Home Health Nursing Jobs

Position Summary The Senior Software Development Engineer - SRE, Retail and Pharmacy is responsible for maintaining, supporting, and improving the organization’s software applications and platforms. This role provides technical expertise across application testing, deployment,…

Position Summary As the Manager, Corporate IT Audit , you will lead our SOC Reporting team and oversee SOC 1 and SOC 2 audits . You'll manage audits from planning through final reporting, ensuring quality, accuracy, and compliance while helping strengthen the company's control…

Job Summary: Build and maintain a solid team through training, coaching and developing staff Validate effectiveness of the different projects managed by appeals team through universe data validation. Facilitate and present at meetings within the Appeals team. Establish and…

Position Summary The Rebate Reconciliation team is responsible for reconciling rebate payments from manufacturers with the invoices for those rebates. The Rebate Reconciliation Process Manager position supports the team both as an individual contributor performing reconciliation…

Candidate may reside in WI, AZ, IA, TX, MO, ID, NM, OH and hold an unrestricted compact license in their state of residence. At CVS Health, we believe we can change the world by improving patient lives, one call at a time. Our Telephonic Registered Nurses (RN) have patient…

Position Summary Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at…

Position Summary The Manager, Financial Planning & Analysis (FP&A), Reconciliation, is responsible for ensuring the accuracy, completeness, and integrity of financial reconciliations for Aetna Federal Plans. This role establishes and maintains reconciliation standards, supports…

Position Summary Oversight of Quality staff including the organization and development of high performing teams. Works closely with functional area managers to ensure consistency in monitoring and reporting activities. Manages performance and resources for monitoring needs.…

Position Summary The Senior Integrated Service Specialist serves as the primary point of contact for customers seeking assistance with claims-related inquiries. This role is responsible for providing clear and accurate information regarding claims submissions, status updates,…

Position Summary Leverages technology and data to improve healthcare outcomes by designing, implementing, and maintaining health information systems, analyzing healthcare data, and utilizing technology to support clinical workflows and decision-making. Applies expertise in…

Position Summary We are seeking a Regulatory Filing Specialist to support Pharmacy Benefit Manager (PBM) licensing and regulatory reporting activities. In this role, you will help ensure compliance with state and regulatory requirements, manage licensing filings, conduct…

Position Summary Career level compliance position that supports the compliance program activities and deliverables of a Medicaid managed care organization. In partnership with and under the direction of the health plan Compliance Officer and other team members, this position…

Position Summary The Contract Coordinator Analyst plays a critical role in supporting the Medicaid Network management team throughout the provider contracting lifecycle for Aetna Better Health of Illinois. This position works hand in hand with the Network Contracting Manager to…

Utilization Management Nurse Consultant (RN) – Concurrent Review Remote | Acute Inpatient Utilization Management | RN Opportunity Are you an experienced RN with a background in acute care and utilization management? Join our team and play a vital role in ensuring members receive…

Position Summary This Case Manager RN position is 100% remote and the employee can live in any state. Normal Working Hours: Monday through Friday 8:00am through 4:30pm in time zone of residence with an occasional late shift rotation per the needs of the business 11:00 AM-8:00 PM…