- CVS Health (Hartford, CT)
- …all with heart, each and every day. **Position Summary:** As the Lead Director of Aetna Campaigns and Communications, you will partner with and report to the Head of ... Communications, Aetna . This is a visible role, spanning the clinical,...provider and broader operations team to shape a distinctive Aetna narrative and build holistic, multi-channel communications campaigns. The… more
- CVS Health (Hartford, CT)
- …And we do it all with heart, each and every day. **Position Summary** The Aetna Service Operations Finance team is looking for a dynamic Executive Director who has ... of all day to day financial management of the Aetna Service Operations organization, including leading a team and...a team and being a valued member of the Aetna Service Operations leadership team. More specifically, in this… more
- CVS Health (Springfield, IL)
- …convenient and more compassionate. And we do it all with heart, each and every day. Aetna Better Health is Aetna 's Medicaid managed care plan. Backed by over 30 ... need it is essential to better health. That's why Aetna (R) Medicaid plans include the guidance and support needed...CVS assets to bring accessible healthcare to our members. ** Aetna Better Health of Illinois (ABHIL)** is seeking an… more
- CVS Health (Richmond, VA)
- …presentations to internal and external customers regarding healthcare fraud matters and Aetna 's approach to fighting fraud + Provides input regarding controls for ... from the National Health Care Anti-Fraud Association (AHFI) + Knowledge of Aetna 's policies and procedures. + Knowledge and understanding of complex clinical issues.… more
- CVS Health (Phoenix, AZ)
- …compassionate. And we do it all with heart, each and every day. **Position Summary** Aetna , a CVS Health Company, is one of the oldest and largest national insurers. ... quality and fraud waste and abuse review for individual cases for members across Aetna . This role is fully remote. Eligible candidates must be licensed in Arizona… more
- CVS Health (Augusta, ME)
- …relationships with Sales and Account Management + Develop relationships with Aetna Finance, Pricing and Sales teams and provide data-supported consultation + ... Work with internal partners to facilitate and support development of analytic models and analytic solutions + Acquire and maintain leading-edge knowledge of PBM plan management strategies and solutions + Ability to work independently a high percentage of the… more
- CVS Health (Atlanta, GA)
- …and Coding certifications such as CPC (AAPC) and/or CCS (AHIMA) - Knowledge of Aetna 's policies and procedures - Ability to interact with different groups of people ... at different levels and provide assistance on a timely basis. **Education** - Bachelor's degree and/or an Associate's degree with three additional years working in health care fraud, waste, and abuse investigations and audits. **Anticipated Weekly Hours** 40… more
- CVS Health (Columbus, OH)
- …heart, each and every day. **Position Summary** The Pharmacy Director for Aetna Better Health OhioRISE will be responsible for all clinical, financial, operational ... and compliance activities related to the prescription drug benefit for the Plan. The Pharmacy Director is an integral member of the health plan executive leadership team (CEO, COO, CMO, CFO, Legal, and Actuarial) providing leadership, analysis, and guidance to… more
- CVS Health (Hartford, CT)
- …Proficiency with Microsoft Excel and PowerPoint is needed along with experience with Aetna Finance systems and processes. *The ideal candidate will be located near ... Hartford, CT and will be in office 3 days/week at the Hartford location. **Fundamental components** + Maintain and enhance membership-based staffing models for various functions and products, drive efficient staffing to support service expectations. + Develop… more
- CVS Health (Hartford, CT)
- …is looking for a Licensed HVAC Technician to join our team at Aetna Corporate Headquarters, taking pride in ensuring our facilities operate at peak performance ... through your expertise in HVAC systems and safety. In this role you will be responsible for the installation, maintenance, and repair and testing of a wide range of electrical or mechanical equipment. You will ensure safe workplace practices are followed at… more
- CVS Health (Phoenix, AZ)
- …+ **Quality of Care Investigations:** Lead and manage investigations into care concerns, ensuring timely resolution, thorough documentation, and implementation of ... 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… more
- CVS Health (Hartford, CT)
- …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… more
- CVS Health (San Antonio, TX)
- …Schedule: _Monday through Friday 8:00 AM - 5:00 PM Central Standard Time (CST)_ Travel: _Up to 50-75% travel to and from HCA Healthcare San Antonio, TX_ Help us ... elevate our patient care to a whole new level! Join our Community Care team as an industry leader in serving our members by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Community Care members. Community Care… more
- CVS Health (Trenton, NJ)
- …Field Services Advocate is empowered to serve as a bridge between an Aetna National Accounts client's members, the customer Benefit Service Center, HR colleagues and ... wellness programs, tools, and resources, including those offered by Aetna as well as the client's other vendors. This...customer Benefit Service Center and Total Rewards team, and Aetna on ways to deliver the best member experience… more
- CVS Health (Irving, TX)
- …day. **Position Summary** This role will report to the Executive Director, Aetna FP&A and will be responsible for management process, Investor Relations support, ... and competitor/industry insights for the Aetna business. As Senior Manager, this position will collaborate across a wide variety of constituents including business… more
- CVS Health (Hartford, CT)
- …it all with heart, each and every day. **Position Summary** Aetna 's Voluntary (supplemental) business requires an accomplished Technical Lead/Expert with extensive ... hands-on expert in resolving defects, optimizing system performance, and guiding both Aetna and Majesco technical teams towards a stable and efficient production… more
- CVS Health (Bismarck, ND)
- …we do it all with heart, each and every day. **Position Summary** The Aetna Pharmacy Health Plan Compliance team is seeking an experienced professional with Health ... applicability of State and Federal regulations to our commercial Aetna pharmacy programs and benefit plans, to identify and...to become compliant. Our team collaborates with both the Aetna Health Plan business teams and with our CVS… more
- CVS Health (Hartford, CT)
- …with these teams will allow you to support the growth of Aetna International membership by leading the development of customer-focused and strategically oriented ... proposals that focus on financial positioning, product offerings and the Aetna value story. You will be responsible for supporting and developing new business… more
- CVS Health (Hartford, CT)
- …Sponsor Liaison [PSL] will serve as the Single Point of Contact for Aetna Medicare Advantage servicing to our Plan Sponsors human resources personnel [their TPA's, ... Brokers and Consultants] in additional to all Aetna back-office teams. The Plan Sponsor Liaison will work...primary liaison between Plan Sponsors, their TPA's, Brokers, Consultants, Aetna Medicare Account Management Team, Aetna Commercial… more
- CVS Health (Columbus, OH)
- …for the client. + Manages the integration of client's and Aetna 's internal organizations and partners cross-functionally to complete sales, installation, servicing, ... a keen understanding of clients' multifaceted needs and benefits utilizing Aetna 's full product array (eg, fully vs. self-insured, product combinations and/or… more
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