Jobs at CVS Health

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

Leads Health100’s consumer growth engine, owning strategy and execution across awareness, acquisition, onboarding, engagement, and retention. Builds the consumer marketing team, operating model, and scalable growth capabilities; translates product features into compelling value propositions; drives data-informed experimentation; and manages agency and enterprise marketing partnerships. The role also defines success metrics, integrates with Product, Digital, Analytics, and Experience teams, and communicates strategy and performance to executives in a fast-moving, startup-like environment.

Leads Health100’s B2B partner growth and marketing engine, including positioning, demand generation, pipeline development, sales enablement, go-to-market planning, and partner adoption. Builds the partner marketing team, operating model, systems, and performance metrics while partnering closely with Sales, Product, Marketing, and Commercial teams. Creates executive-ready narratives and sales materials, manages agency relationships, and drives measurable commercial outcomes in a fast-moving, regulated healthcare technology environment.

Leads the strategic vision, roadmap, and execution of the Health100 platform engineering organization. Oversees complex integrations, platform modernization, cloud migrations, engineering governance, architecture, delivery, talent development, vendor strategy, and stakeholder alignment. Guides multi-team initiatives across distributed systems, cloud-native technologies, and AI-enabled solutions while ensuring quality, operational reliability, measurable outcomes, and high-performing engineering teams.

Lead accessibility strategy and execution across product, design, and engineering. Drive audits, remediation plans, metrics, SLAs, training, and executive reporting to embed inclusive practices and remove digital barriers.

The Strategic Account Manager leads digital media campaigns, manages client and supplier relationships, and drives strategic planning, execution, and performance analysis to enhance business growth and achieve advertising goals.

Lead strategy, development, and execution of CMX events to drive brand and commercial impact. Own annual events calendar, vendor relationships, budget and logistics, presenter coordination, sales enablement, post-event analysis, and cross-functional partnership to position CMX as a retail media thought leader.

Lead a workstream on enterprise marketing measurement: design experiments and models (MMM, incrementality, attribution), run large-scale analyses, deliver production-grade solutions, present findings to senior stakeholders, and mentor junior data scientists.

This role involves leading strategic planning, product innovation, and cross-functional collaboration to enhance pharmacy analytics and drive growth initiatives for CVS Health.

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.

Develops governed healthcare datasets, advanced SQL analyses, KPI dashboards, recurring reports, and strategic insights for Medicaid quality incentives across 10+ markets. Integrates and validates enrollment, claims, and quality data; supports P4P forecasting, ROI analysis, and performance management. Partners with executives, health plan leaders, Finance, Quality, IT, Medical Affairs, and other stakeholders to translate business questions into actionable recommendations, document methodologies, and ensure reproducible, auditable results.

Manage client and member support for pharmacy benefits programs, including plan changes, ID cards, reporting, invoices, terminations, documentation, prior authorization, eligibility updates, claims resolution, and inbound calls. Participate in implementation processes and external-facing meetings while overseeing accessibility and service requests. The role requires pharmacy, PBM, or insurance experience and up to 25% domestic travel.

Reviews and processes requests for member Protected Health Information, including subpoenas, court orders, law enforcement demands, regulatory inquiries, and authorization requests. Validates documentation, determines whether disclosures comply with HIPAA, state privacy laws, and company policies, resolves complex privacy matters, escalates issues when needed, and protects confidential member information.

Investigate and resolve complex pharmacy contract non-compliance, conduct outreach to pharmacies, analyze claims adjudication data, coordinate with Sales and Account Management, prepare written responses, manage multiple cases, and maintain thorough documentation.

The Workforce Management Solutions Architect leads design and delivery of scheduling and forecasting. They partner across teams, optimize WFM platforms, and ensure accurate functional delivery, enhancing organizational efficiency.

Verifies and updates health plan enrollment records, researches eligibility and billing issues, corrects transaction errors, validates benefit information, and coordinates eligibility data, ID cards, reports, and client requests. The role requires accurate data entry, system research, regulatory and benefit interpretation, customer communication, and collaboration with internal and external teams. It also monitors service trends, communicates paper eligibility charges, and supports enrollment changes, terminations, and related documentation.

Processes healthcare benefit claims by reviewing documentation, verifying eligibility and coverage, assessing coding accuracy and medical necessity, documenting claim data, and resolving discrepancies with stakeholders. Conducts claim investigations, ensures regulatory and policy compliance, and analyzes claims data to identify trends and improvement opportunities. Supports feedback and performance review processes within the claims department.

Provides entry-level member support through phone, email, and chat, resolving pharmacy benefits, claims, eligibility, and service inquiries. Documents interactions accurately, escalates complex cases, collaborates with supervisors and account managers, participates in training, identifies recurring issues, and recommends process improvements.

Supports end-to-end consolidation of the Network P&L by aggregating and reconciling revenue, COGS, fees, and credits. Coordinates Finance calendars for monthly close, budgeting, and forecasting cycles; prepares consolidated reporting packages and executive presentations; resolves variances and reconciling items; and supports ad hoc analysis and special projects.

Leads Medicare appeals business compliance for Part C and Fast Track Appeals, ensuring alignment with CMS regulations and audit requirements. Responsibilities include interpreting regulatory changes, managing CMS inquiries, identifying compliance risks, developing mitigation plans, overseeing reporting and readiness activities, coordinating internal and external audits, and leading cross-functional initiatives to improve operational compliance.