Development and maintenance of software, hardware, cybersecurity, and digital infrastructure for businesses.
Pharmacy Benefit Manager Invoice Processor (Meritain Health)
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 role is for the Meritain Health PBM (Pharmacy Benefit Manager) Operations Team and is responsible for processing PBM vendor invoices and claims. The PBM Invoice Processor is assigned a set of groups to maintain their invoices on a weekly, bi-weekly, or monthly basis. Job Duties include (but are not limited to): Imports and monitors PBM claim data and invoice files. Reconciles and balances claims data and invoices in the claims processing system. Coordinates client billing and invoice payments. Communicate invoice processing errors/delays to client management. Communicate missing files for assigned book of business to file management. Maintain invoice tracker by keeping assigned book of business up to date. Manage special accommodation products as required. (i.e. international sourced drugs, complex PBM vendors, and high-profile clients). Reconcile aging reports and stop loss inquiries. Meet key performance metrics including production, quality, and turnaround time. Required Qualifications 2+ years of experience with health care data entry and/or claims processing. 1-3 years of customer service experience. Preferred Qualifications Ability to independently handle multiple assignments competently, accurately, and efficiently. Strong attention to detail. Work effectively in a team environment. Ability to work overtime if necessary. Demonstrated proficiency in Microsoft Excel. Education High school diploma or GED. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $17.00 - $34.15 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 https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 08/07/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Dispute Repricing Analyst
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 Dispute Repricing Analyst will be responsible for the accurate analysis and resolution of provider participation and pricing disputes. This will require knowledge of healthcare processes and internal operation requirements, policies, and procedures. Key Responsibilities: Review provider dispute resolutions according to organizational guidelines. Research and respond to provider participation and pricing inquiries related to Network contracts and agreements. Research identified issues; submit claim adjustment requests and determine the root cause of disputes. Serve as subject matter expertise in evaluating and responding to provider participation and pricing inquiries. Analyze post-paid healthcare claims as it relates to pricing needs. Apply in-depth research to determine accuracy of PPO(s) use and pricing discounts applied. Communicate externally and with internal departments as it related to the cases under review. Coordinate with other departments as necessary to facilitate resolution of claim related participation and pricing issues. Reading and interpreting appeals, standard reference materials, etc. Required Qualifications 2+ years of healthcare experience in a managed care environment. 2+ years experience working with medical terminology, claim forms, and physician billing coding. 1+ years of experience with provider disputes. Computer proficiency with Microsoft Office Applications. Strong basic math, communication, analytical, critical-thinking, and problem-solving skills. Preferred Qualifications Claims processing experience. Customer service experience. DG system experience. Proficiency in Microsoft Outlook, Teams, Windows, and Excel. Experience in data entry. Education High School Diploma Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $18.50 - $42.35 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 https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 08/08/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Pharmacy Customer Service Associate
Models and delivers a distinctive and delightful customer experience. Registers sales on assigned cash register, provides customers with courteous, fair, friendly, and efficient checkout service. In accordance with state and federal regulations, assists the pharmacist, under direct supervision, in the practice of pharmacy. Responsible for using pharmacy systems to obtain patient and drug information and process prescriptions. Customer Experience Engages customers and patients by greeting them and offering assistance with products and services. Resolves customer issues and answers questions to ensure a positive customer experience. Models and shares customer service best practices with all team members 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 Provides customers with courteous, friendly, fast, and efficient service. Recommends items for sale to customer and recommends trade-up and/or companion items. Registers customer purchases on assigned cash register, collects cash and distributes change as requested; processes voids, returns, rain checks, refunds, and exchanges as needed. Takes customer to OTC aisle when possible to assist in locating products. Keeps counters and shelves clean and well merchandised, takes inventory, and maintains records. Checks in and prices merchandise as required or as directed by store manager or communicated by the shift leader. Performs duties as assigned by Pharmacy Manager, Staff Pharmacist and Store Manager including utilizing pharmacy systems to enter patient and drug information, ensuring information is entered correctly, filling prescriptions by retrieving, counting and pouring pharmaceutical drugs, verifying medicine is correct, and checking for possible interactions. Assists pharmacists in scheduling and maintaining work flow. Reports, immediately, prescription errors to pharmacist on duty and adheres to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. Reviews and complies with the Walgreen Co. Pharmacy Code of Conduct. Strictly adheres to the Walgreen Co. policy regarding Good Faith Dispensing during all applicable prescription dispensing activities. Handles telephone calls that do not require personal attention of the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs other clerical duties, as assigned by the Pharmacy Manager. Assists and supports Pharmacy Department on inventory management activities, such as, ordering, unpacking, checking and storing shipment of pharmaceuticals. Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages (merchandise billed, but not received), order errors or damaged goods involving Rx drugs. Ensures compliance with state and local laws regarding regulated products (e.g., alcoholic beverages and tobacco products). Constructs and maintains displays, including promotional, seasonal, super structures, and sale merchandise. Completes resets and revisions as directed. Assists with separation of food items (e.g., raw foods from pre-cooked) and product placement as specified by policies/procedures (e.g., raw and frozen meats on bottom shelves). For consumable items, assists in stock rotation, using the first in, first out method and restock outs. Has working knowledge of store systems and store equipment. Provides customer service in the photo area, including digital passport photo service, poster print and creative machine, suggestive sell of promotional photo products. Assumes web pick-up responsibilities (monitors orders in Picture Care Plus, fills orders (pick items), delivers orders to customers as they arrive at store). Assists with exterior and interior maintenance by ensuring clean, neat, orderly store condition and appearance. Complies with all company policies and procedures; maintains respectful relationships with coworkers. Completes special assignments and other tasks as assigned. Training & Personal Development Earns and maintains PTCB certification through the designated PTCB training program and/or state required certification/registration. Attends training and completes PPLs requested by Manager or assigned by corporate and acquires continuing education credits. Maintains knowledge and skill in healthcare and pharmacy, including latest news and developments. Basic Qualifications Must be fluent in reading, writing, and speaking English. (Except in Puerto Rico) Requires willingness to work flexible schedule, including evenings and weekend hours. Preferred Qualifications Prefer six months of experience in a retail environment. Prefer to have prior work experience with Walgreens. Prefer good math skills so they can fill prescriptions accurately, including counting, measuring and weighing medications. Prefer good computer skills. Prefer the knowledge of store inventory control. Prefer PTCB certification. We will consider employment of qualified applicants with arrest and conviction records. An Equal Opportunity Employer, including disability/veterans. The actual compensation that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. 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 Salary Range: $16 - $18 / Hourly
Shift Lead
Opens and closes the store in the absence of store management, including all required systems start-ups, required cash handling, and ensuring the floor and stock room are ready for the business day. Responsible for opening back door of store for deliveries. Completes product returns, order voids, customer refunds, cash drops to the safe, and provides change as requested to cash registers. Models and delivers a distinctive and delightful customer experience. Customer Experience Engages customers and patients by greeting them and offering assistance with products and services. Resolves customer issues and answers questions to ensure a positive customer experience. Models and shares customer service best practices with all team members 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 Responsible for holding store keys to open and close without management as necessary. Assists with and coaches other team members to work with warehouse and vendor ordering process as the orders are created, reviewed, and received, including opening the backdoor for vendor deliveries. Responsible and accountable for registering all related sales on assigned cash register, including records of scanning errors, price verifications, items not on file, price modifications, and voids. Assists manager or assistant store manager in reviewing order exceptions on order release day and assists in reverse logistics (e.g., 1506, returns, empty package). Assists manager or assistant store manager in evaluating and developing displays, including promotional, seasonal, super structures, and sale merchandise. Completes resets and revisions. Maintains accurate inventory counts; maintains the accuracy of on-hand quantities including, but not limited to, basic departments, stockroom, and overstock locations. Assist with ensuring the Outdate program is followed with team members. Responsible for basic department pricing and making daily price changes; ensures proper signage is displayed at the store to support accurate pricing of products. Ensures any additional pricing tasks related to local regulations and/or regulatory compliance programs are completed accurately and within the required time frame. Assist with bookkeeping activities, including cash report, cash counts, ledgers, and bill payment as necessary or as requested. Assists with exterior and interior maintenance by ensuring clean, neat, orderly store condition and appearance, including requesting store or system repairs as required in manager absence, or as requested by manager. Assists with separation of food items (e.g., raw foods from pre-cooked) and product placement as specified by policies/procedures (e.g., raw and frozen meats on bottom shelves). For consumable items, assists in stock rotation, using the first in, first out method and restock outs. Has working knowledge of store systems and store equipment. Assist at Pharmacy out window as requested. Ensures compliance with state and local laws regarding regulated products (e.g., alcoholic beverages and tobacco products). Responsible for bag checks of team members before leaving the store. Complies with all company policies and procedures; maintains respectful relationships with coworkers. Completes special assignments and other tasks as assigned. Training & Personal Development Attends training and completes PPLs requested by Manager. Communications Serves as a liaison between management and non-management team members by communicating assigned tasks to team members when store management is not present. Reports disciplinary issues and customer complaints to management. Basic Qualifications One year of prior leadership, supervisory, or retail key holder work experience. Must be fluent in reading, writing, and speaking English. (Except in Puerto Rico) Preferred Qualifications Prefer the knowledge of store inventory control. We will consider employment of qualified applicants with arrest and conviction records. Obtains and maintains valid PTCB certification or pharmacy license as required by state. An Equal Opportunity Employer, including disability/veterans. The actual compensation that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. 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 Salary Range: $17 - $19 / Hourly
Driver-CDL (PR)
Republic National Distributing Company (RNDC) is a family-owned business with roots extending before Prohibition that has evolved into one of the nation’s largest wine and spirits wholesalers. Our success is grounded in our core values of Family, Service, Accountability, Honesty, and Professionalism. We offer a vibrant, inclusive culture and workplace experience for individuals who want a career that makes them feel accomplished and engaged. RNDC values the health and well-being of our associates, inside and outside the office, offering dynamic health and wellness benefits that supply exceptional care and value. RNDC is geared toward growing our footprint and our people. Join our team of energetic professionals who believe in many happy hours and are experts in our craft. Summary As a CDL Driver, you will play a crucial role at RNDC by ensuring the timely and safe delivery of products to our customers while maintaining a high level of professionalism and customer service. You will also have the opportunity to collect non-cash payments as necessary, contributing to the financial transactions associated with the deliveries. In this role, you will • Properly conducts a pre and post trip inspection, notating any vehicle defects. Abides by the DOT hours of service rules and regulations for their license type. • The potential for dedicated overnight routes exist. • Accurately delivers invoiced products by bottle, case, pallet or hand-stack from the delivery truck and placing said merchandise into customer account. • Verifies receipt of correct order with the customer by checking product type and size against the provided invoice, obtains customer signature and payment if necessary, for goods received. • Ensures physical security of truck at all times. • Delivers to approximately 19 accounts daily. May deliver up to 30 accounts during times of increased account activity. • Covers approximately 160 miles daily, miles occasionally increase anywhere from 200 to 300 miles during times of increased account activity or out of town routes. • Possibility to work with one or more helpers. • Provide feedback to transportation management in terms of route changes or route concerns. • May utilize a smartphone for interaction with hours of service (HOS) software and/or driver monitoring programs. What you bring to RNDC High school diploma or general education degree (GED), preferably two years delivery experience and/or training; or equivalent combination of education and experience. The employee must regularly lift up to 50 pounds and will occasionally lift up to 100 pounds. Requires a current Class B CDL driver's license (Class A CDL license also allowed and may be required for positions based on location); ability to meet company vehicle insurance requirements. Must be able to obtain valid DOT medical certification card and file appropriately with state Motor Vehicle Department Alcohol Beverage Commission (ABC) License, as required by the state What's in it for you 401(k) with company matching Medical, dental and vision benefits* Generous paid time off program – work your way up to 5 weeks of PTO a year with the ability to carryover unused PTO Paid volunteer time Paid parental leave Paid caregivers leave Fertility benefits Paid training Company paid life insurance, short-term disability, and company-paid holidays Associate resource groups, and diversity, equity, and inclusion programs available for all associates *Participation in these programs is subject to applicable wait periods and all plan and program terms and eligibility COVID-19 considerations: We follow CDC Guidelines and have a fun and safe environment for our teams. Bonus if you bring Previous experience in the Wine and Spirits industry Republic National Distributing Company and National Distributing Company are Equal Opportunity/Affirmative Action employers. It is our policy not to discriminate against any Employee or Applicant. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, age, status as a protected veteran, among other things, or status as a qualified individual with disability. This policy of nondiscrimination in employment includes but is not limited to: recruitment, hiring, placement, promotion, transfer, employment advertising or solicitations, compensation, layoff or termination of employment. RNDC is committed to providing reasonable accommodation to people with disabilities throughout the job application and interview process, to the point of undue hardship.
Whse Associate – Day
Republic National Distributing Company (RNDC) is a family-owned business with roots extending before Prohibition that has evolved into one of the nation’s largest wine and spirits wholesalers. Our success is grounded in our core values of Family, Service, Accountability, Honesty, and Professionalism. We offer a vibrant, inclusive culture and workplace experience for individuals who want a career that makes them feel accomplished and engaged. RNDC values the health and well-being of our associates, inside and outside the office, offering dynamic health and wellness benefits that supply exceptional care and value. RNDC is geared toward growing our footprint and our people. Join our team of energetic professionals who believe in many happy hours and are experts in our craft. Summary RNDC is looking for talented and energetic Warehouse Associates to join our growing operations team on the Day Shift. As a member of our operations team, you will play a critical role in ensuring that the products we sell are delivered on time, and orders are filled accurately. We ensure that you have the training and support you need to make a meaningful difference. Your efforts help ensure that our customers have what they need to enjoy many more happy hours! Warehouse Day Associates are responsible for receiving in bound goods, put away, replenishment of pick locations, location consolidation, inventory control and general housekeeping. In this role, you will Safely and properly unload a trailer of product, verify the load for accuracy and stage for put away. Pick and pack orders using label picking, ring scanners, voice directed picking or paper picket tickets. Meet individual productivity and accuracy standards as identified through Labor Management (LM) metrics. Required to safely operate material handling equipment (MHE) to include forklifts, order pickers, pallet jacks, reach trucks, slip sheet attachment, and/or clamper truck or attachment. Utilize Warehouse Management System (WMS) scan guns and tools for the purpose of maintaining proper inventory levels and proper location of goods in the warehouse. Assist in physical inventories and cycle counting as directed. Interact with associates during the hand-off from shift to shift. Frequently will have interaction with delivery personnel, and the early morning receiving crew.? What you bring to RNDC High school diploma or general education degree (GED), preferably one year warehouse experience; or equivalent combination of education and experience. Required to obtain certification and safely operate material handling equipment (MHE) to include forklifts, order pickers, pallet jacks, reach trucks, slip sheet attachment, and/or clamper truck or attachment. The employee must regularly lift up to 50 pounds and will occasionally lift up to 100 pounds. What's in it for you 401(k) with company matching Medical, dental and vision benefits* Generous paid time off program – work your way up to 5 weeks of PTO a year with the ability to carryover unused PTO Paid volunteer time Paid parental leave Paid caregiver leave Fertility benefits Paid training Company paid life insurance, short-term disability, and company-paid holidays Associate resource groups, and diversity, equity, and inclusion programs available for all associates *Participation in these programs is subject to applicable wait periods and all plan and program terms and eligibility COVID-19 considerations: We follow CDC Guidelines and have a fun and safe environment for our teams. Bonus if you bring Republic National Distributing Company and National Distributing Company are Equal Opportunity/Affirmative Action employers. It is our policy not to discriminate against any Employee or Applicant. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, age, status as a protected veteran, among other things, or status as a qualified individual with disability. This policy of nondiscrimination in employment includes but is not limited to: recruitment, hiring, placement, promotion, transfer, employment advertising or solicitations, compensation, layoff or termination of employment. RNDC is committed to providing reasonable accommodation to people with disabilities throughout the job application and interview process, to the point of undue hardship.
Assistant Professor
Posting Number FAC00103PO25 Advertised Title Assistant Professor Campus Columbia College/Division College of Social Work Department COSW College of Social Work Advertised Salary Range Salary Commensurate with experience. Location of Vacancy SC Part/Full Time Full Time Hours per Week 37.5 Position Category Full-time Equivalent (FTE) Basis 9 months Work County Richland Tenure Information Tenure-Track/Tenured Job Search Category Faculty About USC About University of South Carolina From the Upstate to the Lowcountry, the University of South Carolina system is transforming the lives of South Carolinians through the impact of our eight institutions and 20 locations throughout the state. More than 50,000 students are enrolled at one of eight institutions, including the research campus in Columbia and comprehensive four-year universities in Aiken, Upstate and Beaufort. In addition, our Palmetto College campuses in Salkehatchie, Union, Lancaster and Sumter enable students to earn associate or bachelor’s degrees through a combination of in-person, online or blended learning. All of our system institutions place strong emphasis on service — helping to build healthier, more educated communities in South Carolina and beyond. Benefits for FTE Positions The University of South Carolina (USC), through the State of SC and Public Employee Benefit Authority (PEBA), offers state employees a valuable benefits package, including health and life insurance, generous paid leave and retirement programs. To learn more about USC benefits, access the "Working at USC" section on the Applicant Portal at https://uscjobs.sc.edu. Position Description Advertised Job Summary The College of Social Work at the University of South Carolina invites applications and nominations for a tenure-track faculty position in social work at the rank of Assistant Professor. We seek applicants whose expertise prepares them to contribute to the College’s mission to drive positive change through innovative teaching, dynamic research, public service and experiential learning to empower communities, expand belonging, transform systems and prepare the next generation of social work leaders. Required Education and Experience The position requires a doctoral degree in social work or a related field by the start date of employment (August 15, 2026), and a strong capacity for research productivity, scholarly impact, and excellence in teaching. Preferred Qualifications The ideal candidate will have experience teaching online and/or the ability to teach classes and conduct research in trauma-informed practice, communities and organizations, or policy. Posting Detail Information Desired Start Date 08/16/2026 Job Open Date 07/23/2025 Job Close Date 09/30/2025 Open Until Filled No Special Instructions to Applicant Inquiries about this position may be made to Dr. Aidyn Iachini, Chair of the Faculty Recruitment Committee at IACHINI@mailbox.sc.edu. Positions are advertised for a minimum of five (5) business days on our job website. After five (5) business days, positions can be closed at the discretion of the department at any time. This employment site is updated on a regular basis. The length of the recruitment and screening process may vary from position to position, depending upon a variety of factors. Should review of your qualifications result in a decision to pursue your candidacy, you will be contacted by phone or email. Quicklink for Posting https://uscjobs.sc.edu/postings/190834 EEO Statement The University of South Carolina does not discriminate in educational or employment opportunities or decisions for qualified persons on the basis of age, ancestry, citizenship status, color, disability, ethnicity, familial status, gender (including transgender), gender identity or expression, genetic information, HIV/AIDs status, military status, national origin, pregnancy (false pregnancy, termination of pregnancy, childbirth, recovery therefrom or related medical conditions, breastfeeding), race, religion (including religious dress and grooming practices), sex, sexual orientation, veteran status, or any other bases under federal, state, local law, or regulations.
Senior Manager, Stop Loss Strategic Planning
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 is recruiting for a Senior Manager, Strategic Planning in a newly, created role that is responsible for driving distribution strategies, analytics, and sales effectiveness of our traditional Stop Loss products across Aetna and Meritain businesses. This person will collaborate and communicate across the underwriting, actuarial, sales, account management and marketing teams to execute strategies for organizational and business unit initiatives to achieve our growth objectives. You’ll make an impact by Supporting key internal sales and external broker/consultant relationships. Implementing processes for the organization's Sales Enablement area, and ensuring methods align with the overall business strategy. Carrying out programs that support operational and financial business plans. Monitoring and preparing reports on key performance indicators relative to plan. Executing corrective action plans for business unit issues. Communicating impacts of internal and external environmental influences. Key Deliverables: Increasing Stop Loss market competitiveness by administering solutions that leverage both internal and external channels with the goal of increasing membership, revenue, and earnings. Facilitating Stop Loss growth by helping introduce improved cross-selling strategies across the full Commercial book of business and the enterprise. Maintaining an understanding of the Stop Loss marketplace, legislative and competitor trends to help Aetna manage emerging risks and opportunities Work with Executive Director Stop Loss to create a consistent, repeatable sales process that drives success across all segments and regions. May deliver: Product training and messaging to Sales; Continuing education to brokers to keep them updated on evolving capabilities. Monitor customer and broker/consultant feedback and translate to actionable steps to advance product capabilities. Produce relevant information on progress against goals for key metrics with Sales and prepare information in support of broker partnerships. Supporting CVS Health in attracting, retaining, and engaging a diverse and inclusive consumer-centric workforce that delivers on our purpose and reflects the communities in which we work, live, and serve. Required Qualifications: 7+ years work experience Excellent communication and relationship building skills Ability to compile and develop information to support leadership priorities Must collaborate effectively with cross-functional teams. Stop Loss Insurance a plus Education: Bachelor’s degree in business, marketing or related field. Pay Range The typical pay range for this role is: $67,900.00 - $199,144.00 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 https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 08/29/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Senior Manager, Provider Plan Sponsor Consulting
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 We are searching for an experienced provider network professional to support our plan sponsors in managing their provider network performance and strategies. This is an individual contributor role that will work as part of a cross functional team of clinicians and analysts that provide consultative information and create custom solutions for commercial Plan Sponsors. The primary responsibilities of this position include identifying specific provider network strategies to manage medical cost and trend. This is a unique opportunity to work directly with plan sponsors, account management, local/ national network, clinicians and analysts to create customized network strategies for our plan sponsors. The individual in this position will be responsible for creating strong relationships with local and national network teams, maintaining an in-depth knowledge of Aetna network strategies and performance and reviewing data to inform recommendations. The successful candidate will serve as a subject matter expert on network related performance including contracting methodologies, network competitiveness and value-based designs. This is a customer facing position requiring the ability to communicate complex networking arrangements and delivery performance results to a wide variety of audiences. This position requires the ability to independently manage all network-related, customer- specific health plan performance and identify root causes, identify solutions and present meaningful analysis. Required Qualifications - Minimum of 7+ years of direct industry experience negotiating provider contracts and/or provider relations. - Strong understanding of health care network product spectrum and contracting methodologies including advanced knowledge of value-based designs. -Strong communication skills: Able to articulate (verbally and written) complex business results, issues and strategies in a clear, concise and confident manner to all levels and positions of an organization (internal and external). - Must have strong knowledge of claim coding (CPT/DRG, etc.), provider networks, benefit designs, healthcare products/funding, medical management programs and financial acumen. - Relationship management: Demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously. - Strategic Thinking: Must have demonstrated ability to think strategically in an independent manner and ‘out of the box’ versus accepting the status quo. - Technical Skills: Must possess strong technical skills in Microsoft Office Applications (Excel, Word, PowerPoint) as well as experience using analytic/reporting applications Preferred Qualifications Familiarity with medical cost analytics and advanced technical skills Education Bachelors degree or equivalent experience Pay Range The typical pay range for this role is: $67,900.00 - $199,144.00 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 https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 08/31/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Senior Instructional Designer
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 As the Manager of DDAT Learning & Development, you will be pivotal in fostering a vibrant learning culture within CVS Health's Digital, Data, Analytics, and Technology (DDAT). You are at the heart of our strategic vision, crafting engaging and impactful learning experiences that deliver results and signify our commitment to being strategic partners and consultants to our clients on various initiatives. This role balances technical content creation with instructional design, demanding a proactive approach to evolve and adapt in an ever-changing technological landscape. Key Responsibilities Instructional Design & Content Development: Design and deliver high-quality learning solutions in various formats, including web-based training, virtual or in-person events, and innovative approaches like gamification. You'll use models and theories such as ADDIE, SAM, Bloom's Taxonomy, and Kirkpatrick's evaluation model. Strategic Consultation: Serve as a learning and development consultant, providing expertise to internal teams and stakeholders and guiding them through integrating a product mindset and agile methodologies. Product Management: Manage the lifecycle of learning programs from conception through delivery, including defining learning objectives, selecting appropriate modalities, and ensuring content meets the high standards of our DDAT community. Collaboration & Leadership: Work closely with subject matter experts, program managers, and other internal teams to build and execute learning strategies. As the only instructional design team in DDAT, you will lead by example, fostering collaboration and innovation. Data Analysis & Program Management: Utilize learning data analysis to inform decisions, manage programs efficiently, and continuously improve our learning offerings. Required Qualifications 5+ Years of experience in Learning & Development or related field. Proven experience in Instructional Design, Learning Data Analysis, Program Management, and Agile Methodologies. Strong foundation in ADDIE, SAM, Bloom's Taxonomy, Kirkpatrick's levels of evaluation, microlearning, and gamification. Demonstrated ability to work autonomously, driving projects from inception to completion with a high degree of ownership and initiative. Excellent communication, teamwork, and adaptability skills, emphasizing collaboration with technical teams and stakeholders. Experience in managing learning and development projects, with a preference for those with a background in technology. Education Bachelors Degree Required, Masters preferred Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $54,300.00 - $159,120.00 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 https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 08/11/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.