CVS Health Remote jobs

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Title: Behavioral Health Specialist Requires LISW, LPCC or LMFTCompany: Oak Street HealthRole Description:The purpose of a Behavioral Health Specialist at Oak Street Health is to provide care management services and to provide evidence-based short-term psychotherapy to our patients with behavioral health needs. The Behavioral Health Specialist is a key resource for Care Teams across a region of Oak Street Health primary clinics. They are responsible for coordinating and supporting behavioral healthcare for our patients, in collaboration with Care Teams and a psychiatric consultant. The Behavioral Health Specialist will assess the needs of patients, make referrals to appropriate behavioral health resources and specialists, and provide short-term counseling and evidence-based treatments as indicated. This role has the potential option for remote work days based upon achievement and maintenance of program metrics. Core Responsibilities:Collaborate with the primary care teams to identify appropriate patients to refer to the Oak Street Behavioral Health ProgramScreen and assess patients for common mental health and substance use disorders Develop care plans and provide or facilitate referrals to Oak Street's psychiatric consultant and/or external resources Provide short-term counseling and evidence-based treatments Coordinate care with Oak Street's psychiatric consultant, including warm handoffs for telehealth visits and collaboration on care plans Develop relationships with primary care teams and consistently communicate changes in behavioral health care plans Accurate and timely documentation of patient encounters and counseling sessions in Oak Street's electronic medical record Participate in regional and organizational efforts to advance Oak Street's Behavioral Health Program through workshops, feedback sessions, and surveys Possibly covering multiple clinics, depending on the maturity and panel sizes of those clinics Other duties, as assigned What are we looking for?Required:Master's Degree in the field of mental health counseling/healing arts required from an accredited school (Social Work, Counseling, Marriage and Family Therapy, etc. ) Highest clinical level of license (or local equivalent) Experience with screening for common mental health and/or substance use disorders Experience with assessment and treatment planning for common mental health and/or substance use disorders Familiarity with brief, structured intervention techniques (e. g. , Motivational Interviewing, Behavioral Activation, Problem Solving, Cognitive Behavioral, etc. ) US work authorization Strongly Preferred:Proficiency in providing brief, structured intervention techniques (e. g. , Motivational Interviewing, Behavioral Activation, Cognitive Behavioral) Working knowledge of differential diagnoses of common mental health and/or substance use disorders Preferred:Proficient PC skills Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$60,522. 00 - $129,615. 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: 12/09/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

**_What Edgepark and Advanced Diabetes Supply Group (ADSG) contributes to Cardinal Health_** Edgepark and Advanced Diabetes Supply Group (ADSG) are leading providers of direct-to-home durable medical equipment and supplies, serving a wide range of patient needs across critical therapy areas. Collectively, Edgepark and ADSG represent the insurance billing and direct-to-patient supplier arm of Cardinal Health - a Fortune 15 global healthcare services and products company headquartered in Dublin, OH. The _Director of Business Development, Market Access_ is a seasoned managed care executive and strategic individual contributor responsible for developing and securing transformative payer contracts for Edgepark and Advanced Diabetes Supply Group (ADSG). This individual will be focused on expanding the organization's strategic footprint and influence in value-based care contracting. Functioning as a strategic hunter, this Director is the deal architect, personally driving the identification, structuring, and closing of complex, valuable arrangements with national and regional payers that leverage our capabilities to reduce the total cost of care and improve outcomes. **Location** - Fully remote (nationwide search), with up to 30% travel expected (generally once or twice per month) **Responsibilities** + Proactively identify, target, and secure transformative agreements with national and regional payers, with a primary focus on sole-source value-based arrangements (ex: capitation, risk-sharing). + Lead the conceptualization, financial modeling, and contract structuring of new clinical and financial programs that leverage the company's capabilities to optimize patient outcomes and reduce the total cost of care. + Create and deliver high-impact, data-driven presentations to C-suite and executive leaders within payer organizations, translating complex clinical and operational data into clear financial and quality outcomes. + Lead meticulous needs assessments focused on the payer's overarching clinical, financial, and member engagement goals. Leverage these insights to design and present highly customized DMEPOS solutions that deliver clear ROI and ensure direct alignment with the payer's strategic imperatives. + Function as a dedicated, embedded partner to the Account Management team, actively participating in strategic payer meetings to introduce, present, and close complex, value-based programs. + Collaborate directly with the Market Access Account Management team across the full commercial cycle, specifically partnering on opportunity identification, account segmentation/stratification, contracting execution, ensuring flawless implementation, and establishing robust post-implementation compliance tracking. + Continuously monitor and synthesize evolving regulatory, competitive, and payer environments to ensure the organization's partnership strategies are differentiated and positioned at the forefront of value-based innovation. + Champion cross-functional alignment by serving as the primary internal liaison, coordinating seamlessly with Sales, Operations, Clinical, and Finance teams to ensure the successful handoff and flawless operationalization of complex payer contracts. + Establish and lead Joint Operating Committees (JOCs) and Quarterly Business Reviews (QBRs) with key payer partners to rigorously monitor contract performance, validate value realization, and proactively manage relationship health. + Drive opportunities for contract expansion, renewal, and the introduction of new value-based programs, demonstrating long-term strategic partnership management. + Serve as the primary strategic partner to the Finance department, providing the necessary deal intelligence, modeling assumptions, and market context required for accurate contract valuation, forecasting, and robust P&L impact analysis throughout the contract lifecycle. + Serve as the external subject matter expert on managed care, value-based payment methodologies, and population health trends, leveraging this knowledge to build credibility and trust with C-suite and senior payer leadership. + Function as the chief internal strategist for managed care, proactively synthesizing industry dynamics and market insights to inform and influence executive decisions regarding future investment areas, solution development, and long-term strategic planning. **Qualifications** + Ideally targeting individuals with 10+ years of industry-specific experience which could include working for a national/regional payer, working in DME (durable medical equipment), working for a manufacturer, or working for a digital chronic condition management company + Proven track record driving new business, achieving measurable revenue targets, and securing high-value, complex partnerships with national/regional payers, self-funded employer groups, and/or integrated care delivery networks (preferred) + Expert knowledge in designing, negotiating, and implementing value-based contracts and risk-sharing agreements (ex: capitation, bundled payments, ACOs) + Demonstrated success developing and managing strategic relationships with C-suite payor executives as well as managed care clinical/network management/operations leaders + Full cycle RFP/RFQ management success-from initial market analysis through submission, award, and implementation + Specialization in total addressable market analysis, segmentation, financial profit pool modeling, and executed value-based care contracting frameworks + Robust network of strong, existing professional relationships with key decision-makers and influencers within major national and critical regional payer organizations, preferred _\#LI-LP_ _\#LI-Remote_ **Anticipated pay range:** $220,700 - $269,100 (includes targeted variable pay) **Bonus eligible:** Yes **Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with my FlexPay + Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle programs **Application window anticipated to close:** 12/01/2025 *if interested in opportunity, please submit application as soon as possible. The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (***************************************************************************************************************************

Cardinal Health Sonexus™ Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products. Responsibilities Investigate and resolve patient/physician inquiries and concerns in a timely manner Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate Proactive follow-up with various contacts to ensure patient access to therapy Demonstrate superior customer support talents Prioritize multiple, concurrent assignments and work with a sense of urgency Must communicate clearly and effectively in both a written and verbal format Must demonstrate a superior willingness to help external and internal customers Working alongside teammates to best support the needs of the patient population or will transfer caller to appropriate team member (when applicable) Maintain accurate and detailed notations for every interaction using the appropriate database for the inquiry Must self-audit intake activities to ensure accuracy and efficiency for the program Make outbound calls to patient and/or provider to discuss any missing information as applicable Assess patient's financial ability to afford therapy and provide hand on guidance to appropriate financial assistance Documentation must be clear and accurate and stored in the appropriate sections of the database Must track any payer/plan issues and report any changes, updates, or trends to management Handle escalations and ensure proper communication of the resolution within required timeframe agreed upon by the client Ability to effectively mediate situations in which parties are in disagreement to facilitate a positive outcome Concurrently handle multiple outstanding issues and ensure all items are resolved in a timely manner to the satisfaction of all parties Support team with call overflow and intake when needed Proactively following up with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to facilitate coverage and delivery of product in a timely manner. Qualifications 3-6 years of experience, preferred High School Diploma, GED or technical certification in related field or equivalent experience preferred What is expected of you and others at this level Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments In-depth knowledge in technical or specialty area Applies advanced skills to resolve complex problems independently May modify process to resolve situations Works independently within established procedures; may receive general guidance on new assignments May provide general guidance or technical assistance to less experienced team members TRAINING AND WORK SCHEDULES: Your new hire training will take place 8:00am-5:00pm CT, mandatory attendance is required. This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CT. REMOTE DETAILS: You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following: Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable. Download speed of 15Mbps (megabyte per second) Upload speed of 5Mbps (megabyte per second) Ping Rate Maximum of 30ms (milliseconds) Hardwired to the router Surge protector with Network Line Protection for CAH issued equipment Anticipated hourly range: $21.50 per hour - $30.70 per hour Bonus eligible: No Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being. Medical, dental and vision coverage Paid time off plan Health savings account (HSA) 401k savings plan Access to wages before pay day with my FlexPay Flexible spending accounts (FSAs) Short- and long-term disability coverage Work-Life resources Paid parental leave Healthy lifestyle programs Application window anticipated to close: 2/16/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply. Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law. To read and review this privacy notice click here

Cardinal Health Sonexus™ Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products. Together, we can get life-changing therapies to patients who need them-faster Are you ready to lead change at the forefront of healthcare innovation in patient access and support? Sonexus is undergoing a major transformation-scaling rapidly, reimagining how we deliver patient services, integrating emerging technologies & AI, and collaborating across the specialty pharma ecosystem. We're looking for a Senior Change & Transformation Consultant who's not just experienced but energized by the opportunity to shape the future of patient care and a rapidly growing business division of Cardinal Health. This is a high-impact role reporting to the Director of Business Transformation and Change Management. This consultant will be responsible for driving adoption, inspiring stakeholders, and embedding lasting change across complex, regulated environments. Too often, patients forego or can't complete prescribed therapy because of complicated qualification processes, unmanageable costs, or uncertainty about their medications. Cardinal Health Sonexus Access and Patient Support combines best-in-class program and pharmacy operations with smart digital tools to streamline patient onboarding and increase adherence to prescribed care. If you thrive in fast-paced settings and want to make a real difference in the lives of patients, this is your moment. Responsibilities · Design and execute enterprise-level change strategies that support transformation across patient services, pharmacy operations, and digital/AI innovation. · Conduct impact assessments, stakeholder analyses, and readiness evaluations to guide successful implementation. · Build strong partnerships across Patient Access, Case Management, Specialty Hubs, Pharmacy Operations, IT, and executive leadership. · Develop and facilitate dynamic workshops to elevate organizational change capability and leadership transformation IQ to scale a rapidly growing business. · Design communication strategies, plans, and craft visually appealing and compelling communications (infographics, Veeva Engage posts, slides, manager huddle scripts) tailored to diverse audiences-from frontline teams to senior leaders. · Champion AI initiatives includes building use cases, managing barriers to change and adoption, and managing the complex people-side of change for adopting AI (must have prior experience). · Monitor adoption metrics, create surveys, feedback loops, and performance indicators to ensure long-term success. · Identify risks and lead proactive mitigation strategies to keep business and AI transformation momentum strong. Leverage data and insights to refine approaches. · Contribute to the evolution of our new Transformation and Change office. Qualifications · Bachelor's degree in Business, Organizational Development, Healthcare Administration, or related field, preferred · Strong consulting, communication, analysis, data gathering and organizational skills. · Microsoft Office 365 (Teams, Copilot) Proficiency preferred · Ability to work in a fast-paced, collaborative environment and deliver quality results within aggressive timeframes. · Willingness to travel up to 25%. · Must be willing to work Central Time Zone business hours. Prefer candidates located in Columbus, OH or Dallas, TX area. · 6+ years of experience in change management with AI, digital business transformation experience, preferred · Prosci certification required; CCMP certification preferred with advanced certifications in digital/AI transformation, coaching, training facilitation, lean six sigma, organizational development (ODCP), etc. · Deep understanding and application of Change Management methodology end-to-end from strategy and planning to change impact analysis, communications plans and messaging, stakeholder analysis and engagement, readiness assessments, training and facilitation, change reporting and metrics, and reinforcement and sustainability. · Must be comfortable and proficient delivering change and transformation workshops and courses. · Proven success managing change for AI-driven solutions, preferred within patient services or pharmacy operations. · Solid understanding of the specialty pharma ecosystem, with highly preferred experience in Payors, PBMs, Specialty Hubs, Patient Services, Patient Assistance Programs, Medicaid, and Pharmacy Operations. · Exceptional communication, executive presence, facilitation, and stakeholder management skills. · Experience with CRM platforms like Salesforce, patient support technologies, or specialty pharmacy systems is a plus. · Can identify the differences between change and transformation, and provide work/project examples, including knowledge of transformation methodologies, models, AI strategy/transformation models, frameworks, building roadmaps. Framework examples include SAP BTM2, USAII, and CXO Transform. · Knowledge of product, agile methodologies a plus. Why Join Us? · Be a catalyst for change in a mission-driven organization transforming patient care. · Work alongside passionate professionals in a collaborative, forward-thinking environment. · Lead initiatives that integrate cutting-edge technologies like AI to improve outcomes and efficiency. · Make a lasting impact on how specialty pharma supports patients across the care continuum. TRAINING AND WORK SCHEDULES: Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required. This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CST. REMOTE DETAILS: You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to highspeed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following: Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable. Download speed of 15Mbps (megabyte per second) Upload speed of 5Mbps (megabyte per second) Ping Rate Maximum of 30ms (milliseconds) Hardwired to the router Surge protector with Network Line Protection for CAH issue Anticipated salary range: $105,100-$150,100 Bonus eligible: Yes Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being. Medical, dental and vision coverage Paid time off plan Health savings account (HSA) 401k savings plan Access to wages before pay day with my FlexPay Flexible spending accounts (FSAs) Short- and long-term disability coverage Work-Life resources Paid parental leave Healthy lifestyle programs Application window anticipated to close: 1/13/2026 *if interested in opportunity, please submit application as soon as possible. The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply. Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law. To read and review this privacy notice click here

What Information Security and Risk contributes to Cardinal Health Information Security and Risk develops, implements, and enforces security controls to protect the organization's technology assets from intentional or inadvertent modification, disclosure or destruction. This job family develops system back-up and disaster recovery plans. Information Technology also conducts incident response, threat management, vulnerability scanning, virus management and intrusion detection and completes risk assessments. The Director, Information Security and Risk (Identity & Access Management) is responsible for leading the organization's Identity & Access Management (IAM) strategy, governance, and operations to ensure secure, efficient, and compliant access to technology resources. This role requires a leader with proven ability to execute large-scale enterprise IAM programs that directly impact how employees, contractors, and customers interact with Cardinal Health technology. Success in this role demands a balance between delivering a frictionless, user-friendly experience and maintaining the highest standards of security. The Director must also excel at building partnerships across the organization and collaborating on program delivery, while driving operational excellence and anticipating business risks associated with IAM changes. Location - Ideally targeting individuals local to Central Ohio, but open to candidates located nationwide (fully remote). If living within commutable distance of our corporate HQ in Dublin, OH - the expectation would be to come in-office two or three days a month for team meetings. Responsibilities Act as a visionary in designing and executing multi-year IAM strategy that aligns with business goals and customer needs Develop and oversee enterprise IAM policies, standards, and procedures, ensuring consistent enforcement across the organization. Lead IAM initiatives including identity lifecycle management (provisioning, de-provisioning, role-based access, entitlement reviews). Direct privileged access management (PAM) programs to safeguard critical systems and sensitive data. Ensure compliance with internal policies and external regulatory requirements (e.g., SOX, HIPAA, GDPR, PCI-DSS) through strong access controls. Execute enterprise IAM programs with significant business impact, ensuring seamless access for employees, contractors, and customers. Balance user experience with security by designing IAM solutions that are simple, intuitive, and resilient. Drive operational excellence by establishing repeatable processes, KPIs, and service delivery models for IAM functions. Build strong partnerships across IT, Security, HR, and business units to align IAM delivery with organizational priorities. Establish metrics and reporting mechanisms to monitor IAM effectiveness, operational performance, and program maturity for executive leadership. Lead training and awareness programs related to IAM policies, secure access practices, and identity governance. Qualifications Bachelor's degree in Information Technology, Computer Science, Cybersecurity, or a related field preferred. Ideally targeting individuals with 12+ years of IT/security experience with at least 5 years in IAM leadership roles preferred. Proven track record of executing enterprise IAM programs with measurable business impact. Prior people leadership experience and demonstrated ability to manage operational IAM teams, highly preferred. Expertise with IAM tools and platforms (e.g., Okta, SailPoint, CyberArk, Azure AD). Strong understanding of relevant Regulatory and Compliance requirements (HIPAA, SOX, HITRUST CSF, etc.). Strong understanding of authentication protocols (SAML, OAuth, OpenID Connect, Kerberos) and cloud IAM (AWS IAM, Azure RBAC, GCP IAM). Certifications such as CISSP, CIAM, or CISM preferred. Strong analytical, relationship management, and communication skills (both written and verbal). Ability to collaborate across functions and influence stakeholders to achieve IAM program success. What is expected of you and others at this level Provides leadership to managers and experienced professional staff; may also manage front line supervisors Manages an organizational budget Develops and implements policies and procedures to achieve organizational goals Assists in the development of functional strategy Decisions have an extended impact on work processes, outcomes, and customers Interacts with internal and/or external leaders, including senior management Persuades others into agreement in sensitive situations while maintaining positive relationships #LI-LP #LI-Remote Anticipated salary range: $135,400 - $228,910 Bonus eligible: Yes Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being. Medical, dental and vision coverage Paid time off plan Health savings account (HSA) 401k savings plan Access to wages before pay day with my FlexPay Flexible spending accounts (FSAs) Short- and long-term disability coverage Work-Life resources Paid parental leave Healthy lifestyle programs Application window anticipated to close: 12/25/2025 *if interested in opportunity, please submit application as soon as possible. The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply. Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law. To read and review this privacy notice click here

We're looking for hardworking and dedicated Insurance Sales Representatives to benefit from our company provided leads, proprietary sales software, and training program at no cost. In addition to free leads, agents are also presented with live transfers from our team of Qualification Specialists that queue up interested buyers all day long! Advantages of Being a Sales Representative with Ideal Concepts: Uncapped commissions (Top agents earning over $150K annually) plus residual monthly income and ability to earn renewal business All leads (unlimited, company generated), CRM and dialer software with private exchange platform provided at no cost Extensive marketing footprint in 40+ states Year-round selling with our extensive product portfolio Dedicated support and training from our experienced sales management team Full back-office support and customer service team to support the sales team Bilingual opportunities available (Spanish preferred) Key Responsibilities Sell to company provided, live leads connected through our proprietary sales software Build comprehensive policies through a consultative, needs based sales approach Generate electronic rate quotes Service active client base for new sales opportunities Qualifications Strong outbound call ability, needs analysis and cross selling experience Ability to overcome sales objections and close over the phone How Ideal Concepts Supports Your Success You will utilize our proprietary cutting-edge software that allows customized solutions for every client Marketing solution designed to provide leads with the highest probability of a successful sale Comprehensive hands-on training to ensure you are the most efficient agent you can be You will work in a team atmosphere with motivated, passionate, and career-driven individuals just like yourself You will be a part of a collaborative environment that encourages problem-solvers and outside the box thinkers to find solutions and achieve excellence

What Retail Pharmacy contributes to Cardinal Health Pharmacy Operations is responsible for the safe, efficient and effective coordination of Cardinal Health's pharmacy operations that service acute care hospitals, hospital retail customers, ambulatory care and alternate site facilities, oncology and cardiology practices as well as retail customers. Retail Pharmacy is responsible for ensuring the correct and safe dispensing of prescription medications to the general public, in accordance with legal, ethical and professional guidelines; may also consult with and advise patients and physicians regarding prescribed and over-the-counter medications. Job Summary The Remote Pharmacy Technician, Order Processing plays an important role in delivering medication and pharmaceutical care in communities. This includes developing close relationships with patients in communities we serve and assisting the pharmacists in accurately preparing and delivering prescription medication. Responsibilities Manage inbound calls and make outbound calls related to setting up orders, working with medical providers, patients, and other pharmacy staff to ensure patients receive their medication in a timely manner Input patient data and prescription information into pharmacy information management system Assist the Pharmacist in filling prescription orders, as permitted by the State Boards of Pharmacy As permitted by applicable state laws, take verbal prescription orders from licensed prescribers and transfer prescriptions between dispensing pharmacies Review patient insurance coverage status and adjudicate claims for patient orders Enter prescriptions in pharmacy system Maintain knowledge of and abide by applicable pharmacy laws and regulations Communicate with all customers (patients, clinics, caregivers, physicians) in a pleasant and professional manner Qualifications High School diploma, GED or equivalent, or equivalent work experience, preferred 2+ years of experience in mail order or retail pharmacy setting, preferred Registered or Certified Pharmacy Technician, preferably in a retail, mail order, or specialty pharmacy preferred Active state or national certification in good standing Insurance billing experience, preferred What is expected of you and others at this level Understanding of operational needs and workflow tasks. Applies acquired knowledge and skills to complete standard tasks Readily learns and applies new information and methods to work in assigned area Maintains appropriate licenses, training and certifications Works on routine assignments that require some problem resolution Works within clearly defined standard operating procedures and/or scientific methods Adheres to all quality guidelines Works under moderate degree of supervision Work typically involves regular review of output by work lead or supervisor Refers complex unusual problems to supervisor Strong customer service skills Strong typing and data entry skills Anticipated hourly range: $18.90 per hour - $24.30 per hour Bonus eligible: No Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being. Medical, dental and vision coverage Paid time off plan Health savings account (HSA) 401k savings plan Access to wages before pay day with my FlexPay Flexible spending accounts (FSAs) Short- and long-term disability coverage Work-Life resources Paid parental leave Healthy lifestyle programs Application window anticipated to close: 1/3/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply. Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law. To read and review this privacy notice click here

Provides individualized service to new and existing Manufacturers/HUBs/patients in relation to their prescriptions, clinical services and program inquiries for Free Drug, Quick start, Bridge, PAP, replacement or Cash-discount programs. Responsible for processing referrals from initial approval, through verification and shipment in compliance with contractual requirements and will understand manufacturer established eligibility criteria, including but not limited to calculating household income and applicable % of Federal Poverty Guidelines (FPL), and collecting necessary financial documents from patients. **Job Responsibilities:** + Serves as the single point of contact for manufacturers and third-party HUBs relating to any patient, prescription, program or data query, while ensuring policies and procedures are followed; coordinates patient care by scheduling referrals communicating shipment information, assessing supply needs, verifying patient information, and triaging patients to a pharmacist, as appropriate. + Creates and processes through all assigned referral and order stages including re-orders received by electronic data feed, fax, mail and telephone; partner closely with manufacturer/HUB Case Managers to ensure streamlined communication and minimize service interruptions. + May perform Order Processing functions such as data entry, calling doctors' offices for Rx clarifications and updating patient medical profile. + Performs review of patient financial documents to determine FPL% (Federal Poverty Level percentage) to perform eligibility determination functions. + Creates and distributes daily Bridge Report and Quick Start reports for review of patient eligibility for department Bridge and Quick Start programs, as well as processing through all referral and order stages all Bridge and Quick Start referrals and re-order referrals. + Completes monthly benefit investigation to determine patient's eligibility for patient assistance programs (PAP), including review of patient financial documents. + Consults with the pharmacists to make them aware of any changes in a patient's condition, compliance issues or side effects and transfer patients directly to a pharmacist for counseling, as needed. + Assists with patient activities, including follow-up calls for patient's next order/refill, initiate the discharge of patient from services, contact a patient's doctor's office to schedule delivery of an order, request a letter be sent to the patient if unable to make contact and any other reminders necessary related to the patient's care. + Other responsibilities as judgment or necessity dictate. **About Walgreens** Founded in 1901, Walgreens (****************** proudly serves nearly 9 million customers and patients each day across its approximately 8,500 stores throughout the U.S. and Puerto Rico. Walgreens has approximately 220,000 team members, including nearly 90,000 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:** 1722356BR **Title:** Coordinator Manufacturer Special Programs - Remote **Company Indicator:** Walgreens **Employment Type:** **Job Function:** Retail **Full Store Address:** 108 WILMOT ROAD,DEERFIELD,IL 60015 **Full District Office Address:** 108 WILMOT ROAD,DEERFIELD,IL,60015-05108-00001-Y **External Basic Qualifications:** + High school diploma or GED. + At least 1 year of experience in patient care, healthcare, retail, or customer service-oriented role. + Experience providing customer service. + Strong written and verbal communication abilities. + Ability to prioritize and manage multiple responsibilities. + Experience developing ways of accomplishing goals with little or no supervision, depending on oneself to complete objectives and determining when escalation of issues is necessary. **Preferred Qualifications:** + Must have an active pharmacy technician license or certification as required by state Board of Pharmacy. + Experience in calculating benefit usage balances, co-pays, days of supply, and other health insurance mathematical calculations. + At least 1 year of experience in patient care, healthcare, retail, or customer service oriented role + Strong attention to detail We will consider employment of qualified applicants with arrest and conviction records. An employee in this position can expect an hourly rate between $16.50 to 22.00 an hour. The actual salary will depend on experience, seniority, geographic location, and other factors permitted by law. This job posting will remain open for 5 days from the job posting date. 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:**

Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products. **_Responsibilities_** + Investigate and resolve patient/physician inquiries and concerns in a timely manner + Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate + Proactive follow-up with various contacts to ensure patient access to therapy + Demonstrate superior customer support talents + Prioritize multiple, concurrent assignments and work with a sense of urgency + Must communicate clearly and effectively in both a written and verbal format + Must demonstrate a superior willingness to help external and internal customers + Working alongside teammates to best support the needs of the patient population or will transfer caller to appropriate team member (when applicable) + Maintain accurate and detailed notations for every interaction using the appropriate database for the inquiry + Must self-audit intake activities to ensure accuracy and efficiency for the program + Make outbound calls to patient and/or provider to discuss any missing information as applicable + Assess patient's financial ability to afford therapy and provide hand on guidance to appropriate financial assistance + Documentation must be clear and accurate and stored in the appropriate sections of the database + Must track any payer/plan issues and report any changes, updates, or trends to management + Handle escalations and ensure proper communication of the resolution within required timeframe agreed upon by the client + Ability to effectively mediate situations in which parties are in disagreement to facilitate a positive outcome + Concurrently handle multiple outstanding issues and ensure all items are resolved in a timely manner to the satisfaction of all parties + Support team with call overflow and intake when needed + Proactively following up with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to facilitate coverage and delivery of product in a timely manner. **_Qualifications_** + 3-6 years of experience, preferred + High School Diploma, GED or technical certification in related field or equivalent experience preferred **_What is expected of you and others at this level_** + Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments + In-depth knowledge in technical or specialty area + Applies advanced skills to resolve complex problems independently + May modify process to resolve situations + Works independently within established procedures; may receive general guidance on new assignments + May provide general guidance or technical assistance to less experienced team members **TRAINING AND WORK SCHEDULES:** Your new hire training will take place 8:00am-5:00pm CT, mandatory attendance is required. This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CT. **REMOTE DETAILS:** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following: Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. **Dial-up, satellite, WIFI, Cellular connections are NOT acceptable** . Download speed of 15Mbps (megabyte per second) + Upload speed of 5Mbps (megabyte per second) + Ping Rate Maximum of 30ms (milliseconds) + Hardwired to the router + Surge protector with Network Line Protection for CAH issued equipment **Anticipated hourly range:** $21.50 per hour - $30.70 per hour **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with my FlexPay + Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle programs **Application window anticipated to close:** 2/11/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (***************************************************************************************************************************

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, 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. Under the direction of the Lead Director, Service Operations, this position will focus on utilization, quality and fraud waste and abuse review for individual cases for members across Aetna . This role is fully remote. Eligible candidates must be licensed in Arizona and live in the greater Phoenix area. Expectations/Responsibilities:Reviews and prepares cases for medical necessity review of Applied Behavior Analysis (ABA). Provide input into medical management programs/policies that pertain to neurodevelopmental disorders. Make recommendation for enhancements to current managed care, review guidelines, and clinical criteria based on extensive knowledge of health care delivery systems, utilization methods, reimbursement methods, and treatment protocols. Serves as a clinical SME supporting SIU Investigators, Managers, and Directors as appropriate in matters pertaining to the investigation of suspected healthcare fraud cases Completion of Fraud waste and abuse reviews in partnership with SIU. Providers SME support to enterprise-wide initiatives supporting members with neurodevelopmental disorders. Uses available resources and technology in developing evidence, supporting allegations of fraud and abuse. Researches and prepares cases for clinical and legal review. Provides day-to-day support and guidance for ABA prior authorization clinical team and the health plan medical directors. Attends and participates in clinical meetings with care management and utilization management. Provides subject matter expertise on all ABA-related questions and member issues. Supports provider education initiatives for providers with a neurodiverse specialty including quality assurance and Fraud waste and abuse issues. Required QualificationsGreater Phoenix, Arizona area resident National Board Certified Behavior Analyst-Doctoral (BCBA-D) and unencumbered license by the Arizona Board of Psychologist Examiners to practice as a Behavior AnalystFive years of post-graduate direct patient care experience. Five (5) or more years of experience in clinical practice in the assessment and treatment of neurodevelopmental disorders, including but not limited to, Autism. PhD or PsyD, with specialization in neurodevelopment and child and adolescent psychology Direct experience providing treatment in the Autism space (e. g. , ABA, NDBI, EIBI) Ability to travel up to10% for mandatory office meetings and local travel Preferred QualificationsExperience with and knowledge of CPT and HCPCS coding guidelines and principles Experience using clinical expertise in reviewing medical records and making claim payment determinations according to Company, State, Federal and industry standard coding principles and guidelines. Education Doctoral degree (Ph. D. or equivalent) in a field related to behavior analysis Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$100,425. 00 - $216,300. 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: 01/02/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Headquartered in Dublin, Ohio, Cardinal Health, Inc. (NYSE: CAH) is a global, integrated healthcare services and products company connecting patients, providers, payers, pharmacists and manufacturers for integrated care coordination and better patient management. Backed by nearly 100 years of experience, with more than 40,000 employees in nearly 60 countries, Cardinal Health ranks among the top 20 on the Fortune 500. We boast tremendous opportunities to grow and apply technical skills to meet organizational needs, empowering talented team members who mentor and uplift others, led by leaders with a focus on employee development and well-being, dedicated training programs, and a collaborative atmosphere. We currently have a career opening for a Sales Support Analyst, Inside Sales. Overview The Inside Sales team is responsible for driving short-term sales and services to new and existing customers, with a focus on identifying opportunities, managing specialty programs, and collaborating across teams to enhance profitability and customer satisfaction. This role is instrumental in supporting our Sales Representatives with a wide range of activities - mostly centered around non-sales functions and onboarding of new customers. This opportunity provides hands-on training in sales relationship building and familiarizing oneself with key customers. Location Remote position Travel No travel required Expected Work Hours 10:00 am - 7:00pm Eastern / 9:00 am - 6:00 pm Central Responsibilities Apply basic concepts, principles, and technical capabilities to complete routine tasks Work on projects with limited scope and complexity Follow established procedures to resolve identifiable technical issues Creative problem solving through cross collaboration and teamwork Build competence through structured work assignments Qualifications 1-2 years of relevant experience preferred Strong attention to detail and excellent organizational skills Outstanding communication skills with consistent follow-up Highly motivated and passionate about pursuing a career in sales Anticipated hourly range: $15.00 - $23.43 per hour + incentive plan eligibility. Bonus eligible: Yes (incentive plan eligible) Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being. Medical, dental and vision coverage Paid time off plan Health savings account (HSA) 401k savings plan Access to wages before pay day with my FlexPay Flexible spending accounts (FSAs) Short- and long-term disability coverage Work-Life resources Paid parental leave Healthy lifestyle programs Application window anticipated to close: 1/10/2026 *if interested in opportunity, please submit application as soon as possible. Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply. Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law. To read and review this privacy notice click here

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position SummaryThe Employee Assistance Program Worklife Customer Support Associate position is fully remote, with the ability to work from anywhere in the continental United States. This is a call center role, operating 24 hours a day, 7 days a week. As a result, you will be expected to work on some holidays, and schedules may be adjusted based upon business need. We are looking for high-performing individuals to join our team. This team will support members as their front-door to Mental Health Wellbeing. Our goal is to deliver an integrated experience across the breadth of RFL (Resources for Living), Behavioral Health and Medical products, in order to ensure that every member and their families receive the proper support for their unique mental wellbeing needs. This person will be responsible for supporting the provision and use of employee assistance, employer benefits, and behavioral health benefits. In this role, you will:Determine the purpose of call by actively listening and interacting with callers; triage call in a professional and timely manner. Assess client needs; research and articulately communicate information regarding pertinent EAP/Worklife services and resources. Use screening tools to identify where urgent clinical intervention is needed, and transfer calls appropriately, including for members in crisis and at risk. Perform appropriate research in internal databases and online, in order to identify potential providers and resources. Enter member information into the appropriate EAP system, in order to initiate the case; document comments and information thoroughly and professionally. Communicate effectively with all internal stakeholders. Utilize relevant Aetna databases to research and identify validated, appropriate member resources. In the appropriate EAP system, maintain an inventory of materials. Provide miscellaneous support functions, including administrative support, follow-up calls, and other duties as assigned. Maintain compliance with policies and regulatory standards. Protect the confidentiality of member information and adhere to enterprise policies, as well as EAP and Worklife policies and procedures. Maintain accurate and complete internal documentation of required information that meets risk management and regulatory requirements. Proactively listen to members and anticipates their needs, taking full ownership of each member interaction. Address inquires and resolve issues as a "single-point-of contact" based on phone calls & digital and written correspondence. Provide customized interaction based on customer preference and individualized needs. Resolve complex issues without or with limited management intervention. Administer structured pre-screening assessment based on triggers, in order to assure urgent needs are directed appropriately. Identify triggers for additional resources and support connections to such responses. Assess for social determinants/needs & offers, and connect members with viable resources to address those needs. Workspace RequirementsMust have access to a separate workspace, free from distraction, in a room with a door that closes. Please note that this position largely involves sitting in front of a computer with double monitors and a headset on, multitasking while speaking with members, as well as typing and documenting. Also consistently reading emails to stay up-to-date on pertinent information. Must be able to utilize intranet and other tools to assist with call handling, often in the moment, as well as chats/Instant Messaging (IM) during or in between calls. Must be able to hardwire computer into modem, as well as possess reliable internet, with a minimum Download Speed of 400mpbs and Upload speed between 10-20mbps. Must have broadband or fiber connection, as well as ability to set up a 4-port modem. Required Qualifications1 year of experience in a medical or healthcare-related call center environment. 1 year of experience in a social, psychological, or human service field providing client support. Basic proficiency with Microsoft Office Suite (i. e. Word, Excel, Teams, etc. ) Ability to work Monday-Friday from 8:00am-4:30pm Eastern Standard Time. Preferred Qualifications1 year of experience in behavioral health. Bachelor's degree or higher. Strong empathy and communication skills. Excellent organization and time management. Detail-oriented nature. Ability to receive and apply constructive criticism, in an effort to maintain continuous performance improvement. Strong collaboration skills. EducationHigh school diploma or GED. 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: 01/02/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. **Position Summary** **_Must Reside on the Eastern Seaboard_** Responsible for increasing member and provider satisfaction, retention, and growth by efficiently delivering competitive services to members and providers through a fully integrated organization staffed by knowledgeable, customer-focused professionals supported by exemplary technologies and processes. Responsible for the overall supervision of Customer Service employees. Accountable for member/provider satisfaction, retention, and growth by efficiently delivering competitive services to members/providers. Additional responsibilities to include but not limited to the following: - Develops, motivates, evaluates and coaches staff on work procedures, proper call handling and teamwork delivering excellent customer service. Is visible and available to staff to answer questions, monitor calls and give ongoing feedback. - Utilizes available incentive programs to reward, recognize and celebrate team and individual successes. - Assesses individual and team performance on a regular basis and provide candid and timely feedback regarding developmental and training needs; includes completion of monthly and annual scorecards. - Monitors all performance measures such as daily stats and schedule adherence; allocates resources to meet volume and performance demands. - Remove barriers to job performance and ensures regulatory compliance. - Attracts, selects, and retains high caliber, diverse talent able to successfully achieve or exceed business goals. Builds a cohesive team that works well together. - Acts as liaison between staff and other areas, including management, all segments, provider teams, etc., communicating workflow results, ideas, and solutions. - Proactively analyzes constituent data, identifies trends and issues. Recognizes and acts on the needs to improve the development and delivery of products and services. Clearly identifies what must be accomplished for successful completion of business objectives. - Effectively applies and enforces Aetna HR policies and practices, i.e., FML/EML, Attendance, Code of Conduct, Disciplinary Guidelines. **Required Qualifications** - Demonstrated leadership abilities. - Experience with inbound call center operations. **Preferred Qualifications** - 2 years leading member/customer service team. - Experience in a Medicaid and/or Medicare setting. - Bachelor's Degree **Education** High School Diploma or equivalent **_We support a hybrid work environment. If selected and you live near a suitable work location, you may be expected to comply with the hybrid work policy. Under the policy, all hires for in-scope populations should be placed into a hybrid or office-based location, working onsite three days a week._** **_Aetna Service Operations office/hub locations will be discussed with the selected candidate._** **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $43,888.00 - $93,574.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 01/16/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. **Position Summary** **This is an individual contributor role.** Acts as the primary resource for assigned providers and/or groups to establish, oversee, and maintain positive relationships by assisting with or responding to complex issues, regarding policies and procedures, contract language, service, claims or compensation issues, and provider education needs. + Optimizes interactions with assigned providers and internal business partners to establish and maintain productive, professional relationships. + Meets with key Providers at regular intervals to ensure service levels meet expectations. + Collaborates with internal stakeholders to address provider-related issues, streamline processes, and improve the overall provider experience within the organization. + Contributes to the development and expansion of the healthcare organization's provider network by identifying and recruiting new providers who align with the organization's needs and strategic objectives. + Coordinates the contracting process with healthcare providers to negotiate contract terms, fee schedules, reimbursement rates, and other contractual arrangements. + Assists with the development of provider education programs by organizing meetings, webinars, or training sessions to enhance providers' understanding of the organization's requirements, quality standards, and best practices. + Handles provider-related issues, concerns, and disputes to maintain positive relationships and ensure compliance with contractual agreements. + Supports or assists with operational activities that may include, but are not limited to, database management, and contract coordination. + Performs limited credentialing support activities as needed. + Manages the development of agenda, validates materials, and facilitates external provider meetings. + Strong verbal and written communication, interpersonal, problem resolution and critical thinking skills. + Other duties as assigned. **Required Qualifications** + A minimum of 5 years' work experience in healthcare. + Minimum of 3 years' experience in Managed Care business segment environment servicing providers with exposure to contracting and contract management. + Working knowledge of business segment, products, and terminology. + Travel within the defined territory up to 30% - 50% of the time. + Candidates must reside in Florida, specifically in Palm Beach, Indian River, St. Lucie, or Martin Counties. **Preferred Qualifications** + Bilingual in Spanish highly preferred. + Proficient in the MS Office Suite and other advanced technologies. **Education** + Bachelor's degree preferred or a combination of professional work experience and education. **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $54,300.00 - $119,340.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 01/12/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

What Accounting contributes to Cardinal Health Accounting establishes and maintains accounting policies and controls, completes technical research, safeguards the organization's assets and ensures accuracy of accounting and financial records in accordance with accounting standards. The Director of Accounting is a key leader in the organization responsible for managing accounting and financial reporting processes across a variety of businesses within our Pharmaceutical and Specialty Solutions segment (largest vertical at Cardinal Health). This role is responsible for developing and leading a team of professionals to maintain appropriate accounting and control practices to ensure accurate financial records. The Director will also serve as a key business partner to others in the organization and is instrumental in supporting a variety of business initiatives. Location - Ideally targeting individuals based local to Central Ohio, willing and able to come in-office on a hybrid basis (generally 3 days a week at our corporate HQ in Dublin, OH, 2 days a week work from home) Responsibilities Navigate, present to, and effectively communicate with all levels of the organization, including communication of technical accounting matters to non-finance professionals Organize, lead, and motivate a team of accounting professionals Apply concepts of risk and materiality in making complex judgments related to accounting estimates and accounting reserves Build relationships both within and outside of reporting chain in furtherance of the organization's objectives Support key business initiatives, including, but not limited to, M&A, tax projects, audits, system implementations. Research technical accounting guidance; compare and contrast alternative accounting conclusions Manage key BPO relationships Lead process improvements Identify, implement, and maintain key internal controls and work with internal and external auditors Qualifications Ideally targeting individuals with a public accounting background (Big 4 or large firm) and industry experience at a publicly traded organization, preferred 8+ years of people leadership experience, and an overall proficiency in identifying technical accounting issues, highly preferred CPA preferred Experience in writing technical accounting memos Experience in assessing wide variety of business transactions for appropriate treatment under US GAAP, including Accounting Standard Codification (ASC) ASC-606 Revenue from Contracts with Customers and ASC ASC 805 - Business Combinations Experience in assessing risk and designing controls in accordance with standards issued by the Public Company Accounting Oversight Board Experience in assessing financial statement risk arising from the interrelationships of automated and semi-automated back office computer systems Experience in drafting, interpreting, and applying accounting policies What is expected of you and others at this level Provides leadership to managers and experienced professional staff; may also manage front line supervisors Manages an organizational budget Develops and implements policies and procedures to achieve organizational goals Assists in the development of functional strategy Decisions have an extended impact on work processes, outcomes, and customers Interacts with internal and/or external leaders, including senior management Persuades others into agreement in sensitive situations while maintaining positive relationships Anticipated salary range: $116,500 - $197,010 Bonus eligible: Yes Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being. Medical, dental and vision coverage Paid time off plan Health savings account (HSA) 401k savings plan Access to wages before pay day with my FlexPay Flexible spending accounts (FSAs) Short- and long-term disability coverage Work-Life resources Paid parental leave Healthy lifestyle programs Application window anticipated to close: 01/10/2025 *if interested in opportunity, please submit application as soon as possible. The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply. Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law. To read and review this privacy notice click here

Responsible for the implementation of healthcare strategies and driving patient health outcomes. Executes patient intervention pharmacy programs and ensures compliance of clinical pharmacy services. Responsible for executing against identified partner-established pharmacy programs. Drives Pharmacy financial performance by executing on pharmacy programs to maximize reimbursements while improving patient health outcomes. Responsible for prescription processing from a remote setting. Fosters strong relationships with medical communities in assigned area and acts as a representative and liaison of the company. Serves as a subject matter expert and resource to other pharmacists and field leaders. Maintains current knowledge of Pharmacy industry and maintains required licensure. Job Responsibilities Implements direct patient care programs, including but not limited to Medication Therapy Management programs, Immunization Services, and Payer and Pharma Adherence & Clinical Programs. Drives the execution of multiple business plans and projects to ensure business needs are being met. Drives compliance and continuous quality improvement in the delivery of clinical pharmacy patient care and services by studying, evaluating, and re-designing processes; monitoring and analyzing results; and implementing changes. Helps ensure area Pharmacies adhere to regulatory compliance, standard operating procedures and FDA regulations. Drives regional pharmacy financial performance by aligning business strategies with company financial goals. Implements and executes patient intervention pharmacy programs to maximize financial performance. Supports efforts on enhancing patient experience by increasing focus on healthcare services (e.g. patient consultation, medication management, drug therapy reviews, and retail, clinical, or wellness services such as immunizations, disease state management and Specialty programs). Provides expertise, resources, education and support to pharmacists and field leadership. Supports staff training experiences and development opportunities. Promotes teamwork and motivates Pharmacy staff by fostering a shared vision and supporting company policies, procedures, mission, values, and standards of ethics and integrity. Conducts data and clinical reviews and taking necessary actions to ensure accuracy and appropriateness of medications. Reviews drug histories and patient profiles to ensure proper and safe drug therapy. Provides individualized patient/provider consultation. Through use of superior communication skills, wins the trust of patients by listening to their issues and providing a sounding board for the pharmacy concerns. Provides feedback as to the effectiveness of the Customer Retention Program including comments from patients as the value of individual consultations. Responsible for all questions, dialogues, and issues which relate directly to patient therapy. Provides clinical consultation and knowledge to patients, doctors, and insurance plans as needed. Performs other work consistent with the job responsibilities in this document as assigned by management. Follows guidelines and procedures for all job responsibilities in order to meet goals. Adheres to company policies and procedures including all HIPAA guidelines/regulations. Ensures compliance with federal, state, and local pharmacy laws. About Walgreens Founded in 1901, Walgreens (****************** has a storied heritage of caring for communities for generations and proudly serves nearly 9 million customers and patients each day across its approximately 8,500 stores throughout the U.S. and Puerto Rico, and leading omni channel platforms. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for retail pharmacy and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. BS in Pharmacy or PharmD and at least one (1) year of experience in a retail pharmacy environment. Current Pharmacist license as granted by the appropriate state licensing authority. Experience motivating team members to research and resolve issues. Experience working with confidential information. Willing to work non-standard hours, which may include evenings, holidays and/or weekends. Experience using time management skills such as prioritizing/organizing and tracking details and meeting deadlines of multiple projects with varying completion dates. Experience developing ways of accomplishing goals with little or no supervision, depending on oneself to complete objectives and determining when escalation of issues is necessary. Experience providing customer service to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction. Willing to travel up to 10% of the time for business purposes (within state and out of state). Willingness to obtain other state pharmacy licenses if needed. Knowledge of insurance plans. Knowledge of computer operating systems including Intercom, Promise, and Plus. Basic level skill in Microsoft Excel (for example: opening a workbook, inserting a row, selecting font style and size, formatting cells as currency, using copy, paste and save functions, aligning text, selecting cells, renaming a worksheet, inserting a column, selecting a chart style, inserting a worksheet, setting margins, selecting page orientation, using spell check and/or printing worksheets). Basic skill level in Microsoft PowerPoint (for example: inserting, rearranging, hiding and deleting slides, navigating between slides, increasing list level, adding, centering and editing text, changing views, inserting a table or a note, moving objects, printing outline view and/or running a slide show). Basic level skill in Microsoft Word (for example: opening a document, cutting, pasting and aligning text, selecting font type and size, changing margins and column width, sorting, inserting bullets, pictures and dates, using find and replace, undo, spell check, track changes, review pane and/or print functions). We will consider employment of qualified applicants with arrest and conviction records.

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. - Insures 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- 18+ months of medical claim processing experience. - Experience in a production environment. - Demonstrated ability to handle multiple assignments competently, accurately and efficiently. Preferred Qualifications- 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. 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 This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

At Walgreens, we are laser-focused on the development of next-generation healthcare technology, products and services. This includes collaborating with the Chicago-based MATTER incubator to uncover new innovations that can help shape the future of healthcare, technology and pharmacy. Life in IT is exciting, rewarding, dynamic and always evolving. Now imagine just how much more rewarding and exciting it can be when you're innovating on behalf of better health every day. With a primary focus on our customers, you'll help create and maintain complex systems in a fast-paced retail environment, living and breathing “what's next” as you keep your finger on the pulse of the latest healthcare and technology trends. This is an exceptional opportunity to join some of the brightest, best and most diverse technology minds working today. We are the premier retail IT organization in North America because we provide the best possible value to our stakeholders and customers around the world. Job Description This role demonstrates proficiency in all areas of the professional function and advanced in-depth specialization to perform and implement activities that impact components / processes of specified functional areas of the Walgreens Digital/Online application. This role is typically assigned to strategic, complex undertakings. Receives work in the form of short- and mid-term outcomes that regularly require the application of independent judgment and creativity. Mentors less experienced members of the team. May lead teams / projects. Job Responsibilities Plans, designs, develops, and tests software systems or applications for software enhancements and new products including cloud-based or internet-related resources. Writes code that establishes and enhances coding specifications, typically for software programs and systems that have little or no precedent. Delivers software features with exceptional quality, meeting designated release plans and delivery commitments. Works on problems of diverse scope where analysis of data requires evaluation of identifiable factors. Demonstrates good judgment in selecting methods and techniques for obtaining solutions. Guides the daily work of assigned work group / team. Recommends modifications to the daily operations of the assigned work group / team. Makes needed adjustments to short-term priorities. Owns a functional area. Breaks large requests down into sub-tasks, gives higher-level status updates. Writes test plans. Takes operational responsibility. Sets measurable goals and meets them. Reviews code changes. Networks with senior internal and external personnel in own area of expertise. Interacts with direct team of accountability, peers and/or managers in other teams. May interact with vendors and/or customers to share information and improve workflow processes. May design specifications of assigned projects and may lead in implementation. Demonstrates proficiency in all areas of the professional function and advanced in-depth specialization in some. Participates in developing technical / business approaches and new or enhanced technical resources. Has proven expertise in software design, architecture and software and system interrelationships. Has expert knowledge of programming languages important to the organization. Sets software engineering project schedules, defines project parameters and tasks and monitors project tasks. Develops and keeps the "vision" of the project, leading others toward its completion. Resolves a wide range of issues in creative ways. Owns the development and rollout for an entire product, or large project. Champions process (Scrum, TDD, etc). Writes tech specs and identifies risks before starting major projects. Sets standards. Goes out of their way to reduce complexity. As needed, takes on additional “tech lead” responsibilities for encouraging an initiative to completion. Allocates and tracks the work of individual contributors. Participates in teaching and training members of work group / team. Qualifications Bachelor's Degree in Computer Science, Information Technology. Experience working in an Agile environment. MERN stack development experience using ReactJS, Redux, NodeJS, ExpressJS, MongoDB and with expertise on JavaScript/TypeScript. Experience in Restful web services using NodeJS ExpressJS. Experience in NoSQL databases, such as MySQL and MongoDB. DevOps Prior experience in leading a group of automation/DevOps or development engineering team. Prior experience to deployment automation for various applications IaaS, PaaS platforms on a large complex system. Experience in working on Kubernetes platform on a microservices architecture on high traffic applications. Strong understanding of infrastructure components (e.g. databases, networking, DNS, cloud services, orchestration tools, containerization). Experience in operationalization high traffic Web and Mobile applications through monitoring and alerting for a polyglot application stack. Web/backend Developer Prior experience in mentoring a team of engineers, tech lead or leading an engineering team. Enthusiastic about promoting high quality standards in the team across documentation, unit testing, code reviews, test automation & CI/CD. Hands on full stack proficiency (e.g., Java, NodeJS, ., SQL, NoSQL, React, JavaScript etc.) Mentor team in the choice of Enterprise Integration patterns for a seamless integration with other enterprise & external assets. Big picture person with obsession about functional completeness, performance, security & resilience of end-to-end solution. Strong knowledge of implementation, security, capacity planning & performance tuning of solutions deployed to Cloud technologies - Azure (ACS, AKS), Google, IBM, AWS or Cloud Foundry. Mobile Developer 6+ years of Mobile App development experience in Swift, SwiftUI, Objective C ( iOS). 6+ Years of Mobile App development in Kotlin( Android). Experience in Test Driven Development and Testing Automation using cloud based products like AppCenter, ADO. Experience in ReactNative Programming. Knowledge of software engineering best practices including coding standards, code reviews, source control management, build process, testing & operations. Accessibility Experience. Experience in building Design patterns, modularized apps. Excellent Debugging, Optimization and Performance Skills. Data & Analytics 6+ years of SME experience integrating, transforming and consolidating data from various structured and unstructured data systems for building analytics solutions in any cloud Platforms: Microsoft Azure, AWS or GCP. 6+ years of experience working with Product Owner and domain experts to deliver data analytics and data Integration solutions. Experience in SQL, Java or Python programming. Experience with relational and NoSQL databases such as Cosmos, Cassandra. Experience in Azure cloud technologies like Azure Data Flow, Data Bricks, Azure Synapse and Analysis Services. Knowledge of software engineering best practices including coding standards, code reviews, source control management, build process, testing & operations. Experience in any of reporting tools like Power BI, Business objects, Cognos or Tableau Working experience with dimensional data modeling and strong knowledge of best practices and solution patterns. Hands on experience in Data Pipeline and integration tools like Talend, Change Data Capture (CDC), Spark & Azure APIs. Coach and guide technical engineers for source data understanding, designing analytical solutions and critical operational support. Additional Information All your information will be kept confidential according to EEO guidelines.

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 SummaryCVS Aetna is seeking a dedicated Appeals Nurse Consultant to join our remote team. In this role, you will be responsible for processing the medical necessity of Medicare appeals for participating providers. Key ResponsibilitiesRequesting clinical, research, extrapolating pertinent clinical, applying appropriate Medicare Guidelines, navigate through multiple computer system applications in a fast-paced department. Must work independently as well as in a team environment while working remotely. Fast paced sedentary position, talking on the telephone, looking at computer screens, utilizing templates in Word, and typing on the computer. Responsible for the review and resolution of clinical appeals. Reviews documentation and interprets data obtained from clinical records to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for provider issues. This is a full-time telework position with standard hours of Monday-Friday, 8:00 AM to 5:00 PM (local time). No weekends or holidays required. Remote Work ExpectationsThis is a 100% remote role; candidates must have a dedicated workspace free of interruptions. Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted. Required QualificationsMust have active and unrestricted RN licensure in state of residence. 3+ years clinical experience. Preferred QualificationsAppeals, Managed Care, or Utilization Review experience. Pre Certification or Pre Authorization experience Proficiency with computer skills including navigating multiple systems. Exceptional communication skills. Time efficient, highly organized, and ability to multitask. EducationAssociates Degree minimum OR Diploma RN required. Bachelors Degree preferred. Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$60,522. 00 - $129,615. 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: 01/19/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.