• Director Care Management

    CVS Health (Austin, TX)
    …and provide operational direction. + Responsible for cross-functional integration of care management , program operations with core organization-wide business ... As a member of the Key Personnel team for Aetna Better Health of Texas, the candidate will need...current unencumbered license and experienced in the activities of Care Management . + Nationally recognized case … more
    CVS Health (01/04/25)
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  • Medical Director - SWAT

    CVS Health (Austin, TX)
    …culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Aetna , a CVS Health Company, ... in the development, implementation, and evaluation of clinical/medical programs and expand Aetna 's medical management programs to address member needs across the… more
    CVS Health (11/23/24)
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  • Medical Director - Commercial Appeals

    CVS Health (Austin, TX)
    …to make health care more personal, convenient and affordable. **Position Summary** Aetna , a CVS Health Company, is one of the oldest and largest national ... coding, and reimbursement expertise as well as directing case management when necessary. The Medical Director will...Care Delivery System eg, Clinical Practice and Health Care Industry. *Prior UM (Utilization Management ) experience… more
    CVS Health (11/13/24)
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  • Medical Director - Medicare Appeals

    CVS Health (Austin, TX)
    …to make health care more personal, convenient and affordable. **Position Summary** Aetna , a CVS Health Company, a Fortune 6 company, is one of the oldest ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...based anywhere in the US.** Responsibilities of this Medical Director role are related to Medicare Appeals: * Direct… more
    CVS Health (10/31/24)
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  • Manager, Medicaid Risk Adjustment

    CVS Health (Austin, TX)
    …educational material to support market intelligence. + Engage with market clinical team, care management team, member services team; attend market level meetings ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...market focused Risk Adjustment Programs for a portfolio of Aetna Better Health Medicaid Plans. Reporting to the Lead… more
    CVS Health (01/04/25)
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