Title: Referral Coordinator I Company: Oak Street Health Role Description: The Referral Coordinator is a vital part of the Patient Experience & Service Operations (PXSO) and delivers an unmatched patient experience. This role is responsible for managing the day-to-day referrals…
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Home Infusion Nurse Jobs
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Position Summary Staff Data Engineer-Azure Databricks Platform We're looking for a highly skilled Platform Staff Engineer to lead the development and maintenance of our Databricks platform, supporting our healthcare delivery initiatives. You will be a hands-on leader,…
Job Summary The Utilization Management Nurse supports the effective coordination and management of healthcare services by reviewing clinical information, determining medical necessity, facilitating appropriate resource utilization, and ensuring compliance with regulatory and…
*** A Doctorate in Medicine (MD) or Osteopathic Medicine (DO) is required for this role. *** Position Summary: Aetna, a CVS Health company, has an outstanding opportunity for a Medical Director. Ready to take your career to the next level with a Fortune 6 company? This is a…
Position Summary The Senior Manager Software Development Engineering is an experienced people and resource leader responsible for building, developing, and managing software engineering teams that deliver secure, reliable, and scalable technology solutions. This role oversees…
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…
Position Summary Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate,…
The Reasonable Accommodation Case Manager is responsible for managing and supporting the company’s compliance with the Americans with Disabilities Act (ADA), ADA Amendments Act (ADAAA), and applicable state and local disability laws. This role provides subject matter expertise…
Position Summary: We are looking for a Staff Systems Engineer - Digital to join our team, the foundational layer that powers access, governance, and intelligence across our digital products. You will work horizontally across engineering, product, and AI teams, leading, owning,…
Position Summary: This position will provide strategic leadership and oversee the digital engineering function by managing a team of engineers, defining technical strategies and roadmaps, ensuring successful project delivery, and fostering a culture of innovation and…
POSITION SUMMARY CVS Health is seeking a ServiceNow Scrum Master to join our Enterprise Service Management organization within Solutions Architecture & Infrastructure Platforms. The ServiceNow Scrum Master plays a critical role in enabling the successful delivery of ServiceNow…
POSITION SUMMARY: The Senior Analyst, FP&A – Network Consolidation & Management Process supports the end-to-end financial consolidation of the Network P&L and manages the operational cadence of the Finance management process within CVS Health’s Pharmacy Services business.…
Position Summary The Senior Configuration Manager leads complex work across the end-to-end Customizations lifecycle, from discovery, analysis, and solution definition through configuration, testing, release, maintenance, and enhancements. The role delivers scalable customization…
Registered Nurse (RN) Utilization Management Nurse Consultant - Remote Make a difference in patient care from the comfort of home. We're seeking experienced Registered Nurses to join our Utilization Management team in a fully remote role. In this position, you'll leverage your…
Position Summary The Senior Analyst, PPO Network Discount Optimization plays a critical role in enhancing the value and competitiveness of Aetna Dental's provider networks by driving improvements in PPO discount performance across the United States. This position is responsible…
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