Capture Director, Medicaid Proposals CVS Health CorpCapture Director, Medicaid ProposalsOK$100,000–$231,540 / yearCollaborate with Business Development and health plan leaders to understand current and Collaborates with Business Develop and Health Plan Leaders to understand competitor programs, weaknesses, innovations, and performance as well as current and emerging customer needs and requirements unique to the state's population, health inequities, SDOH concerns, and other emerging issues. As a Capture Director, Medicaid Proposals, you will play a critical role in supporting our Aetna members and our business by leading strategy and capture planning activities in support of business development that targets new markets, existing health plan reprocurement, and RFx proposal development.
NewPharmacy Intern CVS Health CorpPharmacy InternYukon, OK$20–$23.75 / hourContributing to positive patient experiences showing empathy and genuine care: creating heartfelt and personalized moments while serving patients at pick-up, drive-thru, and over the phone; keeping patients healthy by offering immunizations and other services at the register and over the phone; and demonstrating compassionate care by solving or escalating patient problems. As tenure increases, 3rd year Pharmacy Interns take on increasing responsibility of the safety and effectiveness of operations in the pharmacy, including but not limited to: Living our purpose by following all company SOPs at each workstation to help our Pharmacists and Technicians manage and improve patient health.
NewBilling lead -Aetna Employer Portal-Remote CVS Health CorpBilling lead -Aetna Employer Portal-RemoteOKRemote$54,300–$159,120 / yearThis role provides Level 2 support for escalated billing issues, leads internal training and operational readiness, oversees migration from legacy billing tools, and drives continuous process improvement. The Billing Lead collaborates closely with Sales, Billers, and cross-functional teams to ensure seamless billing operations and exceptional customer experience.
NewSenior Manager, Project Management - Pharmacy Compliance CVS Health CorpSenior Manager, Project Management - Pharmacy ComplianceOK$67,900–$182,549 / yearAs a subject matter expert on legislation, regulatory requirements, and compliance initiatives impacting pharmacy programs and prescription drug products administered through both the pharmacy and medical, this role provides strategic guidance, regulatory interpretation, and leadership across implementation and regulatory readiness activities. The Senior Manager partners with stakeholders to assess impacts, mitigate compliance risks, and support regulatory initiatives, including oversight of prior authorization and utilization management activities for prescription drug products processed through the medical benefit.
Minute Clinic Virtual Care Nurse Practitioner - PRN CVS Health CorpMinute Clinic Virtual Care Nurse Practitioner - PRNOK$37.66–$90.13 / hourYou will work in collaboration with a dedicated team of professionals as you independently provide holistic, evidenced based care inclusive of accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning for our patients ranging in age 18 months and above. WORKING ENVIRONMENT: Dedicated virtual care providers must meet minimum requirements for remote care delivery, including: broadband connectivity, a quiet setting with a neutral background to conduct visits from, and the ability to uphold patient privacy per CVSH guidelines.
Manager, Medicaid Market Research and Competitive Analysis CVS Health CorpManager, Medicaid Market Research and Competitive AnalysisOKCollaboration: Collaborate with the Capture Director and critical business partners, including consultants (some of which might be junior level who this individual would influence and/or direct, as appropriate) to develop documents and tools for each assigned opportunity; including research reports, customer and competitor analyses, capture workshop deliverables, and other identified deliverables. The role collaborates closely and directly with capture leadership, proposal teams and consultants to ensure research is timely, strategic, and aligned with Aetna's pursuit of all Medicaid managed care contracts, including recompetes and new business.
NewManager, Project Mgt (IC) CVS Health CorpManager, Project Mgt (IC)OK$54,300–$159,120 / yearThe position owns the end-to-end management of client accounts, spanning intent gathering, project planning, setup case submission, implementation, and seamless transition to the account management team. Success in this role depends on strong collaboration and coordination with both internal and external stakeholders to ensure timely execution and alignment with client expectations.
Case Manager, Registered Nurse CVS Health CorpCase Manager, Registered NurseOK$54,095–$155,538 / yearApplies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues. A RN who resides in a compact state is required to have an active multistate license through the Nurse Licensure Compact (NLC), allowing practice across participating states with one license.
Medical Director MPO CVS Health CorpMedical Director MPOOK$174,070–$374,920 / yearIn this role as Medical Director MPO (Medical Policy & Operations) you will be responsible for providing clinical expertise to promote the delivery of high quality, constituent focused medical care with a focus on clinical and payment policy. Additional responsibilities may include: Participate on work groups as a clinical subject matter expert to identify and promote opportunities to improve the quality and efficiency of health care services.
NewR38 D25 District Leader, RX - Edmond, OK CVS Health CorpR38 D25 District Leader, RX - Edmond, OKEdmond, OK$155,000–$240,000 / yearA licensed Pharmacist themselves, the District Leader, Rx brings deep knowledge of pharmacy workflow and clinical programs to help their teams identify and address performance opportunities, grow the top-line through the delivery of clinical services, and abide by all legal and regulatory guidelines with safety of our colleagues and patients top of mind. To enable sustainable market success, the District Leader, Rx is specifically responsible to: Cultivate and maintain a healthy Pharmacist talent pipeline, including overseeing the development of interns, recruitment of new grads, and career progression for float and staff Pharmacists to maintain a strong Pharmacy Manager bench.
Medical Director - ENT CVS Health CorpMedical Director - ENTOK$174,070–$374,920 / yearLeads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise. 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.
Account Executive, Strategic CVS Health CorpAccount Executive, StrategicOK$68,000–$174,134 / yearThe Strategic Account Executive (SAE) is responsible for the overall account strategy, renewal outcomes, and executive relationships for a defined portfolio of large, complex employer pharmacy benefit manager clients. The SAE leads renewal strategy, guides financial decisions, and serves as a trusted partner to client and consultant stakeholders.
Lead Director, Software Engineering CVS Health CorpLead Director, Software EngineeringOK$144,200–$288,400 / yearBachelor's degree in Computer Science, Software Engineering, Mathematics, or a closely related technical discipline - or equivalent demonstrated engineering depth through work history, open source portfolio, or verifiable technical contribution at scale. Partner at the executive level - with Product owners, Data Engineers, and Health care business leaders - translating business strategy into engineering bets with precision and conviction.
Medical Director - Radiation Oncology - MD or DO CVS Health CorpMedical Director - Radiation Oncology - MD or DOOK$174,070–$374,920 / yearThe Radiation Oncology Medical Director supports the CVS Health Specialty oncology business in managing oncology specific utilization of providers, clinical reviews of oncology specific data, and assist with growing our oncology footprint. In the Medical Director role, you will provide oversight for medical policy implementation; you will support the ensuring timely and consistent responses to members and providers; you will focus on prior authorization cases and consultation cases.
Senior Claim Benefit Specialist - Remote CVS Health CorpSenior Claim Benefit Specialist - RemoteOKRemote$18.50–$42.35 / hourOur 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. Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.
Mgr,Strategic Accounts CVS Health CorpMgr,Strategic AccountsOK$54,300–$145,860 / yearYour skills managing oversight of processes, proven ability to navigate effectively and hold others accountable to delivering on client commitments as well as managing client expectations or changes to committed deliverables will contribute to your success. As a Strategic Account Advisor, you will focus on delivering superior operational, project management, reporting, metric tracking and solutions to Health plan clients.
Program Integrity Manager CVS Health CorpProgram Integrity ManagerOK$54,300–$145,860 / yearThis role is responsible for ensuring compliance with state and federal requirements, supporting fraud, waste, and abuse (FWA) prevention efforts, overseeing regulatory and contractual obligations, coordinating reporting and audit activities, and partnering with internal and external stakeholders to promote operational effectiveness and program integrity. The position works closely with health plan leadership, compliance, SIU, payment integrity vendors, and operational teams to support initiatives that improve performance, strengthen oversight, and ensure compliance with applicable requirements.
Medicaid Proposal Writer CVS Health CorpMedicaid Proposal WriterOK$75,400–$165,954 / yearAs the Proposal Writer, you will continuously strive to increase your knowledge of Aetna Medicaid, products offered, and industry best practices to develop thoughtful, strategic, compliant responses to RFPs/RFIs. Interviews with subject matter experts (SMEs) to identify and collect pertinent information for compliant and compelling responses, update resumes, write past performances, and develop other proposal responses.
Lead Director, Business Consultant CVS Health CorpLead Director, Business ConsultantOK$100,000–$231,540 / yearCommunicates with top management to lead individuals to develop a high degree of customer service by fielding internal and external inquiries, finding resolutions, or redirecting as appropriate. This work results in initiatives that significantly impact organizational strategy, enabling the organization to be competitive in the marketplace and effectively serve its customers.
NewInside Sales Rep-Hourly + Commission-Can live anywhere in U.S. CVS Health CorpInside Sales Rep-Hourly + Commission-Can live anywhere in U.S.OK$15–$24.23 / hourUpon acquisition the Telesales Representative will own the member relationship throughout the year and will be the primary contact for member inquiries, including but not limited to, any questions related to plan benefits, product, and services offerings, as well as resolving any issues with respect to the utilization of the product. The Telesales Representative is directly responsible for building a book of business via acquisition of new members using state-of-art lead generation platform supported by real time analytics.