts, data mapping, analyze potential risks and impacts, and choose or propose a solution.
Strong analytical skills, including thorough understanding of how to solicit and interpret customer business needs, model business functions, and translate them into application and operational requirements and user stories.
Strong oral and written communication skills, ability to ask probing questions, lead cross-functional meetings and ability to translate technical concepts to non-technical team members and executives
Work independently, prioritizing work and proactively communicating status.
Exhibit general understanding of hardware/software platforms including but not limited to operating systems, databases, application servers, web servers and integration technologies.
Anticipated salary range: $80,900 - $115,500
Bonus eligible: No
Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
Medical, dental and vision coverage
Paid time off plan
Health savings account (HSA)
401k savings plan
Access to wages before pay day with my FlexPay
Flexible spending accounts (FSAs)
Short- and long-term disability coverage
Work-Life resources
Paid parental leave
Healthy lifestyle programs
Application window anticipated to close: 1/19/2026 *if interested in opportunity, please submit application as soon as possible.
The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity
Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.
Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.
To read and review this privacy notice click
here