CVS Health - IT - Administration, Remote work

CVS Health seeks a Medical Director, Behavioral Health for its SIU team in a remote, Work at Home United States role. This position requires a Board Certified Psychiatrist with 5+ years of clinical experience to lead fraud, waste, and abuse investigations. Key duties include reviewing medical rec...

Senior Manager, Pricing Process Improvement at CVS Health. Drive high-impact quality initiatives within the CNP organization, leveraging 7+ years of experience in pricing, PBM, or healthcare operations. Lead cross-functional root cause analysis and process improvement using Lean Six Sigma Black B...

Seeking an experienced **Fraud, Waste & Abuse (FWA) Investigator** to ensure compliance with the **No Surprises Act (NSA)** in a remote, Work-at-Home role. This position analyzes healthcare claims data, conducts complex investigations, and supports program integrity. Ideal candidates bring 5+ yea...

Lead Director, Network Management – CVS Health seeks a strategic leader to drive Kentucky Medicaid partnerships. This remote role requires 10+ years of experience, expert negotiation skills, and a proven track record in Medicaid provider contracting. You will design models, negotiate high-value c...

Seeking an experienced **Manager, Business Consultant** to lead complex projects for **Federal Accounts** within the **FEHBP** and **PSHB** programs. This remote role requires 5+ years of health insurance experience and 3+ years of project management expertise. You will drive compliance, operatio...

Lead Medicare Risk Adjustment for the Southeast Region (GA/Gulf States) in a remote Work at Home role with CVS Health. Drive coding accuracy and value-based provider collaboration using 5+ years of risk adjustment or clinical quality experience. Requires CPC/CRC certification and strong stakehold...

Senior Manager, Tech Client Services role focused on scaling operational processes, automation, and readiness for a major healthcare leader. Drive cross-functional initiatives, reduce manual effort, and lead people development in a remote, work-from-home Texas position. Requires 7+ years in clien...

CVS Health seeks a Manager of Software Technology Vendor Management to lead IT vendor strategy and software license acquisition. This remote role requires 5+ years in IT/Software Engineering, expertise in infrastructure, cloud, and vendor support, plus strong contract negotiation skills. You will...

Lead population health initiatives for end-of-life programs at CVS Health. This remote Sr. Manager role requires 4+ years of healthcare experience, strong data analytics, and stakeholder leadership. Drive quality, utilization, and financial metrics while collaborating with cross-functional teams....

Lead Director, Service Operations Strategy & Transformation – drive tech-led transformation across Patient Services, Pharmacy, and Triage. Lead large-scale automation, AI, and process improvements in a remote U.S. role. Requires 10+ years healthcare ops leadership, change management, and vendor s...

Senior Manager - Enterprise Observability Strategy and Governance at CVS Health. Lead multi-year observability roadmaps, governance frameworks, and platform strategy across infrastructure and application domains. Requires 7+ years in enterprise IT programs, 3+ years in Jira governance, and expert...

Manager - Enterprise Observability Strategy and Governance leads the delivery of observability products across infrastructure, application, and service domains. This role requires 5+ years in program/product management, expertise in Jira and Agile governance, and strong knowledge of metrics, logs...