- CVS Health (Dover, DE)
- …A Resolution Team Specialist advocates for the patient and portrays "Putting People First" by taking a hands-on approach to help people on their path to better ... health. In this role, a Resolution Team Specialist will provide a high level of customer service, resolve escalations, and report potential trends to Leadership for review. **Job Responsibilities:** + Develop a deep understanding of Coram processes and learn… more
- CVS Health (Dover, DE)
- …+ Bilingual Spanish speakers encouraged + Remote position + Hours: Monday - Friday (window will be within 8 AM - 8 PM CST) + *Pharm Tech License not required* ... Questionnaire - + List city/state at top of resume (Able to work from any US state) + Adequate home internet required. High Speed Internet preferred. Required minimum speeds of 50 mb/sec download and 5 mb/sec upload. INCLUDE SCREENSHOT AT TOP OF RESUME PLEASE.… more
- CVS Health (Dover, DE)
- …Dynamic Senior Business Consultant with a strong background in product management, operational excellence, and vendor solution management. The ideal candidate will be ... passionate about driving product vision and strategy, optimizing operational processes, and building strong partnerships with external vendors to deliver innovative solutions that meet business and customer needs. **Required Qualifications** + 5+ years in a… more
- CVS Health (Dover, DE)
- …A Software Engineer develops systems to manage data flow throughout Signify Health's infrastructure. This involves foundational elements of data engineering and ... processing messages and data at growing volumes. **What will you do?** + Communicate with team members to understand requirements and technical specifications. + Develop a foundational understanding of the business logic and functionality of current systems. +… more
- CVS Health (Dover, DE)
- …As a Senior Software Engineer: React/React Native at Signify Health, you'll play a crucial role in our collaborative team, focusing on the design, delivery, and ... operation of distributed systems. We're looking for technically skilled, passionate individuals who are ready to develop and sustain innovative solutions in our dynamic environment. While this role will be primarily focused on React development and serving as… more
- CVS Health (Dover, DE)
- …The Lead Director, Pharmacy Appeals will lead a team of 40+ colleagues in the management of pharmacy reimbursement appeals, both generic (MAC) and brand (Non-MAC). In ... this role, you will ensure the appeals are executed under tight Turnaround Times (TATs) and with high accuracy while making sure the team is appropriately staffed and organized. In addition, you will be responsible for developing and implementing solutions and… more
- CVS Health (Dover, DE)
- …This Case Manager RN position is 100% remote, and the employee can live in any state. No travel is expected with this position. Normal Working Hours: Monday- Friday, ... 8:00am - 4:30pm with a 10:30am-7:00pm rotation several times per Quarter in the time zone of residence. Rotational coverage of evenings, weekends and holidays will be per the needs of the department. The Case Manager RN utilizes a collaborative process of… more
- CVS Health (Dover, DE)
- …The Compute Engineer is an integral part of our growing team. The right candidate will report to the Infrastructure Manager. **Core Responsibilities:** **Engineering ... and Provisioning** + Engineering of related solutions for various project and operational needs. + Install new / rebuild existing servers (on-prem and cloud) and configure hardware, peripherals, services, settings, directories, storage, etc. in accordance with… more
- Headquarters, Air Force Reserve Command (Dover AFB, DE)
- …The primary purpose of this position is to serve as an Air Force Reserve Technician (ART) Officer to serve as the Senior ART/ Commander of the Logistics Readiness ... Summary Click on "Learn more about this agency" button below to view Eligibilities being considered and other IMPORTANT information. Air Reserve Technicians are full-time civilian employees who are also members of the Air Force Reserve unit in which they are… more
- CVS Health (Dover, DE)
- …The **Utilization Management Clinical Nurse Consultant** utilizes clinical skills to coordinate, document, and communicate all aspects of the utilization/benefit ... management program. **Job duties include (but are not limited to):** + Applies critical thinking and knowledge in clinically appropriate treatment, evidence-based care, and medical necessity criteria for appropriate utilization of services. + Consults and… more
- CVS Health (Dover, DE)
- …Oak Street Health is a rapidly growing company of community-based healthcare centers delivering a new model of care for adults on Medicare. By providing comprehensive ... and integrated care, we improve outcomes, manage costs, and offer an unmatched experience for our patients. As a Senior Product Manager, you will be a key leader in our organization, responsible for driving the strategy and execution for a core part of our… more
- CVS Health (Dover, DE)
- …At Aetna Mental Well-Being we are leading the industry in transforming mental well-being to deliver holistic end-to-end solutions that help consumers achieve their ... best health and be their best selves. We are seeking a highly motivated Account Management professional to support Aetna Mental Well-being and Resources for Living EAP product. The position requires a background in client relationship management, business… more
- CVS Health (Dover, DE)
- …**At a Glance** Signify Health is transforming how care is delivered by bringing essential health services into the home. As we expand beyond our core in-home ... evaluation offering, we are launching new in-home and virtual services to improve access, close care gaps, and manage chronic conditions. We are looking for a highly motivated Senior Product Analyst to support our growing product team. This role will partner… more
- CVS Health (Dover, DE)
- …- Maintains the Provider Data (demographic and contractual) for all network and non-network providers. - Ensures all provider information is accurately recorded and ... maintained to provide for proper reimbursement and member access (ie, directory listings). - Develops and maintains standards for database integrity, corrective actions, database alignment, and manages communication processes with other departments regarding… more
- CVS Health (Dover, DE)
- …CVS Health has an exciting opportunity to join our Pharmacy Services Finance Enablement team as a Senior Analyst on our Policies, Procedures, and Controls Team. The ... candidate will be responsible for the governance of policies and procedures across the Pharmacy Services Finance department along with supporting SOX, SOC, and Audit testing through providing support/evidence to our internal and external audit teams. This… more
- CVS Health (Dover, DE)
- …As a Clinical Formulary Strategy Pharmacist, you will play a key role in the assessment and execution of formulary strategy for the Commercial line of business. What ... will you do: **Formulary Management & Oversight** + Formulary Oversight for all Fully Insured Business + Collaborate with Utilization Management to develop and implement Prior Authorization Criteria specific to Aetna. **Cost of Care Initiatives** + Cross… more
- CVS Health (Dover, DE)
- …+ This position is for an Inbound/Outbound Queue Associate with American Health Holdings Medical Management Customer Service Department. + The job is part of a ... fast-paced environment in which high level customer service is a must. + Promotes/ supports quality effectiveness of healthcare services. **Required Qualifications** + 1+ years of call center experience. + 1+ years of medical/ healthcare experience. + 1+ years… more
- CVS Health (Dover, DE)
- …and Ownership You will operate as a high-impact technical individual contributor, owning the delivery and operational excellence of critical platform components. Your ... 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 (Dover, DE)
- …Participates in the design, build, manage and responsible for successful delivery of large-scale data structures and Pipelines and efficient Extract/Load/Transform ... (ETL) workflows. Acts as the data engineer for large and complex projects involving multiple resources and tasks, providing individual mentoring in support of company objectives. + Healthcare analytics knowledge would be beneficial + Applies understanding of… more
- CVS Health (Dover, DE)
- …We are looking for a Senior Platform Engineer to be a core member of our team responsible for the health, stability, and growth of our Azure Databricks data ... engineering platform. We also have current data Platforms on-prem (MS SQL server) and Cloud (Palantir Foundry) that this role will support those platforms as well until we have migrated off those platforms and completely on Azure Databricks. In this role, you… more
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