Become a part of our caring community The Population Health Strategy Director is responsible for improving the quality of care and outcomes while managing costs for our Illinois members. The Population Health Strategy Director identifies health needs including chronic diseases,…
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Home Infusion Nurse Jobs
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Position Summary Sr. Manager, Medical Policy Quality Assurance (QA) & Rework Remediation is responsible for managing the day-to-day operations of the Medical Policy quality assurance and remediation program. This role oversees quality reviews, issue intake, defect investigation,…
Position Summary The Manager, Care Model is responsible for owning the day‑to‑day execution of a defined care model workstream, ensuring planned activities are delivered on time and with high quality. This role translates care model strategy and direction into detailed…
Position Summary The Analyst, Plan Sponsor Services Technician is responsible for entering and maintaining client and provider information within internal systems, ensuring data accuracy and completeness. This role supports ongoing updates for new, terminated, and modified…
Position Summary As a Senior Content Designer, you like being at the intersection of content and design. You understand that content that's well designed is easy to follow and understandable. As a champion for our users, you organize and present content in a meaningful way. You…
Analyst, Plan Sponsor Services Technical at CVS Health in Work From Home, United States. Remote.
Position Summary The Solution Architect, Epic STARS is responsible for the design, optimization, and strategic direction of Epic-based solutions supporting Medicare Star Ratings, HEDIS, and NCQA quality measure performance. This role bridges clinical quality strategy and…
Requisition Job Description A Brief Overview Coordinates and aligns activities across different operational teams to ensure smooth execution of daily operations. managing staffing levels, scheduling, and workload distribution to ensure adequate coverage and efficient resource…
A Brief Overview Coordinates and aligns activities across different operational teams to ensure smooth execution of daily operations. managing staffing levels, scheduling, and workload distribution to ensure adequate coverage and efficient resource utilization. Contributes to…
Position Summary Help us elevate our member care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Fully Integrated Dual Eligible…
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize…
Position Summary Coordinates Peer 2 Peer request for medical services in support quality effectiveness of the organization's health care services. Handles provider calls Peer 2 Peer requests, researches, and enters member information into systems. Required Qualifications 1-2…
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…
Position Summary The Strategic Initiatives Lead advances the Medicare Technology strategy and operating model by working horizontally across technology teams, technology solutions, and coordinating with other Lines of Business within Aetna. As this technology team grows, the…
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