Post job

CVS Health jobs in Lake Charles, LA - 98 jobs

  • Medical Director -Spine

    CVS Health 4.6company rating

    CVS Health job in Iowa, LA

    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 SummaryAetna, a CVS Health Company, a Fortune 6 company, is one of the oldest and largest national insurers. That experience gives us a unique opportunity to help transform health care. We believe that a better care system is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. Practice Spine Surgery. . . . From Your Home! Aetna, a CVS Health Company, is hiring physicians that are board certified in Orthopedic Spine or Neurosurgery to expand Aetna's medical management program. This is an exciting opportunity to address member needs across the continuum of care and provide clinical expertise to the spine team. The medical directors are responsible for precertification reviews of claim determinations, and provide clinical, coding and reimbursement expertise using multiple computer based applications. This is a full time position, offering a salary with yearly raises, health insurance, 401K, stock plans and other benefits and an opportunity to use your skills but work regular hours in a remote position from anywhere in the United StatesThis is a remote based (work at home) based anywhere in the US. Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The Medical Director (Spine) will be a Subject Matter Expert (SME) with a background in Orthopedic Spine OR Neurosurgery, including post-graduate direct patient care experience specifically. Expands Aetna's medical management programs to address member needs across the continuum of care. Supports the Medical Management staff ensuring timely and consistent responses to members and providers. Leads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities. Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams. Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise, using multiple computer based applications. Required Qualifications* 2 or more years of experience in Health Care Delivery System e. g. , Clinical Practice and Health Care Industry. * Active and current state medical license without encumbrances. * M. D. or D. O. , Board Certification in a Orthopedic Spine OR Neurosurgery, including post-graduate direct patient care experience specifically. Preferred Qualifications* Previous healthcare insurance experience. Education* 2 or more years of experience in Health Care Delivery System e. g. , Clinical Practice and Health Care Industry. * Active and current state medical license without encumbrances. * M. D. or D. O. , Board Certification in a Orthopedic Spine OR Neurosurgery, including post-graduate direct patient care experience. Pay RangeThe typical pay range for this role is:$174,070. 00 - $374,920. 00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great 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 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $174.1k-374.9k yearly 32d ago
  • Job icon imageJob icon image 2

    Looking for a job?

    Let Zippia find it for you.

  • Lead Director, National Specialty Value-Based Care Contracting

    CVS Health 4.6company rating

    CVS Health job in Iowa, LA

    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. A Brief OverviewAetna is seeking a dynamic and strategic contracting lead director to join our National Value-Based Care (VBC) Specialty team. This role will be instrumental in shaping and expanding our specialty and innovative provider partnerships. The ideal candidate will bring a strong blend of strategic thinking, relationship management, and operational execution to accelerate the growth of our VBC portfolio. You will collaborate cross-functionally across the Network organization and with segment leaders to drive speed-to-market and deliver measurable impact. What you will do Strategic Partnership Development: Lead the end-to-end process of identifying, evaluating, and executing contracts with specialty and innovative provider organizations that align with Aetna's VBC strategy. Relationship Management: Cultivate and manage executive-level relationships with specialty and early-stage provider partners. Serve as a trusted advisor and strategic thought partner to drive mutual growth and innovation. Market Intelligence & Thought Leadership: Conduct in-depth analysis of specialty care landscapes and emerging financial models. Educate internal stakeholders on industry trends, competitive positioning, and partnership opportunities. Financial Modeling & Contracting: Collaborate with finance, analytics, and actuarial teams to design and validate financial models that support scalable VBC arrangements. Lead contract negotiations to ensure alignment with enterprise goals. Cross-Functional Execution: Partner with Network, Line of Business Segments, Clinical, and Operations teams to ensure timely deployment and operationalization of contracts Innovation & Pilot Development: Drive the launch of new value-based payment models. Lead pilot initiatives, monitor performance, and assess ROI to inform enterprise-wide scaling. Internal Collaboration & Communication: Act as a liaison among internal stakeholders including product, analytics, operations, and reimbursement teams to ensure alignment and execution of strategic initiatives. Required QualificationsA minimum of 10 years of experience in Payer and Provider Value based care. A minimum of 7 years of contract negotiations, ideally with a focus on Value Based care. Experience navigating a highly matrixed environment. Proven ability in creating high-impact presentations for executive audiences and presenting complex information in a clear, concise manner. Preferred QualificationsExperience in Value Based Care financial models. Experience in Risk-based arrangements and Value Based care in government services. EducationBachelor's Degree preferred or a combination of professional work experience and education. Pay RangeThe typical pay range for this role is:$100,000. 00 - $231,540. 00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great 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: 02/21/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $100k-231.5k yearly 8d ago
  • Outbound Call Center Rep

    CVS Health 4.6company rating

    CVS Health job in Iowa, LA

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. How will this role have an impact?At Signify Health, we value and seek exceptional thinkers with the heart and humility to match. Join us on a mission to improve lives and make a lasting difference. As part of the Signify Health's Member Engagement team, you will contact members of various Medicare Advantage and Medicaid health plans by phone to offer, explain, and schedule a free in-home or virtual healthcare evaluation. You will work diligently to meet department productivity, quality, and customer service goals. This role will report to a Member Engagement Manager. Starting hourly rate $15. 00, with unlimited bi-weekly commission potential. 10 days of required paid training (Monday-Friday, 8AM-4:30PM CST. ) Call center hours of operation are Monday-Sunday 7AM - 9PM, actual shift will be determined at time of hire. Competitive benefits, PTO, tuition reimbursement, and more!What will you do?Make an average of 50 outbound calls per hour placed by an automatic dialer system to offer, explain, and schedule a free in-home or virtual health evaluation with a provider Follow 20+ approved scripts, ensure members understand and are comfortable with the terms, and respond to rebuttals persuasively and with professional courtesy Present a positive, professional, and high energy approach to clients, health plan members, and team members Meet daily goals set by the department (i. e. , 300-400 outbound dials per day, 24 appointments set per day, shift and attendance policy adherence, quality targets, etc. ) in an office or remote environment Adjust, reschedule, and cancel appointments with both members and contracted providers, as requested Monitor performance results including appointments, calls, handle time, and productivity using designated reporting systems Report member complaints and escalations immediately to Member Engagement ManagersParticipate in peer side-by-side coaching as needed Follow HIPAA and other security and privacy guidelines when handling protected health information accessed during normal work activities We are looking for someone with:A High School Diploma or equivalent is preferred1+ year call center experience OR 2+ years general work experience required Previous outbound call center or high volume experience working in a metrics driven environment, with an auto dialer, and/or using scripts is preferredA desire to work in an efficient, results-oriented outbound call center environment Persuasive with the ability to rebuttal while treating all health plan members with professional courtesy Good communication skills, friendly and conversational Ability to adhere to a fixed daily schedule, including start, breaks, lunch, and end times Strong computer skills and the ability to use multiple systems at the same time, while making calls Benefits:Medical, Dental and Vision plans, Insurance starts the 1st of each month after the start date Bi-weekly pay with monthly commission bonus potential 401K, employee stock purchase program and tuition reimbursement Employee discount programs Work From Home Requirements:To qualify, you must have verified and reliable internet service with 10MB upload/download ability available in your home. The company will provide equipment (keyboard, monitor, computer, headset, etc. ). All applicants must provide their own workspace furniture and ensure a quiet workspace. Conditions of Employment:Successful completion of background check is required for this position. Anticipated Weekly Hours40Pay RangeThe typical pay range for this role is:$15. 00 - $26. 93This 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. We anticipate the application window for this opening will close on: 05/31/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$15. 00 - $26. 93This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great 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: 02/16/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $15-26 hourly 6d ago
  • Account Executive

    CVS Health 4.6company rating

    CVS Health job in Iowa, LA

    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: · Develops strong personal and collaborative internal and external relationships to manage book of business (e. g. ACA, mid-size employer groups) to achieve customer satisfaction, revenue, membership, and earnings objectives. Fundamental Components: · Accountable for building and maintaining strong relationships with a locally-aligned book of business to ensure case renewal and retention. Responsibilities include delivering renewals, cross-sales, up-sales, and growing sales. · Determine concerns/barriers for retention of customers; identify top concerns and review mitigation strategy with leadership. Discuss and present solutions and partners with internal partners to enhance customer experience. · Collaborates with account team members and functional support areas on more complex product or service issues to ensure client's needs are met. · Offers creative product and service solutions to address client's evolving needs. · On an ongoing basis, monitors client's product lines and services to ensure customer satisfaction. · Responsible for the financial performance for assigned portfolio including negotiations with Plan Sponsor and Producer in their book. · Reviews and consultatively presents customer reporting with meaningful analytics, trending and insightful recommendations for additional programs and services. · Required to communicate with internal and external parties telephonically and/or in person. May require travel to offsite locations for in-person meetings. Requirements:· 3-5 years of relevant industry experience· Multi-functional experience, e. g. , underwriting, actuary, underwriting, network· Experience making formal presentations Must have an active Health insurance license Education:· Bachelor's degree in business or related field Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$46,988. 00 - $111,414. 00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great 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: 02/01/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $47k-111.4k yearly 23d ago
  • Staff Pharmacist

    CVS Health 4.6company rating

    CVS Health job in Lake Charles, LA

    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. Job Purpose and Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system - and their personal health care - by improving access, lowering costs, and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day. Our Staff Pharmacists play a critical role in cultivating a culture of excellence in their pharmacy by acting as a role model for all, demonstrating genuine care, and setting the bar for the pharmacy team. As a Staff Pharmacist, you play a critical role at the forefront of delivering our purpose, modeling our values, and demonstrating genuine, authentic care for our patients. In addition to supporting the Pharmacy Manager in leading and directing the pharmacy team, you are accountable for supporting the management, oversight, and operation of all aspects within your pharmacy. The Staff Pharmacist's responsibilities include, but are not limited to: Living our purpose by helping to manage and improve patient health through safe and appropriate dispensing, counseling, and immunizing practices Taking direction from the Pharmacy Manager and overseeing the pharmacy as their proxy during bench shifts without overlap, including strengthening pharmacy performance measures through effective coaching and consistent follow-up of pharmacy team members and providing feedback about pharmacy team performance to the Pharmacy Manager as needed Assumes Pharmacy Manager's day-to-day duties when serving as the only or the primary pharmacist-on-duty Supporting safe and accurate prescription fulfillment by following-and directing the pharmacy team to follow-pharmacy workflow procedures and utilizing the safety guardrails at every workstation Contributing to positive patient experiences by showing empathy and genuine care, and coaching the pharmacy team to do the same: demonstrating compassionate care, collaborating with the patient's total healthcare team, and proactively resolving insurance and/or medication issues Proactively offering and delivering immunizations to keep patients healthy; engaging and supporting Pharmacy Technicians to learn to immunize Supporting the effective management of pharmacy inventory by following-and coaching the pharmacy team to follow-all inventory best practices, with a special focus on protecting cold chain products for our patients and our business Partnering with the Pharmacy Manager to ensure pharmacy operations are compliant with the appropriate state Board of Pharmacy regulations at all times; escalating issues or concerns to the Pharmacy Manager and/or Rx DL for timely resolution if/as needed Remaining flexible for both scheduling and business needs, while contributing to a safe, inclusive, and engaging team dynamic; supporting the Pharmacy Manager by writing the pharmacy schedule if/as directed Maintaining relevant clinical and technical skills for the job as the industry evolves (including but not limited to company-required trainings and CMEs); actively seeking opportunities to expand knowledge to better support patients Supporting access to care and helping to improve patient outcomes through pharmacist delivered clinical care such as testing and prescribing services (e.g., COVID/Flu, Hormonal Contraception, etc.) where permissible; empowers the pharmacy team to provide holistic care at every step in the patient care journey Understanding and complying with all relevant federal and state laws, regulations, professional standards, and ethical principles; complying with CVS Health policies and procedures to help support patient safety and complying with controlled substance dispensing and recordkeeping, to protect patient privacy and security, and to maintain a safe and inclusive workplace for our colleagues Required Qualifications: Active Pharmacist License in the state where the Store is located Active National Provider Identifier (NPI) Not on the DEA Excluded Parties list Essential Functions: Regular and predictable attendance, including nights and weekends Ability to complete required training within designated timeframe Attention and Focus: Ability to concentrate on a task over a period of time Ability to pivot quickly from one task to another to meet patient and business needs Ability to confirm prescription information and label accuracy, ensuring patient safety Customer Service and Team Orientation: Actively look for ways to help people, and do so in a friendly manner Notice and understand patients' reactions, and respond appropriately Communication Skills: Use and understand verbal and written communication to interact with patients and colleagues Utilize active listening by giving full attention to what others are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times Mathematical Reasoning: Ability to use math to solve a problem, such as determining the total number of tablets to dispense, day's supply, and/or number of full bottles and additional bottles needed to fill a prescription Issue Resolution: Identifying challenging patient or colleague interactions and choosing the best course of action when faced with multiple options Physical Demands: Be mobile and remain upright for extended periods of time Lift, scan, and bag items Reach overhead; stretch or reach out with the body, arms, and/or legs to grasp items Move fingers repetitively; picking, pinching, typing, or otherwise working primarily with fingers rather than whole hand or arm Extend hand(s) and arm(s) multiple directions to place, move, or lift items Control precision; quickly adjust machines to exact positions Stoop to a considerable degree, requiring full use of the lower extremities and back muscles to move items between low and high positions, including bending spine at the waist Close visual acuity to perform activities such as: transcribing, viewing a computer terminal, reading, visual inspection involving small parts Occasionally lift of up to 20 lbs. and/or exert up to 20 lbs. of force; Frequently lift of up to 10 lbs. and/or exert up to 10 lbs. of force; Consistently lift and/or exert a negligible amount of force to move objects. Express or exchange ideas by means of spoken word where detailed or important spoken instructions must be conveyed accurately Have the ability to receive detailed information through oral communication Any additional tasks as directed by Supervisor or Manager Preferred Qualifications: 1-2 years of related work experience in a pharmacy, retail, medical, or customer service setting Ability to work in other locations across the market as business needs require Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $60.00 - $76.00 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: 02/22/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $60 hourly Auto-Apply 59d ago
  • Senior, Implementation Analyst

    CVS Health 4.6company rating

    CVS Health job in Iowa, LA

    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. A Brief OverviewControls all aspects of customer benefits plan implementation. Communicates with stakeholders internally and externally to proactively identify and address critical implementation issues ensuring customer expectations are consistently satisfied or exceeded. Job description Responsible for directing all aspects of customer benefit plan implementation. Partners with all key stakeholders (i. e. , sales/service staff, consultants, plan sponsors, and other internal business units) to proactively identify and address critical implementation issues ensuring customer expectations are consistently satisfied or exceeded. Leads process improvement efforts to promote on-going enhancements to program installation. Mediates and coordinates resolution of all project deliverables and implementation related issues. Develops and executes implementation strategy consistent with customer expectations;Ensures strategy is administered in accordance with all performance guarantee arrangements. Effectively manages implementation team dynamics and provides direction/coaching to fellow team members ensuring success of the overall implementation process;Collaborates on review, analysis and development of recommendations for the design of complex account and benefit structures based on customers' objectives and Aetna's systems, administration and reporting requirements. Solicits and assesses internal and external customer feedback to enhance continuous quality improvement on the implementation process (i. e. , systems, resources, tools, etc. ). Identifies gaps and recommends enhancements related to new and/or existing products, services and workflows based on a broad view of the organization;Provides consultative support to customers to identify administrative and operational efficiencies resulting in potential financial savings for both Aetna and clients. Leads critical initiatives that contribute to the development of new or updated implementation tools, resources and materials. Participates in the development and introduction of new products, and identifies the potential impact to workflows and the overall implementation process;May be responsible for defining, developing and implementing new or redesigned process workflows in support of new products. Furnishes essential feedback on the effect new products lend to the implementation process. May assist with the selection of implementation staff and the development of training activities; Mentors and coaches new/junior staff members. Required Qualifications5 years in depth knowledge of healthcare industry experience Project management and leadership experience. Experience preparing and delivering presentations. Experience interacting with various levels of the organization to effectively influence others and achieve optimal results. Proficient in Microsoft (pivot tools, excel, PP presentations). Preferred Qualifications7 years of in depth knowledge of healthcare, PBM, Account ManagementMedicare experience Knowledge of Claims and Benefits Testing/ProcessingAutomation, AI tools Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$46,988. 00 - $122,400. 00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great 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: 02/24/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $47k-122.4k yearly 5d ago
  • Manager, Business Consultant

    CVS Health 4.6company rating

    CVS Health job in Iowa, LA

    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 SummaryAccountable for driving innovation and operational excellence from ideation to delivery for small to moderate scale, complex, high value initiatives and parts of larger initiatives that impact the delivery of products and services to the internal and external environment. Evaluating, designing, and implementing new growth strategies Partnering cross-functionally to identify colleague and customer needs and develop solutions and tactics to drive growth Tracking progress against key milestones, and creating and implementing value-based metrics and analysis to measure outcomes Delivering quantitative and qualitative analyses with slide presentations and storytelling that will simplify complex problems into simple for solutions for leadership to weigh in on Assisting in creating executive level readouts and presentation materials for leadership Developing dashboards to be leveraged by key stakeholders to monitor performance of our business Conducting deep dive analytics to identify opportunities for innovation and process improvement Performing root cause analysis and ad hoc research to diagnose gaps in our workflow and patient experience Simplifying complex datasets and identifying actionable insights that drive value This job might be for you if:You're energized by being part of a large cross functional team working in a fast-paced environment. You enjoy working in teams with a diverse set of experiences and backgrounds. You listen to others' ideas with an open mind. You're a leader. And you know this means more than leading people. You know that it means taking initiative with a project - anticipating the next steps and taking action before asked. You also know that it can mean leading from behind and stepping in with much needed support. You enjoy solving complex problems. If you don't know how to do something, you work to find the answers. You don't get frustrated easily when something doesn't go the way you planned. You can take complicated concepts and communicate them effectively to a variety of audiences. You write well. You pay attention to the details. You can articulate your thoughts eloquently. You have a track record of successfully influencing senior leadership and clients. You are self-motivated. You take ownership of your work and your team's work. You pay attention to the details. You enjoy spending your weekends reading the health section of the paper or listening to healthcare podcasts. You're interested in tracking how the industry is evolving and like understanding the intricacies of it. You love numbers and can track a multitude of key operational and financial metrics with ease You "think big" and encourage others to take calculated risks in exploring unconventional ideas and challenging the status quo Required Qualifications5+ years of experience in healthcare in a role that involves strategic problem solving and/or new product development (e. g. , consulting)5+ years of demonstrated organizational skills (e. g. project management experience or managing cross-team/department initiatives with demonstrated success)3+ years of data analytics experience working with large data sets and using Excel, SQL, Python, and/or other equivalent analytics tools3+ years supporting cross-functional teams in a matrixed environment Preferred QualificationsDemonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously. Demonstrated leadership with relevant initiatives: Business process, enterprise business project strategic planning and analysis, risk management, public health, process improvement (e. g. , Lean Six Sigma certification). management/consulting. Demonstrated superior business process, project management. Demonstrated experience successfully implementing change in complex organizations. Experience with enterprise-wide and/or cross-functional large scale initiatives with high degree of complexity. EducationMasters degree preferred, but not required. Bachelor's degree required Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$54,300. 00 - $159,120. 00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great 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.
    $54.3k-159.1k yearly 7d ago
  • Shift Lead

    Walgreens 4.4company rating

    Sulphur, LA job

    Opens and closes the store in the absence of store management, including all required systems start-ups, required cash handling, and ensuring the floor and stock room are ready for the business day. Responsible for opening back door of store for deliveries. Completes product returns, order voids, customer refunds, cash drops to the safe, and provides change as requested to cash registers. Models and delivers a distinctive and delightful customer experience. Customer Experience Engages customers and patients by greeting them and offering assistance with products and services. Resolves customer issues and answers questions to ensure a positive customer experience. Models and shares customer service best practices with all team members to deliver a distinctive and delightful customer experience, including interpersonal habits (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., offering help proactively, identifying needs, servicing until satisfied, etc.). Operations Responsible for holding store keys to open and close without management as necessary. Assists with and coaches other team members to work with warehouse and vendor ordering process as the orders are created, reviewed, and received, including opening the backdoor for vendor deliveries. Responsible and accountable for registering all related sales on assigned cash register, including records of scanning errors, price verifications, items not on file, price modifications, and voids. Assists manager or assistant store manager in reviewing order exceptions on order release day and assists in reverse logistics (e.g., 1506, returns, empty package). Assists manager or assistant store manager in evaluating and developing displays, including promotional, seasonal, super structures, and sale merchandise. Completes resets and revisions. Maintains accurate inventory counts; maintains the accuracy of on-hand quantities including, but not limited to, basic departments, stockroom, and overstock locations. Assist with ensuring the Outdate program is followed with team members. Responsible for basic department pricing and making daily price changes; ensures proper signage is displayed at the store to support accurate pricing of products. Ensures any additional pricing tasks related to local regulations and/or regulatory compliance programs are completed accurately and within the required time frame. Assist with bookkeeping activities, including cash report, cash counts, ledgers, and bill payment as necessary or as requested. Assists with exterior and interior maintenance by ensuring clean, neat, orderly store condition and appearance, including requesting store or system repairs as required in manager absence, or as requested by manager. Assists with separation of food items (e.g., raw foods from pre-cooked) and product placement as specified by policies/procedures (e.g., raw and frozen meats on bottom shelves). For consumable items, assists in stock rotation, using the first in, first out method and restock outs. Has working knowledge of store systems and store equipment. Assist at Pharmacy out window as requested. Ensures compliance with state and local laws regarding regulated products (e.g., alcoholic beverages and tobacco products). Responsible for bag checks of team members before leaving the store. Complies with all company policies and procedures; maintains respectful relationships with coworkers. Completes special assignments and other tasks as assigned. Training & Personal Development Attends training and completes PPLs requested by Manager. Communications Serves as a liaison between management and non-management team members by communicating assigned tasks to team members when store management is not present. Reports disciplinary issues and customer complaints to management. One year of prior leadership, supervisory, or retail key holder work experience. Must be fluent in reading, writing, and speaking English. (Except in Puerto Rico) Prefer the knowledge of store inventory control. We will consider employment of qualified applicants with arrest and conviction records. Obtains and maintains valid PTCB certification or pharmacy license as required by state. An Equal Opportunity Employer, including disability/veterans. The actual compensation that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits
    $24k-30k yearly est. 6d ago
  • Pharmacist - Sign-On and Relocation Assistance Available

    Walgreens 4.4company rating

    DeRidder, LA job

    **Join Our Team at Walgreens as a Pharmacist!** **Why Walgreens - For You, For Your Family, For Your Future** At Walgreens, pharmacists are medication experts and trusted healthcare providers reshaping the future of patient-focused care. With industry-leading resources, career advancement opportunities, and a strong commitment to work-life balance, we invest in you so you can invest in your patients. **For You - Competitive Pay & Flexible Scheduling** + Competitive pay - Competitive wage offered based on geography and other business-related factors + Paid Time Off (PTO) - Available after three months of service (subject to state law) because work-life balance matters + Flexible scheduling - Flexible scheduling options to fit your lifestyle **For Your Family - Comprehensive Health & Wellness Benefits** + Comprehensive benefits package including medical, prescription drug, dental, vision, disability and life insurance for qualifying team members. Plus free flu shots for all team members and other voluntary benefits + 365 Get Healthy Here & Life365 Employee Assistance Program (EAP) - Mental health support and wellness programs + Family-forming support - Walgreens provides financial support for fertility treatments, including medical procedures and prescription medications. Eligible team members can also receive reimbursement for qualified adoption and surrogacy-related expenses **For Your Future - Growth, Education & Exclusive Perks** + Opportunities for growth - Many pharmacists advance quickly into leadership roles in pharmacy operations, retail management, multi-site leadership, and corporate support functions + Walgreens University - Free training, certifications, and leadership development, plus tuition discounts at 30+ universities + Employee discounts - 25% off Walgreens brands and 15% off national brands, plus exclusive savings on electronics, travel, and more + 401(k) with company match - Contribute to your retirement, and Walgreens provides matching contributions after one year and 1,000 hours of service. Additionally, Walgreens matches qualifying student loan payments as if they were 401(k) contributions **What You'll Do** + Provide compassionate, expert-level pharmacy consulting services to patients + Educate and consult patients on medication usage, side effects, and cost-effective options + Deliver clinical healthcare services, including immunizations, diagnostic testing, and medication therapy management + Ensure medication safety through accurate compounding, dispensing, and regulatory compliance + Mentor and train pharmacy team members in a collaborative and supportive environment **Who You Are** + Patient-focused & service-driven - You're committed to making healthcare personal + A collaborative team leader - You support, inspire, and uplift those around you + A lifelong learner - You stay ahead of industry advancements and professional growth + A problem-solver - You navigate challenges, from insurance claims to medication management, with ease **Apply Today & Build Your Future with Walgreens!** This is more than just a job-it's a career with purpose. See below for more details! **About Us** Founded in 1901, Walgreens ( ***************** ) proudly serves more than 9 million customers and patients each day across its approximately 8,000 stores throughout the U.S. and Puerto Rico. Walgreens has approximately 211,000 team members, including roughly 85,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. **Job ID:** 1701775BR **Title:** Pharmacist - Sign-On and Relocation Assistance Available **Company Indicator:** Walgreens **Employment Type:** Full-time **Job Function:** Retail **Full Store Address:** 916 N PINE ST,DERIDDER,LA,70634-02816-10537-S **Full District Office Address:** 916 N PINE ST,DERIDDER,LA,70634-02816-10537-S **External Basic Qualifications:** + BS in Pharmacy or Pharmacist Degree from an accredited educational institution. + Current pharmacist licensure in the states within the district. + Experience performing prescription dispensing activities that demonstrate a strong working knowledge of applicable state and federal controlled substance laws. + Certified Immunizer or willing to become an immunizer within 90 days of hire. **Preferred Qualifications:** + At least 1 year experience as a pharmacist in a retail setting including prescription filling and verification, records and legal compliance, pharmacy operations, pharmacy software and technology systems and insurance. We will consider employment of qualified applicants with arrest and conviction records. An Equal Opportunity Employer, including disability/veterans. The Salary below is being provided to promote pay transparency and equal employment opportunities at Walgreens. The actual hourly salary within this range that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits (*************************************** . If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits **Shift:** **Store:** 10537-DERIDDER LA **Salary Range:** Pharmacist Hourly $61.50-$67.60
    $28k-33k yearly est. 60d+ ago
  • Utilization Management Nurse Consultant - Medicaid Program

    CVS Health 4.6company rating

    CVS Health job in Iowa, LA

    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 5d ago
  • Sr. Data Engineer

    CVS Health 4.6company rating

    CVS Health job in Iowa, LA

    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're seeking a Sr. Data Engineer to design and implement data pipelines that power analytical capabilities. This hands-on role requires an understanding of data engineering best practices and the ability to translate business requirements into technical solutions. You will be part of a dedicated team creating datasets for financial and analytic workloads. Key Responsibilities:Data Pipeline Development: Design and build ETL/ELT data pipelines to ingest, process, and transform large datasets from multiple sources. Performance Optimization: Implement best practices for performance tuning, partitioning, and clustering to optimize data queries and reduce costs. Data Quality & Governance: Establish and enforce data quality standards, data governance frameworks, and security policies for data storage and access. Data Modeling & Architecture: Develop and optimize data models and schemas to support analytics, reporting, and machine learning requirements. Data Integration & Transformation: Collaborate with data scientists and analysts to design data solutions that integrate with BI tools and machine learning models. Documentation & Knowledge Sharing: Create comprehensive documentation for data pipelines, workflows, and processes. Share best practices and mentor junior data engineers. Design and architect data infrastructure analytical workloads. Required Qualifications5+ years of applicable work experience Proficiency in Python, specifically with ETL pipelines. Strong proficiency in SQL and experience in developing complex queries. Familiarity with py Spark, DBT, or other similar frameworks. Experience deploying data pipelines in a cloud environment (Azure, AWS, GCP). Understanding of data warehousing concepts, dimensional modeling, and building data marts. Excellent communication and interpersonal skills, with the ability to collaborate effectively with data scientists, analysts, and product owners. Preferred QualificationsKnowledge of data governance best practices in a cloud environment. Experience with data design in BigQueryExperience working with the Epic data model. Experience working with healthcare data (Claims and Admissions) Education and ExperienceCollege degree or certification in related fields Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$83,430. 00 - $222,480. 00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great 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: 01/27/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $83.4k-222.5k yearly 8d ago
  • Customer Service Associate

    Walgreens 4.4company rating

    Lake Charles, LA job

    Models and delivers a distinctive and delightful customer experience. Registers sales on assigned cash register, provides customers with courteous, fair, friendly, and efficient checkout service. Customer Experience Engages customers and patients by greeting them and offering assistance with products and services. Resolves customer issues and answers questions to ensure a positive customer experience. Models and shares customer service best practices with all team members to deliver a distinctive and delightful customer experience, including interpersonal habits (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., offering help proactively, identifying needs, servicing until satisfied, etc.). Operations Provides customers with courteous, friendly, fast, and efficient service. Recommends items for sale to customer and recommends trade-up and/or companion items. Registers customer purchases on assigned cash register, collects cash and distributes change as requested; processes voids, returns, rain checks, refunds, and exchanges as needed. Keeps counters and shelves clean and well merchandised, takes inventory, and maintains records. Checks in and prices merchandise as required or as directed by store manager or communicated by the shift leader. Implements Company asset protection procedures to identify and minimize profit loss. Ensures compliance with state and local laws regarding regulated products (e.g., alcoholic beverages and tobacco products). Constructs and maintains displays, including promotional, seasonal, super structures, and sale merchandise. Completes resets and revisions as directed. Assists with separation of food items (e.g., raw foods from pre-cooked) and product placement as specified by policies/procedures (e.g., raw and frozen meats on bottom shelves). For consumable items, assists in stock rotation, using the first in, first out method and restock outs. Has working knowledge of store systems and store equipment. Provides customer service in the photo area, including digital passport photo service, poster print and creative machine, suggestive sell of promotional photo products. Assumes web pick-up responsibilities (monitors orders in Picture Care Plus, fills orders (pick items), delivers orders to customers as they arrive at store). Assists with exterior and interior maintenance by ensuring clean, neat, orderly store condition and appearance. Complies with all company policies and procedures; maintains respectful relationships with coworkers. Completes special assignments and other tasks as assigned. Training & Personal Development Attends training and completes PPLs requested by Manager or assigned by corporate. Must be fluent in reading, writing, and speaking English. (Except in Puerto Rico) Requires willingness to work flexible schedule, including evenings and weekend hours Prefer six months of experience in a retail environment. Prefer to have prior work experience with Walgreens. Prefer to be fluent in reading, writing, and speaking English. (Except in Puerto Rico) Requires willingness to work flexible schedule, including evenings and weekend hours. We will consider employment of qualified applicants with arrest and conviction records. An Equal Opportunity Employer, including disability/veterans. The actual compensation that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits
    $21k-24k yearly est. 35d ago
  • QM Nurse Consultant

    CVS Health 4.6company rating

    CVS Health job in Iowa, LA

    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. Responsible for the review and evaluation of clinical information and documentation. Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and policies in line with clinical editing, policy and coding standards. Fundamental Components:Reviews documentation and evaluates potential correct coding issues based on multiple clinical policies. Considers all documented system information as well as any additional records/data presented to develop a determination or recommendation. Data gathering requires navigation through multiple system applications. Staff may be required to contact internal Aetna departments to obtain additional information. Evaluates documentation/information to determine compliance with clinical policy, regulatory, and accreditation guidelines. Accurately applies review requirements to assure case is reviewed by a practitioner with clinical expertise for the issue at hand. Commands a comprehensive knowledge of complex delegation arrangements, contracts (member and provider), clinical criteria, benefit plan structure, regulatory requirements, company policy and other processes which are required to support the review of the clinical documentation/information. Pro-actively and consistently applies the regulatory and accreditation standards to assure that activities are reviewed and processed within guidelines. Condenses complex information into a clear and precise clinical picture while working independently. Reports audit or clinical findings to appropriate staff or others in order to ensure appropriate outcome and/or follow-up for improvement as indicated. Required Qualifications3-5 years of direct care clinical experience as an RN required. Active and unrestricted RN licensure required in candidate's state of residence. 2 years' experience with MS Office suite applications including Excel. Strong computer skills utilizing multiple systems and applications at the same time. Must have critical thinking skills. Preferred QualificationsExperience with ICD-10, CPT coding Experience with QNXTExperience with QuickBase. Experience with Cotiviti Editing/CXTEducationRegistered Nurse with compact license Associates Degree required, Bachelors preferred Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$54,095. 00 - $155,538. 00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great 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: 01/30/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $54.1k-155.5k yearly 6d ago
  • Senior Claim Benefit Specialist

    CVS Health 4.6company rating

    CVS Health job in Iowa, LA

    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 SummaryReviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject matter expert by providing training, coaching, or responding to complex issues. May handle customer service inquiries and problems. Additional Responsibilities: Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies medical necessity guidelines, determines coverage, completes eligibility verification, identifies discrepancies, and applies all cost containment. measures to assist in the claim adjudication process. - Handles phone and written inquiries related to requests for pre-approval/pre-authorization, reconsiderations, or appeals. - Ensures all compliance requirements are satisfied and all payments are made against company practices and procedures. - Identifies and reports possible claim overpayments, underpayments and any other irregularities. - Performs claim rework calculations. - Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists. - Makes outbound calls to obtain required information for claim or reconsideration. Required Qualifications- New York Independent Adjuster License- Experience in a production environment. - Demonstrated ability to handle multiple assignments competently, accurately and efficiently. Preferred Qualifications- 18+ months of medical claim processing experience- Self-Funding experience- DG system knowledge Education- High School Diploma required- Preferred Associates degree or equivalent work experience. Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$18. 50 - $42. 35This 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: 02/27/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $18 hourly 12d ago
  • Compute Engineer

    CVS Health 4.6company rating

    CVS Health job in Iowa, LA

    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. Role Description:The Compute Engineer is an integral part of our growing team. The right candidate will report to the Infrastructure Manager. Core Responsibilities:Engineering and ProvisioningEngineering of related solutions for various project and operational needs. Install new / rebuild existing servers (on-prem and cloud) and configure hardware, peripherals, services, settings, directories, storage, etc. in accordance with standards and project/operational requirements. Install and configure systems, such as supporting EMR and Cloud infrastructure applications or Asset Management applications. Develop and maintain installation and configuration procedures. Contribute to and maintain system standards. Research and recommend innovative, and where possible automated approaches for system administration tasks. Identify approaches that leverage our resources and provide economies of scale. Operations and SupportPerform daily system monitoring, verifying the integrity and availability of all hardware, server resources, systems and key processes, reviewing system and application logs, and verifying completion of scheduled jobs such as backups. Perform regular security monitoring to identify any possible intrusions. Perform vulnerability remediations of Cloud and on-prem server infrastructure Perform daily backup operations using Azure Backup, ensuring all required file systems and system data are successfully backed up to the appropriate media Create, change, and delete user accounts per request. Provide Tier III/other support per request from various constituencies. Investigate and troubleshoot issues. Repair and recover from hardware or software failures. Coordinate and communicate with impacted constituencies. MaintenanceApply OS patches and upgrades using Azure Patch Management on a regular basis and upgrade administrative tools and utilities. Configure / add new services as necessary. Upgrade and configure system software that supports EMR/Cloud infrastructure applications or Asset Management applications per project or operational needs. Maintain operational, configuration, or other procedures. Perform periodic performance reporting to support capacity planning. Perform ongoing performance tuning, hardware upgrades, and resource optimization as required. Configure CPU, memory, and disk partitions as required. Maintain data center environmental and monitoring equipment. Other duties, as assigned Minimum Requirements:Minimum 3 years Windows server admin experience Minimum 3 years DNS and AD Management experience Minimum 2 years Microsoft Azure Cloud experience with deploying resources such as VMs, storage accounts, etc…Minimum 2 years Microsoft Entra ID experience Minimum 2 years certificate management experience Preferred Experience:Linux server administration experience Nerdio ExperienceDigicert experience GoDaddy experience RMM package deployment experience Experience working with a multiple OS (Server 2016, 2019, 2022) Azure Virtual Dekstop host pool and application configurations IIS ExperienceSQL experience (2016, 2019) Experience with: VMware VCenter 6. 0 and higher, VMware VSan 6. 0 knowledge, Citrix ADC experience, Crowdstrike, Tenable, Sumo logic, MCSE, MCSA preferred Demonstrated PC skills (MS Office, Google docs) Ability to research emerging technologies and make recommendations that benefit our business Knowledge of data center environments, hosting services, networks, and software as a service (SaaS) Ability to document server physical / logical, topology Education:Associate's Degree required, Bachelor's degree preferred Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$64,890. 00 - $173,040. 00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great 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: 01/27/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $64.9k-173k yearly 8d ago
  • Senior Manager of Informatics - Project Management

    CVS Health 4.6company rating

    CVS Health job in Iowa, LA

    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. Job Description SummaryThe Epic Implementation Project Manager assists the Lead Director with informatics initiatives with a focus on strategic execution, stakeholder alignment, and delivery excellence. This role is responsible for translating organizational goals into actionable project plans, managing cross-functional teams, and ensuring the successful implementation of Epic. The ideal candidate brings deep expertise in IT project management, risk mitigation, and change adoption, with a proven ability to deliver complex healthcare technology projects on time and within scope. Key Responsibilities1. Strategic Project ManagementDefine and drive execution pathways: Translate strategic goals into actionable project plans. Set and manage milestones: Establish clear deliverables, deadlines, and dependencies across workstreams. Maintain project timelines: Use tools (e. g. , Smartsheet, MS Project, MS Excel, MS Visio etc. ) to track progress and adjust proactively. 2. Risk & Issue ManagementDevelop and maintain risk logs: Identify, assess, and mitigate risks across technical and operational domains. Escalation pathways: Create clear protocols for issue escalation and resolution. Support development and maintain tracking tools in MS Excel for financial assessment and forecasting for clinical and technical Enterprise costs. Develop formulas for automation and streamlining forecast development. 3. Cross-Functional CoordinationWorkstream integration: Ensure alignment across clinical, technical, and operational workgroups. Meeting facilitation: Lead effective cross-functional meetings with clear agendas, follow-ups, and accountability. 4. Communication, Relationship Development & ReportingExecutive-level reporting: Deliver concise updates to leadership on status, risks, and decisions needed. Stakeholder engagement: While relationship-building is a strength, elevate by driving clarity and accountability. Develop and maintain relationships with key stakeholders across the Enterprise, including comfort in presenting and communicating with these networks. 5. Change Management & AdoptionSupport readiness efforts: Partner with training and change management teams to ensure smooth adoption. Feedback loops: Implement mechanisms to gather and act on stakeholder feedback. Required QualificationsExperience: Minimum of five (5) years of related experience is required. Certification(s): Two or more of the following Epic Certifications:EpicCare Ambulatory, Healthy Planet, Beacon, Willow, Prelude, Cadence, Resolute Professional Billing, HIM (Health Information Management), MyChart, Beaker, Welcome Kiosk, Rover, Haiku, EpicCare Link, Caboodle, SlicerDicer, Bridges, Reporting Workbench, OrdersPay RangeThe typical pay range for this role is:$106,605. 00 - $284,280. 00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great 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: 04/13/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $92k-116k yearly est. 23d ago
  • Inventory Specialist

    Walgreens 4.4company rating

    Port Neches, TX job

    + Responsible for executing, monitoring, and training inventory best practices and standard operating procedures for the entire store, including both front end and pharmacy. Supports pharmacy inventory management activities, including receiving, counting, ordering, and facilitating returns. Champions On-Shelf Availability and is responsible for receiving, counting, pricing, returns, and all in-store inventory processes. Validates and ensures accuracy of planograms. + Responsible for reviewing and coordinating the proper use of reports and system applications, which have an impact on the accuracy of front end and pharmacy on-hand balances and pricing. + Responsible for executing and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), shortages (merchandise billed, but not received), order errors or damaged goods including prescription drugs. + In designated stores, as required, opens and closes the store in the absence of store management, including all required systems start-ups, required cash handling and cashier responsibilities, and ensuring the floor and stock room are ready for the business day. **Customer Experience** + Engages customers by greeting them and offering assistance with products and services. In designated stores, when serving as the leader on duty, resolves customer issues and answers questions to ensure a positive customer experience. + Models and shares customer service best practices with all team members to deliver a distinctive and delightful customer experience, including interpersonal habits (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., offering help proactively, identifying needs, servicing until satisfied, etc.). **Operations** + Executes and coaches team members on warehouse and vendor inventory management processes including but not limited to creating, reviewing, and receiving orders. + Scans in all deliveries while the vendor is still in the store, including common carrier deliveries. Focuses on One Box receiving. Takes the appropriate action marking delivery as received if the product was physically delivered, contacting vendor for past undelivered scheduled receipts, and opening tickets as needed to correct inaccurate orders. + Under the supervision of the pharmacist-in-charge, verifies all pharmacy shipments are posted for products physically received at the store. Completes or verifies postings of all pharmacy warehouse orders, ABC prescription and OTC orders daily, secondary vendor orders, flu and dropship orders performing any necessary tote audits, and accurately reporting any shortages or damaged product. + Completes On-Shelf Availability (OSA) end-to-end process including warehouse and direct store delivery (DSD) for planogrammed departments, executing disposals, call-ins, and vendor returns before expiration, completes scan outs/ scan outs returns on all subscribed departments including vendor/ DSD departments and pharmacy scan outs. + Under the supervision of the pharmacist-in-charge,completes pharmacy inventory activities including but not limited to pharmacy recalls following Pharmacy Hazardous Waste Policy, vendor returns, non-controlled, and damaged salvage returns. Facilitates excess inventory returns or interstore pharmacy transfers where applicable for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims. + Completes execution of all pricing activities including price changes, markdowns, and markdowns deletes. Responsible for basic department pricing, including daily price changes, accurate pricing with correct signage, and reliable and timely completion of any additional regulatory pricing tasks. + Responsible for supporting front end and pharmacy ordering by ordering expense items. Monitors pharmacy manual orders to identify excess orders. Maintains consigned inventory and orders as required. + Ensures all designated pull & quarantine item on-hands are updated and placed in the designated holding area. + Maintains accurate inventory counts. Maintains the accuracy of on-hand quantities including but not limited to basic departments, stockroom, overstock locations. + Under the supervision of the pharmacist-in-charge, maintains accurate inventory counts and accuracy of on-hand quantities in pharmacy and completes pharmacy smart counts. + Ensures the store maintains inventory compliance with state and local laws regarding regulated products (e.g., alcoholic beverages and tobacco products). + Assists in the maintenance of inventory records, including receiving and posting of all products (in the front-end)) received at the store in all inventory systems. Organizes files and retains all invoices/receipts/return authorizations necessary for all inventory activities. + Helps to prepare for physical inventory and supports the physical inventory day activities, including but not limited to preparing sales floor, stockroom, and pharmacy for inventory and auditing the third party team on the day of inventory. + Supports keeping all counters and shelves clean and well merchandised. + Knowledgeable of all store systems and equipment. + Assists and coaches store team on all package delivery activities, including scanning in and out of packages, completing all daily inventory functions and, package returns at Walgreens. Supports execution of Pickup Program. + In designated stores, when serving as the leader on duty, responsible and accountable for registering all related sales on assigned point-of-sale system (POS), including records of scanning errors, price verifications, items not on file, price modifications, and voids. Completes product returns, order voids, customer refunds, cash drops to safe, and provides change as requested for point of sale. + Complies with all company policies and procedures; maintains respectful relationships with coworkers. + Completes any additional activities and other tasks as assigned. **Training & Personal Development** + Attends company-based trainings for continuous development and completes all e-learning modules including safety training requirements. + Obtains and maintains a valid pharmacy license/certification as required by the state. **Communications** + Serves as a liaison between management and non-management team members by coaching and developing other capabilities with inventory systems. When serving as the leader on duty, communicates assigned tasks to team members and reports disciplinary issues and customer complaints to management. **Job ID:** 1744117BR **Title:** Inventory Specialist **Company Indicator:** Walgreens **Employment Type:** Full-time **Job Function:** Retail **Full Store Address:** 2126 NALL ST,PORT NECHES,TX,77651 **Full District Office Address:** 2126 NALL ST,PORT NECHES,TX,77651-03716-03507-S **External Basic Qualifications:** + Six months of prior work experience with Walgreens (internal candidates) or one year of prior retail work experience (external candidates). + Must be fluent in reading, writing, and speaking English (except in Puerto Rico). + Must have a willingness to work a flexible schedule, including evening and weekend hours. + "Achieving expectations" rating on last performance review and no written disciplinary actions in the previous 12 months (internal candidates only). + Demonstrated attention to detail and ability to multi task and manage execution. + Experience in identifying operational issues and recommending and implementing strategies to resolve problems. **Preferred Qualifications:** + Prefer previous experience as a shift lead, pharmacy technician, designated hitter, or customer service associate. + Prefer to have prior work experience with Walgreens, with an evaluation on file. We will consider employment of qualified applicants with arrest and conviction records. **An Equal Opportunity Employer, including disability/veterans.** The actual compensation that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits . If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits **Shift:** **Store:** 03507-PORT NECHES TX **Pay Type:** Hourly **Start Rate:** 17 **Max Rate:** 20
    $24k-29k yearly est. 2d ago
  • Lead Solutions Architect - HR Technology

    CVS Health 4.6company rating

    CVS Health job in Iowa, LA

    We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Position SummaryThe Lead Solutions Architect will design and develop HR Technology domain architecture (integrated process, applications, data and technology) solutions to business problems in alignment with the enterprise architecture direction and standards. Responsibilities Include:Performing technical planning, architecture development and modification of specifications. Developing specifications for new products/services, applications and service offerings. Assessing the compatibility and integration of products/services proposed as standards in order to ensure an integrated architecture across interdependent technologies. What you will do:End to End Solution: Accountability and oversight for designing & building solutions for HR Technology from cradle to grave by providing leadership and oversight to tech leads who are intimately familiar with the application. Buy vs Build Analysis: Able to perform Buy vs Build analysis based on the qualitative and quantitative analysis across the available options to provide a final recommendation based on the rationale. Architecture and design reviews: Play a key role in architecture design reviews and identify gaps and recommend design changes. Application profile identification: Leverage significant technical expertise and domain knowledge to identify apps optimization needs. Proof of concept technology support: Lead and drive proofs-of-concept and technology deep-dives specific to partner technologies. "Whatever it takes" attitude to help clear technical roadblocks: Advise and assist Application development teams with technical roadblocks such as performance challenges within a solution. Recommend or assess opportunities to drive cost efficiencies aimed at simplicity, configurability and eventual elimination of technical debt associated with applications. Collaborate with stakeholders to define the architectural vision, strategy, and roadmap for the organization. Engage with business users, technology teams, and leadership to understand their needs, gathering requirements to ensure alignment between architectural solutions and business objectives. Participate in architecture reviews, provides recommendations, and oversees the implementation of governance frameworks. Evaluate emerging products & technologies, tools, and frameworks to support domain architectural decisions and provides recommendations for technology adoption. Encourage knowledge sharing, identify opportunities for enhancing architectural processes and methodologies, and support professional development initiatives for the architectural team. Required Qualifications10+ years' hands-on experience with Software design and development8+ years' SME level technical skills in: application, data, integration, and security architecture design4+ years' experience with Enterprise architecture and system design (including executing, planning, delivering & supporting solutions)4+ years' experience with Public Cloud (Azure/GCP)4+ years' experience with both SQL and NoSQL database technologies as well as Cloud database technologies2+ years' experience with SaaS/PaaS Platforms, e. g. Workday, Oracle Cloud, WorkBrain, UKG, MuleSoft, Boomi, OIC etc. 2+ years' experience working with technologies that work as glue between modern applications and legacy platforms e. g. Kafka2+ years' experience with Security framework and SSO, OAuth/SAML/OIDC-based authentication2+ years' experience working with Micro services Architecture & APIs2+ years' experience working with Container Platform and deployment patterns1+ year experience with observability and implementation techniques Preferred QualificationsGCP/Azure Architect cloud certification SaaS Product certification Design & Building Apps with AI capabilities integrating to LLM'sUnderstanding of AI Apps implementation patterns and Agent frameworks Experience or exposure to process automation tools and technologies Collaboration, teamwork and growth mindset (agility and developing yourself and others) EducationBachelor's degree required Specialized training/relevant professional certifications preferred Pay RangeThe typical pay range for this role is:$106,605. 00 - $284,280. 00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great 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: 02/01/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $88k-110k yearly est. 5d ago
  • Advanced Eligibility Consultant

    CVS Health 4.6company rating

    CVS Health job in Iowa, LA

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary:The Analyst, Eligibility (Advanced Analyst) serves as a pivotal resource, entrusted with the stewardship of the organization's most intricate and high-value client portfolios. This role is characterized by the autonomous management and resolution of multifaceted eligibility issues, requiring the translation of strategic directives and organizational intent into executable, results-driven initiatives with minimal oversight. Advanced Analysts operate in a consultative capacity, engaging cross-functionally with internal departments, external clients, and broker partners to deliver expert guidance and solutions. In addition to functioning as the principal escalation point prior to Manager or Director intervention, Advanced Analysts are responsible for the ongoing development and mentorship of junior staff, the design and implementation of comprehensive training programs, the orchestration and alignment of daily operational objectives, and the identification and execution of process optimization strategies. Subject matter expertise is leveraged to drive continuous improvement and operational excellence across the eligibility function. Required Qualifications:3-4 years experience as an Eligibility Consultant, with a proven track record of managing complex eligibility and policy data for high-value plan sponsors. Advanced proficiency in the accurate and timely processing of eligibility data, ensuring alignment with client requirements and organizational standards. Ability to synthesize organizational intent and end-state objectives, operating with a high degree of autonomy to achieve desired outcomes. Exceptional organizational skills, with the capacity to manage multiple concurrent priorities in a dynamic environment. Demonstrated ability to function both independently and as an integral member of a collaborative team. Consistent delivery of precise and timely results, with effective delegation and follow-up as required. Experience in coaching and mentoring junior colleagues, including the design, development, and facilitation of transitional training programs to support the seamless integration of new hires from classroom instruction to full productivity. Proven ability to identify, recommend, and implement process improvements and operational efficiencies. Preferred Qualifications:Experience in processing policy and eligibility data with a high degree of accuracy and timeliness, ensuring that all services and products consistently align with the specific requirements of plan sponsors. Experience in coaching, mentoring, and developing others within a team or organizational setting. Demonstrated leadership in complex eligibility operations. EducationHigh School diploma, G. E. D. and equivalent experience Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$43,888. 00 - $102,081. 00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great 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: 01/30/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $43.9k-102.1k yearly 16d ago
  • Pharmacy Intern

    Walgreens 4.4company rating

    Sulphur, LA job

    Job Objectives Learn to provide the best patient experience through assisting the pharmacist and pharmacy team members in accordance with state and federal regulations. Responsible for using pharmacy systems to obtain patient and drug information and process prescriptions. Models and delivers a distinctive and delightful customer experience. Learns and champions pharmacy policy, procedures, and customer service best practices needed to perform as a future pharmacist. Job Responsibilities/Tasks Customer Experience Engages customers and patients by greeting them and offering assistance with products and services. Resolves customer issues and answers questions to ensure a positive customer experience. Models and shares customer service best practices with all team members to deliver a distinctive and delightful customer experience, including interpersonal habits (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., offering help proactively, identifying needs, servicing until satisfied, etc.). Develops strong relationships with customers. Operations Learn from store and pharmacy team members, field leadership, team members and customers/patients Under the supervision by the pharmacist, assist in the practice of pharmacy, in accordance with state, federal, and company policy. Reviews and complies with the Walgreen Co. Pharmacy Code of Conduct. Performs duties as assigned and supervised by the pharmacist in accordance with Walgreens standard operating procedures for entering, third party processing, filling, and dispensing prescriptions. Assists pharmacists and other healthcare providers in delivering patient care and services that are within the state scope of practice for pharmacy interns including patient counseling and other health services (i.e. blood pressure, medication therapy management). Immediately reports prescription errors to pharmacist on duty and adheres to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. Strictly adheres to the Walgreen Co. policy regarding Good Faith Dispensing Responsible and accountable for registering all related sales on assigned cash register, collects and handles cash as required. Takes customer to OTC aisle when possible to assist in locating products. Handles telephone calls that do not require personal attention of the pharmacist, including those to physicians. Assists and supports Pharmacy Department on inventory management activities, such as, ordering, unpacking, checking and storing shipment of pharmaceuticals. Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages (merchandise billed, but not received), order errors or damaged goods involving Rx drugs. Assists with exterior and interior maintenance by ensuring the Pharmacy Department is stocked with adequate supplies, clean, neat and orderly in condition and appearance. Complies with all company policies and procedures; maintains respectful relationships with coworkers. Complete special assignments and other tasks as assigned. Training and Personal Development Complete required training Maintains knowledge and skill in healthcare and pharmacy, including latest news and developments. The following information is applicable for San Francisco, CA applicants: Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. An Equal Opportunity Employer, including disability/veterans. This information is being provided to promote pay transparency and equal employment opportunities at Walgreens. The current salary range for this position is $16.50 per hour - $25.00 per hour. The actual hourly salary within this range that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits Must be enrolled in a school of Pharmacy program. Must be fluent in reading, writing, and speaking English. (Except in Puerto Rico). Requires willingness to work flexible schedule, including evening and weekend hours. Prefer six months of experience in a retail environment. Prefer to have prior work experience with Walgreens. Prefer good math skills so you can fill prescriptions accurately, including counting, measuring and weighing We will consider employment of qualified applicants with arrest and conviction records. The current salary range for this position is $16.50 per hour - $25.00 per hour. The actual hourly salary within this range that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors.
    $16.5-25 hourly 60d+ ago

Learn more about CVS Health jobs

Most common locations at CVS Health