Health Strategies Developer

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 colleagues who care deeply, innovate with purpose, hold themselves accountable and prioritize safety and quality in everything they do.

Position Summary Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities. Develops, implements and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work. Services and strategies, policies and programs are comprised of network management, clinical coverage, and policies.

Required Qualifications

• Located in Central Time Zone (CST)
• 3+ years clinical practical experience with preference for the following backgrounds: diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac with Medicare members
• 2+ years case management, discharge planning and/or home health care coordination experience

Preferred Qualifications

• Excellent analytical and problem-solving skills
• Effective communications, organizational, and interpersonal skills
• Ability to work independently
• Willing and able to obtain multi-state RN licenses if needed, company will reimburse expense
• Bilingual
• National professional certification (CRC, CDMS, CRRN, COHN, or CCM)

Education

• Associate's Degree in Nursing (REQUIRED)
• Bachelor's Degree in Nursing (PREFERRED)

License

• Active and unrestricted Compact Registered Nurse (RN) License in the state of residence

Work from Home Requirements:

• Direct/hardwired internet connection to a modem/router within 7 feet of computer
• Minimum download speed of 25 mbs download and 3 mbs upload
• Quiet, secure and private designated home virtual work location
• Work-from-Home colleagues are required to work within the state and city where they have confirmed they currently live

Technical and Logistical Requirements:

• Comfortable setting up and using multiple monitors and navigating multiple applications simultaneously
• Ability to communicate on digital channels such as via email, calendar invites, Teams messaging, and virtual meetings
• Experience with Microsoft Office 365 (Teams, Outlook, Word, Excel, PowerPoint) applications or similar (Google Workspace)
• Ability to Log in to secure systems (e.g., VPN, EHR portal), lock a computer screen when unattended, manage strong passwords, and recognize suspicious emails or links
• Ability to resolve common technical issues independently

Anticipated Weekly Hours 40

Time Type Full time

Pay Range $54,095.00 - $116,760.00

Benefits Comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families, including medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources.