- CVS Health (Chicago, IL)
- …solutions to make health care more personal, convenient and affordable. **Position Summary** Aetna Better Health is Aetna 's Medicaid managed care plan. Backed by ... need it is essential to better health. That's why Aetna (R) Medicaid plans include the guidance and support needed...can live anywhere in the US, Illinois resident preferred. Aetna Better Health of Illinois (ABHIL) is recruiting for… more
- CVS Health (Chicago, IL)
- …key strategic role responsible for support performance and profitability on the Aetna pharmacy team by driving high-performance pharmacy management across all ... Aetna lines of businesses. This position will collaborate with...drive optimized performance, and manage the strategic relationship between Aetna and Caremark. Responsibilities include: + Lead/manage projects established… more
- CVS Health (Oklahoma City, OK)
- …skills to the next level with a Fortune 6 company? Checkout this opportunity with Aetna , a CVS Health company! Aetna operates Medicaid Managed Care Plans in ... This is a regional role that primarily supports the Aetna Better Health Plan of Oklahoma. This UM (Utilization...be a "Work from Home" position primarily supporting the Aetna Oklahoma plan; but part of a centralized team… more
- CVS Health (Oklahoma City, OK)
- …solutions to make health care more personal, convenient and affordable. **Position Summary** Aetna , a CVS Health Company, is one of the oldest and largest national ... clinical quality and effective use of health care resources. The Chief Medical Officer-- Aetna Better Health of Oklahoma will serve as a strategic and operational… more
- CVS Health (Sacramento, CA)
- …care more personal, convenient and affordable. **The Chief Network Officer for Aetna is responsible for the strategic and operational leadership and development ... network solutions to retain and win critical plan sponsors. ** **Represent Aetna to the legislative, regulatory and community partners** **Consult with the Market… more
- CVS Health (Baton Rouge, LA)
- …in a cost-effective manner. As a member of the Key Personnel team for Aetna Better Health of Louisiana, the candidate will need to travel to required meetings ... throughout the state. Fully remote. Eligible candidates can live anywhere in the US. **Fundamental Components** + Lead a clinical team that supports timely Health Risk Screenings, Comprehensive Assessments, Care Plan development and Enrollee interventions in… more
- US Tech Solutions (Houston, TX)
- …+ The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty ... medications. + The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases. + Support systems and take inbound calls from physician or members regarding their pending, approved, or denied… more
- CVS Health (Northbrook, IL)
- …of internal corrective actions plans (iCAPs) at a national level across Aetna 's Medicaid business. Additionally, the incumbent will lead and participate in other ... key department projects and initiatives to improve and enhance Aetna 's Medicaid Compliance program, and serve as the compliance representative on national workgroups… more
- CVS Health (Columbus, OH)
- …of medical services including intake, screening and referrals to Aetna Medical Services Programs. Promotes/supports quality effectiveness of Healthcare Services. ... via telephone, fax, EDI. - Utilizes eTUMS and other Aetna system to build, research and enter member information....via telephone, fax, EDI. - Utilizes eTUMS and other Aetna system to build, research and enter member information.… more
- CVS Health (Phoenix, AZ)
- …flexibility is required for onsite work shifts per the need of the business. Our Aetna One Advocacy program is Aetna 's premier service and clinical offering for ... nationwide and creates industry-leading solutions for our customers. Our Aetna One Advocate is not the typical customer service...in health. This is an exciting time to join Aetna , a CVS Health company, in our journey to… more
- CVS Health (Hartford, CT)
- …external medical cost trend and trend drivers across all four of Aetna 's major lines of business (Commercial Group, Commercial Individual, Medicare Advantage, and ... This position will support a wide range of stakeholders, including Aetna /CVS Health Executive Leadership Teams, Finance, Actuarial, Network, Underwriting, Investor… more
- CVS Health (Phoenix, AZ)
- …and affordable. **Position Summary:** **This RN Case Manager role is part of Aetna One Advocacy (A1A) and requires in office training and ongoing work in** ... onsite work shifts per the need of the business. What is A1A? Aetna One Advocate is Aetna 's premier service and clinical offering for Aetna nation-wide and… more
- CVS Health (Trenton, NJ)
- …of medical services including intake, screening and referrals to Aetna Medical Services Programs. **Responsibilities** - Promotes/supports quality effectiveness of ... providers regarding services via telephone, fax, EDI. - Utilizes eTUMS and other Aetna system to build, research and enter member information. - Screens requests for… more
- CVS Health (Dallas, TX)
- …solutions to make health care more personal, convenient and affordable. Business Overview: Aetna Better Health of Oklahoma, a CVS Health company, embodies the vision ... wellness and improve everyday life for our members. At Aetna Better Health of Oklahoma, we value professional development...all aspects of quality programs and projects that enable Aetna to measure, monitor, and improve the quality of… more
- CVS Health (Oklahoma City, OK)
- …exemplary technologies and processes. Customer Service Representative is the face of Aetna and impacts members' service experience by manner of how customer service ... upon the member's unique needs, preferences and understanding of Aetna plans, tools and resources to help guide members...guides the member through their members plan of benefits, Aetna policy and procedures as well as having knowledge… more
- CVS Health (Princeton, WV)
- …to make health care more personal, convenient and affordable. **Business Overview** The Aetna Better Health of West Virginia plan has a successful, 26+ year history ... innovative care management model, and creative provider and community advocacy partnerships, Aetna Better Health of West Virginia has successfully assisted the State… more
- CVS Health (Atlanta, GA)
- …skills to the next level with a Fortune 6 company? Checkout this opportunity with Aetna , a CVS Health company! Aetna operates Medicaid managed care plans in ... and West Virginia adding Oklahoma. This role supports the Aetna Better Health of Florida primarily, and the Southeast...be a "Work from Home" position primarily supporting the Aetna Florida plan; but part of a centralized team… more
- CVS Health (Hartford, CT)
- …to make health care more personal, convenient and affordable. **Position Summary** **_At Aetna Better Health of Texas, we are committed to helping people on their ... to helping you achieve your career goals._** This position supports to Aetna growth initiatives in Network through data analytics, file preparation, and provider… more
- CVS Health (Richmond, VA)
- …through outreach and education. By providing these services, CHWs help Aetna members attain and maintain better health outcomes, improve relationships with ... of a designated professional. **Fundamental Components:** -Conduct home visits with Aetna members with justice involvement and behavioral health (mental health… more
- CVS Health (Olympia, WA)
- …sales and marketing, and Dental Service Centers to aid in the achievement of Aetna Key Performance Measures. Act as the liaison with the Primary Care Dentists and ... as a functional subject matter expert, demonstrating a strong understanding of Aetna 's Dental Products and market position. Negotiation of contract language and… more