Eligibility Consultant in United States

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 safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. A Brief Overview Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing. Contributes to the efficient and accurate handling of medical claims for reimbursement through knowledge of medical coding and billing practices and effective communication skills. What you will do Handles and processes Benefits claims submitted by healthcare providers, ensuring accuracy, efficiency, and strict adherence to policies and guidelines. Determines the eligibility and coverage of benefits for each claim based on the patient's insurance plan and policy guidelines and scope. Assesses claims for accuracy and compliance with coding guidelines, medical necessity, and documentation requirements. Documents claim information in the company system, assigning appropriate codes, modifiers, and other necessary data elements to ensure accurate tracking, reporting, and processing of claims. Conducts reviews and investigations of claims that require additional scrutiny or validation to ensure proper claim resolution. Communicates with healthcare providers, patients, or other stakeholders to resolve any discrepancies or issues related to claims.</sp

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 safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Location: Work From Home – Flexible, Travel Required: 25 – 50% (Wayne and Macomb Counties) Schedule: Standard business hours Monday-Friday 8:00am-5:00pm EST No evenings, weekends, or major holidays 4 day/10-hour schedule available after training ​ Our Mission The LTSS RN Case Manager is responsible for comprehensive assessment, care planning, coordination, implementation, and monitoring of Long-Term Services and Supports (LTSS) for dual-eligible Medicare and Medicaid members. This role ensures members receive appropriate waiver and community-based services to promote safety, independence, and improved health outcomes while maintaining regulatory compliance. This position includes in-home visits to complete functional assessments, evaluate eligibility for waiver services, and develop person-centered service plans. 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 members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and

About the Team The Industrial Security team enables OpenAI’s classified and national security work by building secure, compliant programs that support government customers and protect sensitive information. We partner across Security, Legal, People, Facilities, Engineering, IT, and program leadership to translate complex government requirements into practical operating models that allow important work to move forward responsibly. Our work spans personnel security, classified facilities, special programs, government customer engagement, and the safeguards required to operate in highly regulated environments. About the Role As a Senior Special Programs Security Manager, you will lead security operations for OpenAI’s Sensitive Compartmented Information (SCI) and Special Access Programs (SAP), serving in customer-designated roles such as Contractor Special Security Officer (CSSO) or Contractor Program Security Officer (CPSO). You will help shape how OpenAI operates across the Intelligence Community and other national security environments, building the relationships, processes, and security foundations required to support classified work at scale. We’re looking for someone who brings deep special programs expertise, sound operational judgment, and the credibility to work directly with government customers and senior internal stakeholders. This is a hands-on leadership role for someone comfortable navigating ambiguity, helping build the function, mentoring future team members, and finding compliant paths forward when mission needs and security requirements intersect. This role is based in San Francisco, CA, or Washington, DC. We use a hybrid work model of three days in the office per week and offer relocation assistance to new employees. Additional onsite presence and occasional travel may be required based on classified program, facility, and government customer needs. This position requires active Top Secret eligibility, current SCI access, and a current counterintelli

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 safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary – Case Manager Analyst - Field Location: Will & DuPage Counties, IL Must reside in one of the following Zip Codes: 60606, 60607, 60608, 60609, 60610, 60611, 60612, 60614, 60622, 60623, 60624, 60632, 60639, 60644, 60647, 60651, 60653 This Case Management Analyst Field position is with Aetna’s Long-Term Services & Supports (LTSS) team and is a field-based position. The requirement is for candidates to travel up to 75% of the time to meet with members face to face. This position holds a full caseload to manage waiver members. This position requires in person quarterly visits with members. This position is critical to meeting contractual requirements. Facilitate appropriate healthcare outcomes for waiver/LTSS members by providing care coordination, support and education for members through the use of care management tools and resources. Evaluation of Members: Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member’s needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member’s benefit plan and available internal and external programs/services. Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral

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 safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary – Case Manager Analyst - Field Location: Champaign, IL This Case Management Analyst Field position is with Aetna’s Long-Term Services & Supports (LTSS) team. The requirement is for candidates to travel 75% of the time to meet with members face to face. This position holds a full caseload to manage waiver members. This position requires in person quarterly visits with members. This position is critical to meeting contractual requirements. Facilitate appropriate healthcare outcomes for waiver/LTSS members by providing care coordination, support and education for members through the use of care management tools and resources. Evaluation of Members: Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member’s needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member’s benefit plan and available internal and external programs/services. Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. Coordinates and implements assigned care plan activities and monitors care plan progress. Enhancement of Medical Appropriateness and Quality of Care: Using holistic approach consults with case man

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 safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Schedule: Monday-Friday 8AM - 5PM Travel: Up to 55-75% travel in and around Yale New Haven, CT. Position Summary Program Overview Help us elevate our patient care to a whole new level! Join our Community Care team as an industry leader in serving our members by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Community Care members. Community Care is a member centric, team-delivered, community-based care management model that joins members where they are. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country. Family Summary/Mission Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities. Develops, implements, and supports Health Strategies, tactics, policies, and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work. Services and strateg

About the Team The Startup Growth team is building the systems, programs, and automation that enable OpenAI to win startups at scale. We need to make it dramatically faster and easier to turn high-potential growth ideas into repeatable, measurable GTM motions without bespoke infrastructure for every program. About the Role The GTM Growth Programs Lead will own the shared capabilities that enable Startup GTM to incubate, launch, measure, and scale growth programs. The role will initially own credit and commercial programs while using that work to build reusable infrastructure for a broader portfolio of GTM motions. The goal is not to centralize program ownership: teams closest to startups should continue to identify, incubate, and own growth motions. This role will build the operating system that makes them dramatically better and faster at doing so. This role is based in San Francisco, CA. We use a hybrid work model of 3 days in the office per week and offer relocation assistance to new employees. In this role, you will: Build the GTM program platform for Startups. Develop shared infrastructure, tooling, and agentic systems that turn growth opportunities into scalable programs, automate work across the program lifecycle, and make each subsequent motion faster to launch. Own credit and commercial programs. Drive credit/commercial strategy and evolution while turning capabilities such as audience selection, eligibility, offer configuration, distribution, and measurement into reusable building blocks. Create a repeatable path from idea to scaled motion. Turn “we need to increase X” into targeted, operationalized, measurable GTM motions. Build leverage throughout the team. Enable ADs, VC Partnerships, and other Startup GTM teams to incubate and own programs independently rather than routing every motion through centralized operations. Develop shared measurement and experimentation frameworks and capabilities. Establish common approaches to sizing, economics, attribution

Current shift openings at this location:&#xa;&#xa;Seasonal Warehouse Associate&#xa;Sunday, Monday, Tuesday 10:00PM-3:30AM&#xa;Sunday, Monday, Tuesday 6:00AM-10:00AM&#xa;Wednesday, Thursday, Friday, Saturday 10:00PM-4:00AM&#xa;Wednesday, Thursday, Friday, Saturday 6:00AM-10:00AM&#xa;&#xa; Apply to join our team today! Warehouse Associate roles starting at $22.75 per hour. The pay range is $22.75 to $26.00 per hour. You may also earn additional compensation in the form of a shift differential, ranging from $2.00 to $3.50 per hour, based on eligibility. Please apply with as much open availability as possible! As a progression TM, there is an opportunity to grow your pay based on your tenure in your role What does a role as a Warehouse Associate look like? Follow all safety policies and procedures to ensure a safe working environment for all team members. Attend safety trainings to learn how to work safely in a fast-paced warehouse environment. Pack, load, and ship items to stores and guests. Ensure accurate processing of merchandise to our stores and guests. Work safely, quickly, and efficiently to handle freight and move inventory throughout the warehouse. Maintain a neat, clean, and organized work area. Report to work on time and complete job tasks as assigned accurately and on time. Engage in problem solving to support continuous improvement. Maintains positive and respectful attitude while working independently and in a team environment. · <spa

Current shift openings at this location:&#xa;&#xa;Warehouse Worker&#xa;Sunday, Thursday, Friday, Saturday 5:00AM-3:30PM&#xa;Tuesday, Wednesday, Thursday, Friday 3:30PM-2:00AM&#xa;Sunday, Monday, Friday, Saturday 3:30PM-2:00AM&#xa;Sunday, Monday, Tuesday, Saturday 3:30PM-2:00AM&#xa;Sunday, Thursday, Friday, Saturday 3:30PM-2:00AM&#xa;&#xa; Apply to join our team today! Warehouse Worker roles starting at $24.80 per hour. The pay range is $24.80 to $29.61 per hour. You may also earn additional compensation in the form of a shift differential, ranging from $2.00 to $3.50 per hour, based on eligibility. Please apply with as much open availability as possible! As a progression Team Member, there is an opportunity to grow your pay based on your tenure in your role What does a role as a Warehouse Worker look like? Follow all safety policies and procedures to ensure a safe working environment for all team members. Attend safety trainings to learn how to work safely in a fast-paced warehouse environment. Pack, load, and ship items to stores and guests. Ensure accurate processing of merchandise to our stores and guests. Work safely, quickly and efficiently to handle freight and move inventory throughout the warehouse. Maintain a neat, clean, and organized work area. Report to work on time and complete job tasks as assigned accurately and on time. Engage in problem solving to support continuous improvement. Maintains positive and respectful attitude while working independently and in a team environment. Please note job duties may change at any time due to business needs. Job requirements: Able to lift and carry merchandise weighing 35-50 lbs. frequently t

Current shift openings at this location:&#xa;&#xa;Warehouse Worker&#xa;Sunday, Monday, Tuesday, Wednesday 5:00AM-3:00PM&#xa;Sunday, Monday, Friday, Saturday 4:00PM-2:00AM&#xa;Sunday, Monday, Tuesday, Wednesday 3:00PM-1:00AM&#xa;&#xa; Apply to join our team today! Warehouse Worker roles starting at $24.00 per hour. The pay range is $24.00 to $26.86 per hour. You may also earn additional compensation in the form of a shift differential, ranging from $2.00 to $3.50 per hour, based on eligibility. Please apply with as much open availability as possible! As a progression TM, there is an opportunity to grow your pay based on your tenure in your role What does a role as a Warehouse Worker look like? Follow all safety policies and procedures to ensure a safe working environment for all team members. Attend safety trainings to learn how to work safely in a fast-paced warehouse environment. Pack, load, and ship items to stores and guests. Ensure accurate processing of merchandise to our stores and guests. Work safely, quickly and efficiently to handle freight and move inventory throughout the warehouse. Maintain a neat, clean, and organized work area. Report to work on time and complete job tasks as assigned accurately and on time. Engage in problem solving to support continuous improvement. Maintains positive and respectful attitude while working independently and in a team environment. Please note job duties may change at any time due to business needs. Job requirements: Able to lift and carry merchandise weighing 35-50 lbs. frequently throughout a shift. Able to lift and carry merchandise weighing up to 60 lbs. occasionally throu

Current shift openings at this location:&#xa;&#xa;Seasonal Warehouse Associate&#xa;Tuesday, Wednesday, Thursday, Friday 5:00AM-3:15PM&#xa;Tuesday, Wednesday, Thursday, Friday 3:30PM-1:45AM&#xa;Sunday, Monday, Saturday 5:00AM-5:00PM&#xa;Sunday, Monday, Saturday 5:00PM-5:00AM&#xa;&#xa; Apply to join our team today! Warehouse Associate roles starting at $23.00 per hour. The pay range is $23.00 to $26.30 per hour. Warehouse Worker roles starting at $25.00 per hour. The pay range is $25.00 to $28.05 per hour. You may also earn additional compensation in the form of a shift differential, ranging from $2.00 to $3.50 per hour, based on eligibility. Please apply with as much open availability as possible! As a progression TM, there is an opportunity to grow your pay based on your tenure in your role. What does a role in Warehouse Operations look like? Follow all safety policies and procedures to ensure a safe working environment for all team members. Attend safety trainings to learn how to work safely in a fast-paced warehouse environment. Pack, load, and ship items to stores and guests. Ensure accurate processing of merchandise to our stores and guests. Work safely, quickly and efficiently to handle freight and move inventory throughout the warehouse. Maintain a neat, clean, and organized work area. Report to work on time and complete job tasks as assigned accurately and on time. Engage in problem solving to support continuous improvement Maintains positive and respectful attitude while working independently and in a team environment. Please note job du

Current shift openings at this location:&#xa;&#xa;Warehouse Associate&#xa;Sunday, Monday, Saturday 6:00AM-6:00PM&#xa;Tuesday, Wednesday, Thursday, Friday 4:00PM-2:00AM&#xa;Tuesday, Wednesday, Thursday, Friday 6:00AM-4:00PM&#xa;Sunday, Monday, Saturday 6:00PM-6:00AM&#xa;&#xa;Warehouse Worker&#xa;Tuesday, Wednesday, Thursday, Friday 6:00AM-4:00PM&#xa;Sunday, Monday, Saturday 6:00AM-6:00PM&#xa;Sunday, Monday, Saturday 6:00PM-6:00AM&#xa;Tuesday, Wednesday, Thursday, Friday 4:00PM-2:00AM&#xa;&#xa; Job Description Apply to join our team today! Warehouse Associate roles starting at $20.50 per hour. The pay range is $20.50 to $24.25 per hour. Warehouse Worker roles starting at $22.60 per hour. The pay range is $22.60 to $25.55 per hour. You may also earn additional compensation in the form of a shift differential, ranging from $2.00 to $3.50 per hour, based on eligibility. Please apply with as much open availability as possible! As a progression TM, there is an opportunity to grow your pay based on your tenure in your role. What does a role in Warehouse Operations look like? Follow all safety policies and procedures to ensure a safe working environment for all team members. Attend safety trainings to learn how to work safely in a fast-paced warehouse environment. Pack, load, and ship items to stores and guests. Ensure accurate processing of merchandise to our stores and guests. Work safely, quickly and efficiently to handle freight and move inventory throughout the warehouse. Maintain a neat, clean, and organized work area. Report to work on time and complete job tasks a

Current shift openings at this location:&#xa;&#xa;Seasonal Warehouse Associate&#xa;Wednesday, Thursday, Friday, Saturday 4:00PM-2:00AM&#xa;Sunday, Monday, Tuesday 6:00AM-6:00PM&#xa;Sunday, Monday, Tuesday 6:00PM-6:00AM&#xa;Wednesday, Thursday, Friday, Saturday 6:00AM-4:00PM&#xa;&#xa; Apply to join our team today! Warehouse Associate roles starting at $23.15 per hour. The pay range is $23.15 to $26.45 per hour. You may also earn additional compensation in the form of a shift differential, ranging from $2.00 to $3.50 per hour, based on eligibility. Please apply with as much open availability as possible! As a progression TM, there is an opportunity to grow your pay based on your tenure in your role. What does a role in Warehouse Associate look like? Follow all safety policies and procedures to ensure a safe working environment for all team members. Attend safety trainings to learn how to work safely in a fast-paced warehouse environment. Pack, load, and ship items to stores and guests. Ensure accurate processing of merchandise to our stores and guests. Work safely, quickly and efficiently to handle freight and move inventory throughout the warehouse. Maintain a neat, clean, and organized work area. Report to work on time and complete job tasks as assigned accurately and on time. Engage in problem solving to support continuous improvement Maintains positive and respectful attitude while working independently and in a team environment. Please note job duties may change at any time due to business needs. Based on business needs and requirements for a role within Warehouse Operations, you will be considered for the role of Warehouse Worker or Ware

Current shift openings at this location:&#xa;&#xa;Seasonal Warehouse Associate&#xa;Tuesday, Wednesday, Thursday, Friday 6:00AM-4:00PM&#xa;Sunday, Monday, Saturday 6:00PM-6:00AM&#xa;Sunday, Monday, Saturday 6:00AM-6:00PM&#xa;Tuesday, Wednesday, Thursday, Friday 4:00PM-2:00AM&#xa;&#xa;Seasonal Warehouse Worker&#xa;Tuesday, Wednesday, Thursday, Friday 4:00PM-2:00AM&#xa;Sunday, Monday, Saturday 6:00AM-6:00PM&#xa;Sunday, Monday, Saturday 6:00PM-6:00AM&#xa;Tuesday, Wednesday, Thursday, Friday 6:00AM-4:00PM&#xa;&#xa; Apply to join our team today! Warehouse Associate roles starting at $22.05 per hour. The pay range is $22.05 to $24.55 per hour. Warehouse Worker roles starting at $23.50 per hour. The pay range is $23.50 to $27.65 per hour. You may also earn additional compensation in the form of a shift differential, ranging from $2.00 to $3.50 per hour, based on eligibility. Please apply with as much open availability as possible! As a progression TM, there is an opportunity to grow your pay based on your tenure in your role. &#34; What does a role in Warehouse Operations look like? Follow all safety policies and procedures to ensure a safe working environment for all team members. Attend safety trainings to learn how to work safely in a fast-paced warehouse environment. Pack, load, and ship items to stores and guests. Ensure accurate processing of merchandise to our stores and guests. Work safely, quickly and efficiently to handle freight and move inventory throughout the warehouse. Maintain a neat, clean, and organized work area. Report to work on time and complete job tasks as assigned accurately and on time. Engage in problem solving to support continuous impro

Current shift openings at this location:&#xa;&#xa;Warehouse Associate&#xa;Sunday, Monday, Saturday 6:00AM-6:00PM&#xa;Sunday, Monday, Saturday 6:00PM-6:00AM&#xa;&#xa;Warehouse Worker&#xa;Sunday, Monday, Saturday 6:00AM-6:00PM&#xa;Tuesday, Wednesday, Thursday, Friday 4:00PM-2:00AM&#xa;Tuesday, Wednesday, Thursday, Friday 6:00AM-4:00PM&#xa;Sunday, Monday, Saturday 6:00PM-6:00AM&#xa;&#xa; Apply to join our team today! Warehouse Associate roles starting at $20.00 per hour. The pay range is $20.00 to $23.13 per hour. Warehouse Worker roles starting at $21.65 per hour. The pay range is $21.65 to $25.30 per hour. You may also earn additional compensation in the form of a shift differential, ranging from $2.00 to $3.50 per hour, based on eligibility. Please apply with as much open availability as possible! As a progression TM, there is an opportunity to grow your pay based on your tenure in your role. What does a role in Warehouse Operations look like? Follow all safety policies and procedures to ensure a safe working environment for all team members. Attend safety trainings to learn how to work safely in a fast-paced warehouse environment. Pack, load, and ship items to stores and guests. Ensure accurate processing of merchandise to our stores and guests. Work safely, quickly and efficiently to handle freight and move inventory throughout the warehouse. Maintain a neat, clean, and organized work area. Report to work on time and complete job tasks as assigned accurately and on time. <