Member Of Technical Staff Tlp Jobs

Become a part of our caring community The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). The Medical director works assignments involve that moderately complex to complex issues where the analysis of situations or data requires…

The Cash and Trade Proc Rep 5 is an entry level role responsible for processing basic to relatively complex transfers in coordination with the Transaction Services team. The overall objective is to perform moderately complex cash & trade operation tasks, by providing processing…

The Field Sales Supervisor is an intermediate position responsible for providing full leadership and direction to a team of employees in an effort to deliver a full range of sales and customer support activities in coordination with the Consumer Sales team. The overall objective…

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…

Case Manager RN (100% Remote – Nationwide) Full‑Time | Work from Anywhere Nationwide | No Travel Required We’re seeking a compassionate and results‑driven Case Manager RN to support members through personalized, high‑quality care coordination. In this fully remote role, you’ll…

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

Become a part of our caring community The Licensed Behavioral Health Utilization Management Professional 2 uses behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations.…

Company: Oak Street Health Title: Medical Assistant Role Description: At Oak Street Health, Medical Assistants (MAs) are essential Care Team members who report to the Practice Manager or Center Operations Specialist. Your primary role is to collect accurate patient data —…

Medical Assistant at Cvshealth in Philadelphia, Philadelphia, United States.

Medical Assistant at Cvshealth in Greensboro, Greensboro, United States.

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…

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…

Position Summary Career level compliance position that supports the compliance program activities and deliverables of a Medicaid managed care organization. In partnership with and under the direction of the health plan Compliance Officer and other team members, this position…

Utilization Management Nurse Consultant (RN) – Concurrent Review Remote | Acute Inpatient Utilization Management | RN Opportunity Are you an experienced RN with a background in acute care and utilization management? Join our team and play a vital role in ensuring members receive…

Do you have a passion for engaging with people and helping them on their journey to better health? Discover a meaningful role where you’ll engage with health plan members primarily online, helping to close gaps in care. Signify Health, part of CVS Health®, is hiring full-time,…