CH

CVS Health

Verified Job Source

Simplifying health care one person, one family and one community at a time

Woonsocket, RI

Hospitals and Health Care
5,001+ people

About

CVS Health is the leading health solutions company, delivering care like no one else can. We reach more people and improve the health of communities across America through our local presence, digital channels and over 300,000 dedicated colleagues. Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by simplifying health care one person, one family and one community at a time. Follow @CVSHealth on social media.

Open positions

Solution Architect- Epic STARS

Remote · Rhode Island, United States

The Solution Architect is responsible for designing and optimizing Epic-based solutions to support Medicare Star Ratings, HEDIS, and NCQA quality measures. This role bridges clinical quality strategy with technical build requirements to ensure accurate data capture and reporting across the organization.

Senior Analyst, Project Management

Remote · Texas, United States

The Senior Analyst is responsible for directing all aspects of customer benefit plan implementation for self-funded new business clients. They act as a single point of contact, mediating project deliverables and developing implementation strategies to ensure customer expectations are met.

Epic Project Intake Senior Manager

Remote · Illinois, United States

The Epic Project Intake Senior Manager oversees the end-to-end intake process for all Epic build and support requests, ensuring proper scoping and governance alignment. This role manages the intake queue, triages requests, and coordinates with stakeholders to maintain efficient project pipelines.

Staff AI Engineer

Remote · New York, New York, United States

Design, build, and operationalize scalable Generative AI solutions and machine learning models within a HIPAA-regulated healthcare environment. Collaborate with cross-functional teams to define project requirements, ensure compliance, and mentor engineering staff on AI best practices.

Senior Al Engineer

Remote · New York, New York, United States

Design, develop, and deploy scalable AI and Generative AI solutions using cloud-native services and modern software engineering practices. Collaborate with cross-functional teams to integrate enterprise knowledge into AI applications while ensuring security, privacy, and performance optimization.

Financial Operations Analyst

Remote · North Carolina, United States

The Financial Operations Analyst will perform rebate reconciliation, payment analysis, and dispute resolution while working with internal and external partners. They are responsible for tracking payments, analyzing variances, and maintaining accurate dispute tracking data.

Senior Product Lead, Clinical Insights

Remote · Chicago, Illinois, United States

The Senior Product Lead will define the strategic roadmap for the Clinical Insights Engine, bridging the gap between technical platform capabilities and clinical business objectives. They are responsible for driving measurable clinical and financial outcomes by ensuring successful implementation and adoption across various CVS Health businesses.

Manager, AI User Enablement

Hybrid · Quinte West

The Manager of AI User Enablement will act as a field-facing lead to teach, coach, and curate training materials that help finance professionals effectively and safely use AI tools. This role involves observing workflows, building practitioner communities, and developing enablement strategies to drive AI adoption and literacy across the organization.

Strategy & Operations Manager (IC)

Remote · New York, New York, United States

The Strategy & Operations Manager will support cross-business strategy and operations by driving strategic initiatives and managing the operating rhythm of the Diversified Commercial Solutions organization. This role involves creating content for senior leadership, ensuring financial transparency, and fostering growth through cross-functional collaboration.

Senior Software Development Engineer

Remote · Minnesota, United States

The Senior Software Development Engineer will lead the configuration, maintenance, and documentation of Epic EHR environments while facilitating design sessions with business leaders. They will collaborate with cross-functional teams to translate clinical workflows into technical specifications and ensure quality standards are met.

Senior Manager, Commercial Product Member Experience

Hybrid · Canada

The Senior Manager is responsible for executing member experience initiatives for payor-focused products by coordinating across product, design, and marketing teams. They ensure consistent member-facing communications and drive progress on journey improvements and project deliverables.

Account Executive

Remote · United States

The Account Executive serves as the senior liaison for PBM clients, leading strategic account teams to ensure client satisfaction and service delivery. They are responsible for growing business through renewals, retention, and up-selling CVS Health solutions while managing client relationships and financial performance reporting.

Certified Professional Coder, Special Investigations Unit (Aetna SIU)

Remote · Kentucky, United States

The Certified Professional Coder will perform comprehensive medical record reviews to ensure billing compliance and identify potential fraud, abuse, or billing errors. They will also articulate findings to various stakeholders, including investigators, law enforcement, and medical directors.

Senior Investigator, Special Investigations Unit (Aetna SIU)

Remote · Florida, United States

The Senior Investigator conducts complex investigations into healthcare fraud, waste, and abuse by analyzing claims data and identifying aberrant billing patterns. They also collaborate with law enforcement, medical directors, and internal stakeholders to facilitate case outcomes and ensure regulatory compliance.

Mental Health Therapist

Remote · California, United States

Provide psychosocial support and evidence-based mental health therapy to patients aged 13 and older. Manage treatment planning and care collaboration while maintaining documentation within electronic health record systems.

Clinical Advisor - Oncology & Rare Disease Pharmacist (BCOP)

Remote · United States

The Clinical Advisor will drive growth in specialty pharmacy by developing innovative product roadmaps and holistic solutions for oncology and rare disease therapies. They will lead clinical governance, define clinical workflows, and manage cost-effective programs to optimize health outcomes for patients and payors.

Certified Professional Coder, Special Investigations Unit (Aetna SIU)

Remote · Missouri, United States

The Certified Professional Coder will conduct comprehensive medical record audits to ensure billing compliance and identify potential fraud, abuse, or billing errors. They will provide detailed written summaries of findings and articulate these results to investigators, legal counsel, and medical directors.

Senior Manager- Epic EHR Development Lead Software Development

Remote · Rhode Island, United States

The Epic EHR Development Lead oversees the design, configuration, and optimization of Epic solutions across clinical and operational domains. This role provides technical leadership, mentors development teams, and ensures system alignment with organizational strategy and regulatory standards.

Staff Software Development Engineer

Remote · California, United States

Lead technical initiatives to design, build, and maintain business-critical, enterprise-grade distributed systems. Collaborate across teams to drive long-term improvements in scalability, performance, and maintainability.

Encounters Technical Analyst

Remote · Arizona, United States

The analyst is responsible for documenting business data, conducting root cause analysis, and developing SQL-based reports to support business needs. They will also define and implement system enhancements while executing test scripts to ensure data quality and process efficiency.