CVS Health is hiring a full-time remote Case Manager (Registered Nurse) to facilitate benefits delivery, develop health strategies, and coordinate care for primarily Medicare members. Requires an active RN license (compact or KS/MO), minimum clinical experience (3–5 years preferred) and at least 2 years of case management/discharge planning or home health coordination. Role may require occasional local travel and proficiency with MS Office and proprietary systems.

Oak Street Health seeks a full-time Medical Scribe (Clinic Informatics Specialist) to document patient encounters, assist with clinical documentation improvement, and support provider administrative tasks. Role is hybrid-remote after a 90-day training period (2 days remote / 3 days onsite), requires US work authorization, and is based in Glendale, Arizona. Hourly pay range $17.00–$28.46.

Provide operational support for regulatory and state reporting (PBM, Medicaid, licensure): maintain documentation and templates, update Salesforce cases, collect and organize inputs from partner teams, prepare draft report files, perform basic completeness/formatting/data validation checks, support audit readiness, and track deadlines. Requires 1–3+ years in reporting/finance/compliance or healthcare operations; proficiency in Excel and working with structured data; PBM/healthcare and pharmacy claims experience preferred; bachelor's degree or equivalent.

The Senior Business Analyst coordinates and executes regulatory/state reporting for PBM, Medicaid, and licensure. Responsibilities include defining report scope with stakeholders, maintaining templates and version-controlled artifacts, validating outputs for accuracy and audit readiness, performing data validation and reconciliations, supporting Salesforce intake processes, and assisting with audit requests. Requires 3+ years of relevant business analysis experience and strong Excel, documentation, and coordination skills.

CVS Health is hiring a full-time Remote Community Care Case Manager (Registered Nurse) to perform assessment, planning, facilitation, care coordination, evaluation and advocacy for members across the continuum of care. Requires active unrestricted Compact RN licensure in the listed states, 2+ years case management/discharge planning or home health coordination experience (3+ years clinical experience preferred), proficiency with Microsoft Office, and the ability to perform telephonic and in-person (home/office) visits as needed. Preferred: bilingual Spanish and professional case management certification (CCM, CRC, CDMS, CRRN, COHN).

Provide inbound phone-based customer service to patients, resolve billing and reimbursement questions, document interactions in Revenue Cycle systems, assess eligibility for payment plans, and meet call center metrics. Role requires experience in healthcare billing or collections (minimum six months), computer proficiency with Word/Outlook/Excel, and flexibility to work 8-hour shifts within 8:00am–8:00pm EST.

Lead a team of Consultants/Coordinators/Assistants to maintain product master data across systems for Mail, Specialty and Coram businesses. Responsibilities include daily/periodic reporting, cross-system synchronization, onboarding, data validation and cleansing, performance metrics and SLA monitoring, training, and stakeholder interactions (procurement, accounts payable, vendors). Requires 2+ years data analysis experience, advanced Excel (VBA preferred); SAP, pharmacy/PBM experience and CPhT certification preferred. Bachelor's degree or 4 years' related work experience required.

Medical Scribe (Clinic Informatics Specialist) supporting primary care providers at Oak Street Health in Sun City, AZ. Responsibilities include observing and documenting patient encounters, assigning ICD-10 and CPT codes, preparing after-visit summaries, supporting clinical documentation improvement and daily huddles, and some administrative tasks. Full-time (~40–45 hours/week). Hybrid remote option available after a 90-day training/probation period (2 days remote / 3 days onsite). Candidates should have medical terminology knowledge or prior clinical/volunteer experience, strong typing (70+ wpm), computer skills, and US work authorization. Fluency in Spanish, Polish, Russian, or other community languages is listed as advantageous. Candidates are asked to commit to at least 1 year in the role.

Responsible for reviewing and adjudicating complex and sensitive medical claims per plan guidelines, applying medical necessity rules, verifying eligibility, identifying payment discrepancies, and performing claim rework calculations. Acts as a subject matter expert by coaching and mentoring team members, handling escalations, and conducting outbound calls to obtain required information. Requires a minimum of 18 months of medical claim processing experience with a health insurance payor or third-party administrator.