Home Health Nursing Jobs

Position Summary The Lead Director, Technology Product Management for Medicare Claims is accountable for shaping the strategy, roadmap, performance, and modernization of the technology products and platforms that support claims administration for more than 4 million Medicare…

Position Summary Prepares sales presentations and proposals, conducts market research, and assists with sales forecasting and analysis. Collaborates with cross-functional teams to ensure seamless communication and coordination between sales, marketing, and customer support…

Medicare Precertification Utilization Management Nurse Consultant (RN) Remote | Full-Time | Weekends Are you a detail-oriented RN passionate about improving healthcare outcomes? Join our Utilization Management team and play a key role in ensuring members receive the right care…

Remote RN Case Manager (Costco Team) Schedule: Monday–Friday, 8:00 AM–5:00 PM CST (occasional 10:00 AM–7:00 PM rotation) No weekends or holidays About the Role Join our dedicated Costco Team as a Remote Case Manager RN , where you’ll play a key role in improving members’ health…

Position Summary: The Case Manager RN role is 100% remote work from home and candidates must have an active RN licensure (any state). Normal Working Hours: Monday through Friday 9:00am – 5:30pm in time zone of residence. Occasional evening, weekend, and holiday shifts per the…

Medicare Clinical Predetermination Nurse Must be willing and able to work Monday through Friday, 9am - 5:30pm EST or CST with occasional holiday rotation. Utilization Management is a 24/7 operation and work schedules will include holidays and evening hours. Utilizes clinical…

Position Summary We are seeking a Senior Analyst, Business Compliance 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…

This is a field based management position and required to reside in the Ft. Worth / Dallas Area. This person will manage operations of 15 clinics in this region and will be out rounding on the clinics 3 days per week (Tu-Th) and then work from home-based office other days.…

Position Summary Aetna Medical Economics Unit (MEU) has an exciting opportunity for a Senior Informatics Manager to join our Performance Guarantee and Operational Reporting Team. The Operational Reporting and Analytics team within MEU is responsible for operational measurement…

Senior Manager Medical Economics - QuickBase Developer at Cvshealth in Work From Home, United States. Remote.

Position Summary The Lead Director, Agile Practice Management leads end-to-end delivery of a portfolio of strategic and regulatory technology initiatives within Aetna Commercial and Distinct Client Segments (DCS) Delivery. This role is focused on delivery execution, driving…

Position Summary Designs data models, system architectures, and integrations to meet business needs Leads the configuration and customization of Salesforce applications, including Apex code, Visualforce pages, Lightning components, and other declarative features Collaborates…

Position Summary Contributes strategic and technical support for the sales process. Designs customer centered proposals that focus on financial positioning, product offerings, and network access. Applies technical knowledge of products, programs, services, policies, systems, and…

Position Summary At CVS Health, our purpose is to simplify health care, one person, one family, and one community at a time, with the ambition to be America’s most trusted health care company. Healthcare Analytics powers that purpose, building AI-powered analytics solutions to…

Position Summary Revenue Integrity is seeking a Lead Director, Informatics (Performance Reporting & Insights) to lead the development and delivery of enterprise risk adjustment analytics and business intelligence solutions. This role transforms complex clinical, operational, and…