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…
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Home Health Nursing Jobs
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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…
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…
Position Summary The Manager, Record to Report, S.C.O.R.E. supports balance sheet reconciliation governance, quality assurance, and continuous improvement across the Record-to-Report organization. S.C.O.R.E. stands for Standardization, Compliance, Optimization, Risk, and…
Position Summary CVS Health is seeking a strategic, data-driven Manager, Business Analysis, Workforce Initiatives, Data & Analytics to lead workforce intelligence and analytics initiatives that support enterprise workforce planning, talent pipeline development, program…
In this part-time position, you will work 20 hours per week, to including every other weekend. You will participate in a holiday rotation. Availability to work East Coast hours is required. Position Summary The MinuteClinic Support Coordinator is responsible for managing…
Position Summary We are hiring a Senior Full Stack Software Development Engineer with strong React and Python (with .NET as a nice-to-have) experience to join our Data Engineering team. You will serve as a key senior contributor, driving the end-to-end development of a new,…
Position Summary The Software Development Engineer is responsible for designing, developing, testing, and maintaining software applications and services under the guidance of senior engineers and technical leads. This role collaborates with cross-functional teams to deliver…
Position Summary We are hiring a Senior Product Manager to help lead our Caremark advocacy portfolio, a new, high-priority initiative that sits within an established, well-resourced team. This role will drive the continued development and expansion of Pharmacy Navigator, which…
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