We are seeking a dedicated Resolution Center - Remote Call Center Specialist to join our team. As a key member of our customer service department, you will play a crucial role in resolving customer inquiries and concerns while working remotely. This position offers an exciting opportunity to contribute to our company's commitment to exceptional customer satisfaction.
Handle incoming customer calls, emails, and chat messages with a friendly and empathetic approach
Identify and resolve customer issues efficiently and effectively
Escalate complex problems to appropriate departments when necessary
Maintain accurate records of customer interactions and follow-up actions
Collaborate with team members to share knowledge and best practices
Meet or exceed performance metrics related to call handling time, customer satisfaction, and resolution rates
Stay updated on company policies, products, and services to provide accurate information to customers
Participate in ongoing training and development programs to enhance customer service skills
Qualifications
Excellent verbal and written communication skills with a focus on clarity and empathy
Strong problem-solving abilities and attention to detail
Proficiency in customer service software and CRM systems
Demonstrated ability to multitask and manage time effectively in a fast-paced environment
Self-motivated with the ability to work independently in a remote setting
Previous experience in customer service or call center environment
Experience with remote work preferred
High school diploma or equivalent required; customer service certification a plus
In-depth knowledge of customer service best practices and conflict resolution techniques
Ability to maintain a professional and supportive demeanor in challenging situations
Comfortable with technology and ability to troubleshoot basic technical issues
Additional Information
All your information will be kept confidential according to EEO guidelines.
$27k-30k yearly est. 60d+ ago
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Coordinator Manufacturer Special Programs - Remote
Walgreens 4.4
Deerfield, IL jobs
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:**
$16.5-22 hourly 28d ago
Merchandising Operations and Support Analyst (Remote)
Macy's 4.5
Johns Creek, GA jobs
Be part of an amazing story.
Macy's is more than just a store. We're a story. One that's captured the hearts and minds of America for more than 160 years. A story about innovations and traditions…about inspiring stores and irresistible products…about the excitement of the Macy's 4th of July Fireworks, and the wonder of the Thanksgiving Day Parade. We've been part of memorable moments and milestones for countless customers and colleagues. Those stories are part of what makes this such a special place to work.
Job Overview
The Merchandising Operations & Support Analyst supports the day-to-day operations of the drop ship program by partnering with merchandising, technology, vendors, and accounts payable teams. This role assists with vendor onboarding, system setup, issue resolution, and operational reporting to ensure effective execution of vendor direct fulfillment programs.
The Analyst supports operational workflows, track performance metrics, and helps identify process improvement opportunities across digital merchandising initiatives. This role requires strong cross-functional collaboration, attention to detail, and a solid understanding of merchandising and fulfillment processes to help drive efficiency and accuracy across vendor direct programs.
This position is remote.
What You Will Do
Serve as the liaison for all drop ship onboarding for both Macy's and Bloomingdale's.
Collaborate cross-functionally to identify and implement operational and systemic process improvements.
Oversee the project management of vendor onboarding, working with merchandising to ensure that vendor products are ready for a successful and timely launch.
Continuously optimize the onboarding process for new vendors, meeting timeline targets and capacity levels.
Manage relationships with shipping carriers and external providers involved in vendor onboarding activities.
Ensure that all vendor compliance documentation and contracts (e.g., pack slips, shipping labels, vendor direct contracts) are updated and accurate.
Regularly create and provide status reports to key stakeholders.
Assist in the training sessions for merchants on the onboarding process and best practices.
Maintain and update vendor direct merchant and vendor-facing documentation and best practices.
Demonstrate flexibility and a willingness to quickly learn and support additional systems or processes as needed.
Ensure accurate maintenance of all data for drop ship suppliers in our systems.
Foster an environment of acceptance and respect that strengthens relationships, and ensures authentic connections with colleagues, customers, and communities.
In addition to the essential duties mentioned above, other duties may be assigned.
Skills You Will Need
Vendor and Carrier Management: Experience managing relationships with shipping carriers and external providers, and ensuring compliance with documentation and contracts.
Cross-Functional Collaboration: Ability to work effectively across functional teams, including merchandising, technology, vendors, and accounts payables.
Communication Skills: Excellent facilitation and interpersonal skills, with the ability to present information clearly and maintain open communication with stakeholders.
Data Management: Proficiency in maintaining and managing accurate data for drop ship suppliers within systems.
EDI Integration Knowledge: Working knowledge of EDI integrations and how they apply to drop ship and marketplace operations.
Microsoft Office Proficiency: Knowledge of MS Office programs, including Word, Excel, and PowerPoint.
Agility and Adaptability: Ability to drive and manage both existing and new initiatives related to digital fulfillment with agility and a focus on continuous improvement.
Organizational & Prioritization Skills: Ability to manage workload by prioritizing impactful and time-sensitive issues while escalating appropriately.
Who You Are
Candidates with a bachelor's degree or equivalent work experience in a related field are encouraged to apply. 1-3 years of experience in eCommerce drop ship or marketplace onboarding, with a strong understanding of drop ship strategies and processes.
Regularly required to sit, talk, hear; use hands/fingers to touch, handle, and feel. Occasionally required to move about the workplace and reach with hands and arms. Requires close vision.
Able to work a flexible schedule based on department and company needs.
What We Can Offer You
Join a team where work is as rewarding as it is fun! We offer a dynamic, inclusive environment with competitive pay and benefits. Enjoy comprehensive health and wellness coverage and a 401(k) match to invest in your future. Prioritize your well-being with paid time off and eight paid holidays. Grow your career with continuous learning and leadership development. Plus, build community by joining one of our Colleague Resource Groups and make a difference through our volunteer opportunities.
Some additional benefits we offer include:
Merchandise discounts
Performance-based incentives
Annual merit review
Employee Assistance Program with mental health counseling and legal/financial advice
Tuition reimbursement
Access the full menu of benefits offerings here.
About Us
This is a great time to join Macy's! Whether you're helping a customer find the perfect gift, streamlining operations in one of our distribution centers, enhancing our online shopping experience, buying in-style and on-trend merchandise to outfit our customers, or designing a balloon for the Thanksgiving Day Parade, we offer unique opportunities to be part of some of the most memorable moments in people's lives.
Join us and help write the next chapter in our story - apply today!
This is not all-inclusive. Macy's, Inc. reserves the right to amend this job description at any time. Macy's, Inc. is an Equal Opportunity Employer, committed to a diverse and inclusive work environment.
FINANCE00
$75k-93k yearly est. Auto-Apply 1d ago
Assistant Manager, Marketing Capabilities & Process Improvement
Kohls 4.4
Remote
This role is based at our Corporate Office in Menomonee Falls, WI. You'll work onsite from Monday through Thursday, with the option to work remotely on Fridays.
About the Role
In this role, you will lead the execution and prioritization of cross-functional initiatives that increase marketing agility and efficiency. Initiatives include marketing technology capabilities, operational improvements, and supporting partners through change in support of dynamic, targeted marketing marketing growth strategies.
What You'll Do
Leverage expertise in marketing to identify opportunities and create related business cases for ideas that improve alignment of marketing business goals and modern marketing processes. Work with marketing partners and IT to recommend standardization and/or other improvements for scalability and efficiency; garner buy-in and identify champions to help drive progress
Support the evaluation of existing processes, roles and technologies. May include analyzing current processes for redundancies or automation opportunities, completing time studies, framing problem statements and recommendations, etc.
Partner with Creative teams to assess and improve creative workflows and tooling, including identifying handoff gaps, automation opportunities, and integration needs within the broader marketing ecosystem.
Assist in the development of a best-in-class marketing capability ecosystem to best support efficient delivery. Evaluate existing and market tools, support procurement process when necessary
Identify success metrics and gauge results, such as stakeholder satisfaction and adoption, ROI, time reduction, etc
Own and drive independent initiatives, inclusive of people, process, and technology components. Support broad adoption, change, and drive innovation
Ensure process changes and technology solutions meet multi-team marketing needs via stakeholder involvement and adoption. Drive change management ; meet with stakeholders, understand processes, tee up discussion, and support rollout communications and training
Research, synthesize, and share out competitive landscape and emerging trends, providing insights to support marketing recommendations.
Surface prioritization concerns across marketing teams and work streams; drive towards resolution and/or impacts and tradeoffs
Additional tasks may be assigned as necessary
What Skills You Have
Bachelor's degree or equivalent experience
3-5+ years relevant experience, including hands-on experience working within and administrating a Marketing Technology platform and/or related processes
Familiarity of IT development processes
Preferred
Experience utilizing standards to drive process improvement
Essential Functions
The requirements listed below are representative of functions you will be required to perform, however you may be required to perform additional functions. Kohl's may revise this job description from time to time. To perform this job successfully, you must be able to perform each essential function satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions, absent undue hardship.
Ability to perform the accountabilities listed in the “What You'll Do” Section
Ability to maintain prompt and regular attendance as set by the company
Ability to work at least 8 hours per day, occasionally longer when necessary to meet business needs, 5 days per week
Ability to comply with dress code requirements
Ability to learn and comply with all company policies, procedures, standards and guidelines
Ability to give direction and receive, understand and proactively respond to direction from leadership and other company personnel
Ability to work as part of a team and interact effectively and appropriately with others
Ability to maintain composure and work in a fast paced environment while accomplishing multiple tasks within established timeframes
Ability to satisfactorily complete company training programs
Perform work in accordance with the Physical/Cognitive Requirements section
Physical/Cognitive Requirements
Ability to use a personal computer for tasks such as communicating, preparing reports, etc.
Ability to plan, prioritize and monitor activities across business units
Ability to complete or oversee the completion of assigned projects in a timely manner
Ability to comply with health and safety standards
$78k-111k yearly est. Auto-Apply 29d ago
Real Estate Market Research and Analytics Manager
CVS Health 4.6
Woonsocket, RI 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.
The Real Estate Market Research & Analytics Manager will leverage advanced data analysis and modeling to inform strategic store and pipeline decisions, script retention, and market initiatives. This role blends your technical expertise with business acumen to deliver actionable insights and scalable solutions.
**Responsibilities:**
**Data Analysis & Modeling**
+ Analyze real estate, demographic and other data to support store and pipeline decisions and strategic projects.
+ Maintain and enhance data processes and predictive models for location performance, market potential and strategic initiatives.
+ Maintain and support script retention models, analysis and support of new patient growth opportunities
**Reporting & Visualization**
+ Create reports in Power BI and Excel to visualize store performance, future store and other pipeline metrics, and market trends.
+ Deliver recurring reports and ad-hoc analyses with accuracy and timeliness.
**Process Documentation & Standardization**
+ Create and maintain SOPs and documentation for recurring tasks such as the integration of location alignment reports, creation of tour packages, and market reviews
+ Build a repository of queries and workflows to improve team efficiency and scalability.
**Cross-Functional Collaboration**
+ Partner with department and external stakeholders, such as Data Insights, Pharmacy Growth, Construction, and IT teams to align analytics with enterprise initiatives.
+ Support integration projects by coordinating data flow and system optimization.
**Required Qualifications**
+ 3+ years of experience in data analysis, market research, or real estate analytics.
+ Proficiency in SQL for querying (preferably T SQL) and optimizing large datasets.
+ Proven experience leading analytics and delivering impactful business solutions.
+ Strong skills in Power BI and advanced Excel; familiarity with Python or other automation tools is a plus.
**Preferred Qualifications**
+ Successful performer will be curious and willing to learn, a self-starter.
+ Experience with retail market research, real estate strategy, or location intelligence.
+ Ability to interpret complex data sets and translate insights into actionable recommendations.
+ Strong project management skills with attention to detail and deadlines.
+ Excellent communication skills for presenting technical concepts to non-technical audiences.
+ PowerPoint experience to create and present findings to stakeholder partners
**Education**
+ Bachelor's degree in Management, Business Analytics, Data Science, Mathematics, Statistics or related field or equivalent experience
+ Master's Degree preferred
**This is a remote position that operates on Eastern Time Zone hours.**
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$66,330.00 - $145,860.00
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.
$66.3k-145.9k yearly 30d ago
Pharmacist Consultant - Long Term Care - Full Time
CVS Health 4.6
Florida jobs
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary
Omnicare, Inc. is a wholly owned subsidiary of CVS Health Corporation.
*****************
What We Do
Directly, and through our subsidiaries, Omnicare provides a broad array of pharmacy-related services to long term care facilities and to other customers in the healthcare environment. While senior care has long been an Omnicare specialty, we also serve other targeted populations.
Are you searching for a fast paced and multifaceted environment where you can show your passion for helping others? If this sounds like the opportunity you're looking for, apply to our Consultant Pharmacist role at Omnicare today! We can't wait to meet you!
This is a full time position offering 40 hours per week. Work week typically consists of working day time hours Monday-Friday. Occasional weekend or overnight travel may be required based on the needs of the business.
As a Consultant Pharmacist, you have the exciting opportunity to collaborate with facility leaders and staff to coordinate pharmaceutical services within long term care facilities. You will have the opportunity to guide development and evaluation of pharmaceutical services procedures within the facility. You will assist the facility to identify, evaluate, and address/resolve pharmacy-related concerns and issues that affect resident care, medical care, quality of life, and/or regulatory compliance. This position will perform duties below by working on-site in various client facilities within long term care.
We provide comprehensive training and ongoing support to ensure you feel confident stepping into this role.
You will:
• Ensure facilities remain compliant and aligned with federal regulations
• Complete clinical reviews as required by federal and state regulation
• Own issue resolution and communicate early warning signs of potential issues
• Drive adoption of Omnicare programs and service offerings
• Use existing customer relationships to promote and drive organic growth as well as new business
• Conduct Executive Reviews and other customer meetings as required
• Collaborate with Account Management, Sales, Operations, and appropriate corporate functions to meet overall site goals and objectives
• Perform Medication Regimen Reviews (MRR) as outlined by regulation or contract for facility type and provide written reports of these reviews to applicable facility staff
• Spend an appropriate amount of time on each resident's review as defined by their clinical needs
• Use OSC2OR software on-site to generate MRR, including therapeutic interchange and Omnicare clinical program-related recommendations and document responses to previous recommendations
• Utilize the "Minimum Data Set" (MDS 3.0) health assessment tool to identify specific residents needing targeted focuses
• Complete the “Quality Improvement: Consultant Pharmacist Summary Report” for all applicable facilities and transmit this and the “Summary for Consultant Services” after each month of consulting has been completed
• Educate facility staff including the Director of Nursing, Medical Director, and Administrator when new programs are implemented and perform specific functions required of new programs to be conducted by Consultant Pharmacist
This is a full time, benefit eligible position. CVS Health offers a competitive benefit package which includes, but is not limited to, Paid Time Off, Health/Dental/Vision insurance, Employee Stock Purchase Program, 401K with a company match, and a generous employee discount at all CVS stores.
This is a full time position. Typically a Monday-Friday position. Weekends may be required, based on the needs of the business. There is no on-call requirement. At this time the position is fully remote. In the future, based on the needs of the business, this position may require occasional travel to Long-Term Care facilities.
Required Qualifications
Candidate should reside in Florida or North Carolina.
Active Pharmacy license in good standing in Florida or North Carolina.
Preferred Qualifications
Consultant pharmacist experience
Active Pharmacy license in good standing in Georgia.
3 years of experience in a clinical pharmacy practice
1 year of long term care pharmacy practice
Immunization certified or willingness to become immunization certified
Education
B.S. in Pharmacy or PharmD degree required
Certification in geriatrics and/or gerontology preferred
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$106,200.00 - $168,750.00
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.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *****************************************
We anticipate the application window for this opening will close on: 02/27/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$106.2k-168.8k yearly Auto-Apply 2d ago
Senior Network Contracting, Medicaid (MI)
CVS Health 4.6
Remote
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary
In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high level review and rate analysis, dispute resolution and/or settlement negotiations of contracts with larger and more complex, regional based hospital systems, large physician groups, and ancillaries in accordance with company standards.
As a Senior Network Manager you will manage contract performance and support the development and implementation of strategic, value-based contract relationships, maintain and enhance provider networks to meet accessibility, quality, financial goals and cost initiatives for our Medicaid products.
Negotiate and execute provider contracts, conduct high level review and analysis, dispute resolution and/or settlement negotiations of contracts with larger and more complex, market-based, hospitals, health systems group/system providers.
Recruit providers as needed to ensure attainment of network expansion and adequacy targets.
Responsible for identifying and managing cost issues and initiating appropriate cost saving initiatives and/or settlement activities.
Represents company with high visibility constituents, including customers and community groups. Promotes collaboration with internal partners.
Optimize interaction with assigned providers and internal business partners to facilitate relationships and ensure provider needs are met.
Participates in JOC meetings.
Manages complex, contractual relationships with providers according to prescribed guidelines in support of national and regional network strategies.
Manages contract performance and supports the development and implementation of value-based contract relationships in support of business strategies.
Accountable for cost arrangements within defined groups.
Collaborates cross-functionally to manage Hospital, Ancillary and provider compensation and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities
Serves as SME for less experienced team members and internal partners.
Provides network development, maintenance, and refinement activities and strategies in support of cross market network management unit.
Assists with the design, development, management, and or implementation of strategic network configurations and integration activities.
Ensures resolution of escalated issues related, but not limited to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information.
Required Qualifications
Critical thinking to maintain cost management and a fully engaged network of participating hospitals, ancillaries and providers.
5-7 years related experience and comprehensive level of negotiating skills with successful track record negotiating contracts with complex provider systems or groups.
3+ years of related experience at an Expert level negotiation skills with successful track record negotiating contracts with large or complex health systems
Microsoft Office/Excel proficient
Ability to travel in assigned market up to 10-15% of the time as needed (Michigan).
Preferred Qualifications
Healthcare Industry experience with either a payer or provider
Strong communication, critical thinking, problem resolution and interpersonal skills.
Understanding knowledge of Value Based Contracting.
Internal Aetna system knowledge a plus.
Understanding of Medicaid.
Proven working knowledge of provider financial issues and competitor strategies, complex contracting options, financial/contracting arrangements and regulatory requirements.
Education
Bachelor's Degree or equivalent professional work experience.
Pay Range
The typical pay range for this role is:
$75,400.00 - $165,954.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.
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: 01/17/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$47k-62k yearly est. Auto-Apply 31d ago
Services Project Coordinator (Remote) - MST/PST
Lowe's Companies, Inc. 4.6
Albuquerque, NM jobs
Expand your career possibilities. Thank you for dedicating your time and talent to Lowe's. We want to give you more opportunities to learn and grow, so if you find a position you're interested in below, we encourage you to apply! Find Your Home to More Possibilities.
Innovate Remotely
This position is fully remote, allowing you to enjoy the flexibility of working from home while collaborating with skilled team members and contributing to groundbreaking solutions
Your Impact
The primary purpose of the Services Project Coordinator is to facilitate end-to-end oversight and support to customers who purchase installation job(s). The Services Project Coordinator is responsible for tracking progress, documenting all interactions, addressing issues and communicating with customers, service providers, stores and vendors in a timely manner to keep the job going. To accomplish this, the Services Project Coordinator must have excellent customer service and problem-solving skills with the ability to adapt to change. The Services Project Coordinator will collaborate directly with customers, service providers, stores and peers to deliver the desired customer experience. The Serivices Project Coordinator will receive regular feedback and coaching from his/her leader and must be receptive and able to incorporate the feedback to improve skills and enhance performance on a continual basis. This position is in a fast-paced environment and schedules may include night and/or weekend hours.
What You Will Do
* Answer inbound calls from customers, service providers and stores to provide installation job support.
* Manage outbound tasks and make outbound calls to customers, providers, stores and vendors in order to provide updates or gather job information.
* Conduct initial contact with customer and service providers to provide centralized contact information and job expectations in order to verify project scope and ensure alignment.
* Ensure projects are scheduled within the SLA by the service provider and provide confirmation to the customer.
* In coordination with stores and customers, arrange product delivery to ensure work can begin on time.
* Ensure all required compliance documents related to permits and Lead Safe Practices are uploaded in the appropriate system.
* Manage and resolve Work Order issues (post project completion) including assessment of related costs and the potential of service provider and/or vendor charge backs.
* Submit accurate and thorough documentation of all interactions related to the project in appropriate technology tools (i.e., Installation Management System, my RedVest and Salesforce).
* Practice active listening skills with customers, service providers, stores and vendors in order to deliver an excellent customer experience and promote team collaboration.
* Deliver consistent service by referring to and executing defined processes and providing feedback that will enhance current processes.
* Drive for results by consistently achieving goals and completing tasks/activities on time.
* Build effective relationships with others by organizing information, sharing information with coworkers and leaders and seeking performance feedback.
* Adapt to a fast-paced environment with evolving process enhancements.
* Complete assigned training courses, participate in team meetings, town halls, developmental meetings, etc.
Minimum Qualifications
* High school diploma or GED or equivalent years of experience in lieu of education requirement, if applicable
* 1- 3 years' experience in a customer facing role
Preferred Skills/Education
* Bachelor's degree Related field
* 1 year Experience in project coordination OR experience in remodeling or construction industry
* 1 year Experience working in a Project Management function
* Experience in contact center environment
Pay Range: $17.73 - $29.61 per hour
Starting rate of pay may vary based on factors including, but not limited to, position offered, location, education, training, and/or experience. For information regarding our benefit programs and eligibility, please visit our benefits page.
Lowe's hourly remote associates cannot reside in Alaska, California or Hawaii. Lowe's salaried remote associates cannot reside in Alaska or Hawaii.
Lowe's is an equal opportunity employer and administers all personnel practices without regard to race, color, religious creed, sex, gender, age, ancestry, national origin, mental or physical disability or medical condition, sexual orientation, gender identity or expression, marital status, military or veteran status, genetic information, or any other category protected under federal, state, or local law.
$17.7-29.6 hourly 4d ago
Sr Mgr,Proposals (IC)
CVS Health 4.6
Remote
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary
Brief Overview
Leads and oversees the sales support team, setting strategic goals and ensuring the effective execution of sales support activities. Collaborates with sales leadership to develop sales support strategies, allocate resources, and prioritize sales projects. Analyzes sales performance metrics, provides insights to senior leadership, and makes data-driven decisions to optimize the sales support process. Participates in client meetings, negotiates contracts, and fosters strong relationships with key clients to drive sales success.
What you will do
Manages the end-to-end proposal development process, including preparing, writing, editing, and reviewing proposal content.
Collaborates with cross-functional teams, including sales, marketing, and subject matter experts, to develop a strategic approach for each proposal.
Creates and edits proposal sections, executive summaries, solution overviews, and other proposal content to ensure consistency, clarity, and accuracy of messaging.
Conducts thorough quality assurance checks of proposals to ensure accuracy, cohesiveness, and adherence to branding and formatting guidelines.
Collaborates with internal teams, external partners, and vendors to gather information, develop content, and meet proposal deadlines.
Develops and maintains a repository of proposal content, templates, and best practices to facilitate the development of future proposals.
Implements best practices, tools, and technologies to increase the efficiency, standardization, and quality of proposals.
Manages team performance through regular, timely feedback as well as the formal performance review process to ensure the delivery of exceptional services and continuously improve departmental capabilities.
Oversees ongoing training to ensure all team members are fully versed and compliant within their respective roles.
Required Qualifications
For this role you will need Minimum Requirements
7+ years of Proposal Development experience
3+ years of leadership / mentoring experience
Adept at execution and delivery (planning, delivering, and supporting) skills
Adept at business intelligence
Adept at collaboration and teamwork
Mastery of problem solving and decision making skills
Mastery of growth mindset (agility and developing yourself and others) skills
Preferred Qualifications
Attention to detail
Excellent communication
Education
Bachelor's degree or equivalent work experience.
Pay Range
The typical pay range for this role is:
$82,940.00 - $182,549.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *****************************************
We anticipate the application window for this opening will close on: 01/31/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$82.9k-182.5k yearly Auto-Apply 5d ago
Aetna Commercial Clinical Program Consultant - Western US Region
CVS Health 4.6
Phoenix, AZ jobs
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
**Position Summary**
This is an exciting opportunity with Aetna's Regional Clinical Consulting team for an experienced clinician with an intellectual curiosity, desire for continuous learning and passion to improve population health. Clinical Program Consultant (CPC) plays a key role in delivering strategic clinical insights to commercial plan sponsors in the Western US by combining clinical expertise, data analysis, and consultative communication.
As a CPC, you will collaborate closely with account teams, care management, Regional Analytic Consulting, and key enterprise partners to support customer objectives. You will help customers understand plan performance, identify improvement opportunities, and implement solutions that drive better health outcomes and cost efficiencies.
**Key Responsibilities**
In this role, you will be empowered to:
+ Deliver forward-thinking clinical insights derived from analyzing clinical utilization patterns and member behavior impact on medical costs.
+ Recommend clinical programs and services aligned with customer strategy to influence short‑ and long‑term results.
+ Analyze, synthesize, and present clinical findings paired with actionable recommendations in customer‑facing meetings.
+ Serve as a trusted clinical resource on population health, industry trends, and health disparities.
+ Collaborate across the organization to align strategies between customers and the health plan.
+ Contribute to customer population health strategies across the clinical continuum.
+ Create and propose solutions to improve member health, including leveraging community resources and partnerships in the Western region.
This is a customer‑facing role requiring up to 50% travel throughout the Western U.S., including onsite customer meetings, plan‑performance discussions, and strategic consultations.
This is a work‑from‑home position. Preference will be given to candidates residing in the Western United States and within approximately two hours of a major Western-region airport (e.g., Los Angeles, San Francisco, Seattle, Denver, Phoenix, Salt Lake City, Portland, Las Vegas, etc.).
Clinical Program Consultants are key contributors to the Regional Clinical Consulting business-a multidisciplinary team of physicians, nurses, clinical social workers, well‑being consultants, and analytic consultants. Our environment values creativity, collaboration, and a consultative mindset, and our support is highly valued by internal partners and customers.
**Required Qualifications**
+ Active, unrestricted registered nurse (RN) license
+ Minimum 5 years of clinical experience
+ At least 3 years in acute care
+ Remaining experience may include hospital, clinic, or community health
+ 1+ years of healthcare consultation experience with external stakeholders
+ Ability to travel up to 50% within the Western U.S.
+ Highly proficient with MS Office programs (Excel, PowerPoint, Word, and Outlook)
+ Excellent consultative, communication and presentation skills (especially PowerPoint)
+ Excellent problem‑solving skills and attention to detail
+ Strong clinical analytics skills, including Excel and reporting tools
+ Effective presentation skills and experience communicating with large groups
+ Proficient consultative, communication, and relationship‑building skills, including at the executive level
+ Ability to manage multiple deliverables in a timely and professional manner
+ Proficiency with MS Office Suite
**Preferred Qualifications**
+ 1+ years of leadership experience
+ Experience working with a health insurance carrier
+ Familiarity with benefit plan design
+ Strong ability to communicate chronic condition impacts on population health
**Education**
+ RN - BSN preferred or equivalent experience
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$60,300.00 - $132,600.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *****************************************
We anticipate the application window for this opening will close on: 01/30/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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.
$60.3k-132.6k yearly 23d ago
Staff Software Engineer- Enterprise Data Warehouse (Remote)
Home Depot 4.6
Atlanta, GA jobs
The Staff Data Engineer is a senior technical leader responsible for designing, building, and operating enterprise-scale data platforms and data products within the Enterprise Data Warehouse (EDW). This includes foundational data domains, semantic layers and downstream analytics consumers. This engineer will help define architectural standards, drive platform modernization, and mentor other engineers while remaining hands-on in complex backend data engineering efforts. The role emphasizes scalability, performance, cost efficiency, and analytical correctness across the EDW ecosystem.
**Key Responsibilities:**
+ Design, build, and support large-scale backend data pipelines on cloud data platforms (GCP/BigQuery)
+ Lead development and evolution of semantic layers, including universal / reusable semantic models that support multiple business domains and analytics tools
+ Design and maintain Analytical Data Store (ADS) data structures optimized for analytics, reporting, and advanced modeling.
+ Partner with multiple EDW product teams to ensure consistent data modeling, metric definitions, and access patterns
+ Drive platform reliability, scalability, and operational excellence across data products
+ Lead query performance tuning and cost optimization efforts (slot usage, partitioning, clustering, aggregates, workload management)
+ Support and modernize data orchestration frameworks
+ Implement and enforce data quality, validation, and monitoring frameworks
+ Perform deep root-cause analysis of data issues, pipeline failures, and performance regressions
+ Contribute to technical roadmaps, refactoring strategies, and platform modernization initiatives
+ Mentor and grow other engineers through design reviews, code reviews, and technical guidance
+ Create and maintain architecture diagrams, standards, and technical documentation
+ **Direct Manager/Direct Reports:**
+ This position typically reports to Software Engineer Manager or Sr. Manager
+ This position typically has 0 Direct Reports
**Travel Requirements:**
+ No travel required.
**Physical Requirements:**
+ Most of the time is spent sitting in a comfortable position and there is frequent opportunity to move about. On rare occasions there may be a need to move or lift light articles.
**Working Conditions:**
+ Located in a comfortable indoor area. Any unpleasant conditions would be infrequent and not objectionable.
**Minimum Qualifications:**
+ Must be eighteen years of age or older.
+ Must be legally permitted to work in the United States.
**Preferred Qualifications:**
+ 5+ years of experience in backend data engineering or analytics platform engineering
+ Strong hands-on experience with cloud data warehouses (BigQuery strongly preferred)
+ Advanced SQL expertise and strong working knowledge of Python
+ Proven experience designing enterprise-grade data models, including curated/ADS datasets
+ Experience building and supporting semantic layers (AtScale preferred, but not required)
+ Experience with universal or shared semantic modeling across multiple domains or products
+ Experience with CI/CD and orchestration frameworks, including Jenkins and Airflow
+ Strong understanding of performance tuning and cost optimization techniques in large data environments
+ Experience designing systems for high availability, resilience, and scalability
+ Ability to work across teams and influence architectural decisions without direct authority
**Minimum Education:**
+ The knowledge, skills and abilities typically acquired through the completion of a bachelor's degree program or equivalent degree in a field of study related to the job.
**Preferred Education:**
+ No additional education
**Minimum Years of Work Experience:**
+ 3
**Preferred Years of Work Experience:**
+ No additional years of experience
**Minimum Leadership Experience:**
+ None
**Preferred Leadership Experience:**
+ None
**Certifications:**
+ None
**Competencies:**
+ Global Perspective
+ Manages Ambiguity
+ Nimble Learning
+ Self-Development
+ Collaborates
+ Cultivates Innovation
+ Situational Adaptability
+ Communicates Effectively
+ Drives Results
+ Interpersonal Savvy
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
Apply End Date: 02/16/2026
- $120,000.00 - $190,000.00
$120k-190k yearly 18d ago
Pharmacy Technician - Prior Authorization - Work From Home
CVS Health 4.6
Remote
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary
- Processes prior authorization requests received by phone, fax, or electronically and utilizes various computer resources, existing criteria, and medication guidelines to perform clinical research to support prior authorization reviews.
- Proactively completes prior authorization approvals and denials that are due to expire and maintains complete, timely, and accurate documentation.
- Reviews potential prior authorization denial language to ensure NCQA requirements are met.
- Follows prior authorization workflow, policies, and procedures during the course of the workday.
- Answers a potentially high volume of prior authorization inquiry calls from provider's offices, pharmacies, and internal partners and uses various computer resources to communicate prior authorization status or decisions.
- Maintains a balance of productivity, quality and timeliness of work.
- Participates in training and continuing education as required.
- Participates in team/departmental meetings as required.
- Excellent attendance is a must.
- Successful pharmacy technicians will be proficient in drug name and diagnosis pronunciation, recognizing medical terminology, and navigating multiple computer resources to document conversations and prior authorization decisions.
- Successful pharmacy technicians will possess good written and verbal communication skills.
- Hours of operation for Aetna Pharmacy Prior Authorization are between 5:00am to 8:30pm (may vary by time zone). Pharmacy Technicians work 8 hours shifts that may fall in between these hours of operations. Work schedule is approximate, and hours/days may change based on company needs. All full-time employees are required to complete forty (40) hours per week as scheduled, including on weekends and holidays. Part time positions are not available. Position requires the ability to work extended hours when necessary.
- Rotating weekend schedule may be required.
- Candidate must have their own home internet access with minimum speed of 100mbps download (internet can be hard wired with Ethernet cord).
- Candidate must also have a secure workspace/office in their home.
- Candidate must have high level skill with working with PC (ex. using mouse and keyboard, accessing and navigating through multiple systems and screens).
Work schedule is approximate and hours/days may change based on company needs. All full-time employees are required to complete forty (40) hours per week as scheduled, including on weekends and holidays. Part time positions are not available. Position requires the ability to work extended hours when necessary.
Physical Demands: Frequent speaking and listening using a headset, sitting for long periods of time working at a computer, use of hands and fingers across keyboard or mouse, using computer monitors for up to 3 hours without a break.
The physical demands and work environment characteristics described herein are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Required Qualifications
- National Pharmacy Technician certification and applicable state Pharmacy Technician license, current and in good standing, are required and must be maintained.
- Between 1-5+ years of Pharmacy Prior Authorization processing experience.
- Ability to Multi-task and prioritize work.
- Ability to adjust based on business or department needs.
- Good organization skills
Preferred Qualifications
- Retail or Hospital experience
- Managed Care or Medicaid experience
- AS400 experience
- Proficiency in using computerized resources and software applications
- Proficiency with Microsoft applications (Excel, Word, and Outlook)
- Knowledge in pharmacy practices, procedures, and ability to read and understand clinical information
- Working knowledge of drug dosage forms, drug strength, generic and brand name equivalent.
Education
- High School diploma, G.E.D.
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$18.50 - $35.29
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *****************************************
We anticipate the application window for this opening will close on: 01/23/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$18.5-35.3 hourly Auto-Apply 3d ago
VBC Specialty Analytics Deal Owner
CVS Health 4.6
Northbrook, IL jobs
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary
Are you passionate about improving healthcare outcomes and have the skills to drive value-based initiatives? If yes, we encourage you to apply. This position offers broad exposure to all aspects of the company's business and significant interaction with business leaders.
Condition-specific Value-Based Care (VBC) models are an expanding focus for Medicare business, with a growing number of Provider Partners and eligible members, these specialty deals require a high-level of support. The deal owner would be responsible for eligible member attribution analyses, financial reconciliation, and collaborative efforts to deliver focused analytical research, complex financial modeling, and business decision support. You will provide oversight of all activities related to Provider Partners, ensuring timely and actionable data, appropriate eligibility criteria is met, reconciliations and analysis to support contract performance.
The ideal candidate brings extensive VBC solutions, a passion for member focused programs, expert data mining, outside the box/adaptable thinking and turning data into useful information. A proactive, self-driven approach and the ability to thrive in a fast-paced, collaborative environment are critical for success. This role offers broad organizational exposure and frequent engagement with senior leaders.
Key Responsibilities:
Establish and maintain productive, professional relationships with complex, high-value initiatives and high-risk revenue-generating Provider Partners.
Work collaboratively across Network, Value Based Solutions, and Finance to meet all constituent questions and individual deal needs on a timely basis.
Educate internal and external stakeholders to ensure compliance with contract terms and expectations.
Work collaboratively to develop analytic processes, workflows, and strategies that drive data integration, innovation, and continuous improvement.
Analyze Provider Partner performance against business and team objectives.
Monitor and perform complex financial, clinical, cost, and efficiency assessments against targets.
Effectively communicate complex information in a way that is easily understood and actionable by multiple levels within an organization, enabling decision-making that meets business needs.
This role is work at home flexible. The candidate will be required to work according to Eastern time zone hours.
Qualifications
The candidate will have a strong work ethic, be a self-starter, and be able to be highly productive in a dynamic, collaborative environment. Knowledge of clinical models, technical attribution logic, and medical management concepts would be a plus. The candidate will be expected to have the following key attributes:
Required Qualifications
7+ years of experience in healthcare analytics and Medicare plans; particularly in value-based care financial models and risk-based arrangements.
3+ years of experience using healthcare data including medical, pharmacy, lab, survey, and utilization data as well as experience with Medicare plans
3+ years of proficiency in SAS, SQL, Power BI or GCP
Preferred Qualifications
Experience in Value Based Care financial models
Experience in Risk-Based arrangements and Value-Based Care in Government services
Advanced skills in Excel and SQL
Demonstrated commitment to diversity, equity, and inclusion through modeling inclusive behaviors and proactively managing bias.
Ability to manage multiple projects using sound organization skills to track results and deliver projects on schedule
Mastery of problem-solving and decision-making skills, with a growth mindset and commitment to continuous personal development.
Education
Bachelor's degree or equivalent experience; specialized training or relevant professional qualifications preferred.
Pay Range
The typical pay range for this role is:
$75,400.00 - $182,549.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *****************************************
We anticipate the application window for this opening will close on: 01/23/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$75.4k-182.5k yearly Auto-Apply 38d ago
Agent Experience Manager
CVS Health 4.6
Remote
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Aetna, CVS Health is looking for top talent! The Agent Experience Manager is responsible for the daily management of Field Sales Representative programs to include overseeing defined training program, CRM and sales reporting. You will utilize a variety of educational media and a systematic instructional design methodology to ensure completion of training tools and programs for designated agents. The position will also continuously assess and report on the effectiveness of training programs as agents onboard and as they progress. You will assist in the daily operations of Field Sales Representatives including sales reporting, commission payments, policies and procedures development, and system readiness. The position will directly report to Director of Field Sales for Aetna.
Job Responsibilities:
Overseeing agent CRM management via Salesforce tool.
Coordinates training and continuing education programs, to include new product and existing product training.
Ensures Field Sales Representatives readiness utilizing defined onboarding program and by working with key internal and external stakeholders.
Coordinates with Sales team and leadership to provide additional resources to support Field Sales Representatives.
Compiles, readies, and tracks weekly and monthly sales analysis and reporting.
Tracks and reports on agent key compliance metrics, Sales reporting, CTMs/Grievances, Rapid Disenrollment's, Product Declines and Lapses.
Works across Sales Organization, providing recommendations, and adjusts as directed by leadership.
Formalizes Sales Organization policy and procedures to include adapting existing and new policies and procedures to meet demands of the organization.
Accountabilities
Interactive training programs to enhance CRM utilization.
Expert level of understanding state and federal programs and products for people on Medicare.
Expert level of understanding compliance programs for state, federal, and carriers.
Expert level understanding of services and processes offered by the company.
Expert level understanding of systems and programs utilized by the company.
Understanding of State and Federal licensing and contracting and appointment requirements.
Understanding State, Federal, and Organization Commission requirements.
Required Qualifications
5-7 Years' Experience within a Medicare Sales Organization
Experience overseeing multiple agents contracting with multiple carriers through defined onboarding and annual recertification program.
Experience working with key internal and external stakeholders to ensure optimized sales operations.
Experience working with Salesforce
Demonstrated success in individual contributor role as a noted self-starter.
Preferred Qualifications
Experience in a Field Medicare Organization Preferred
Education
Bachelor's degree or equivalent work experience
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$60,300.00 - $132,600.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
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: 01/17/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$60.3k-132.6k yearly Auto-Apply 8d ago
Network Relations Manager (Remote FL - Palm Beach, Indian River, St. Lucie, or Martin Counties )
CVS Health 4.6
Port Saint Lucie, FL jobs
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary
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: 03/12/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$54.3k-119.3k yearly Auto-Apply 5d ago
Senior Analyst, Business Consultant
CVS Health 4.6
Phoenix, AZ jobs
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
**Position Summary**
The Cost Management team resides within the Network and Pharmacy Solutions organization at Meritain Health and oversees payment integrity products and strategy, with a number of internal and external stakeholders that rely on the team's analyses and business expertise. The Sr. Analyst Business Consultant will use data and analytical skills to support financial and operational performance analysis, strategic initiatives, and customized solutions for employer groups. This role is ideal for someone who thrives in a fast-paced environment, is highly capable of working with disparate data sources, and can manage shifting priorities.
**Key Responsibilities**
Product Management:
+ Develop and maintain performance/trend reports, dashboards, and data models to support decision-making for various payment integrity services.
+ Partner with larger team to collect, validate, and analyze data to support ongoing reporting needs and identify areas for operational improvement.
+ Assist with group product changes, implementations, and data management.
+ Ensure accuracy and integrity of data across multiple sources.
Financial Reporting & Analysis:
+ Develop and maintain regular reporting on revenue, claims analysis, utilization, and drivers; researching any anomalies.
+ Provide support for financial modeling, budgeting, forecasting, and other ad hoc analytical needs.
+ Vendor payment and group billing reconciliations.
+ Collaborate cross functionally to answer questions or resolve issues.
Project Management:
+ Assist in the development and implementation of initiatives to optimize product and process efficiency and effectiveness.
+ Utilize multiple data sources in order to assist with identifying and quantifying savings and revenue opportunities.
Other Duties as Assigned
**Required Qualifications**
+ Minimum 3 years of professional experience in data analysis, financial analysis, or related analytical roles.
+ Highly proficient with Microsoft Excel, financial modeling, and Tableau.
+ Excellent problem-solving skills and strategic mindset, focused on continuous improvement.
+ Comfortable working with and analyzing large sets of disparate data.
+ High level of individual initiative - Ability to independently pursue and implement collaborative solutions in a fully remote role and an eagerness for continued learning.
+ Excellent communication and interpersonal skills with the ability to be personable yet persistent across all levels of the organization.
+ Ability to adapt and manage multiple priorities in a fast-paced environment.
**Preferred Qualifications**
+ 1 - 3+ years of healthcare insurance experience; TPA, NSA, or payment integrity knowledge a plus
+ Experience/familiarity with other data analysis tools (e.g. Python, SQL, etc.)
+ Experience with presentation preparation - ability to convey complex information clearly and concisely.
**Education**
+ Bachelor's degree in Business Analytics, Finance, Healthcare Administration, Mathematics, or related field. Equivalent work experience may be considered in lieu of a degree.
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$46,988.00 - $122,400.00
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.
$47k-122.4k yearly 18d ago
Head of Commercial Development, Clinical Trials - Remote
Walgreens 4.4
Deerfield, IL jobs
The success of Walgreens Clinical Trials business relies on building partnerships through commercial agreements with biopharmaceutical partners. The Head of Commercial Development, Clinical Trials will be a leader in an organization that is committed to push scientific boundaries to advance patient and RWE driven healthcare solutions to bring value to a robust commercial team while applying their experience, expertise, and relationships to help maximize the value that Walgreens can bring to its stakeholders.
The Head of Commercial Development, Clinical Trials will have extensive experience selling in drug development services including in patient recruitment, site management, and real-world data to drive innovative solutions for the biopharmaceutical industry. This role will oversee, plan, and direct all aspects of the Clinical Trials commercial efforts to achieve growth through commercial relationships, including leveraging existing network and continually building new relationships with senior executives to initiate commercial conversations with prospective customers.
**Job Responsibilities**
+ Relationship Development and Management:
+ Develops initial conversations and contacts into commercial relationships to drive profitable partnerships and revenue growth for the Clinical Trials business.
+ Leads negotiation with potential commercial customers, involving Clinical Trials stakeholders as needed (e.g., relevant SMEs to bring credibility to discussion, etc.)
+ Works collaboratively with contracting teams to develop commercial structures with potential customers, likely including risk-based arrangements and/or joint ventures
+ Participates and assists in planning business development meetings and events
+ Attends and participates in conferences/exhibits for targeted audiences
+ Sales Growth & Retention Strategy:
+ Accountable for achieving annual sales goals to support the revenue goals for the Clinical Trials business
+ Leads initiatives and projects concerning sales planning and forecasting
+ Crafts value proposition and messaging, defines approach strategy overall and for each prospective client
+ Develops and manages long-term client retention plans
+ Prepares management reports that profile business development pipeline, goals, and targets
+ Develops business case for pursuing open market opportunities and specific commercial arrangements
+ Continually monitors trends in Clinical Trials and real world data/evidence.
+ Partners with others to continuously enhance value for customers
+ Business Development & Operations:
+ Develops and executes strategic sales plan to achieve business development / sales objectives and performance targets.
+ Develops and manages business development policies, procedures, workflows, documents, and forms
+ Implements business development processes and workflows.
+ Ensures compliance and quality of business development process components.
+ Completes accurate documentation and tracking, maintaining records of all business development activities
+ Oversees necessary data collection during pre-sales activity to understand needs, populations served, etc.
+ Ensures appropriate utilization of CRM system established at Walgreens.
+ Team Management and Operations:
+ Oversees work of Business Development team, managing all selling activities, monitoring ongoing performance, and communicating expectations and results
+ Oversee the team conducting the research and analysis to identify and prioritize potential commercial customers
+ Oversees the day-to-day activities within the Business Development team, including hiring, termination, performance management, monitoring, and training
+ Collaborative Sales, Marketing, and Contracting Strategy and Execution:
+ Partners effectively to develop and execute on financial / risk recommendations
+ Partners with Scientific Affairs and Product leads to align customer needs with capability delivery.
+ Collaborates to understand potential overlaps and conflicts in outreach to the market, identify opportunities for coordination or collaboration while maintaining independent business development pipelines.
**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.
\#LI-TO1
**Job ID:** 1728870BR
**Title:** Head of Commercial Development, Clinical Trials - Remote
**Company Indicator:** Walgreens
**Employment Type:**
**Job Function:** Business Development/Planning
**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:**
+ Advanced Degree (MBA, PhD, MPH) and at least 8 years of experience in business development, real world evidence and/or contracting in biopharmaceuticals industry
+ Experience in a commercial development leadership role in Clinical Trials /RWE business with knowledge of healthcare, technology, and drug development lifecycle
+ Experience in driving and achieving sales and revenue growth on leadership teams for companies leveraging a variety of technologies including AI and analytics and technology solutions for life sciences companies
+ Experience driving sales growth with both new and existing customers
+ Experience operating in a fast-paced, start-up environment
+ Successful track record for strong sales that drive company growth
+ Experience with companies focused on creating solutions with an RWE and patient driven operating model focus
+ Experience listening to customer need and identifying the solutions needed to sell in a more targeted fashion
+ Experience seeking out new opportunities using initiative, managing through challenges. And being proactive to support the Clinical Trials business
+ At least 5 years of experience contributing to financial decisions in the workplace.
+ At least 5 years of direct leadership, indirect leadership and/or cross-functional team leadership.
+ Willing to travel up to 50% of the time for business purposes (within state and out of state).
**Preferred Qualifications:**
+ Proficiency in the following areas: General Management, Commercialization, Sales, Business Development, Go-to-Market Strategy, Customer Success, Account Management, Product Launch, Marketing, Strategic Partnerships, Strategic Planning, and Business Model Innovation
+ Extensive strong network of executive leaders in pharma or other industries, as appropriate
We will consider employment of qualified applicants with arrest and conviction records.
An employee in this position can expect a salary rate between $139,900 and $384,000 plus bonus pursuant to the terms of any bonus plan if applicable. The actual salary will depend on experience, seniority, geographic location, and other factors permitted by law. This job posting will remain open for a minimum of two weeks 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:**
$115k-158k yearly est. 29d ago
Hardware Asset Lifecycle Management Specialist
CVS Health 4.6
Remote
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
As a Hardware Asset Lifecycle Management Specialist, you will establish the intelligent foundation of IT Asset Management - where clean, well-governed data and automated processes pave the way for predictive analytics, AI-driven optimization, and sustainable digital operations. You will interact with all levels of the IT organization and key business areas to manage the asset inventory in the most efficient and cost-effective way. This role is responsible for developing and/or implementing innovative hardware asset lifecycle strategies, managing the portfolio for cost and risk, and ensuring compliance through policy, process, and technology. To be successful in the role, you will need functional asset management expertise, process mapping/management experience, project management skills, leadership, stakeholder collaboration, data analysis, and an innovative and proactive approach to continuous improvement and the integration of new technologies like AI/ML and ServiceNow.
Responsible for:
Acting as the SME for HAM processes, familiarization with asset management tools, and data quality across the enterprise including process optimization initiatives utilizing AI/ML to support HAM optimization.
Managing the lifecycle of hardware assets from acquisition through retirement, ensuring alignment with policy and compliance requirements.
Support the configuration of ServiceNow HAM Pro modules to support accurate asset tracking and performance reporting.
Supporting internal audits and ensuring hardware asset data integrity across CMDB and asset repositories.
Collaborating with procurement and finance to validate asset records, reconcile inventories, and support cost optimization.
Contributing to the development and refinement of HAM policies, standards, and workflows.
Providing training and guidance to stakeholders on HAM best practices and platform usage.
Supporting vendor management activities related to hardware lifecycle services and platform support.
Preparing and delivering reports on HAM performance, compliance posture, and operational metrics.
Key Competencies:
Functional Expertise - Deep understanding of hardware lifecycle management.
Change Leadership: Guides teams through modernization with clarity and purpose.
Clear Communication - Ability to communicate complex asset and compliance concepts into actionable insights for stakeholders up and down the chain of command.
Process Discipline - Ensuring consistent execution of HAM workflows and data governance practices.
Collaboration & Relationship-Building - Partnering effectively across IT, procurement, finance, and compliance teams.
Continuous Improvement - Identifying opportunities to enhance HAM processes, tools, and reporting capabilities.
Required Qualifications:
7+ Years of Asset Management Experience - Subject Matter Expert of Hardware Asset Management Practices.
5+ years of experience working with internal and/or external audit teams.
3+ years of experience establishing high-quality data standards and normalization logic to create a “trusted data layer” suitable for AI and predictive analytics.
3+ years of experience of proven experience collaborating with automation and AI teams to identify, pilot, and scale opportunities for intelligent workflow automation, predictive maintenance, and anomaly detection.
Preferred Qualifications:
Experience developing and documenting innovative and effective IT asset management strategies and related business processes.
Demonstrated ability using structured problem-solving techniques and available tools to quickly evaluate problems, identify root cause, create action plans, assess impact, and develop resolution options.
Understanding of Finance and Procurement (accounts payable, depreciation, net book value, fixed assets, sourcing)
Asset Management Certification (i.e., CHAMP, CSAM or equivalent)
Experience working with tools like ServiceNow HAMPro, Ariba, and office automation tools (i.e., Microsoft Word, Excel, Vision, PowerPoint, etc.)
Experience working with major IT hardware vendors (IBM, Dell, HP, Cisco, etc.)
Proficient in Process Mapping and Technical Writing
Project Management Certification (i.e., PMP or SCRUM Master)
Education
Bachelor degree from accredited university or equivalent work experience(HS diploma + 4 years relevant experience).
BUSINESS OVERVIEW
Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities
Pay Range
The typical pay range for this role is:
$106,605.00 - $284,280.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.
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: 03/31/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$71k-100k yearly est. Auto-Apply 10d ago
Remote Medicaid Call Center Supervisor
CVS Health 4.6
Richmond, VA jobs
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
**Position Summary**
**_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.
$28k-33k yearly est. 27d ago
Pharmacy Scheduler - Remote based in PA or NJ
Walgreens 4.4
Remote
Coordinates the work schedules of relief pharmacists for own area using the market scheduling system. Performs various administrative duties in an efficient manner to support the Healthcare Supervisor Models and delivers a distinctive and delightful customer experience.
Job Responsibilities:
Customer Experience:
Models and shares customer service best practices with all area staff to deliver a distinctive and delightful customer experience, including interpersonal habits (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., offering help proactively, identifying needs, servicing until satisfied, etc.).
Operations:
Schedules and places pharmacists in open shifts due to PTO, disability, jury duty, and “no shows”.
Schedules, prioritizes and follows up on meetings and appointments. Maintains calendar, issues reminders, and monitors appointments for the Healthcare Supervisor. Organizes and maintains paperwork and files.
Creates and releases the work schedule for relief pharmacists using the market scheduling system.
Cascades key communications to the area and associated districts, as instructed by HCS
Coordinates schedules of full time pharmacists in need of extra shifts to complete their schedule and to minimize the amount of premium pay incurred to cover shifts.
Maintains credentialing, licensing and PTCB compliance status for all area pharmacy staff on the WOLF system.
Makes necessary travel arrangements, including ground transportation and hotel accommodations. Prepares travel itineraries for Healthcare Supervisor. Processes expense reports.
Supports Healthcare Supervisor with store visit scheduling, preparation, visit documentation and reporting.
Prepares salaried pharmacist payroll for Healthcare Supervisor to approve; resolves payroll issues when necessary.
Provides pharmacy recruitment support for Healthcare Supervisor: communicates with target schools and internal recruiting teams, coordinates campus recruiting events, follows up with interview candidates to provide interview logistics and/or offer details.
Manages pharmacy intern program, in support of the Healthcare Supervisor.
When time permits, coordinates meetings by preparing logistics (travel, lodging), preparing meeting content, and ensuring availability of appropriate software, equipment, meeting space, and other items (food, supplies).
When time permits, screens correspondences, prioritizes mail, and drafts responses as appropriate. Refers more complex issues and/or urgent matters to the appropriate individual, gathers any additional information needed to respond.
Handles confidential and/or sensitive information with discretion.
Complies with all company policies and procedures; maintains respectful relationships with coworkers.
Performs general office duties and completes special assignments and other tasks as assigned (e.g. report generation, healthcare initiative support)
Training & Personal Development:
Attends training and completes training modules as requested by Director Pharmacy & Retail Operations or Regional Vice President.
Seeks self-development by monitoring one's performance, setting high personal standards, seeking best practices, learning from others, and improving one's job performance.
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.
High School Diploma / GED.
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).
Prefer to have prior work experience with Walgreens.
We will consider employment of qualified applicants with arrest and conviction records.
An employee in this position can expect an hourly rate between $19.00 to $25.00. 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.