Clinical Policy Configuration Specialist

Position Summary Sr. Manager, Medical Policy Quality Assurance (QA) & Rework Remediation is responsible for managing the day-to-day operations of the Medical Policy quality assurance and remediation program. This role oversees quality reviews, issue intake, defect investigation,…

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 through our local…

Opportunity Overview: We are seeking a technology-savvy clinical leader with strong Utilization Management (UM) expertise to join Cohere Health as the Clinical Integrity Director. Reporting to the Vice President of Clinical Integrity, this role is a program-level operational…

We anticipate the application window for this opening will close on - 24 Oct 2026 Careers that change lives start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore health, and extend life. Our 95,000 employees work across more…

Opportunity Overview: The Strategic Medical Director Inpatient will report to the Managing Medical Director, Clinical Strategy, and be a fundamental physician driver of clinical program design, strategy, and innovation, working closely with prospective and current clients as we…

Position Summary: This is a remote based (work from home) role preferably resides in Florida and can be licensed anywhere in the United States. Aetna, a CVS Health Company, is one of the oldest and largest national insurers. That experience gives us a unique opportunity to help…