We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary
Supports the development and implementation of clinical documentation and system updates that align to new contract award/update requirements with attention to resolving common challenges or pain points for the assigned market. Collaborates with clinical subject matter experts and leadership to analyze Medicaid contracts and proposals for new business, rebids, expansions and ad hoc updates and integrating those requirements into business initiatives through implementation projects. Works closely with cross-functional business units to gain an in-depth understanding of the strategy, care management/utilization management processes, services, roadmap, and the context in which the business operates to ensure compliance with contractual requirements.

Required Qualifications

· Coordinates and analyzes end-to-end contractual requirements to identify and address operational and technological risks.

· Supports multiple projects by completing and updating project documentation, managing project scope, adjusting schedules, determining daily priorities, and ensuring the efficient and on-time delivery of project tasks and milestones.

· Identifies improvement opportunities by conducting complex and informative business and systems process analyses.

· Focuses on quality improvement and data management by ensuring data is reliable and valid and developing process improvements that leverage actionable insight from key data.

· Collaborates with internal stakeholders across different departments, such as operations, finance, marketing, and IT, to gather information, understand business needs, and drive alignment.

Leverages analytical skills and industry knowledge to support data-driven decision-making, improve business processes, and drive strategic initiatives that contribute to the successful implementation of contract requirements and ensure compliance.

Preferred Qualifications

- Demonstrated knowledge of problem solving and decision-making capabilities.
- Experience with care management.

- Medicaid experience
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:

$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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 04/27/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.