Position Summary This position is responsible for reviewing claims and PDE (Prescription Drug Event) errors. This includes analyzing and distributing the PDE Rejections reports and analysis to internal and external clients. The position will serve as liaison between the PDE…
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Senior Us And International Tax Manager Jobs
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Position Summary CVS Health is seeking a highly motivated Senior Analyst to support the administration, maintenance, enhancement, and optimization of the BlackLine platform. This role will serve as a key resource supporting BlackLine across multiple modules, with a primary focus…
Position Summary Provides consultation on the design, testing and enhancement of information product including technical assistance and product development support to external and internal customers. Researches, manipulates and prepares complex data to document program…
Position Summary The Senior Engineer will be responsible for delivering high-quality web applications, interactive dashboards, and backend integration services through collaboration with our engineering, data, product and DevOps teams in a fast-paced, agile environment. You will…
Position Summary The Senior Manager, Project Management – Provider Adoption & Onboarding plays a critical role in advancing provider onboarding, adoption readiness, and cross-functional execution across Interoperability priorities. The role partners with Network teams,…
Position Summary The Enterprise Strategy team is responsible for helping steward the development of the company’s long-term strategy and associated priorities, connecting each business unit to those priorities, exploring white space opportunities for growth, and connecting the…
Position Summary As a Senior Legal Counsel, Pharmacy Benefit Manager (PBM) you will provide legal guidance, interpretation, advice and recommendations for action to internal stakeholders and senior/executive management regarding federal/state regulations in the healthcare…
Position Summary This position is accountable for optimizing work flow across Aetna Service Operations as an individual contributor. The role documents end-to-end workflows, clarifies process ownership, identifies points of breakdown, and prioritizes the highest-impact…
Position Summary This role will be accountable for the strategic alignment, operational success and performance management of assigned provider relationships, network and value-based relationships. Ensures that assigned value based contract arrangements are functioning…
This is a field based management position and required to reside in the Ft. Worth / Dallas Area. This person will manage operations of 15 clinics in this region and will be out rounding on the clinics 3 days per week (Tu-Th) and then work from home-based office other days.…
This position is with the Actuarial Rating Systems Support team and focuses on operational execution for our large group commercial rating engine (ERNIE) . As a Sr. Actuarial Analyst the ideal candidate will project manage and support system enhancements from beginning to end;…
Position Summary This position is responsible for developing and maintaining databases, data sources, and analytical tools used to support and inform Actuarial, Finance and Medical Economics. Commercial, Medicare. Looking for driven, high-performance colleague to join our team.…
Position Summary The Senior Customer Service Representative serve as a primary point of contact for members, patients, providers, and third-party administrator (TPA) clients. Responsible for handling inbound and outbound calls, responding to email inquiries, providing claim…
Become a part of our caring community With over 10 million sales interactions annually, Humana understands that while great products are important, it’s the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable…
Position Summary Join our team of healthcare data scientists as we develop the next generation of risk prediction models. We're looking for data scientists to leverage their analytical & machine learning skills to help provide insights & model solutions to stakeholders across…
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