Member Of Technical Staff Tlp Jobs

Position Summary Coordinates member outreach to ensure effective use of health plan benefits, ensure member receipt of important clinical services, and to improve member health outcomes within the Medicaid or Medicare population. Responds to member inquiries in person, via…

Analyst, Outreach Coordinator at CVS Health in KY, United States. Remote.

Analyst, Outreach Coordinator at Cvshealth in Work From Home, United States. Remote.

Become a part of our caring community The Care Management Support Assistant (CMSA) helps support Humana's Special Needs Population (SNP) members, including those who are low-income and managing chronic conditions. The CMSA provides non-clinical, administrative assistance to…

Position Summary Risk Management is charged with protecting company assets. This group is responsible for minimizing risk – in legal, financial and operational areas – and its affects on the organization, as well as for enforcing security and safety measures. Coordinate…

Position Summary This is a remote work from home role anywhere in the US with virtual training. American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease…

Position Summary **We are looking for qualified candidates for this remote or hybrid opportunity who reside in Ohio, Indiana, Illinois or Missouri** The Public & Labor Senior Account Manager implements processes for sales, account management, and business retention operations…

Position Summary This Analyst, Case Management position is with Aetna’s Long-Term Services and Supports (LTSS) team and is a field-based position out of Harrisonburg, Virginia Region. The requirements is for candidates to travel 70% of the time to meet with members face to face.…

Position Summary Responsible for initial review and triage of claims tasked for review. Determines coverage, verifies eligibility, identifies and redirects misdirects Responsible for prepping the authorization in the system and triage cases to medical staff for review. Organized…

Job Purpose & Summary At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans…

Senior Network Medical Director, West Region at Cvshealth in United States. Remote.

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,…

*New Hire Bonus - $3,000 Available!* Schedule: Standard business hours Monday-Friday 8:00am-5:00pm CST. Position Summary The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process. The Case Management Coordinator…

*$3,000 New Hire Bonus Available!* Schedule: Standard business hours Monday-Friday 8:00am-5:00pm CST. Position Summary The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process. The Case Management Coordinator…