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Position Summary The Fraud, Waste, and Abuse (FWA) Analyst II identifies and develops potential healthcare fraud leads through data mining, claims analysis, and investigative research. As a key contributor to the SIU lead development process, this role evaluates provider,…

POSITION SUMMARY CVS Health is seeking a highly skilled Staff Data Engineer, Observability Engineering to join the Enterprise Observability Platform organization and help advance the next generation of observability, infrastructure, and security data capabilities. The Staff Data…

Position Summary As a Senior Technical Product Manager, you will be responsible for driving the product delivery of our Documents Domain which is integrated with the organization's Epic electronic health record (EHR) platform and supports multiple business areas. You will own…

Position Summary As a Senior Product Manager, you will lead product strategy and roadmap development for the organization's Epic electronic health record (EHR) platform and integrated clinical informatics tools. You will own the product strategy and requirements for our Revenue…

CVS Health is seeking an SDET Manager to lead Quality Engineering and software delivery transformation across the Medicare Sales & Acquisition ecosystem. This role is critical to modernizing how we build, test, and deliver software, including embedding AI-driven capabilities…

Manager, Software Development Engineering (Quality Engineering, Testing) at Cvshealth in Work At Home Illinois, United States.

Strategic Account Executive — TX - Work from home. Apply via Workday.

A Brief Overview As a Senior IT Project Manager, you will manage the resources, schedule and budget across teams, ensuring effective delivery. Your role focuses on creating an environment that enables team success, fostering collaboration, and driving continuous improvement.…

A Brief Overview Remove impediments, foster cross-functional collaboration, support Product Owners, and meet with business leaders to support one or more major project initiatives for Medicare. This role differs from a traditional Scrum Master by having a broader focus on…

If you're looking to make a global difference in your next role, this opportunity is for you. Aetna International is seeking an Analyst, Account Manager who is passionate about delivering an exceptional customer experience and supporting the ongoing success of our Access U.S.…

A Brief Overview Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing. Contributes to the efficient and accurate handling of medical…

Requisition Job Description Position Summary The Director, Corporate Affairs Technology leads the strategy, delivery, and operations of technology solutions supporting Legal, Compliance, and Corporate Security functions. This role partners with Corporate Affairs leadership to…

Position Summary The Manager - Process Engineering leads high-impact process improvement and Business Process Management (BPM) initiatives across Information Security and Technology Solutions (ISTS). This role is accountable for enabling operational excellence by designing,…

Registered Nurse (RN) - Utilization Management Schedule: 24/7 operation; includes evenings, weekends, and holidays Are you an experienced Registered Nurse looking to leverage your clinical expertise in a collaborative, fast-paced environment? Join our Utilization Management team…

Job Summary: Aetna Mental Well-being is reimagining how mental health is delivered with a unified, tech-enabled approach for our best-in-class Employee Assistance Program (EAP), Resources for Living. The Clinical Counselor plays a vital role in Aetna Mental Wellbeing’s…