Showing 12 Aetna jobs in Hartford
Account Manager - Aetna International
06132 Hartford, Connecticut
CVS Health
Posted today
Job Viewed
Job Description
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 Account Manager position is an important part of the account management team and will be dedicated to one of Aetna International's key clients. This position will be assigned to support a segment of the client's large worldwide population. This candidate will build strong relationships with the client contacts they serve as well as Aetna business partners and internal departments. A successful Account Manager should have excellent communication skills and the ability to work independently with minimum supervision.
+ Provides proactive account service management in support of business objectives and to achieve customer satisfaction. Develops and executes customer service strategy.
+ Meets with customers frequently via phone and video conferencing. They will also lead calls, facilitate meetings, conduct training presentations, and meet customers in person when needed.
+ Engages in frequent email correspondence, discusses service levels and expectations, shared process improvements, discusses operation of benefits and network involvement.
+ Identifies gaps in service, determines root cause and develops an actionable solution. Engages with business partners to escalate issues as necessary. Maintains a service and complaint log.
+ The candidate will support client needs in multiple times zones. Some correspondence will be time sensitive.
+ Responds to client requests for network analysis, provider issues, benefit questions, care coordination, member eligibility and claims.
+ Coordinate vendor participation in onsite vaccine administration. Maintain provider directories and assist client concerns regarding appropriate care.
+ Maintain client microsite. Manage member communication strategy by reviewing instructional and marketing materials related to the client's plan.
**Required Qualifications**
+ 2+ years of insurance industry, account management or customer service experience.
+ An active resident insurance producer license, as required by state law or the ability to obtain an insurance producer license within 60 days of start date.
+ Experience facilitating meetings in Microsoft Teams.
+ Excellent verbal and written communication skills.
+ Availability to travel up to 10% (possible out of state travel).
**Preferred Qualifications**
+ Bilingual in any of the following; French, German, Portuguese, Mandarin.
+ Experience working with complex accounts.
**Education**
+ Bachelor' Degree preferred or equivalent work experience (HS diploma + 4 years relevant experience).
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$43,888.00 - $102,081.00
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 anticipate the application window for this opening will close on: 10/31/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
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 Account Manager position is an important part of the account management team and will be dedicated to one of Aetna International's key clients. This position will be assigned to support a segment of the client's large worldwide population. This candidate will build strong relationships with the client contacts they serve as well as Aetna business partners and internal departments. A successful Account Manager should have excellent communication skills and the ability to work independently with minimum supervision.
+ Provides proactive account service management in support of business objectives and to achieve customer satisfaction. Develops and executes customer service strategy.
+ Meets with customers frequently via phone and video conferencing. They will also lead calls, facilitate meetings, conduct training presentations, and meet customers in person when needed.
+ Engages in frequent email correspondence, discusses service levels and expectations, shared process improvements, discusses operation of benefits and network involvement.
+ Identifies gaps in service, determines root cause and develops an actionable solution. Engages with business partners to escalate issues as necessary. Maintains a service and complaint log.
+ The candidate will support client needs in multiple times zones. Some correspondence will be time sensitive.
+ Responds to client requests for network analysis, provider issues, benefit questions, care coordination, member eligibility and claims.
+ Coordinate vendor participation in onsite vaccine administration. Maintain provider directories and assist client concerns regarding appropriate care.
+ Maintain client microsite. Manage member communication strategy by reviewing instructional and marketing materials related to the client's plan.
**Required Qualifications**
+ 2+ years of insurance industry, account management or customer service experience.
+ An active resident insurance producer license, as required by state law or the ability to obtain an insurance producer license within 60 days of start date.
+ Experience facilitating meetings in Microsoft Teams.
+ Excellent verbal and written communication skills.
+ Availability to travel up to 10% (possible out of state travel).
**Preferred Qualifications**
+ Bilingual in any of the following; French, German, Portuguese, Mandarin.
+ Experience working with complex accounts.
**Education**
+ Bachelor' Degree preferred or equivalent work experience (HS diploma + 4 years relevant experience).
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$43,888.00 - $102,081.00
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 anticipate the application window for this opening will close on: 10/31/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Is this job a match or a miss?
View Now
0
HVAC Technician (AETNA Headquarters)
06132 Hartford, Connecticut
CVS Health
Posted 1 day ago
Job Viewed
Job Description
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.
Requisition Job Description
*This is a first shift position. Candidates should be willing to work overtime as needed to meet company needs.*
This position is based in the Aetna Corporate Headquarters and will be responsible for the installation, maintenance, and repair and testing of a wide range of electrical or mechanical equipment. This position will assure safe workplace practices are followed at all times and drive safety awareness through leading by example. This includes predictive, preventive and proactive maintenance analysis. This individual must work to all codes and regulations while making equipment installations, adjustments and repairs in plant and office environments as well as assist outside contractors on major projects. This position requires a broad working knowledge of codes pertaining to your specific trade.
**Duties and responsibilities**
+ Maintain HVAC equipment, components and systems, including air handling units, boilers, chillers, fire and life safety systems, and building automation system.
+ Assemble, install, test, and maintain equipment, appliances, apparatus, and fixtures, using hand tools and power tools.
+ Diagnose malfunctioning systems, apparatus, and components, using test equipment and hand tools, to locate the cause of a breakdown and correct the problem.
+ Inspect all equipment, and components to identify hazards, defects, and the need for adjustment or repair, and to ensure compliance with codes.
+ Advise supervisor and or management immediately on whether continued operation of equipment could be hazardous to the facility.
+ Test systems and continuity of circuits in electrical wiring, equipment, and fixtures, using testing devices such as ohmmeters, voltmeters, and oscilloscopes, to ensure compatibility and safety of system.
+ Perform business management duties such as maintaining records and files, preparing reports and ordering supplies and equipment as needed to perform job duties.
+ Work from ladders, scaffolds, and roofs to install, maintain or repair equipment, and fixtures.
+ Provide assistance during emergencies by operating generators and other critical infrastructure equipment.
+ Respond and troubleshoot equipment problems within the company-owned facilities.
+ Improve plant/equipment reliability through historical trending and improved maintenance procedures.
+ Participate in Failure Analysis and Vulnerability studies
+ Assist in maintaining inspection and maintenance of life safety systems
+ Execute equipment maintenance strategies (predictive and preventive)
+ Insure compliance with federal and state codes.
+ Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies.
+ Must be available to report for work during emergency situations such as storms and severe weather conditions.
+ Performs routine and preventive maintenance as needed for the purpose of ensuring the ongoing functioning of mechanical or electrical systems.
+ Other duties or projects as assigned or requested.
**Required Qualifications**
+ Active Trade license ( **D2 or S2** )
+ 3+ years of experience in operations and maintenance of large commercial electrical or mechanical systems
**Preferred Qualifications**
+ Demonstrated ability to work with minimum supervision and effectively complete multiple complicated tasks.
+ Strong communication skills and ability to deal tactfully and efficiently at all levels of the organization.
+ Exceptional organizational and problem solving skills.
+ Awareness of operational safety requirements in a critical environment and ability to apply and follow procedures and requirements per regulatory bodies.
+ Strong desire to be a part of a high growth company with a willing to work in a team environment and a fast-paced, results-oriented culture.
**Education:**
High School Diploma or GED required
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$21.10 - $44.99
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 anticipate the application window for this opening will close on: 10/31/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
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.
Requisition Job Description
*This is a first shift position. Candidates should be willing to work overtime as needed to meet company needs.*
This position is based in the Aetna Corporate Headquarters and will be responsible for the installation, maintenance, and repair and testing of a wide range of electrical or mechanical equipment. This position will assure safe workplace practices are followed at all times and drive safety awareness through leading by example. This includes predictive, preventive and proactive maintenance analysis. This individual must work to all codes and regulations while making equipment installations, adjustments and repairs in plant and office environments as well as assist outside contractors on major projects. This position requires a broad working knowledge of codes pertaining to your specific trade.
**Duties and responsibilities**
+ Maintain HVAC equipment, components and systems, including air handling units, boilers, chillers, fire and life safety systems, and building automation system.
+ Assemble, install, test, and maintain equipment, appliances, apparatus, and fixtures, using hand tools and power tools.
+ Diagnose malfunctioning systems, apparatus, and components, using test equipment and hand tools, to locate the cause of a breakdown and correct the problem.
+ Inspect all equipment, and components to identify hazards, defects, and the need for adjustment or repair, and to ensure compliance with codes.
+ Advise supervisor and or management immediately on whether continued operation of equipment could be hazardous to the facility.
+ Test systems and continuity of circuits in electrical wiring, equipment, and fixtures, using testing devices such as ohmmeters, voltmeters, and oscilloscopes, to ensure compatibility and safety of system.
+ Perform business management duties such as maintaining records and files, preparing reports and ordering supplies and equipment as needed to perform job duties.
+ Work from ladders, scaffolds, and roofs to install, maintain or repair equipment, and fixtures.
+ Provide assistance during emergencies by operating generators and other critical infrastructure equipment.
+ Respond and troubleshoot equipment problems within the company-owned facilities.
+ Improve plant/equipment reliability through historical trending and improved maintenance procedures.
+ Participate in Failure Analysis and Vulnerability studies
+ Assist in maintaining inspection and maintenance of life safety systems
+ Execute equipment maintenance strategies (predictive and preventive)
+ Insure compliance with federal and state codes.
+ Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies.
+ Must be available to report for work during emergency situations such as storms and severe weather conditions.
+ Performs routine and preventive maintenance as needed for the purpose of ensuring the ongoing functioning of mechanical or electrical systems.
+ Other duties or projects as assigned or requested.
**Required Qualifications**
+ Active Trade license ( **D2 or S2** )
+ 3+ years of experience in operations and maintenance of large commercial electrical or mechanical systems
**Preferred Qualifications**
+ Demonstrated ability to work with minimum supervision and effectively complete multiple complicated tasks.
+ Strong communication skills and ability to deal tactfully and efficiently at all levels of the organization.
+ Exceptional organizational and problem solving skills.
+ Awareness of operational safety requirements in a critical environment and ability to apply and follow procedures and requirements per regulatory bodies.
+ Strong desire to be a part of a high growth company with a willing to work in a team environment and a fast-paced, results-oriented culture.
**Education:**
High School Diploma or GED required
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$21.10 - $44.99
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 anticipate the application window for this opening will close on: 10/31/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Is this job a match or a miss?
View Now
1
Aetna Sales Director (National Accounts)
06132 Hartford, Connecticut
CVS Health
Posted today
Job Viewed
Job Description
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 Sales Director (i.e. Sr. Analyst, Sales Executive - internal title) will have an assigned territory within National Accounts new business where they will be accountable for developing and executing a sales strategy that results in new logo wins / membership growth in excess of assigned target.
+ Additionally, the Sales Director will support key activity related to prospecting and RFP management across all territories.
+ This role will report directly to the Executive Director, Head of Sales for National Accounts.
+ This position is eligible to participate in our sales incentive compensation program.
**Responsibilities**
The primary responsibilities of the Sales Director will be to develop and execute a sales strategy and process that results in membership growth in excess of assigned target. The secondary responsibility will be to provide support/stage progression of a National Accounts Sales Vice Presidents territory or case level strategy including:
+ Support and execute prospecting initiatives / lead generation
+ Conduct consultant meetings / briefings
+ Qualify RFP opportunities through consultant debriefs, network analysis, and identification of pathway to winning
+ Execute financial strategy with ability to present on UW approval calls
+ Finalist Meeting support and execution with ability to lead client meetings
**Fundamental Components**
+ Identifies opportunities within assigned territory to partner with prospects within a multi-year pipeline by drawing from the entire spectrum of product lines, illustrating a keen understanding of clients' multifaceted needs and benefits utilizing Aetna's full product array.
+ Manages and builds producer relations as needed depending on book of business or market segment(s) being supported.
+ Coordinates sales materials, testimonials, and subject matter expert involvement in support of the successful delivery of constituent presentations.
+ Ability to lead / facilitate finalist presentations, educational presentations, consultant briefings, and capabilities presentations with National Account audiences.
+ Delivers organized polished presentations of solutions with benefits tied to constituents' needs.
+ Collaborates with underwriting to prepare competitive quotes for targeted prospect with a vast understanding of Aetna profit, revenue, and margin expectations.
+ Monitors industry information and competitive environment of the marketplace to position Aetna's strength accordingly.
**Required Qualifications**
+ 5-10+ years within the healthcare industry sales, account management and/or consulting experience, with a focus on group insurance.
+ Proven success in managing large, geographically dispersed accounts.
+ Client-facing / presentation experience across finalist and capability meeting settings.
+ Deep understanding of business financials, products, services, group underwriting, market trends and competitive landscape.
+ Proficiency in Microsoft Office and Salesforce.
+ Experience managing RFP process working with cross-functional teams (underwriting, legal, actuarial, marketing) to develop compelling and compliant RFP submissions.
+ Active Health & Life license required. May obtain within 90 days of hire date.
**Preferred Qualifications**
+ Previous experience within national accounts preferred.
+ Established network of brokers, consultants, and employer contacts.
**Education**
+ Bachelor's degree in Business, Marketing, Healthcare Administration, or a related field.
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$51,686.00 - $101,286.00
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.
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 anticipate the application window for this opening will close on: 11/04/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
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 Sales Director (i.e. Sr. Analyst, Sales Executive - internal title) will have an assigned territory within National Accounts new business where they will be accountable for developing and executing a sales strategy that results in new logo wins / membership growth in excess of assigned target.
+ Additionally, the Sales Director will support key activity related to prospecting and RFP management across all territories.
+ This role will report directly to the Executive Director, Head of Sales for National Accounts.
+ This position is eligible to participate in our sales incentive compensation program.
**Responsibilities**
The primary responsibilities of the Sales Director will be to develop and execute a sales strategy and process that results in membership growth in excess of assigned target. The secondary responsibility will be to provide support/stage progression of a National Accounts Sales Vice Presidents territory or case level strategy including:
+ Support and execute prospecting initiatives / lead generation
+ Conduct consultant meetings / briefings
+ Qualify RFP opportunities through consultant debriefs, network analysis, and identification of pathway to winning
+ Execute financial strategy with ability to present on UW approval calls
+ Finalist Meeting support and execution with ability to lead client meetings
**Fundamental Components**
+ Identifies opportunities within assigned territory to partner with prospects within a multi-year pipeline by drawing from the entire spectrum of product lines, illustrating a keen understanding of clients' multifaceted needs and benefits utilizing Aetna's full product array.
+ Manages and builds producer relations as needed depending on book of business or market segment(s) being supported.
+ Coordinates sales materials, testimonials, and subject matter expert involvement in support of the successful delivery of constituent presentations.
+ Ability to lead / facilitate finalist presentations, educational presentations, consultant briefings, and capabilities presentations with National Account audiences.
+ Delivers organized polished presentations of solutions with benefits tied to constituents' needs.
+ Collaborates with underwriting to prepare competitive quotes for targeted prospect with a vast understanding of Aetna profit, revenue, and margin expectations.
+ Monitors industry information and competitive environment of the marketplace to position Aetna's strength accordingly.
**Required Qualifications**
+ 5-10+ years within the healthcare industry sales, account management and/or consulting experience, with a focus on group insurance.
+ Proven success in managing large, geographically dispersed accounts.
+ Client-facing / presentation experience across finalist and capability meeting settings.
+ Deep understanding of business financials, products, services, group underwriting, market trends and competitive landscape.
+ Proficiency in Microsoft Office and Salesforce.
+ Experience managing RFP process working with cross-functional teams (underwriting, legal, actuarial, marketing) to develop compelling and compliant RFP submissions.
+ Active Health & Life license required. May obtain within 90 days of hire date.
**Preferred Qualifications**
+ Previous experience within national accounts preferred.
+ Established network of brokers, consultants, and employer contacts.
**Education**
+ Bachelor's degree in Business, Marketing, Healthcare Administration, or a related field.
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$51,686.00 - $101,286.00
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.
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 anticipate the application window for this opening will close on: 11/04/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Is this job a match or a miss?
View Now
2
Managing Senior Counsel, Aetna Privacy
06132 Hartford, Connecticut
CVS Health
Posted 1 day ago
Job Viewed
Job Description
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 a Managing Senior Counsel, Aetna Privacy you will act as the Business Privacy Officer for Aetna and provide strategic legal counsel to internal business partners with respect to Federal and state healthcare and consumer privacy regulations and laws applicable to health plans, third party administrators and related activities. You will proactively advise business partners on a wide variety of matters and work collaboratively with other attorneys and partners on matters related to privacy legal and regulatory compliance.
You will identify business and legal risks and provide solutions which balance legal issues and business objectives. You will be expected to develop a keen understanding of the business and operational goals of assigned internal clients and work diligently to develop and maintain positive relationships with clients at all levels of the organization.
Responsibilities may include advising on privacy issues related to handling member information associated with our health plan operations and activities, appropriate use of member information related to our provision of care management services, obligations related to payor interoperability and transparency, product development, contracting, and/or other health plan operations activities. You will recommend practical and sound advice to internal clients on legal issues related to business objectives and take an active role in driving projects to final result.
As part of the Legal team, you will gain experience working with a dynamic in-house legal department and play a key role in supporting the business. This role will include managing other colleagues on the health care business privacy team.
**Required Qualifications**
+ A minimum of 7 years of legal experience focused on health care privacy law, preferably involving health plan, in a sophisticated or complex environment.
+ Experience leading a team and/or various legal projects.
+ Deep subject matter expertise of privacy laws such as HIPAA and GLBA.
+ Ability to synthesize and apply multiple regulatory frameworks to business activities.
+ Demonstrated analytical skills and strong legal project management and facilitation skills.
+ Ability to work both independently and collaboratively, provide leadership, influence organization behavior and create alignment across disparate groups.
+ Excellent written and verbal communication skills.
+ Admitted to practice law in good standing in at least one state.
**Preferred Qualifications**
+ Strong knowledge of healthcare laws and regulations including one or more of the following:
+ State insurance and healthcare law
+ Affordable Care Act, Medicare and Medicaid
+ Experience as in-house counsel.
+ Experience supporting health plan operations or businesses providing regulated services
+ Experience with aspects of healthcare related to provision of health plan services.
+ Experience drafting and negotiating complex services agreements.
+ Ability to collaborate effectively and work as a team player.
+ Excellent written and oral communication skills, initiative, and drive
+ Preference will be given to qualified candidates in the Hartford area. All qualified candidates will be considered.
**Education**
Bachelor Degree
Juris Doctor
**Pay Range**
The typical pay range for this role is:
$175,100.00 - $334,750.00
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 anticipate the application window for this opening will close on: 10/31/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
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 a Managing Senior Counsel, Aetna Privacy you will act as the Business Privacy Officer for Aetna and provide strategic legal counsel to internal business partners with respect to Federal and state healthcare and consumer privacy regulations and laws applicable to health plans, third party administrators and related activities. You will proactively advise business partners on a wide variety of matters and work collaboratively with other attorneys and partners on matters related to privacy legal and regulatory compliance.
You will identify business and legal risks and provide solutions which balance legal issues and business objectives. You will be expected to develop a keen understanding of the business and operational goals of assigned internal clients and work diligently to develop and maintain positive relationships with clients at all levels of the organization.
Responsibilities may include advising on privacy issues related to handling member information associated with our health plan operations and activities, appropriate use of member information related to our provision of care management services, obligations related to payor interoperability and transparency, product development, contracting, and/or other health plan operations activities. You will recommend practical and sound advice to internal clients on legal issues related to business objectives and take an active role in driving projects to final result.
As part of the Legal team, you will gain experience working with a dynamic in-house legal department and play a key role in supporting the business. This role will include managing other colleagues on the health care business privacy team.
**Required Qualifications**
+ A minimum of 7 years of legal experience focused on health care privacy law, preferably involving health plan, in a sophisticated or complex environment.
+ Experience leading a team and/or various legal projects.
+ Deep subject matter expertise of privacy laws such as HIPAA and GLBA.
+ Ability to synthesize and apply multiple regulatory frameworks to business activities.
+ Demonstrated analytical skills and strong legal project management and facilitation skills.
+ Ability to work both independently and collaboratively, provide leadership, influence organization behavior and create alignment across disparate groups.
+ Excellent written and verbal communication skills.
+ Admitted to practice law in good standing in at least one state.
**Preferred Qualifications**
+ Strong knowledge of healthcare laws and regulations including one or more of the following:
+ State insurance and healthcare law
+ Affordable Care Act, Medicare and Medicaid
+ Experience as in-house counsel.
+ Experience supporting health plan operations or businesses providing regulated services
+ Experience with aspects of healthcare related to provision of health plan services.
+ Experience drafting and negotiating complex services agreements.
+ Ability to collaborate effectively and work as a team player.
+ Excellent written and oral communication skills, initiative, and drive
+ Preference will be given to qualified candidates in the Hartford area. All qualified candidates will be considered.
**Education**
Bachelor Degree
Juris Doctor
**Pay Range**
The typical pay range for this role is:
$175,100.00 - $334,750.00
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 anticipate the application window for this opening will close on: 10/31/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Is this job a match or a miss?
View Now
3
Junior Business Analyst - Aetna Enterprise Integrations
06132 Hartford, Connecticut
CVS Health
Posted 1 day ago
Job Viewed
Job Description
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.
**Job Title:** Junior Business Analyst - Aetna Enterprise Integrations
**Location:** Preferred Hartford, CT or Remote for Ideal Candidate
**Job Type:** Full-Time | Entry-Level
**Overview:** Join the Aetna Enterprise Integrations (AEI) team supporting mission-critical integration efforts across Member, Claims, and Channel domains. This is an excellent opportunity for a recent graduate or early-career professional to gain hands-on experience in healthcare technology and enterprise systems.
**Key Responsibilities:**
+ Assist in gathering, documenting, and analyzing business requirements for integration projects
+ Support the development and maintenance of enterprise APIs and data flows across batch and real-time systems
+ Collaborate with cross-functional teams including developers, QA, and product owners to ensure alignment on project goals
+ Participate in testing, validation, and troubleshooting of integration solutions
+ Help track project milestones, deliverables, and stakeholder communications
+ Contribute to process improvement initiatives and documentation efforts
**Qualifications:**
+ Bachelor's degree in business, Information Systems, Computer Science, or related field
+ Strong analytical and problem-solving skills
+ Excellent written and verbal communication
+ Familiarity with data concepts, APIs, or healthcare systems is a plus
+ Exposure to AI/ML concepts or tools is a strong plus
+ Eagerness to learn and grow in a fast-paced, collaborative environment
**Preferred Skills:**
+ Exposure to tools like JIRA, Confluence, Excel, or SQL
+ Internship or academic project experience in business analysis, systems integration, or AI/ML applications
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$21.10 - $44.99
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 anticipate the application window for this opening will close on: 11/01/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
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.
**Job Title:** Junior Business Analyst - Aetna Enterprise Integrations
**Location:** Preferred Hartford, CT or Remote for Ideal Candidate
**Job Type:** Full-Time | Entry-Level
**Overview:** Join the Aetna Enterprise Integrations (AEI) team supporting mission-critical integration efforts across Member, Claims, and Channel domains. This is an excellent opportunity for a recent graduate or early-career professional to gain hands-on experience in healthcare technology and enterprise systems.
**Key Responsibilities:**
+ Assist in gathering, documenting, and analyzing business requirements for integration projects
+ Support the development and maintenance of enterprise APIs and data flows across batch and real-time systems
+ Collaborate with cross-functional teams including developers, QA, and product owners to ensure alignment on project goals
+ Participate in testing, validation, and troubleshooting of integration solutions
+ Help track project milestones, deliverables, and stakeholder communications
+ Contribute to process improvement initiatives and documentation efforts
**Qualifications:**
+ Bachelor's degree in business, Information Systems, Computer Science, or related field
+ Strong analytical and problem-solving skills
+ Excellent written and verbal communication
+ Familiarity with data concepts, APIs, or healthcare systems is a plus
+ Exposure to AI/ML concepts or tools is a strong plus
+ Eagerness to learn and grow in a fast-paced, collaborative environment
**Preferred Skills:**
+ Exposure to tools like JIRA, Confluence, Excel, or SQL
+ Internship or academic project experience in business analysis, systems integration, or AI/ML applications
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$21.10 - $44.99
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 anticipate the application window for this opening will close on: 11/01/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Is this job a match or a miss?
View Now
4
Sr Mgr, Aetna Medicare Pharmacy (Pharmacist)
06132 Hartford, Connecticut
CVS Health
Posted 1 day ago
Job Viewed
Job Description
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.
As a Senior Manager within the Aetna Medicare Pharmacy team, you will play a critical role in shaping and executing the organization's Medicare Part D formulary and product strategy. Leveraging your clinical and strategic expertise, you will drive new product initiatives, optimize existing offerings, and support membership growth.
You will work closely with cross-functional teams to implement strategic initiatives, support formulary development and maintenance, and ensure alignment with regulatory requirements and business objectives. This role requires a proactive, detail-oriented professional with strong leadership, analytical, and communication skills.
**Job Description Summary**
+ Support the development and implementing of Medicare Part D strategy through the execution of operational, functional, and business targets within the Medicare Part D clinical Operations and Formulary Development team, ensuring measurable impact.
+ Contribute with the execution of strategic initiatives aligned with the organization's goals, utilizing project management tools, data analysis, and stakeholder feedback.
+ Support Formulary Development and Maintenance:
+ Support the development and support operationalizing the Medicare Part D formulary strategy.
+ Support the implementation, administration of the formulary during maintenance of business.
+ Collaborate with teams to prioritize and manage the product pipeline, ensuring alignment with business objectives.
+ Conduct ongoing market and competitive analysis to inform key decision-making and positioning strategies.
+ Monitor and report on key financial performance indicators for the product portfolio to ensure sustained growth and profitability.
+ Support and assist with formulary coding and other operational processes, including Medispan review.
+ Support and assist with Medicare Part D guidance and information in member facing materials, including Evidence of Coverage, Summary of Benefits and Formulary guides.
+ Act as Subject Matter Expert in areas of Medicare Part D CMS guidance and rules and regulations.
**Required Qualifications**
+ Active, unrestricted pharmacist license in state of residence
+ 5+ years of relevant work experience in product management, strategy, or a related field
+ 5+ years pharmacist experience in PBM or Health Plan
+ Strong execution and delivery skills, including planning, implementation, and support.
+ Experience in business intelligence, data-driven decision-making, and analytical problem-solving.
+ Proven ability to collaborate effectively across teams and build strong relationships.
+ Exceptional problem-solving and decision-making skills.
+ Growth mindset with a focus on agility, continuous learning, and development.
**Preferred Qualifications**
+ Work experience with RxClaim, Zynchros (or other formulary management tool), Salesforce.
+ Adept at Excel, PowerPoint, Access, Microsoft Project
**Education**
+ BS in Pharmacy or PharmD
**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 anticipate the application window for this opening will close on: 11/24/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
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.
As a Senior Manager within the Aetna Medicare Pharmacy team, you will play a critical role in shaping and executing the organization's Medicare Part D formulary and product strategy. Leveraging your clinical and strategic expertise, you will drive new product initiatives, optimize existing offerings, and support membership growth.
You will work closely with cross-functional teams to implement strategic initiatives, support formulary development and maintenance, and ensure alignment with regulatory requirements and business objectives. This role requires a proactive, detail-oriented professional with strong leadership, analytical, and communication skills.
**Job Description Summary**
+ Support the development and implementing of Medicare Part D strategy through the execution of operational, functional, and business targets within the Medicare Part D clinical Operations and Formulary Development team, ensuring measurable impact.
+ Contribute with the execution of strategic initiatives aligned with the organization's goals, utilizing project management tools, data analysis, and stakeholder feedback.
+ Support Formulary Development and Maintenance:
+ Support the development and support operationalizing the Medicare Part D formulary strategy.
+ Support the implementation, administration of the formulary during maintenance of business.
+ Collaborate with teams to prioritize and manage the product pipeline, ensuring alignment with business objectives.
+ Conduct ongoing market and competitive analysis to inform key decision-making and positioning strategies.
+ Monitor and report on key financial performance indicators for the product portfolio to ensure sustained growth and profitability.
+ Support and assist with formulary coding and other operational processes, including Medispan review.
+ Support and assist with Medicare Part D guidance and information in member facing materials, including Evidence of Coverage, Summary of Benefits and Formulary guides.
+ Act as Subject Matter Expert in areas of Medicare Part D CMS guidance and rules and regulations.
**Required Qualifications**
+ Active, unrestricted pharmacist license in state of residence
+ 5+ years of relevant work experience in product management, strategy, or a related field
+ 5+ years pharmacist experience in PBM or Health Plan
+ Strong execution and delivery skills, including planning, implementation, and support.
+ Experience in business intelligence, data-driven decision-making, and analytical problem-solving.
+ Proven ability to collaborate effectively across teams and build strong relationships.
+ Exceptional problem-solving and decision-making skills.
+ Growth mindset with a focus on agility, continuous learning, and development.
**Preferred Qualifications**
+ Work experience with RxClaim, Zynchros (or other formulary management tool), Salesforce.
+ Adept at Excel, PowerPoint, Access, Microsoft Project
**Education**
+ BS in Pharmacy or PharmD
**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 anticipate the application window for this opening will close on: 11/24/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Is this job a match or a miss?
View Now
5
Executive Director, Strategic Finance - Aetna Medicare
06132 Hartford, Connecticut
CVS Health
Posted 1 day ago
Job Viewed
Job Description
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 Executive Director, Strategic Finance will lead a newly established Strategic Finance function within Medicare, working alongside MAPD Finance, Part D & Med Supp Finance, and SG&A Management. This role is designed for a leader who can combine actuarial rigor, operational excellence, and strategic vision to drive measurable margin improvement. The position balances hands-on analysis with team leadership, with a focus on forecast accuracy, key value realization across Stars, Risk Adjustment, provider/value-based care (VBC) economics, and investment evaluation.
Leveraging a strong background in actuarial science and broader healthcare strategy and operations, the Executive Director will partner closely with Market Finance, Network/Clinical, Actuarial, and Analytics to translate strategy into financial impact.
**Key Responsibilities**
**Strategic Finance Leadership**
+ Establish and scale the Medicare Strategic Finance function, setting vision, priorities, and operating cadence.
+ Lead and develop a high-performing team (e.g., Director, Managers/Analysts), balancing "player-coach" responsibilities with talent development.
+ Embed finance support within adjacent teams (MAPD, Part D + Med Supp) to accelerate decision-making and ensure accuracy of analyses.
**Portfolio Evaluation & Capital Planning**
+ Partner with the CFO and Corporate Finance in enterprise capital planning efforts; support preparation / delivery of analytics, scenario evaluations (IRR, payback, strategic fit), and concise recommendation memos.
+ Maintain an integrated view of Medicare initiatives and advise on prioritization/sequencing of investments.
**Business Performance & Communications**
+ Align KPIs across Medicare; provide early-warning signals and recommend corrective actions.
+ Lead periodic reviews with senior leadership, presenting portfolio insights, forecast quality, and ROI realization
+ Produce executive-ready narratives, dashboards, and decision materials for the Medicare ELT and CFO.
**Partnerships Across the Enterprise**
+ Collaborate with Actuarial, Pricing, Network, and PBM teams to co-create margin bridges that capture pricing, plan design, provider agreements, formulary/UM changes, and quality levers.
+ Standardize decision templates and frameworks to enable faster, more consistent financial decisions.
**Value Realization (Stars, RAF, Provider/VBC, Interoperability)**
+ Own ROI methods and post-investment tracking across Stars, RAF, provider/VBC, and interoperability initiatives.
+ Run recurring reviews with attribution analysis and accountability discipline.
+ Translate complex clinical and operational initiatives into financial outcomes, quantifying value and guiding corrective action.
**Forecast Quality & Performance Management**
+ Stand up a Forecast Quality Assessment Process: set accuracy targets, decompose error (mix, unit cost, Stars/RAF, timing), and drive closure of identified exceptions.
+ Build scenario libraries for bid season, AEP/OEP, and macro sensitivities; align assumptions and timelines with BU Finance and Actuarial.
**Requirements**
+ 12+ years of progressive Healthcare experience, including strategy/finance/actuarial with demonstrated focus on Medicare Advantage
+ Executive-ready communication skills; able to produce crisp narratives and decision materials.
+ Demonstrated ability to lead teams, balancing strategic and executional, hands-on approach.
+ Advanced fluency in modeling, KPI design, and forecasting and ability to work with data science and analytics teams to support in insight-generation
**Preferred Qualifications**
+ ASA/FSA or CPA; MBA or related advanced degree.
+ Hands-on experience with value-based care economics, Stars improvement programs, RAF program design, and interoperability (EHR/FHIR) business cases.
+ Track record of improving forecast accuracy and driving finance transformation (automation, report rationalization, "exceptions-only" flash).
**Education**
+ Bachelor's degree in Finance, Accounting, Actuarial Science, Economics, Data Analytics, or related field; advanced degree and/or professional credential strongly preferred.
**Pay Range**
The typical pay range for this role is:
$131,500.00 - $303,195.00
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 anticipate the application window for this opening will close on: 11/21/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
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 Executive Director, Strategic Finance will lead a newly established Strategic Finance function within Medicare, working alongside MAPD Finance, Part D & Med Supp Finance, and SG&A Management. This role is designed for a leader who can combine actuarial rigor, operational excellence, and strategic vision to drive measurable margin improvement. The position balances hands-on analysis with team leadership, with a focus on forecast accuracy, key value realization across Stars, Risk Adjustment, provider/value-based care (VBC) economics, and investment evaluation.
Leveraging a strong background in actuarial science and broader healthcare strategy and operations, the Executive Director will partner closely with Market Finance, Network/Clinical, Actuarial, and Analytics to translate strategy into financial impact.
**Key Responsibilities**
**Strategic Finance Leadership**
+ Establish and scale the Medicare Strategic Finance function, setting vision, priorities, and operating cadence.
+ Lead and develop a high-performing team (e.g., Director, Managers/Analysts), balancing "player-coach" responsibilities with talent development.
+ Embed finance support within adjacent teams (MAPD, Part D + Med Supp) to accelerate decision-making and ensure accuracy of analyses.
**Portfolio Evaluation & Capital Planning**
+ Partner with the CFO and Corporate Finance in enterprise capital planning efforts; support preparation / delivery of analytics, scenario evaluations (IRR, payback, strategic fit), and concise recommendation memos.
+ Maintain an integrated view of Medicare initiatives and advise on prioritization/sequencing of investments.
**Business Performance & Communications**
+ Align KPIs across Medicare; provide early-warning signals and recommend corrective actions.
+ Lead periodic reviews with senior leadership, presenting portfolio insights, forecast quality, and ROI realization
+ Produce executive-ready narratives, dashboards, and decision materials for the Medicare ELT and CFO.
**Partnerships Across the Enterprise**
+ Collaborate with Actuarial, Pricing, Network, and PBM teams to co-create margin bridges that capture pricing, plan design, provider agreements, formulary/UM changes, and quality levers.
+ Standardize decision templates and frameworks to enable faster, more consistent financial decisions.
**Value Realization (Stars, RAF, Provider/VBC, Interoperability)**
+ Own ROI methods and post-investment tracking across Stars, RAF, provider/VBC, and interoperability initiatives.
+ Run recurring reviews with attribution analysis and accountability discipline.
+ Translate complex clinical and operational initiatives into financial outcomes, quantifying value and guiding corrective action.
**Forecast Quality & Performance Management**
+ Stand up a Forecast Quality Assessment Process: set accuracy targets, decompose error (mix, unit cost, Stars/RAF, timing), and drive closure of identified exceptions.
+ Build scenario libraries for bid season, AEP/OEP, and macro sensitivities; align assumptions and timelines with BU Finance and Actuarial.
**Requirements**
+ 12+ years of progressive Healthcare experience, including strategy/finance/actuarial with demonstrated focus on Medicare Advantage
+ Executive-ready communication skills; able to produce crisp narratives and decision materials.
+ Demonstrated ability to lead teams, balancing strategic and executional, hands-on approach.
+ Advanced fluency in modeling, KPI design, and forecasting and ability to work with data science and analytics teams to support in insight-generation
**Preferred Qualifications**
+ ASA/FSA or CPA; MBA or related advanced degree.
+ Hands-on experience with value-based care economics, Stars improvement programs, RAF program design, and interoperability (EHR/FHIR) business cases.
+ Track record of improving forecast accuracy and driving finance transformation (automation, report rationalization, "exceptions-only" flash).
**Education**
+ Bachelor's degree in Finance, Accounting, Actuarial Science, Economics, Data Analytics, or related field; advanced degree and/or professional credential strongly preferred.
**Pay Range**
The typical pay range for this role is:
$131,500.00 - $303,195.00
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 anticipate the application window for this opening will close on: 11/21/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Is this job a match or a miss?
View Now
Be The First To Know
About the latest Aetna Jobs in Hartford !
6
Executive Director, Strategic Planning - Aetna International
06132 Hartford, Connecticut
CVS Health
Posted 1 day ago
Job Viewed
Job Description
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**
Aetna International brings together experience, support, access and partnerships that connect our customers to health benefits that are easy to choose and use, so their employees get the most value from their health plan and added peace of mind, wherever they are in the world.
Aetna International is currently recruiting for an Executive Director of Strategic Planning to help drive the organization's success by addressing complex business challenges, identifying growth opportunities, enhancing thought leadership, and leading transformational initiatives.
This role leads the "Office of International" and is responsible for developing and communicating strategic plans, while ensuring operational alignment with Aetna International's go-to-market strategy. The Office of International encompasses Strategic Planning, Organizational Governance, Project Management, Marketing, Product, Sales Enablement, and Sales Support.
You'll make an impact by:
+ Partnering with the VP of International and the senior leadership team to develop and cascade the Aetna International strategy.
+ Developing, implementing and maintaining a governance structure that enables transparency, alignment, prioritization, and flexibility.
+ Prioritizing and executing cross-functional initiatives or projects that help Aetna International achieve its strategic goals.
+ Identifying issues/gaps in processes or the organization, coordinating analysis and challenging self and others to develop and implement solutions.
+ Leading the marketing, product and sales enablement teams to develop consistent and differentiated messaging, deliver innovative solutions and enable a best-in-class member experience.
+ Providing guidance, information, and direction to external/internal partners and cross-functional team members as required in support of initiatives.
+ Championing thought leadership, innovation, and change management to position Aetna International as a market leader.
**Required Qualifications**
The successful candidate will have a strong work ethic, be a self-starter, and able to be highly productive in a dynamic, collaborative environment. The ideal candidate will have the following experience/knowledge/ability:
+ 10+ years leadership experience and technical/functional expertise in several of the following areas: management consulting, strategy execution, financial analysis, marketing, product, and/or project management.
+ Healthcare experience is required.
+ Keen ability to distill complex ideas into simpler frameworks and develop into communication vehicles for presentations/speeches.
+ Experience implementing enterprise-wide and/or cross-functional large-scale initiatives with high degree of complexity.
+ Strong business and financial acumen.
+ Comprehensive understanding of internal and external environmental influences on the business.
+ Demonstrated emotional intelligence amongst colleagues.
+ Effective communicator with the ability to influence at all levels of the organization.
+ Demonstrated relationship management skills at the senior levels within an organization and with external constituents.
+ Strong leadership skills, with the ability to synthesize vision, and deliver on concurrent initiatives.
+ Ability to travel up to 20% as business needs require.
+ Ability to work Hybrid Model in the Hartford office, or remote work arrangement (if not located near an office).
**Pay Range**
The typical pay range for this role is:
$131,500.00 - $303,195.00
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 anticipate the application window for this opening will close on: 11/15/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
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**
Aetna International brings together experience, support, access and partnerships that connect our customers to health benefits that are easy to choose and use, so their employees get the most value from their health plan and added peace of mind, wherever they are in the world.
Aetna International is currently recruiting for an Executive Director of Strategic Planning to help drive the organization's success by addressing complex business challenges, identifying growth opportunities, enhancing thought leadership, and leading transformational initiatives.
This role leads the "Office of International" and is responsible for developing and communicating strategic plans, while ensuring operational alignment with Aetna International's go-to-market strategy. The Office of International encompasses Strategic Planning, Organizational Governance, Project Management, Marketing, Product, Sales Enablement, and Sales Support.
You'll make an impact by:
+ Partnering with the VP of International and the senior leadership team to develop and cascade the Aetna International strategy.
+ Developing, implementing and maintaining a governance structure that enables transparency, alignment, prioritization, and flexibility.
+ Prioritizing and executing cross-functional initiatives or projects that help Aetna International achieve its strategic goals.
+ Identifying issues/gaps in processes or the organization, coordinating analysis and challenging self and others to develop and implement solutions.
+ Leading the marketing, product and sales enablement teams to develop consistent and differentiated messaging, deliver innovative solutions and enable a best-in-class member experience.
+ Providing guidance, information, and direction to external/internal partners and cross-functional team members as required in support of initiatives.
+ Championing thought leadership, innovation, and change management to position Aetna International as a market leader.
**Required Qualifications**
The successful candidate will have a strong work ethic, be a self-starter, and able to be highly productive in a dynamic, collaborative environment. The ideal candidate will have the following experience/knowledge/ability:
+ 10+ years leadership experience and technical/functional expertise in several of the following areas: management consulting, strategy execution, financial analysis, marketing, product, and/or project management.
+ Healthcare experience is required.
+ Keen ability to distill complex ideas into simpler frameworks and develop into communication vehicles for presentations/speeches.
+ Experience implementing enterprise-wide and/or cross-functional large-scale initiatives with high degree of complexity.
+ Strong business and financial acumen.
+ Comprehensive understanding of internal and external environmental influences on the business.
+ Demonstrated emotional intelligence amongst colleagues.
+ Effective communicator with the ability to influence at all levels of the organization.
+ Demonstrated relationship management skills at the senior levels within an organization and with external constituents.
+ Strong leadership skills, with the ability to synthesize vision, and deliver on concurrent initiatives.
+ Ability to travel up to 20% as business needs require.
+ Ability to work Hybrid Model in the Hartford office, or remote work arrangement (if not located near an office).
**Pay Range**
The typical pay range for this role is:
$131,500.00 - $303,195.00
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 anticipate the application window for this opening will close on: 11/15/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Is this job a match or a miss?
View Now
7
Vendor Manager, Business Consultant (Aetna Dental)
06132 Hartford, Connecticut
CVS Health
Posted 1 day ago
Job Viewed
Job Description
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 responsible for the strategic management, evaluation, and oversight of vendor relationships to ensure optimal performance, compliance, and alignment with organizational goals. This role collaborates with cross-functional teams, monitors vendor performance, and drives process improvements to maximize value from vendor partnerships.**
**Required Qualifications**
**Lead and execute the strategic vision for vendor management, ensuring alignment with organizational objectives.**
**Monitor vendor performance, ensuring compliance with contractual obligations, service level agreements, and regulatory requirements.**
**Facilitate collaboration between internal stakeholders and vendors for complex deals and strategic initiatives.**
**Identify and resolve process gaps, risks, and issues related to vendor relationships. Provide regular reporting and updates to leadership on vendor performance, risks, and opportunities.**
**Support audits and compliance deliverables related to vendors**
**Drive continuous improvement initiatives to enhance vendor management processes and outcomes.**
**Facilitate JOC meetings on with health plan leadership, internal stakeholders and vendor representatives**
**Provide support for additional projects as assigned, contributing to cross-functional initiatives and organizational objectives.**
**Delivers advice to the organization regarding current business trends and best practices by preparing analyses for senior management, stakeholders, and clients.**
**Preferred Qualifications**
**3+ year vendor management experience (preferably benefit administrators)**
**5+ years of experience in government programs (Medicaid, Medicare)**
**Adept at problem solving and decision-making skills**
**Adept at collaboration and teamwork**
**Adept at growth mindset (agility and developing yourself and others) skills**
**Adept at execution and delivery (planning, delivering, and supporting) skills**
**Education**
**Bachelor's degree** **preferred/specialized** **training/relevant professional qualification.**
**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 anticipate the application window for this opening will close on: 10/31/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
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 responsible for the strategic management, evaluation, and oversight of vendor relationships to ensure optimal performance, compliance, and alignment with organizational goals. This role collaborates with cross-functional teams, monitors vendor performance, and drives process improvements to maximize value from vendor partnerships.**
**Required Qualifications**
**Lead and execute the strategic vision for vendor management, ensuring alignment with organizational objectives.**
**Monitor vendor performance, ensuring compliance with contractual obligations, service level agreements, and regulatory requirements.**
**Facilitate collaboration between internal stakeholders and vendors for complex deals and strategic initiatives.**
**Identify and resolve process gaps, risks, and issues related to vendor relationships. Provide regular reporting and updates to leadership on vendor performance, risks, and opportunities.**
**Support audits and compliance deliverables related to vendors**
**Drive continuous improvement initiatives to enhance vendor management processes and outcomes.**
**Facilitate JOC meetings on with health plan leadership, internal stakeholders and vendor representatives**
**Provide support for additional projects as assigned, contributing to cross-functional initiatives and organizational objectives.**
**Delivers advice to the organization regarding current business trends and best practices by preparing analyses for senior management, stakeholders, and clients.**
**Preferred Qualifications**
**3+ year vendor management experience (preferably benefit administrators)**
**5+ years of experience in government programs (Medicaid, Medicare)**
**Adept at problem solving and decision-making skills**
**Adept at collaboration and teamwork**
**Adept at growth mindset (agility and developing yourself and others) skills**
**Adept at execution and delivery (planning, delivering, and supporting) skills**
**Education**
**Bachelor's degree** **preferred/specialized** **training/relevant professional qualification.**
**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 anticipate the application window for this opening will close on: 10/31/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Is this job a match or a miss?
View Now
8
Aetna HRP Testing COE - Senior Analyst
06132 Hartford, Connecticut
CVS Health
Posted 1 day ago
Job Viewed
Job Description
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**
TCOE is seeking a Subject Matter Expert (SME) who will assist the testing team with review and interpretation of business requirements, development of test scenarios, validation of test results and trouble-shooting issues identified during test execution. The ideal candidate will provide UM Configuration expertise and guidance on development of test execution strategies and test plans to ensure test results meet expected outcomes for multiple requirements, including but not limited to, various IFP & Medicare Advantage claim policies and Utilization Management.
**The Subject Matter Expert will make an impact by:**
+ Translating intent of business requirements into test scenarios to validate UM configuration and associated claim adjudication logic.
+ Trouble-shooting HRP repair edits and issues identified during test execution.
+ Reviewing UM test results to validate configurations in HRP QA environments before promotion to HRP production.
+ Facilitating internal meetings with colleagues and business teams to provide test status updates, obtain clarification of business intent and discuss issues or concerns.
+ Advising colleagues on development of test plans and test scenarios for various business requirements.
**Required Qualifications**
The candidate will have a strong work ethic, be a self-starter, and be able to be highly productive in a dynamic, collaborative environment.
Key attributes:
+ 3+ years of experience in development, execution and review of test plans and test results
+ 3+ years of HRP experience
+ Claims adjudication background
+ Knowledge of MedCompass and Utilization Management Configuration.
+ Knowledge of Medicare Advantage and/or IFP products, claim policies and procedures.
+ Experience interpreting business requirements to identify claim adjudication impacts and test scope.
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$46,988.00 - $112,200.00
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 anticipate the application window for this opening will close on: 10/31/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
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**
TCOE is seeking a Subject Matter Expert (SME) who will assist the testing team with review and interpretation of business requirements, development of test scenarios, validation of test results and trouble-shooting issues identified during test execution. The ideal candidate will provide UM Configuration expertise and guidance on development of test execution strategies and test plans to ensure test results meet expected outcomes for multiple requirements, including but not limited to, various IFP & Medicare Advantage claim policies and Utilization Management.
**The Subject Matter Expert will make an impact by:**
+ Translating intent of business requirements into test scenarios to validate UM configuration and associated claim adjudication logic.
+ Trouble-shooting HRP repair edits and issues identified during test execution.
+ Reviewing UM test results to validate configurations in HRP QA environments before promotion to HRP production.
+ Facilitating internal meetings with colleagues and business teams to provide test status updates, obtain clarification of business intent and discuss issues or concerns.
+ Advising colleagues on development of test plans and test scenarios for various business requirements.
**Required Qualifications**
The candidate will have a strong work ethic, be a self-starter, and be able to be highly productive in a dynamic, collaborative environment.
Key attributes:
+ 3+ years of experience in development, execution and review of test plans and test results
+ 3+ years of HRP experience
+ Claims adjudication background
+ Knowledge of MedCompass and Utilization Management Configuration.
+ Knowledge of Medicare Advantage and/or IFP products, claim policies and procedures.
+ Experience interpreting business requirements to identify claim adjudication impacts and test scope.
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$46,988.00 - $112,200.00
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 anticipate the application window for this opening will close on: 10/31/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Is this job a match or a miss?
View Now
9