CVSHealth

CVS Health is a one-of-a-kind health care company that helps patients get the care they need through the channel that works best for them.

Each day, we help millions of people on their path to better health. This is our company’s purpose, and it’s the inspiration behind everything we do.

CVSHealth Remote * (Louisiana, USA)
Mar 01, 2021
Job Description Candidate is required to be within one of the following cities: Alexandria, Marksville, and Natchitoches Responsible for developing, facilitating, and implementing outreach activities, special events, programs, and presentations which support member education and health plan awareness within the Medicaid or Medicare population and the community. Responsible for developing and maintaining relationships with community contacts.Maintains marketing guideline compliance with the appropriate state's laws and regulations.Candidate is required to be within one of the following cities: Alexandria, Marksville, and NatchitochesDevelops, facilitates, and implements outreach activities, special events, programs, and presentations to increase awareness of the health plan's presence in the community.Seeks out and secures event sponsorship.Responsible for building and maintaining relationships with community contacts.Responsible for event logistics including reserving space,...
CVSHealth Remote * (Lansing, MI, USA)
Mar 01, 2021
Job Description Meritain Health's Call Center has multiple openings for Customer Service Representatives in our Lansing, MI office. This position handles customer service inquiries and problems via telephone, internet or written correspondence. Customer inquiries are of basic and routine nature. Answers questions and resolves issues based on phone calls/letters from members, providers, and plan sponsors. Triages resulting rework to appropriate staff. Documents and tracks contacts with members, providers and plan sponsors. The CSR guides the member through their members plan of benefits, Aetna policy and procedures as well as having knowledge of resources to comply with any regulatory guidelines. Creates an emotional connection with our members by understanding and engaging the member to the fullest to champion for our members' best health. Taking accountability to fully understand the member's needs by building a trusting and caring relationship with the member. Anticipates...
CVSHealth Remote * (Arizona, USA)
Mar 01, 2021
Job Description The Virtual Infrastructure System Engineering role is to provide a single point of contact working in a Team Environment for Virtual, Physical and ESX infrastructure, software and tools to support Operations and Engineering functions including internal and customer facing project deliverables. Expertise with Virtual Infrastructure, OS, VSAN, Vmware, VRA, VROPS, Vcenter, hyper-converged SDDC, HP and Dell hardware and the ability to diagnose and remediate issues affecting support and delivery in a dynamic environment are key components of the position. The ability to support, maintain and provision servers, work effectively with the OS, Tools and apply system patches and security standards are core skills. Additional working knowledge of Zerto replication, VDI, Vxrail, NSX and Public Cloud technologies is a plus. Required Qualifications - 5+ years of experience with Server Virtualization (VMware ESX / View) - Demonstrated working knowledge and awareness of the...
CVSHealth Remote * (Flower Mound, TX, USA)
Mar 01, 2021
Job Description Do you live in the state of Texas? CVS Health, a Fortune 5 company, has an exciting opportunity in Flower Mound, TX for a Pharmacy Technician to be a part of our Specialty Mail Order Pharmacy team! In this role you will assist in accurately reading, interpreting and entering prescriptions into the computer system, including the calculation of doses, assignment of directions and accepting proper insurance payment in a timely fashion. You will also contact doctor's offices and insurance companies to ensure the accuracy of our patient's specialty medication orders. At times you will also be responsible for answering patient calls to coordinate and process new patient medication orders and reorders, which includes verifying and re-verifying benefits. Successful candidates will have superb communication skills and excellent data entry skills. If you like working in a fast-paced environment and demonstrating compassionate, genuine care for patients and customers, this...
CVSHealth Remote * (Pennsylvania, USA)
Mar 01, 2021
Job Description CVS Health, a Fortune 5 company, has an exciting work from home opportunity for Customer Service Representatives working on our Specialty Pharmacy team! In this role you will support our specialty patients who are in need of life sustaining medications. Come join us to help others on a path to better health as a Customer Service Representative. In this role, you will perform follow-up work on patient accounts to ensure timely and accurate delivery of their medication. Our specialty pharmacy employees promote a high-energy culture and are passionate about providing an excellent patient experience. If you get satisfaction by knowing that you have helped someone, apply today. Do you enjoy managing multiple applications and have a passion for helping others? We provide the comprehensive training to set you up for success. We also offer incredible advancement opportunities so you can grow within the pharmacy or move to another role within CVS Health. We offer a...
CVSHealth Remote * (Pennsylvania, USA)
Mar 01, 2021
Job Description This position will be working from home and will require the employee to be licensed and located in Pennsylvania Program Overview Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members' health care and social determinant needs. Join us in this exciting opportunity as we grow and expand DSNP to change lives in new markets across the country. Position Summary/Mission Our Care Managers are frontline advocates for members who cannot advocate for themselves....
CVSHealth Remote * (Missouri, USA)
Mar 01, 2021
Job Description This position will be working from home and will require the employee to make community visits once COVID restrictions are lifted. Travel will be in Kansas City, MO Working for a dynamic, industry leading health care company that puts the focus on the member is what CVS-Aetna is all about. If you like working independently as a Social Worker and as part of a Team, this position may be what you have been looking for. As our company continues to grow our stake hold in local communities is what makes our company stand out in the health care industry. Our talented and caring health care professionals drive the delivery of high-quality services. As a Licensed Clinical Social Worker, you will use your clinical judgement to assess your member's needs.Communication, problem solving, researching resources are a component of what you will do as a Social Worker at CVS-Aetna, Community Care Program .As a Social Worker at our company you will create your own scheduling with...
CVSHealth Remote * (Texas, USA)
Mar 01, 2021
Job Description If you reside in a commutable distance to our Jacksonville, FL, / Fresno, CA / Bethlehem, PA / Arlington, TX / High Point, NC offices, the work at home option will be temporary and you will be expected to work onsite once we return to the office. If you are outside of a reasonable commutable distance, the position will remain work at home. • Provides targeted, personalized service based on a holistic view of the member, benefits, health information, and through engagement. • Handles customer service inquiries and problems via telephone, internet, web-chat or written correspondence. • Engages, consults and educates members by delivering individualized programs based upon the member's unique needs and preferences. • Utilizes resources to assist customers in understanding components of the Aetna products including claims, accumulators, usage and balances, and cost sharing. Required Qualifications • Customer service experience • Ability to multitask and...
CVSHealth Remote * (Texas, USA)
Mar 01, 2021
Job Description Negotiates, executes, reviews, and analyzes contracts and/or handles dispute resolution and settlement negotiations with physician groups, facility and ancillary providers in accordance with company standards in order to maintain and enhance provider networks while meeting and exceeding accessibility, compliance, quality, and financial goals and cost initiatives Required Qualifications Strong communication, critical thinking, problem resolution and interpersonal skills. 3-5 years related experience, proven and proficient negotiating skills. Proven working knowledge of competitor strategies, complex contracting options, value based contracting, financial/contracting arrangements and regulatory requirements. Preferred Qualifications Understanding of Aetna systems such as Strategic Contract Manager, EPDB and Smart Front End. Knowledge of Texas market with experience negotiating contracts with providers in Texas. Education Bachelor's degree or equivalent...
CVSHealth Remote * (Pennsylvania, USA)
Mar 01, 2021
Job Description As part of the NextGen Platform Development team, this position will translate and configure Provider Demographic features to support the many functions within the NextGen administrative platform. Working closely with other areas of the company such as claims, network, product, legal/compliance, medical policy, and/or segment leaders will ensure the appropriate decisions are made when configuring provider demographic data. This position will be responsible for identifying gaps, performing root cause analysis, as well as the development and implementation of process improvement remediation activities. Requires the ability to manage multiple projects concurrently and the ability to keep all efforts moving toward resolution in a timely manner. Many of the projects will be, but not limited to, PCP Assignment, Capitation and Delegation. Required Qualifications 3-5 years related work experience. Proven track record meeting project dates. Prior experience with data...
CVSHealth Remote * (WORK FROM HOME, Rhode Island)
Mar 01, 2021
Job Description The Care Management Product team is looking for a strong contributor to support products that drive better patient experience and outcomes while improving efficiency and reducing operating costs through performance improvement on measures of healthcare quality. The Product Development Consultant is responsible for supporting critical projects through the entire product development lifecycle, concept through implementation, for new and existing care management products. As a Product Development Consultant, the expectation would be to collaborate with multiple key stakeholders within the organization with a focus on successfully supporting key projects and building strong long-term relationships. The Consultant will also work with cross-functional partners to execute product initiatives. Key Responsibilities: -Support the Product Development cycle (business case, KPIs, design, documentation, pilot, steady state). Ensure projects are delivered in the time allocated...
CVSHealth Remote * (WORK FROM HOME, Rhode Island)
Mar 01, 2021
Job Description The Advisor, Application Developer (Web) is responsible for development and support of Loyalty & Personalization and Retail Store related Web Applications. Plays a key role in the analysis, design, build and post deployment support of all web based solutions. Works closely and collaborate with Business Analysts, Project Managers, IT Development staff and other partners in the development and delivery of Loyalty & Retail Store business solutions. In the performance of his duties, he will utilize knowledge in web based solutions in Java, ability to deliver assignments throughout the stages of project lifecycles, development experience in Java, Hibernate, Struts, Spring and Cloud Native technologies as well as development experience using Oracle & Teradata SQL. Required Qualifications 5 + years of experience designing Enterprise web applications, Interface Design, Data Dictionary, Object orientation concept (Java / J2EE). • 5 + years of experience in...
CVSHealth Remote * (WORK FROM HOME, Rhode Island)
Feb 28, 2021
Job Description CVS Health continues to experience tremendous growth! We have an exciting opportunity for a Category Manager, Baby Care and Personal Intimacy. CVS Health is the nation's premier health innovation company with a purpose of helping people on their path to better health. CVS is pioneering a bold new approach to total health by making quality care more affordable, accessible, simple and seamless. We're reinventing our front store to be the front door to healthcare. For millions of Americans, that journey begins with one of our 8,000+ retail stores, and our goal is to help each of our customers take that next step in their self-care journey. To achieve this goal we are looking for creative merchandising leaders who pushes boundaries, for the consumer and for the business. You will report to the Director of Category Management. Your job responsibilities will be: - Achieve sales and margin goals in Baby and Personal Intimacy by achieving market share growth. Manage...
CVSHealth Remote * (Blue Bell, PA, USA)
Feb 28, 2021
Job Description Service incoming calls from health insurance members and providers seeking information regarding benefits and eligibility. outgoing calls also required and ability to learn task-specific software. Other duties as assigned Required Qualifications Excellent oral and written communication skills, proper use of english, Word, Outlook, keyboard proficiency, ability to work seated for up to 7 hours per day, M-Fri between the hours of 8:00am and 5:pm. Ability to read and follow written task procedures, excellent problem-solving skills Preferred Qualifications Health insurance, medical billing, precert or benefit verification experience, call center experience equivalent customer service experience - Education HIgh school diploma or equivalent Business Overview At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more...
CVSHealth Remote * (Monroeville, PA, USA)
Feb 28, 2021
Job Description CVS Health, a Fortune 5 company, has an exciting opportunity in Fairfield for an Inbound Customer Service Representative working on our Specialty Pharmacy team! In this role you will support our specialty patients who are in need of life sustaining medications. Come join us to help others on a path to better health as a Customer Service Representative. The typical calls that you will receive include prescription refills, order status, and insurance coverage. Our specialty pharmacy employees promote a high-energy culture and are passionate about providing excellent customer service with empathy while resolving the patients' questions on the first call. If you get satisfaction by knowing that you have helped someone, apply today. Do you enjoy working telephonically and enjoy managing multiple applications and have a passion for helping others? We provide the comprehensive training to set you up for success. We also offer incredible advancement opportunities so you...
CVSHealth Remote * (Connecticut, USA)
Feb 28, 2021
Job Description As a member of the Transformation Consumer Innovation and Enterprise Virtual Care group, the Director of Virtual care and Telehealth Product Strategy will have the responsibility of owning product development for key products within the enterprise virtual care and telehealth portfolio. We are looking for a results-oriented individual with the ability to work cross functionally with key stakeholders to deliver and keep others on task to meet defined goals. Who You Are: - Leader of complex projects involving multiple matrixed workgroups across a large endeavor/organization strategic and tactical problem solver with a "hands-on" orientation - Understand what it takes to drive real operating change can create a sense of urgency, make decisions quickly, and effectively influence others - Ability and drive to help develop strategic, analytical and financial frameworks to identify practical and meaningful business improvement opportunities - Define and implement go to...
CVSHealth Remote * (Chandler, AZ, USA)
Feb 27, 2021
Job Description CVS has a new opportunity within Customer Support in Chandler, AZ! The Customer Care Representative (CCR) is an important role in that the representative will be the first-line of contact with our customers, setting the tone for how our company and services are experienced. In response to COVID-19, we will offer immediate temporary Work from Home opportunities if you qualify. Qualifications include, but are not limited to, living within 75 miles of 2700 W. FRYE RD. CHANDLER, AZ 85224 maintaining your own internet with approved speed requirements and a secure work space free from distractions. Adherence to HIPAA and governmental compliance is required in this role. In order to be successful in this role you will be promoting a positive team environment, continuously evaluating and identifying opportunities to drive process improvements that positively impact the participant experience and aligns to the goals and objectives of the company. We'll need you to...
CVSHealth Remote * (Orlando, FL, USA)
Feb 27, 2021
Job Description *This position will provide virtual training and a temporary work from home option due to COVID-19. The role is based in our Orlando location. Exciting customer relations position available supporting CVS retail stores. Responsibilities include responding to customer calls made to our 1-800-SHOP-CVS line in a manner that is reflective of the company vision, mission and values. Must have superb customer service skills in order to assists customers in an inbound customer contact center setting. In this role, you will serve as a customer advocate when researching, responding or interpreting company procedures or policies with the ultimate goal of delighting our valuable customers. Excellent communication skills are needed as you review and process incoming phone calls, emails, and letters and as you respond to customers either on the phone or via written communications. Collaboration skills are needed as you partner with field management, category managers, and other...