Position Information Schedule: Monday–Friday 8:00am-5:00pm EST About Us American Health Holding, Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective care management solutions that…
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Home Infusion Nurse Jobs
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Position Summary The Senior Software Development Engineer is responsible for leading the design, development, and implementation of innovative digital solutions that power exceptional member experiences. In this role, you will leverage advanced technical expertise to architect…
Requisition Job Description Position Summary The Senior Software Development Engineer is responsible for leading the design, development, and implementation of innovative digital solutions that power exceptional member experiences. In this role, you will leverage advanced…
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…
This role requires the nurse to exercise clinical judgment and perform the following duties: Review and interpret clinical documentation obtained from medical records or systems. Apply clinical decision-making to utilize appropriate clinical criteria and policies for…
Position Summary This role requires the nurse to exercise clinical judgment and perform the following duties: Review and interpret clinical documentation obtained from medical records or systems. Apply clinical decision-making to utilize appropriate clinical criteria and…
Position Summary Account Manager will partner with an Account Executives servicing clients developing strong external and internal relationship to achieve customer satisfaction, membership and revenue for existing customers. Responsibilities include: Develops working…
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 Aetna Technology is seeking a Principal Engineer, Architecture, AI & Enablement to serve as a strategic technical leader responsible for accelerating modernization, improving engineering effectiveness, enabling responsible AI adoption, and helping guide…
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 As a Senior Investigator you will conduct high level, complex investigations of known or suspected acts of healthcare fraud and abuse. Routinely handles cases that are sensitive or high profile, those that are complex cases involving or cases involving multiple…
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,…
*Candidates must possess active and unrestricted LCPC OR LCSW OR RN in the state of Illinois * Position Summary/Mission Responsible for the oversight of healthcare management staff including the organization and development of high performing teams. Works closely with functional…
Position Summary The Nurse Case Manager is responsible for delivering comprehensive case management services through telephonic and/or face-to-face interactions. This role involves assessing, planning, implementing, and coordinating care strategies to support members' medical…
Position Summary As a Manager within Pharmacy Services Finance Intelligence (FI), you will lead complex, strategic initiatives from intake through implementation. You will partner with business and technology leaders to define requirements, shape solutions, manage delivery, and…
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