Jobs at CVS Health

Lead end-to-end analytics and ML initiatives for PBM member engagement: build, deploy, and monitor large-scale ML/DL models; perform EDA and data quality assessments on prescription claims; collaborate with engineering and stakeholders to create feature stores and MLOps pipelines; communicate results to business leaders; mentor peers and interns.

Provide clinic- and telephonic-based nursing care within a value-based model: triage, chronic condition management, skilled procedures (wound care, meds, vaccines), point-of-care testing, medication review, care coordination with interdisciplinary team, patient/caregiver education, and clinical documentation using EMR to reduce avoidable hospitalizations.

Greet patients and manage front-desk operations including check-in, forms, co-pay collection, scheduling and updates in the EMR, phone and fax handling, and maintaining a welcoming clinic environment.

Lead strategic provider relationships and service operations across Metro NY. Drive provider performance on quality, cost, access, and member experience; resolve complex escalations; support value-based care adoption; analyze performance data and create action plans; coordinate cross-functionally with network management, claims, contracting, and finance; ensure regulatory and contractual compliance.

Lead consumer engagement product efforts (enriched messaging, VoiceAI, channel products). Manage portfolio activities, research engagement methodologies, track success metrics, run special projects, coordinate stakeholders, and deliver executive-level artifacts to drive product outcomes.

Lead strategy and execution for Growth Analytics by building executive scorecards, financial and workforce planning, and organizational programs. Own vision, roadmap, delivery, adoption, and impact measurement for AI- and analytics-driven data products while partnering with data teams and stakeholders to drive data-driven decisions and measurable business outcomes.

Support provider-facing operations focused on MAPL activities by analyzing claims data, managing ticket intake and escalations, educating providers on policies, partnering with contracting and network teams, performing root-cause analysis, and resolving provider and member issues to improve processes and ensure accurate claims payment and compliance.

Lead qualitative and quantitative analyses to identify growth opportunities and inform executive decisions. Develop insights, create presentations, track goals, conduct competitive research, and partner with business, finance, and operations teams to translate enterprise strategy into execution across CVS Health.

Lead and own the enterprise GCP platform: design, build, and operate a compliant, secure, production-grade landing zone. Define IaC, networking, identity, observability, and automation standards; mentor engineers; provide L3 support and roadmap leadership while enabling self-service and FinOps.

Lead and execute the GCP-based H100 platform roadmap, delivering secure, scalable platform capabilities. Oversee platform engineering teams, enforce standards, drive GitOps/CI-CD adoption, manage incidents and SRE practices, and coordinate cross-functional stakeholders. Ensure compliance (SOC2, HIPAA), mentor engineers, and optimize automation and observability for production reliability.

Design, build, and deliver end-to-end analytics and AI/ML solutions for retail pricing and promotions. Architect scalable data pipelines in Palantir Foundry, collaborate with cross-functional teams, convert business needs to requirements, deploy models via user interfaces, ensure governance and security, and mentor junior engineers.

Lead analytics and AI/ML product delivery for PBM member experience. Define requirements, manage backlog and Agile ceremonies, partner with data science and engineering, prioritize roadmaps, engage stakeholders, and introduce tools and methods to drive analytics-driven product outcomes and adoption.

Partner with Specialty Operations leaders to translate ambiguous business questions into analytical approaches. Perform statistical analysis, forecasting, experimentation, segmentation, and hypothesis testing. Synthesize large datasets into actionable insights, influence cross-functional and executive decisions, prioritize opportunities with business leaders, and communicate recommendations to drive operational improvements.

The Senior Manager, Sales Operations & Analytics oversees sales processes, drives operational effectiveness, and provides performance insights to enhance sales productivity and decision-making.

Lead strategy and delivery for an AI-powered claims decision-support and auto-adjudication platform. Define vision and roadmap, manage a team of product managers, partner with business, engineering, and data science, and drive adoption, impact measurement, and executive-level communication across a complex, matrixed enterprise.

Lead analytics and ML work to drive Aetna Medicare growth: design experiments, segmentation, forecasting, and end-to-end ML system architecture; prototype models, collaborate with engineering and product teams for production deployment, and communicate data-driven recommendations to cross-functional stakeholders.

Lead FP&A for the New York Medicaid Health Plan: manage budgets, forecasts, P&L and financial reporting; analyze variances and trends; advise executive leadership; drive cost optimization, process improvements and alignment with state Medicaid requirements.

Lead strategic planning for Behavioral Health by defining priorities, evaluating growth and partnership opportunities, developing business cases, conducting financial and operational analysis, and driving cross-functional initiatives from concept to execution with regular executive engagement.

Lead strategy to modernize Commercial product rule writing through AI, process redesign, and data governance. Drive transformation from operational execution to strategic, scalable rule management; lead change management, build team capabilities, and represent the function on cross-functional initiatives to improve efficiency, quality, compliance, and business agility.

Lead negotiation, execution, renewal, and management of provider contracts for the Metro New York market. Analyze financial and operational impacts, develop contracting strategies, support value-based arrangements, resolve disputes, and collaborate with cross-functional partners. Coach junior staff, support network expansion and adequacy initiatives, and ensure regulatory and contractual compliance.